Hi! Just a few thoughts from a guys perspective. Some of us can't use talk therapy like we should. It's too revealing! So we shy away. The online chat with others tells me he wants to talk it over but for some reason can't do it face to face with you.The empty inside statement is pretty accurate, after any number of surgeries; the anesthesia starts to catch up with you. you can lose sight of the horizon and not know which end is up! All talking sounds like"wah-wah"(remember Charlie brown when the adults talk!).You enter the tired, hurting- hey," I can't deal with it" mode. Sometimes the spouse talking ,just trying their best to help, comes across as judgement; I know your not, but it doesn't sound that way to him..I think the blood loss idea is ok but the anesthesia is more to blame. Ideas;- well a Christian psychologist would probably help him realize your marriage is just as important as anything else that's going on here. I thing it's practically impossible to survive these nuerological conditions, surgeries, therapies without a half decent support system. No one can help you more than your spouse can !Also, stopping and starting meds isn't a good idea. If you start a course of meds, you should continue it for a few months to give it a chance to work. Of course, if you get something that doesn't agree with your system, adjustments need to be made immediately. That's all for now, take care. sfink