Cymbata Reflection Journal

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The past two and a half weeks have been very productive and I continue to make progress in continuing to regain my tissue mobility. The medication in conjunction with the work hardening program is working and the restriction in my shoulder appears to be lessening in small increments weekly. I am trying to be patient and had one bad session from me trying to push too hard too fast in an effort to move through my restriction, but I now realize that slow and steady will win this race. Additionally, my sleep periods are improving. I am successfully working two hours per day from home without flare-up of my shoulder and my at home work hardening sessions have increased to nearly four hours.

However, the symptoms from the medications (Cymbalta 60mg/daily, Gabapentin 100mg/daily, Topamax 150 mg daily, Hydoxyzine 20 mg/daily, Skelaxin 800/daily) have not resolved. I am still experiencing decreased mental focus/clarity, drowsiness during the day, word recall challenges though not as severe, difficulty comprehending documents I am reading requiring me to re-read them several times, hand tremors and fatigue. I still believe the benefits of the medication combination outweigh the symptoms I am experiencing; thus, I would like to remain on my medications. …show more content…

My work hardening sessions are approximately a 40 minute drive so I have someone to drive me. Periodically, I test myself to see whether my symptoms have resolved by driving a very short distance locally. As of September 15th, they had

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