Hi Kathy,

She just had a pacemaker adjustment. She is better, the pacemaker was the best thing we have done. She has had such a great summer and has totally abused her RSD with fun! I am worried about the Methadone. She hardly every takes pain meds. She is on Cymbalta only for the RSD. they added Neurontin for a few weeks to try to calm it down. I fear the only hope right now is Ketamine. Unfortunately, I have to go back to work and the only time I can take her is in November. Last year was crazy with missing work.

Hopefully, the flare will calm down, I have contacted her OT/message therapist, she can usually get it in check.