I have had pain med change in July on the lowest possible dose that won’t affect the 90 MME (US has this stupid rule that you can’t go over this amount or if indicated, MD has to file documentation that pt needs it). My flares are worse in winter (everyone’s is) but I really have to be careful about taking my breakthrough meds. I don’t know how to get the docs to see that this new regimen, though works when not flared. Is not working when flared and I am often left on my own (aren’t we all). I want 1 of two things either an increase in ER dose or increase in BT meds per 12 hr. 1 pill per 12 hr doesn’t help me. I really don’t want to fight anymore but I feel that unless I threaten suicide I am not heard. I have had three nights now because temps have been below 10 degrees (-12C). February is usually the coldest month in Boston. I won’t be able to take it. I don’t know what to do anymore. My pcp is a *ick and my pain doc thinks I take up exam room space. Now I will be starting PT again which always stresses me out. Just rambling.