Hi , it's nice to hear from you again, although I am sorry to hear that you're struggling so much with the pain and fatigue. Working with PsA is extremely challenging and many of us here have had to cut down on/stop working due to PsA. Have you and your employer discussed workplace accommodations at all? Here's some information and resources that I hope will be helpful: https://psoriatic-arthritis.com/living/workplace-accommodations-disability I hope others will chime in here with any experiences or words of support for you. We're all here for you. Hoping you hear about the biologic soon. Keep us updated if you can! Warmly, -Catherine, Community Moderator