Moose- i'm sorry to hear of the problems you've been having. I don't have alot to add (everyone else pretty much said it!!). When you go to the doc, try to get some sort of a plan for treating you, and then you can evaluate it. Also, there are alot of great threads on this forum about ways to make everyday life more tolerable- typing/speech software, pillows for arm support, ways to sleep, stretches, you name it.

Best of luck at the doctor!