i can hardly sit at the computer, so i hope i can make this coherent. last week, i slept badly one night, had a nightmare and woke up with a pain on my left side around the rib area. it was tolerable for several days, but did not leave. yesterday, it got so bad that whenever i took a breath i called out in pain and could barely talk. on a regular basis, i take trazodone, valium, prozasin (for ptsd), and atenolol for hypertension/mitral valve prolapse. i have xanax available for anxiety, but don't need it much. i have a long, familiar story about doctors (in this case, a couple of naturopaths) who treated me for a while for the fm and then implicated that my lack of significant improvement (getting colds, tendonitis, etc.) was my doing, i.e., i wasn't progressing according to their unstated expectations. now, i am basically without a doctor, although i met with one a couple of weeks ago who is an md with a holistic bent, but she told me she is a "medication minimalist". i called her office yesterday (friday afternoon) for help, asked for the doctor on call, and was given a nurse who told me to go to the er. my husband called a psychiatrist i have seen only once (i'm required to see one for the valium/xanax prescrips) and after several hours he answered his page, said he didn't remember me, couldn't help me without seeing me, and didn't have an appt. avail. this weekend - end of conversation. in desperation, i called an acupuncturist i've never met and since i could barely talk on the phone due to pain, he set up an appt. for me this morning (sat. - they're normally closed for business), hoping he could help. i have been taking tylenol and xanax because i can hardly move with this pain. deliberated at length about going to er, but decided against because i am very sensitive to meds and wouldn't know how to get their help with that. i don't know where to turn for help - it's the weekend. i am thinking i have developed some sort of a spasm. i which is causing so much pain. i can't stay asleep - the pain woke me up at 3 am and here i am. this is frightening and it's very hard not knowing where to turn. acupuncture might help, but may not be able to tolerate the needles with this much pain. please. . .any suggestions would be so appreciated.