Hi irisheyes39,
Thanks for replying.
My doctor switced me back to a .4mg nitro patch while I sleep. I had three good nights of sleep in a row followed by two bad ones. I woke up feeling very ill and just plain bad. A couple nitro sprays and I felt ok.
I am eager to see a fresh doctor. My family doctor is talking about sending me to Halifax. He told me that he hopes one of the specialists will try new treatment methods with me. He is stumpted. The drawn pale look on my face when I am feeling bad according to him is a sign of serious internal chest trauma. I'm going back to him in a couple weeks. I'm going to mention the pills that you are taking and see what he thinks. I hate to take any more. I'm hoping to take less as time goes by.
I have been waiting for a couple months to see the local heart specialist again. Sometimes I feel like I am fine as is. But the overwhelming sick and exausted feeling that is relieved by nitro spray makes the think otherwise.
On a good note I return to work tomorrow.

Hopefully that goes well. I'm optimistic.
The reality is I need a break from nitro patches, sprays, and chest pain, and this energy draining feeling soon.