I'm feeling great today - almost forgot to write a journal entry.  Yesterday was very very painful. The shoulderblade/mid back trigger points hurt so bad in church I had a hymnal wedged behind my back against the pew trying to put pressure on it to relieve the pain.  I took a vicodin during church but I was still miserable.  I used the microwave heating neck thing - plus a sock filled with rice I made myself - ALL afternoon and evening long.  Ended up taking 1 and half vicodin in the evening. Good news is that I slept!  YEAH!! I'm back to sleeping again.  I slept until 8:30 - until the plumber arrived.  So the manic phase is over and I did increase my lamictal to 50 mg which could be one of the reasons.  Anyway, today I feel great.  I exercised this morning and so far so good.