Pulses are growing more tolerable. This is my 3rd four-on/seven-off cycle, and it wasn't too bad. I suspect the doctor will add the fifth day at our next contact.
One thing does concern me, though. Those sooty patches are spreading! I had a longish day on the last day of the pulse -- church in the morning and family activities until 8 pm. (Just a lunch and talk that went on and on: nothing unusual for us.)
We got home and I set the table for dinner, sat down to eat, and had to get right back up -- I thought my hands were dirty. After I washed them again, I looked more carefully, and they had patches the color of the skin around my eyes. It cleared up somewhat as I sat and ate and had a quiet evening.
Then today, two days post-pulse, Dianna noticed a patch on my right shoulder. My hands and face were sooty, too. Just as an experiment, I tried hyperventilating for about 30 seconds, and it worked! I pinked right up! Dianna said my lips pinked up as well. 30 seconds later, I was sooty again. Did it twice, just to be sure.