Question: Hello. Can write more easily than speak so gravity of this might not be conveyed. I have rheumatoid arthritis (context) which has affected cervical spine - I know this from MRI (or cat scan?),yrs ago. End of oct in freak accident at Target had 6 pack of XXXXXXX v8 catapult from top shelf and slice my face open at bridge of nose such force nearly blacked out. Blood gush-eth. Went home eventually in taxi cleaned wound very well as I am on immunosuppressants for RA. Slept on & off for 3-4 days but kept waking up so figured I was ok. Wound finally healed. Then horrific headaches began radiating from bridge of nose where I was hit. I am a writer. Donning reading glasses sets off horrid headaches. Tried wrapping in cotton nothing helped. Then brain felt "foggy" weird. Seemed to get better except for periodic horrid headaches. Then very quickly downhill with multiple symptoms from horrid headaches to inability to think clearly or multi task short term memory severly affected then stopped mid sentence couldn't finish thought too exhausting then slowed speech, slurred speech!!! Went to ER diagnosed with post concussive syndrome told to rest brain which would be funny if not so sad. On deadline for major play now late cannot THINK cannot rest. Symptoms mount. When I get tired speech and thought process affected. But now scary NEW symptom - blurred vision double vision I have cataract in left eye from yrs of prednisone but right eye cataract removed more than year ago perfect result. Left eye suddenly got much much worse right eye compensates sometimes so I can see if I cover left eyes but right eye now having vision problems close left eye still have impaired vision. Vision issues scaring me whole thing scaring me nalso I cry all the time and "feel" crazy. Have not been in MI long so do not have eye doc to go see - the obvious response. Here one must wait often 6 wks to see specialist and must be referred. My doc out of town my head killing me pain pain pain pain wonder if cervicall spine was affected by impact of "hit". Very difficult to follow instructions follow thru please what should I do???? Phone problems so you may call & phone might not work in which case email please

thanks for concise anc clear response. I hads an x ray done of my nose to see if it as broken and was told it was not, but I do not know if the x ray looked as nasal passages or anything else you brought up. i had a brain x ray when I went to emergency room, brain looked "normal". I mention cervical spine because I also get horrible pain emminating from there -- and know I have damage to cervical spine as is fairly common in those with severe, long term RA. I was diagnosed at 28 while dancing in a show on Broadway. Talk about a life changer. Meaning I have had "diagnosed" RA for 33 years. I have had diagnosed fibro for perhaps 4 years and and "diagnosed hyper mobility" for just 6 months or so (though it's clear to me now knowing symptoms I've had it all my life - would kick myslef in the butt while running) had constantly sprained ankles and ran fevers for no reason. would get put in hospital, no one could figure it out and get released again. I am grateful that I was able to start over and became a successful novelist, playwright, etc. the cervical spine generated "headaches" which are dufferent sometimes seem to all morph into one, but perhaps it is just having a fibro or RA cervical spine flare at same time as facial bridge of nose headache. i cannot express how much it hurts. your pain med suggestions are -- please do not be insulted -- hilarious. I already have a scri for up to 3 7.5 hydrocodone a day. I typically never took moe than one -- two during a really bad day. Now three (and I dont mean all at once) doesn't touch it. Two at once -- which I'm sure I shouldn't do -- bsrely touches it. And the stress -- I feel awash in overwhelming stress and anxiety -- I am prescribed up to two cyclobenzaprine (do I have the right drug? for anxiety) and previously took one a day. Now as soon as onw wears off if I don't take another I shake - literally - and cry and it's the word feeling in the world. Additional meds: prednisone: currently 15 mg a day (oh the guilt that I cannot lower this during this crisis - I have been down as low as 3 and WILL get down again but how can i do it in the m idst of all this??? Adderall up to 2 a day but usually only one in the morning because there are days that without this i would not have enough energy to get out of bed and LIVE -- and I am a single mother. Not making a living is not an option. But how can I work now? I would qualify for disability (though it takes FOREVER to get but because i get residuals and royalties from past writing projects this evidently renders me ineligable. but i can't see or think well rnough to write. i guess i'm out of neurologist territory except for the huor of you saying "relax or some such" when I'm about to be thrown out of my apartment and cannot finish my play ergo cannot get paid for it. Okay, other meds: folic acid, methotrexate, and biolic whose name concussion is keeping from me but it's injected monthly, and i went on it following years on enbrel, until it stopped working. Multi vitamin. Oh and a drug whose name also escapes me but as I had a positive TB test (but no I don't have TB) had to go on this drug if I was going on biologics. I think I must be about done with it now. Cymbalta - which does seem to help some of the back ain from fibro. There you have my med litany. i am also currently on y second round of antibiotics due to infection in toe but it appears to finally be getting better. my blood pressure is notmal, heart normal, weight noraml, everything else: normal. please forgive horrendous typos. i can't see.