Hi Allison,
Also very very nearly forty

and I've decided that's far too young to be plagued with RA so I've written to those in the know and mentioned they've made a mistake. Still waiting for the confirmation that it'll be taken away
I would have thought that you'd qualify for at least an assessment for Anti-TNF's seeing as you meet the criteria of 1) having active RA and 2) previously failed on at least 2 DMARDS.
At your next rheummy appointment, I'd ask for an assessment to be made so you can be considered for Anti-TNF's and be prepared to lay it on thick about how the RA as it currently stands is affecting your ability to function. I really believe you ought to at least get to have a shot at it.
When is your next appointment?
Joanna