I'm sure my coworkers will recognize me with this information if they read the forums. Oh well. A few months ago I was diagnosed with a nerve disorder that affects my face. (Trigeminal Neuralgia) I work preload and am loved by my drivers and most of those who work close to me. My concerns are as follows. 1. Inability to speak on some days due to pain renders me unable to call out eregs. 2. Pain at times can make it difficult for me to focus, though my misload rate is less than everyone else on my metro. 2 for the month compared to as high as 30ish. Average load is around 1400 pieces with a pph of 200-220. 3. Recently need help far more often to finish loading on time. Been with the company since July 2014. My full time supervisor assures me I am doing fine and to just keep them informed. I've called in once since my diagnosis, and I informed my supervisor well in advance that after a medical procedure I may not make it in the next day. Called him directly as well as the tower the day before I was going to be out. I am a stubborn person so I don't care if I am puking my guts up between the grates, sobbing from pain or whatever. I will continue to do my job to the best of my ability until a supervisor sends me home. I tend to lose it more from frustration than anything; I detest that this pain has such a hold on me. I'm not talking pulled a muscle, or sore from busting my ass here. I'm talking pain that is off the charts. My own doc rated my pain at diagnosis at a 20 on a 10 scale. I do know things I can do to help reduce pain. Narcotics won't touch nerve pain, so while I am on medication, it's not an opioid. I keep my fan off unless I am about to pass out as the airflow triggers my pain. Other than documenting everything possible, would you have any other advice for me? I have to head out the door in 30 minutes for shift start, but will check back after work.