That is what has happened with the Modafinil for me too, Wiz.

Although the initial 'over perky-ness' has worn down, even with the increased dose, it does keep me from dozing off and makes it easier to carry through with doing things. Before I started taking it, the fatigue was so bad sometimes that just the thought of doing something as basic as having a bath, seemed to be more than I could accomplish.

It also helps me to cope with other Sx because I am not so fatigued mentally/emotionally, so I've been doing more stretching and light exercises. That in turn helps me to do more of the little things around the house that I have been just making do with, like properly mopping the floor, dusting and keeping the kitchen clean etc.

I'm also happy that there don't seem to be any negative side effects with this medication.
I see my PCP today for a post surgical check and to see what he has as a suggestion Rx for the pain and inflammation. He'll also check on how the shoulder and finger joints that have been subluxating are doing. The thumb and shoulder are getting progressively better, but the baby finger is still so swollen that the joint doesn't bend at all.

I'm hoping that he can come up with something that might take the inflammation in that joint and the other hand joints down without upsetting my digestive system. Ibuprofen in the daily dose that I can tolerate for short periods of a day or two (600 mg/day), doesn't seem to work on it any more; so I stopped taking it to give the guts a rest.

If I can gt the inflammation & pain under control, with the increased alertness and energy, I'm looking forward to getting back to work more consistently in the new Year. I've only been gong in from time to time for a few hours to do management stuff and light patient care (mostly consulting).

With love, Erika