It sounds like you are in good hands.
About the hair loss, mine comes and goes, with or without meds.
I am wondering why your doc is tapering the plaq, because my rheumy told me to stop plaq when I started MTX.
The plaq worked for me for about six months, after that I went back to my usual pain. If I am worse off now? I can't say, because the MTX was stopped because it did a number on my liver. Right now I am not on anything, because the doc has to figure out what he will do next, after my liver enzimes go back to normal. I am in pain 24/7.
I also have enlarged lymphnodes, sometimes they are painful, but always go back to normal after a few days. They are mostly in my jaw.
I don't know, if this helps you at all, but I hope it does.
I may have been dealt a bad hand, but at least I'm still playing with a full deck. ( most of the time anyway).