Lots of good points here, I just want to point out that OP's aren't "forcing" us to do anything. Also, I want to point out something particularly scary: I've been to FOUR PM docs in this area now with a condition so well documented it would not be illogical to prescribe duragesic and actiq, and have not been offered even 1/2 the relief of average OP quantities. I am starting to really get concerned I will not find a competent pain doc, and I think much of the reason is the fact that I look very young with bleach blonde hair. I have to start travelling to Chicago to keep trying to seek help, these docs are very elusive in some areas! One positive, I did get a TENS unit from my last appointment, and that has helped take the edge off, so for that I am happy. I just wanted to express that a) we are not being "forced" into anything, technically (but I sympathize personally with the plight, I have been one click away from dd'ing several times), and b) some areas REALLY ARE as devoid of competent pain physicians as some say. I'm living it.....