Earlier, this evening, my SI rating rose, from 2.5-3.0 to 4.0, and I don't know, why. Yes, this morning, I had an appointment with my nurse practitioner, which we covered a lot of familiar ground that didn't trigger me. I do know, for the past week, my sense of uselessness and frustration. Just before this rise in my SI, I had my strongest feeling of uselessness, since the holiday season of 2010-11, and had the most corrosive bout of tears, in a long time. Am wondering, why bother, in fighting this. Knowing this won't be, my last time, I feel like this.