Sometimes when it's bad it does last all day, or at least a good part of it.
Jan:
Thanks for the recommendation. I'll ask for a standing order next time I go in. I guess it could be millions of things now that I know it isn't a SCN4A deal but I wonder if it's still an electrolyte issue. Unfortunately I don't know enough about ion channels or muscle function to formulate a CLCN1 related hypothesis. The only things which really seems to be correlated with it are sleep and excessive heat.