I've also been doing a mental review as you have. It will be two years in early May and I was hoping I'd be in remission by now, like my niece. Instead, the meds just keep me comfortable and functional most of the time, though I know the disease is progressing. These anniversaries are tough and I really understand your frustration. If I had deteriorated as much as you seem to have, I'd see another rheumy, just for another opinion. Sometimes a fresh pair of eyes and ears can open up new opportunities. At the very least, you'll know you've done everything you can to help yourself. I wish a huge improvement for you in the next two years.