40 years, can't imagine the amount of life adjustments you have to make just to attain normalcy. It's usually sleep, the first symptom to appear and heralds more mental problems as it stays. As much as possible, we try to treat the cause rather than rely on the meds, there are times when patients tend to be dependent with the meds but can't solve the root of their problem which is constant exposure to stressful situations. Well not many have the financial capacity to "change" their environment like work place so sometimes treatment can be long term.
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Actually, once a diagnosis was determined, adjustment was easier. I have systemic inflammation that can affect every organ. This wasn't obvious at first. Back then, some doctors attributed the amorphous, traveling symptoms to a psychological disorder. However, a few seemingly unrelated physical crises helped lead to a diagnosis. If the inflammation is treated, I'm OK. Wakefulness is often the earliest symptom of the inflammation--affects the CNS. In the earliest treatment regimen massive doses (40+) of prednisone were tried. With time, it became evident a much smaller dose does it for me. I'm lucky. The puzzle was solved and I lead a good life. However, to go back to your blog, if you can't sleep, get yourself checked out. Something might be cooking :))