We're wishing for you to get the better pain management you desire.
As for not mattering; you and what you're working on matter to us.
Well, what you're working on matters to at least a few of us.
And while we don't know you personally, reading this makes us concerned for your wellbeing; so we'd say you have importance to us.
We do hope things get better and stay better this year. Sorry it took so long for us to notice this update; the holidays have been a mildly hectic event for the past few weeks.