I'm sorry to hear your situation. I was dx with sjogren's too and osteoarthritis, osteoporisis. I make sure I drink alot of water frequently, use Biotene toothpaste, mouth wash and floss.presently take plaquenil. I USE over the counter refresh eye drops and sees an ophthalmologist. I WORK fulltime and try to be active although I get tired alot. I pray to God to be well everyday. pls don't lose hope. God is watching over you/us. pls do exercise and try not to be stress. Conditon gets worst when you're stress. Laughter is the best medicine. Get 2nd opinion from another Rheumatologist. take care. I'll pray for you.