sciencewiz, if your phone lines are so bad that you can't use your DSL, then you might want to take a look at a few things.
Examine your internal phone lines, and make sure you have nice clean connections everywhere, and no unnecessary junctions that could degrade signal quality. Also make sure that there is nothing in your house that could be introducing extra noise on the line (halogen lamps, washining machine right next to phone wiring, refridgerator, etc). Also make sure that you have filters placed on all of your telephones, fax machines, satelite or digital cable receivers, etc., if the DSL signal is not split from the main line. You can have the phone company examine the lines, but if a problem is found on your end, they'll charge you an arm and a leg.
A fairly reliable way to test for noise inside your house is to try connecting with your modem several times (make sure it has a filter on it, if necessary). Keep track of the initial connection speeds, and try it again with the modem plugged into the interface box outside the house. Try to keep the variables the same (use the same phone cable, if possible, and keep the filter on there if you used it for the first test). If you notice a dramatic increase in connection speed and overall performance (a small amount is likely), then you may have some serious noise on your lines. If your connection speed is nearly unchanged, then the problem is likely on the phone company's end.
DSL should not be affected by day to day line noise and telephone traffic. With DSL, you have a dedicated connection from your house to the phone company's CO. The DSL signal is, for the most part, unaffected by the analog signal used for the rest of the phone traffic. Distance, for the most part, should be the only line quality variable that will affect your DSL speed, and that should be fairly constant. If there are no problems on your end, then it is possible that there might be something left on your line at some point that the phone company neglected to remove (quite common with Verizon).
I would suggest you call your ISP's tech support. I have a feeling that something inside your home is causing your problems, and they should be able to help you eliminate it. If they can't, switch to another ISP. If the problem in on your line, have the phone company re-examine it. If they won't fix it, switch to another provider, such as Northpoint or Covad.