Disease flares, or episodes of clinically important worsening, are common in patients with RA, with up to 57% reporting a flare at or between visits. We’ve been working on developing some flare criteria, and I’ve had the pleasure of serving on the OMERACT (Outcome Measures in Rheumatology) Rheumatoid Arthritis Flare Group. The Flare Group is a diverse group of international researchers, clinicians, patient research partners, and others working to create a new tool to identify and measure significant RA flares from the patient perspective. Part of our process involved interviews with patients and clinicians to help assess content validity, utility, and meaningfulness of RA Flare Questionnaire scores. I have been particularly struck by some of the patient-reported data. In addition to profound impacts on activities of daily living, there are also subjective comments from patients such as, “It makes me feel like I want to curl up in a corner.” These patients truly understand those needs, and we really have to spend more time in these areas. All of my patients complete, at the very least, the Health Assessment Questionnaire Disability Index. And, certainly, that would be a minimum, in my view.