Well, it's come down to this ... I've had to request a reasonable accommodation at work ... I'm in so much pain that I spend some of my lunch breaks in the bathroom having myself a good crying jag ... The upside is that my PCP & me are reasonably certain that we have figured out what is causing this aggravation to my condition (thus the spike in inflammation and pain) and are pretty sure that if I go back to my old route (that bus has a totally different operating system) it will help everything to settle back down a bit ... Of course, I won't ever be totally pain free but at least it will be more tolerable ... The way it is now, I'd literally rather be dead than to continue living in this kind of pain!