Adalimumab

I'm on ad blue as I call it. I've been on this for 9 months and I am still struggling with a continuous flare-up that has been going on since May. Has anyone had any success with this treatment at all because I don't seem to be getting anywhere with this. My rheumatologist is only available from 6:00 a.m. to 12:00 p.m. Monday to Friday with the advice line and even then you're not guaranteed a call back. I have lost the ability to use my hands. I have no fine motor function. I can't hold anything. I had relatively good success with methotrexate. Over 10 years ago when I was first diagnosed, I took it for about 3 years and went into remission and I was in remission for a good 10 years or so until the flare-up back in May last year and then they put me on adalimumab because my housing situation had differed since the last time I was in hospital with psoriatic arthritis. Basically with methotrexate I need to have regular blood tests but because of where I live I can't get to the hospital to have those blood tests. It's catch-22 situation which is very very frustrating.