Pam,
If you are in a position to take a Leave of Absence or even possibly resign your job. You are obviously in no condition to continue with this additional pressure. You might find it much easier on yourself, as well as DB if this was no longer in the picture.

Both of us are quite aware what the awful pain hikes do mentally. The concentration is next impossible. Sometimes when this happens, I can't even put together a clear sentence that makes any sense let alone have the responsibility of a job.

I have often wondered with all you have going on how you are able to work; especially since the last Bowel Obstruction. it has been one thing after another; root sleeve injections, epidurals and pain and more pain, physically and mentally draining.

You are in my prayers,

Gerry