Yes, I've had "pain brain" way too often. My fatigue and mental fog gets much worse when the pain gets worse. I think the only way some of us is taken seriously is to bring an advocate in with us to the doc appts. I tend to type things up as well, but one can't do that at 2am in the middle of a flare!!

Has the pain doc given you something for breakthrough pain? What are you doing for the myofacial pain? PT, accupunture, etc?