Glad you are doing better. It takes time to heal and to build yourself back up. Don't be too hard on yourself. I think you are doing great.

I, too, wonder if the combination of medications you take at night are contributing to not only the fatigue but the BP and pulse issues. Granted, I'm a lightweight and what you take at night would knock me out for a few days. I can only hand 1 5/325 Norco at a time. I took 2 in the hospital one night and my BP plummeted. It was not fun. Since my BP generally runs low, if I need to take narcotics or anything like that, I space the timing out a bit. Like, take my muscle relaxer (I take Ativan as the others were too strong for me) and then 2 hours later take my Norco or Tylenol 3. Maybe spacing them out a bit will help your BP and pulse.

Let us know how your appointments go.