Welcome, Beblevins!
Chronic pain, depression and anxiety all feed off one another. As much as you are concerned about your future, I believe you are not currently in a state where you can effectively consider your path. Perhaps getting at least one of the problems you mention under managed control might get you closer to a place where you can profitably weigh your options.
Make yourself at home, Beblevins!
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My dog  mastered the "fetch" command. He would communicate he wanted something, and I would fetch it.
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