I don't know why this didn't occur to me while I was at work, but the solution to some of my cash flow problems lies in liquidating most of what's left of my IRA at TD Ameritrade. Without going into excessive detail, this ought to bring me enough money to kill off the outstanding medical bills (including the one in collection that's sucking up $220 a month I really can't afford) and catch up on the truck payments. About all that's going to be left of the Ameritrade account is some nearly worthless brewery stock, some absolutely worthless PSINet stock, and some Westmoreland Coal preferred stock, for old times' sake. Most of this is going to be replaced later this year when I close out my Wells 401(k), but I've had some of this stuff for years, even when things got really tight back before I sold the house. It hurts.
I re-did my taxes and found some paperwork I'd forgotten about. Looks like I might get almost a grand back from Uncle Sam, but we'll see what the 1099 from Ameritrade does to me when it shows up next week.
I've been up too late thinking about this, and I'd better get to bed.