Is there a doctor in the house?

Chief Complaint/Presenting illness:
I've had tendonitis of the elbow and shoulder since May '05 or before actually; May was when i finally went to the doctor, an orthopedic surgeon. He came in and examined me in about 5 min. pronounced that I had bursitis of the shoulder and I could have a cortisone shot if i liked. I almost chickened out when he went out to do something while his assistant got the instruments( tools of torture) ready. Physical therapy was recommended but I didn't partake because it wasn't covered by our insurance and i didn't want to spend my hard earned cash on it.

So when it came back in August before vacation, with now the elbow involved too, I went to the orthopedic Dr. in my doctors group and I got the double whammy injection. This doctor was very short on bedside manner so when it flared again in December I went to yet another Dr. who x-rayed the elbow and gave in another injection there.

April I'm back again for the elbow. So tho score now is 3 elbow/2 shoulder.
So now it's been back again, in both for a couple of months but worse the last week.
I take myself off to yet another Orthopedic doc and , oh yea i forgot to say that now my sciatica has decided to rear it's ugly head, just in case the arm gives me a moment of peace. So this new doctor, who only does arms and knees so forget telling him about the sciatica, tells me it usually lasts a year, but in some people it can last up to 4 yrs.And it quite often happens to carpenters and physical laborers (damn my house). In the middle of the exam I start to get upset (lack of sleep does this to you - i'm teary- very - does he offer me a kleenex/is there any in sight - No. He has also made me choose which is bothering me more, hence the discussion on the elbow. my choices: another cortisone shot in the elbow (tho my last doctor told me 3 was it ( 4th isn't therapeutic) or surgery.

So i leave as i'm not sure about a shot or surgery. when i get outside some questions surface and i go back in and ask his assistant if i could just talk to him for a few minutes. I thought they would let me talk to him in between patients, as we do at the practice i work at. I patiently waited for him to see his remaining 3 or 4 patients and then he comes out to the waiting area to talk to me, doesn't even call me back in after making me wait. I ask him about the shoulder pain again ( now did i mention the constant clicking?) and a few quick questions and i leave.

Last nite was the worst nite ever ; I fell asleep early watching House, woke up at 11 in pain( arm and leg(butt/sciatica, took some pain med. and was still awake at 3 AM consulting Web MD. I go downstairs for water and feel awful, nauseous and like i'm gonna faint. went back to bed and managed to sleep a couple of hours. called out for work and back to bed for a couple more hours.
I dont' know how I can live like this; I know people have much worse than this, but i'm having a hard time coping. Appt. with physical therapy tomorrow; tho i can't figure how that will help while everything is hurting it now. wishing i had done it when the cortisone was on board.
Well if there is anyone still here, i'll take any and all suggestions.