I wish I could figure out what the HECK to do! I KNOW I am undermedicated, but there are NO other doctors around. I am in misery several hours a day, and I mean all out war! 4 pills does not cut it for me, not working 9 hours a day plus taking care of a small farm, yard and family. It is not working. I have talked my fool head off to no avail. Doctors do not know it all, sometimes they just don't care. I always take an extra pill here and there because I cannot sit thru 2 hours of screeching nerve pain and wait. Then by the end of the month, I suffer insanely for a week. I always tell myself, I am not going to do that again, but it's always the same. When I hurt that bad, I just say F it and take one. That relief when that shocking pain starts ebbing away, well there is nothing quite like that. I know I can feel my pounding heart slow down, I feel at ease. It never goes all the way away, but enough so life is bearable. I have tried the ER morphine and different things that turn me into a zombie, which I hate. I just do not know how to get a handle on this thing - I really don't and I'm so damn sick of it. Anyone ever wonder if that is part of what the drug dealer problem really is? Undertreated pain. Who knows that half the people that buy from them aren't in that boat? I have wondered about it, well in this state anyway.