My Neurologist that treats me for my MS sent me to a Rheumatologist. At the time, it was because she suspected I also had Lupus, but it turned out I have RA. My reumy said he has only 1 other patient with both. At this moment, the RA is really taking the pain and stiffness up a few notches, but hopefully this bout should pass in a few days. With both the MS and the RA, I experience that 'unlike anything else' kind of fatigue... the kind where it feels like someone laid a very heavy lead blanket on you and you can do nothing about it. You know the kind. MS also impacts my cognitive abilities - ability to organize or work through things, memory, speaking, using incorrect words and terms, and inability to handle stress. I feel very blessed since I was recently approved for Social Security disability benefits - and within 7 months. I'm told this rarely happens, so despite the challenges, I feel quite blessed. I have to say though that this week I'm really having a terrible time with personal hygiene and putting shoes on, feeding my cat, etc. I wonder if anyone else here has both RA and MS... Does anyone have any neat tricks to help with personal hygiene (ie drying off after shower or bath, cleaning yourself after going to the restroom, etc)? Thanks for help with these delicate areas...