Dr. Frech Esophogram Results Appointment

I had my follow up appointment with Dr. Frech this week. Wasnt a super informative or up-beat appointment. I feel like I may be on this never ending cycle of switching drugs and trying something new. Here is where things stand with Dr. Frech:

Nice View from Old Mill Office in Cottonwood Heights

• He doesn't want to sign off on me having surgery...ever again. Which I totally get. Believe me. But...if there is a way to fix a problem, I want it done. Period. No ifs, ands, or buts anymore. I am in charge!  I have to live like this. Everyday. 
• We have switched medications from Linzess to Amitiza. This is stronger but also has sucky side effects to which I have already noticed. It feels like I am having an asthma attack and it also adds to the nausea that is already out of control. Dr. Frech is hoping that if this medicine will cause a bowel movement more than every couple of weeks (I know...too much information), it will relieve some of the pressure that the stomach sphincter is under which will in turn relieve some of the severe reflux. This sounds like a long shot to me. But, we are going with it at this point. 
• I am going to try and switch myself from narcotics to just tylenol and tramadol. Also don't know if this is going to work. It is so painful to eat and I spend hours refluxing everything I ate, that it causes severe spasms into my chest. By bedtime...pain wise...I am done.
• I had labs drawn again to see why I am so tired. The labs drawn included a CBC, Vitamin B-12 and Folate, ferritin, iron, and iron/TBC. I will wait to hear from his office on results. We are also checking the B-12 levels to see if we can add another injection in and do it twice a month instead of once a month. I have to have the labs re-drawn in 3 weeks to see how much the B-12 levels drop. Maybe this will help with the energy issue.
• I am also to stay on everything else to keep other symptoms at bay. I take a daily regimen of norco, tramadol, tylenol, zofran, promethazine, miralax, dexilant, amitiza, a B-12 injection, plus all other vitamins. Some days more and some days less. I know this could be worse but it irritates me that none of this stuff is helping me to feel better. It's just survival mode at this point.
• I am to see Dr. Frech in 4 weeks and see where we stand. As far as fixing the hernia, he had no options.

So I also have an appointment to see Dr. Rasmussen this week to see if there is something he can do to fix what's going on. Maybe he will have more hope to offer. 

Here is my weekly motivation. I feel like I am rapidly loosing steam but know that there is nothing I can do, but trust in God and the plan he has for my life!!