Well, as an update, the Elavil and Concerta together were causing me all kinds of problems - talk about being revedded up! My heart rate was up pver 130+ bpm. I have since been taken off the concerta and just yesterday have seen the Medical Director at Penn U. He is taking me off all my meds and in 4 weeks we are starting over. He told me that there was no way to diagnose my multiple and complex issue while switching meds like candy - I agreed!!! He also agreed with me that I should have an MRI of my neck and spine - which was never done. I feel like I am finally in the right hands.

I'll keep you all posted.