My pain has been continuing to progress and dictating my life more than ever; on top of that my insurance has been terminated (no, COBRA is not an option because the plan itself will no longer exist shortly). My PM doc did a two level rhizotomy on me today, and knowing how apprehensive I was (had a really tough time with one in 2006),I need to be back to work next week, and my overall desperation for relief he suggested to inject some steroids "while he was in there" because my pain always responds to steroid injection and it would reduce the pain from inflammation of the procedure quicker. He won't get paid (although he technically just did a two level facet block) for it by my insurance due to the "multiple procedure" rule, and I am just so "beyond words" grateful for him even suggesting it. Some doctors break each procedure down into as many individual procedures and make you space them apart so that they can be reimbursed more and some will even require on more anesthesia (general) than is needed so their surgery center can bill more (in all honesty I can't blame them because I know their overhead is much higher than your all imagine and most aren't reimbursed fairly to begin), but this is yet another example of my doctor's compassion and empathy; he is really looking out for the best interest of the patient in pain and taking care of him/her. I don't want to sound patronizing, but how do I express my sincere gratitude in a way that's not corny?