Yes all these things are in my head. I believe RSD is a degenerative neurological disease, which causes all kinds of issues, but most doctors think it's just pain issues and med seeking. I don't waste my time in the ER anymore, I just suffer. I'll either live or die from whatever is flaring up this time. My next hospital visit for RSD is in a body bag. It's less degrading than dealing with the ER who won't do anything anyways, except take my money for doing nothing. They don't manage chronic pain and if it's related to your pain condition why waste your time, they won't even give you meds or treat your symptoms. That's why I wish it was classified as a neurological disease and not a chronic pain syndrome. It's a neurological disease that happens to also be painful.