Just wanted to update, I had a doc appointment today. (I was trying to get responses hopefully before I saw him.) He pointed out an important fact, the thing that freaked me out was that it appeared I had suffered a severe burn, when in fact, it was a temporary over reaction of my sympathetic system. He agreed that the best course of temporary action was to use breakthrough meds, which helps prevent flares in my case. He wasn't surprised that my sympathetic system continues to gradually decline, and thinks Ketamine offers me the best chance for possible remission. If Ketamine fails, then we'll discuss the next option, and so on.