I have an appointment with my regular physician in a couple of weeks. I have been keeping a daily log, which I will condense and discuss with him.. Even though there was some "bungling" with misdiagnosis in the beginning, his PA was partly to blame, I do trust him. I also have routine visit with cardiologist. I have learnt that even when one has good, trustworthy physicians, it is important to help manage your care yourself. An aside, for year I have laughed at the question "what is your pain 1-10?" Every body is different and we certainly have different pain tolerances. In my middle years, as a competitive runner, I certainly learned the difference between discomfort and Pain. I could run through discomfort, but not pain. I m afraid in the present culture, we are told discomfort is pain which has to be repressed. Hence the overuse of painkillers. I just want to have what I consider a quality of lfe, which does accept some pain.