Sorry to hear that. Hope it gets better for you soon! Are you able to get some moments of distraction from T and enjoy your vacation apart from the spike?
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With mine alot of noise causes it to spike temporarily due to the reactivity. Maybe something like that with driving and all the activities.
You need to Vacation Harder!! Lol 
@jimvee I'm trying to enjoy it and keep up with all of the activities planned. So far so good but T is spiking. I'm just over this damn condition. I didn't even get it from noise exposure. Just a stupid medication. I feel so cheated on life. :( Today I'm meeting celebrities and I can't enjoy it fully.
@Mo8409 Agreed... Stupid medication!