My name is Rob, and I was diagnosed with SLE in 2004, and MS in 2008. The fatigue and joint swelling/pain you are experiencing are two of the more common problems that people with Lupus have to deal with. While there is no "textbook case" of Lupus, those are a couple of almost universal symptoms. It sounds like you are on the right track, and are managing things well. You have a diagnosis, you are taking plaquenil, and you don't have major organ involvment (kidneys liver etc.). It's also a good thing to educate yourself about your disease. It's easy to become overwhelmed, and scared to death when reading of some of the possible problems lupus can cause. Taking it all in a little at a time is the best thing to do. Try to remember that many, many people live a long and productive life, never having any of the more serious problems such as major organ involvement. The fatigue can be overwhelming. For me, it feels like I have a lead blanket covering me, and every step feels like I am walking in quicksand. It comes and goes. I also have cognitive dysfunction quite often, or "fog " as you'll hear it called here. It sounds like you are on the right track with your Dr. and treatment. Be aware that sunlight can bring on a flare or make your current symptoms worse. Sunblock and a hat are a must. Anyway, I'm glad you found us. This is really a great website, and the people here are just awesome. Welcome!