My neurologist has switched me from nortriptyline to amitriptyline and from gabapentin to pregabalin. This has greatly reduced my nerve pain to the point where I can actually sleep at night again, resulting in much improved functionality throughout the day.
I am slowly catching up on things. Today I got accounting current. Now I am going to work on a new computer that will be another host and once it is in place a new virtual machine which will be a web server with the older PHP 5.6 on it to allow some services that are not yet ready for PHP 7.1, like the ticket system, to work.