Long day, took meds in am about 11 and at about 640p, and planned at bedtime. talked to DR office agan today-advised of and consulted on dosage and inquired as to to change of med or addition of co-agents to increase efficacy, per request of managers. advised of vigor requred in last few days of duty and neccesity to use meds during day at dosage of 600-900 mg, that third dose is just to get thourgh the daylight. Hope the physical activitiy is helping but prefer not to mask the pain for fear that damage is being done- plus, I don't like to be on pills as a matter of course (vitamins, minerals, and natural supplements excluded). I think I'm making too many typos/corrections, so please excuse. day started with the same old tightness and general pain, but particular pain in my shoulder and behind my left knee, whatever munisci goes behind on the lower left. number ot owweees today- started with door catching, one odd movement which I can't recall now I can definetl feel an angle and elevation element of movement in my arm which produces more pain), I mooved some leveling mix ok, but that started to hurt (mix on gound, twist bag to dispense), At one point i was shouldered against a rolling vacume scraping with mu right arm and just jogging my self along to aleave the the strain. I definitl avoided ladder work, and will continue as needed wrt overhead movement and med side effects. did my best on floor level! worse now that I've settled, just a constant pain in should3er like needle in joint. Took meds hours ago, seems to help muscles and elbow, but shoulder is still in pain. will see what am brings.