I am a newbie, finally having a doctor begin to find pain control that would work for me. SInce november, 2014, I have been increasing morphine (20 mg long acting in morning, 3 5mg. breakthrough pills/day and 30 mg long acting morphine at night. It took until March to finally become a new person and I could move and teach without screaming. On July 13 I went on a 12 mcg/h fentanyl patch with 3 5mg morphine breakthrough tabs throughout the day. However, when I ran out of the morphine and discovered my doctor is gone until August 17, I am back to screaming every time I move. I have an appt. (1st ) at the chronic care pain clinic on Tuesday and I hope someone can renew the 15 mg of breakthrough morphine daily. I cannot live like this until August 20 at my next doctor appointment. I found the morphine alone much more helpful and had felt better than I had ever felt for most of the years of my 74 year long life. Why did I go on fentanyl and why is it not working? It is tolerable with the 15 mgs a day of morphine, though. In addition, I have had gastric surgeries, acute pancreatitis a few times (not sure how that happened), breast cancer 15 years ago, diverticulosis, IBS and I make ulcers really well, and bothering more than anything, a left knee injury and my 45% scoliosis which is interfering with walking. I had to come home today because of the pain, but I also had an emergency endoscopy tuesday night for a piece of food lodged in my esophagus. I have to have another scope in 2 weeks, as GERD has narrowed the esophagus and it is getting worse. How do I get the morphine breakthrough renewed by another doctor so I can sort of survive until August 20th? Is there a magic place for the patch to be placed? Is it dangerous to put on 2 of these patches or will the pain clinic ease my suffering? I am a wreck, but i teach musical theatre and singing and cannot live without working, due to many tragic events through my life. I take 2 15 mg a day of Serax, but one doctor keeps wanting that to be reduced, but I have extreme anxiety and cannot foresee stopping this relief. I ams ordering if more Serax would stop some of the spasms and do pain clinics get into this also? I am so depressed, also, have antidepressants, but I cannot give up. I just want to feel like I did when I was on the morphine pills only. Why did that work and what should I do and tell the doctors? Have any of you been through this? Thank you.