During my last PM visit, I was told to increase my BT med use -- I wanted to change to a stronger time release, buy my PM thought I was still using a very modest amount of BT meds.
Well, I followed his advice and now rarely is there a day where I don't use something. Also about 1/3 of the days, I'll take two.
My pain is being managed, but as I posted a few weeks ago, I've been getting headaches. I'm also more lethargic and just not getting much work done.
Where I was typically writing 10 pages per day, now days go by before I get anything done. I find it hard to concentrate and am just too cloudy. These symptoms don't necessarily arise only after I've taken my BT dose. Rather, they are just persistent.
I've tried various supplements, an extra cup of coffee, more exercise. But something is going on. I don't know if it is due to some sort of brain fatigue from the added meds, something related to my cervical scoliosis, or is unrelated.
It sounds wimpy to go to the doctor about the symptoms, but they are just not what I am used to. For most of my career, I've been a publishing powerhouse, but now am barely able to stay focused long enough to write a sentence.
So far this week I have:
1) written a 3 page proposal for a book series I've been asked to develop
2) corresponded with possible contributors to that series
3) made calls, emails to local hotels to set up a conference for the Fall
4) ran two research meetings, a total of about 4hrs
5) evaluated some work from more junior members
The above list illustrates my problem. It looks like I'm doing a reasonable amount of work and so nothing could really be that wrong. But I'm constantly fighting through this fog and am far less lucid. In the past, the above would have been a standard single day of work for me. But it took huge effort to get through these tasks over five days... and I haven't touched my book since last week.
I would like to cut back on my BT meds, or actually, take a few weeks off everything to clean out my system and see if my mental powers return.
Day after day, I think I'm going to start. But at some point or another, I just can't handle the pain and give in.
On Valentine's day, I dealt with the pain until I wrapped my wife's gifts. That put me in such agony, I had to take something else I would be in bed for the rest of the day. Then yesterday, I had a meeting and had to take something so I could tolerate sitting. Today, I was again going to start my break, made it through until 4pm, but was in so much pain, again took something. The pain has now abated, but a headache is starting and I would like to just lie down and veg out.
Instead, I'm at my computer, hoping to muster the focus to work on my book until my wife gets home. But as I just don't feel up to the effort, I'm venting here instead.
I don't know if the symptoms have to do with my meds and would like to take a few weeks off to find out. But that will be a costly two weeks for I'll have to stay in bed through most of it and will get even less done. I'd be thrilled if my concentration improves and can thus identify the cause, but I dread the idea of having to take weeks off, be in even more pain, and just discover that it is not the pain meds but something else behind these symptoms.
C4-T4 Scoliosis (disk degeneration, stenosis, narrowed neuroforamen, bone spurs), RT hip and SI joint damage from car accident. Also, pectus excavatum, supraventricular tacycardia and mitral valve prolapse syndrome.
Current meds: Ultram ER 300mg daily, breakthrough - hydrocodone 10-15mg, or oxycodone 5-7.5mg. .25-.5mg ativan as needed for sleep, Verapamil 240mg SR (for tachycardia). [/gray