My first thought was "you're not a procrastinator and he's not a perfectionist." You're chronically ill and he, for whatever reasons, is not being supportive. My advice is to continue seeing your therapist and your doctors -- and also there's a wealth of support online for chronic illnesses. Learn to live and work the best you can with your pain, and I believe that will lead you to feeling stronger and more confident and will thus help you to make decisions about your future. That's my opinion, anyway. Here are a few sites I like about chronic pain:

http://achronicdose.blogspot.com/
http://keepworkinggirlfriend.com/
http://www.chronicbabe.com/

It's my experience that even low level chronic pain can totally sap one's energy, so I recommend trying to get that pain treated as well as you can. Good luck with everything and keep writing -- you might even want to begin a new topic (which I think would require registering, which is a non-painful process :) on this subject and see what others have to say.

Take care.

Catherine
http://ourladyofperfection.blogspot.com