Albuquerque gardening and unseasonable heat. Actemra and the ACT pen.
Polymyalgia rheumatica is a disease of the elderly that can cause great difficulty in managing day to day activities.
The reality is that the biologics do not relieve the RA symptoms for most of us. You only have to read the drug inserts to understand why.
With Shingrix you will less likely have Shingles and less likely have neuro complications caused by the varicella zoster virus.
I have several friends who have made end of life decisions. This is one I remember well. The decisions I choose to make along the way are decisions that steer my life.