To everyone who responded -- Thank you for all the information you have provided. I felt I went to my appointment armed with lots of pros and cons and discussed these points with my neurosurgeon. My neurosurgeon was pleased that I had done my homework. We will proceed as planned.
I'd like to say that I have complete confidence in my neurosurgeon. I feel that he is an expert in this field in this part of the country. Unfortunately, I don't have the financial resources to go any further than the city where I live and am thankful that he lives in this area and provides treatment RIGHT HERE. I know of at least three individuals in this city who have received treatment from him for this condition at one level or another. I have heard nothing negative.
My neurosurgeon offered me three procedures -- rhizotomy, GK, and MVD. It is my understanding that each procedure treats a different level of the condition, and I fit in the middle.
I have exhausted the list of pharmaceutical treatments except for one -- I reacted badly to all anticonvulsants and baclofen. I am taking a low dose amitriptyline and am getting relief. Once the GK procedure is done, I still have this to rely on for additional relief.
Now, for my emotional response to your posts -- While some of you consider yourselves well-read and well-researched regarding this condition, you aren't medical professionals, and you probably don't know everything there is to know. And you certainly don't know each member of this forum personally. I am one of the most outgoing and optimistic individuals you will ever meet. I love my job as a legal assistant and am extremely loyal to the lawyers for whom I work. I will work 6-7 days a week if that's what it takes for our practice to thrive. I am also a musician on the side. I play the piano weekly in my church, sing there whenever possible, and currently sing the National Anthem for Richmond's Flying Squirrels (baseball team) and Virginia Commonwealth University's sporting events, as well as for local organizations when invited. I am the mother of a handsome, bright, and loving 16-year-old son. Since TN has entered my life, it has tried to shatter me -- my personal goals (at 50, I still have some entertaining to do!) as well as my parenting and support of my son's personal goals. I can't pursue a romantic relationship because I don't have the energy to. Every commitment I make is at risk because of this condition. My job is also at risk due to this condition because I can't leave the house when it strikes. I don't want to be a zombie on all the medicines that threaten other organs with their side effects as well as my sanity.
There comes a point in one's life when you have to put some serious trust in the Man Upstairs. Strange and possibly coincidence to non-believers, but everyone I encountered locally with TN is from the United Methodist Church (both my church and the organization at the local and state level). Each of these individuals recommended this particular neurosurgeon. What does that tell me? To trust my God even more. The neurologist who treats my migraines went absolutely nowhere with my TN symptoms; she tried to tell me I couldn't possibly have it. That's when I turned to this neurosurgeon. He listened, tested, and evaluated. As I said, he is a leader in this field in my part of the country.
Do you all ever rely on instinct (following your gut)? Do you have the spiritual gift of discernment? For me, it's more than saying, "I've had it with this condition. I give up and will take whatever treatment any doctor offers." I've done what any intelligent, concerned patient would do -- Gathered all the facts I could find, discussed them, tried the treatments in the recommended order, and now it's time to move forward.
I will continue to remain on this forum to offer my support and experiences to others in the hopes that I can be of help and comfort to others. I respectfully suggest that others take the same course.