congratulations! I wish I could give you some advice, but I'm in the pre-surgery stage right now. I too have been to the Lahey Clinic- I live in Massachusetts. I've met with Dr. David Schoetz, & had my surgery scheduled with him. I'll most likely be calling him this week to reschedule! But welcome- the folks on here are 100% awesome. Now why didn't you try Humira? that's my big hurdle right now- try it or go straight to surgery.