My GI office is great, if I call they will get me in as soon as they can, but I have had worst days, so I am holding out for my August appointment, I so rarely have made it to my actual next appointment...There are some improvements with frequency, and I am learning to live with the pain, and medicate as needed avoiding Tylenol as taking 4 at once is still not enough and I am not much for pills...The remicade has helped, just the pain is overwhelming sometimes, from my lower back down, and shoulders down to my hands some days, makes life with 3 small kids...interesting lol