I've been looking forward to going to Pain Mgmt Dr for almost two unrelenting years of pain! My reputable Rheumy from USC gave me 20 mg Oxycontine - to take twice a day. I went from an 8 to a 4 and was actually able to go to the movies with my daughter yesterday. I was taking for a week and I was thrilled. I cooked dinner for the first time in two years and was able to do a little around the house. So, when I went to pain MD today I had high expectations that he would continue me on those pills or similar while he would work on other areas of healing. Boy, was I wrong! I did not take a pill today because I did not want to mask my pain, so I was crying in his office in horrible pain. He came in, did not mention the fact that I was crying. Looked at the 70 pg AME rheumy report and said sarcastically, "a 500 pg report on fibro?" Like it is not a big deal. Then I told him that on Aug. 1 I have to have a repeat joint fusion of my left big toe that failed. I told him that I was in so much pain last time that they are going to hospitalize me this time. And he said "you don't need pain pills for toes!" When I had the first surgery I screamed bloody murder for two days and told him it was the most painful thing I'd ever experienced and I was on pain pills. He just scuffed at it. He wanted me to take Lyrica only. I told him that I just lost 60-70 lbs and I won't take something that makes me gain weight. At that point (after 20 min.) he asked in an abrupt way - why I was crying. I said because "I'm in extreme pain and I have been frustrated for two years. When I left I was devastated. He took my hope from me. My daughter is giving me a birthday party at her house tomorrow and I can't go w/o pain med. She's having a little boy in Oct and I want to be there for the baby. I have hardly seen my 3-yr old grandaughter since my accident. I called my w/c atty and was hysterical. He said don't worry. We'll get you a knew one that will be compassionate and help you with your pain. I can't remember the last time I cried like that.