Hi Everyone, thanks for your concern and being in touch and the emails and prayers! I want to thank everyone for nudging me. I try to check in, but to be honest, I am exhausted and any left over energy, I am watching TV. I am addicted to certain shows right now and it's a nice diversion. I am in the heat of work right now because it's that time of year and jewelry sells now. So, that's number one, but also, my mom is taking up my time. She is really unable to drive, or think clearly but not ready for assisted living. I am helping her with her finances and trying to sort out her insurance, which means one day a week I spend with her which leaves me with ZERO energy. Then there is the business. Then, there are my own doc appts. I do have Sjogrens definitely. He feels it's primary. A primary disease. But...I also saw the 4th best hand surgeon in the country and after looking at my wrist, he has determined that I definitely need surgery or it will only get worse. I broke it years ago. 16 years ago. The cartilidge is a mess and it never healed properly. He has to clean that up. He wants to re-break it and put pins in and a plate. This is my right hand, so writing will be out for 6 weeks and it will take a total of 6 months to heal, plus 3 months of devoted physical therapy. When I heard he would have to break it, I was sick to my stomach. The first time it broke, the pain was so bad because it hit a nerve and I vomited. Now, I know I will be asleep, but the fact that he wants to re-break it scares me. I found this out last week and I would just start crying in my car or wherever. It never ends and I can't talk about it to anyone because no one has ever had this done. My doctor's are all over the place. Actually, they are all an hour away from me. I live outside of Philly. Every doc knows this surgeon and they all say, "You will find no better and do it now, because he will retire in about a year." He is in his 60's and I am not getting younger, so I have to have this done in January when business dies down. Plus, because I am not 20 anymore, I will have to do it now so that it does have a better chance at healing. I can't turn or open bottles or lift anything which is quite an impediment. I start Plaquinel next week for the Sjogrens. I am on Topamax right now for pain and it does help. If I am not on here much, it's because my energy is limited and I am using my wrist to type and it's hard, but please know I am thinking of everyone. I am trying to financially do well and make a lot of jewelry now so that when I am unable to for months, I have jewels stocked away. Feel free to email or respond and I will do my best to be in touch. I hope everyone is okay. You can write me and let me know how you are.