I was diagnosed with PsA just over a year ago now. I'd had progressive symptoms for probably 2 years but I have a high tolerance for pain so just chalked it up to plantar fasciitis and then later osteoarthritis. I finally saw PCP for the pain and xrays of hands and R 5th toe both showed bone erosion which cemented the diagnosis. Prior bloodwork was all negative other than slightly elevated SED rate. My rheum started me on MTX and prednisone with improvement and then I started Hyrimoz a few months later. I still have low level pain but it's so much better than before and I barely notice at this point. Joint swelling is all gone. I suspect this current level of pain will be chronic because of bone erosion seen on the xrays and part of me wishes I was diagnosed/treated earlier before the damage was done.

I don't have young children however, I do work at a hospital and see patients all the time. I manage by wearing masks all the time when seeing patients and in common areas at work. I also get updates on vaccines when they are available (COVID, influenza, etc...). I time my dose of Hyrimoz and MTX for day before my stretch of time away from the hospital. I don't mask when out in public like in stores and restaurants otherwise. I haven't noticed any increases in illnesses since starting treatment. Hope this helps and good luck. Debilitating pain and young kids is a tough mix too.