Day in day out at the moment is such hard work. Just filled in pre-assessment for pain management clinic NHS. The. Epley Manoeuvre for my bppv has not helped. Awaiting results of MRI scan taken at the beginning of December, to see if there is an underlying problem that cause my balance to be very off-balance . The consultant dealing with my abdominal pain has investigated and the only course of action is to have pain management. Fatigue is now a very common occurrence daily I fall asleep in a deep sleep ranging from half an hour to well over an hour. This makes me feel useless. They advise me to avoid stress. How ? I ask. My family is a splintered family, with certain people causing unnecessary grief, all because they are not the centre of attention.