7 21 6:00 pm.  the first symptoms have begun to appear in my upper body as I am reclining in my chair.  Feelings seating deep within, but not very precisely localized.  Feelings which I have so far only been able to describe as a prelude to vomiting, a long, slow building to a sudden upraising on the shoulder.  I will still try to wait the two hours until the next 1200 mg of medication.  In a few minutes I am going to try drumming and chanting for a while