Isn't family maddening? You love them and and believe in them when they are having problems. Sometimes, when we need them to love and believe in us the most, they disappoint. Sorry. I wish I had a better answer then "grin and bear it" and continue to do what you know is right. You really can't worry about what others think about your family's health and health care. Not if you want to stay sane, anyway.

Be prepared. If you decide to put your daughter on Biologics, the questioning may start all over again. "Are sure she really has that disease?" "Isn't that drug dangerous?" "Aren't you afraid of cancer?" "Won't she be sick all the time?" My favorite was "It can't be that bad, can it?" I tried to explain that the risks of the disease were much more certain than the small risks posed by the medication. I tried to explain the reality of the side effect profile. Then I gave up. If people did not buy my rationale, so be it. It is not my job to enlighten them or make them happy with my personal decisions about my own or my children's health. The majority of the time, I just don't discuss it. I don't know if my child's mother's mother's sister (my aunt - but it lets you know how far removed she really is to my child's life when it is written like that) knows about or approves of our health care decisions. If your daughter's x-rays really showed grade 3 sacroiliitis, aggressive medical treatment is most likely in her future. She needs you to be the strong one - calmly explaining (to her and others) the treatment plan, the risks and most importantly, the benefits. You can do it. Things will get better.