hi terry and welcome to NT,

you have been thru so much. you have so much on your plate too.
you seem very knowledgeable about your illnesses and meds.
that is a very good thing. but, we're not drs. i would have suggested seeing another pcp until i read about your situation.

i wonder if you would benefit from a sleep study? then i wonder if you might be able to lower the dose of or DC (discontinue) even just 1 med. then you could be tx'd (treated) for the thyroid problem. i'm a ton of meds too. however, i don't see refusing to tx a thyroid problem because of that. maybe your dr needs to do some labwork to get a better handle on this.

i'm always in a lot of pain also. 24/7.... i got my neuro to give me a referral to a rehab dr and he really helped me function better. i did PT but he also helped me with meds.

i hope you can get your dr to help coordinate your care.
hope to see you on the board again.