Thats a very good point Corri. I hadn't really thought about it like that but it makes perfect sense. I have told her that Im unhappy and she acknowledges that, but you are completely correct in that I just don't see what she is doing to improve it. I suppose that this recent "Im going to talk to the doctor about the side effect of these meds" is such a relief to me because Im seeing that as a tangible action.
And I didn't mean to sound as if I took your post as an "ultimatum". That was just my tangent I headed off on. I think that I have done a pretty good job of communicating my unhappiness about the situation. What I suppose I need to concentrate on is communicating to her how important it is to me that I know she is in fact doing something that I can see/feel as a corrective step.