That is what has happened with the Modafinil for me too, Wiz.

Although the initial 'over perky-ness' has worn down, even with the increased dose, it does keep me from dozing off and makes it easier to carry through with doing things. Before I started taking it, the fatigue was so bad sometimes that just the thought of doing something as basic as having a bath, seemed to be more than I could accomplish.

It also helps me to cope with other Sx because I am not so fatigued mentally/emotionally, so I've been doing more stretching and light exercises. That in turn helps me to do more of the little things around the house that I have been just making do with, like properly mopping the floor, dusting and keeping the kitchen clean etc.

I'm also happy that there don't seem to be any negative side effects with this medication.
I see my PCP today for a post surgical check and to see what he has as a suggestion Rx for the pain and inflammation. He'll also check on how the shoulder and finger joints that have been subluxating are doing. The thumb and shoulder are getting progressively better, but the baby finger is still so swollen that the joint doesn't bend at all.

I'm hoping that he can come up with something that might take the inflammation in that joint and the other hand joints down without upsetting my digestive system. Ibuprofen in the daily dose that I can tolerate for short periods of a day or two (600 mg/day), doesn't seem to work on it any more; so I stopped taking it to give the guts a rest.

If I can gt the inflammation & pain under control, with the increased alertness and energy, I'm looking forward to getting back to work more consistently in the new Year. I've only been gong in from time to time for a few hours to do management stuff and light patient care (mostly consulting).

With love, Erika

If you get a new body to go with your new drug, try for a tall, well endowed thin one. I hear they're great.

Naw, I had one of those, except for the well endowed part,
and it was of no special use at all.

If I could get a new body in this life time, it would have four legs, fur, whiskers, meow..and live with Mrs. D, Kitty or one of the other wonderful animal lovers on here .

With love, Erika

I saw my PCP yesterday and all is coming along well with the healing of the surgical wound. He took the stitches out and part of the wound opened up but he said that it looked fine and to be healing well deeper in, so he put a butterfly on it so it could drain. I see him again on Monday.

He prescribed Celebrex to try for pain and inflammation but after two doses, I'm afraid that it isn't for me as it is causing swelling in my face and extremities, just like Lyrica did.
He said that we could try Naproxin, but I have tried that before and it did nothing. So, its back to Ibuprofen or nothing at all.

He checked my shoulder and was concerned because the ball is slipping downward quite easily in the socket, and seems to be putting pressure on the blood vessels and nerves to the arm when it does that. I'm being extra careful with it and keeping the elbow supported to prevent that, and have been doing some strengthening exercises to tighten the joint up. He said that it if doesn't resolve in the next couple of weeks, that I'm probably looking at surgery.

The hand joints have settled down a bit and I'm really happy about that, although the pinky is still swollen and achy. It is coming around as well though.
All in all, everything seems to be slowly improving, my energy and alertness is great and I haven't had any of the narcoleptic sleeping episodes at all .

With love, Erika