Fibromyalgia :: Brain Fog, Forgetting Things And Constant State Of Confusion

My physician hasn't been very helpful on the matter of brain fog. I can't focus. I am constantly losing my train of thought and half the time can not speak without sounding like I just had something along the lines of a stroke. I sometimes can't form a complete thought. I've had Fibromyalgia since I was a child and I'm used to the pain, it's just a part of my life now, but the fog seems to be worsening. It's hard to even write this because I keep losing track of the topic.

It's putting my job on the line. I can barely function. I'm feeling like I can't do anything right. I have a hard time processing what people are saying to me and everyone is so tired of having to repeat themselves, and people are always yelling at me for constantly forgetting things and it's like I'm in a constant state of confusion. It's like my brain is tired. I had to make a PA a while back to the customers at work and I had to have someone help me because I couldn't think, and I couldn't get the words out and I told them, very slowly, "help please make this PA, I can't do words right".
Before I forget what my point was, I'm asking if there's something that can be done, on my own. I'm barely functioning, and need some advice. My doctor wasn't very helpful at all, and he won't hear me out. He won't refer me to pain management because he wants to take care of this himself, which he isn't doing. He has me on Tramadol and while it helps take the pain from a 9 to a 4, it definitely makes the fibro fog worse.
Is anyone else dealing with this? What do you do to help it? I'm only 22 and I feel like fibro fog is going to destroy my future.