I have the BEST holistic doctor who has been my doc since before fibro, about 20 years ago. We have built a relationship of trust and partnership in healing over the years. I have enough pain meds in my cabinet to put the New York Giants to sleep for a week. I take none of them. Almost never. I simply cannot handle the side effects. When I have had to have surgery, we agreed, a post surgical pain med, toridal - anti-inflam + pain relief - why not be able to give myself the injections myself, instead of rushing to the ER, and blah blah blah. Ok so he showed me how to inject my thigh with - yup 1 1/2" needle, and I am better than a lot of nurses who used to give them to me. In the past year I have used this medication, about twice. It was after a surgery a year and a half ago - we decided, screw it: lets make this way easier on me. So when 3 AM hits and I am crawling to the cabinet to give myself just enough to kill the pain......... I am SO grateful for my Dr. who trusts me implicitly and gives me this simple gift I rarely use. But its there, and I feel safer for it. I know the side-effects by heart. I am also a medical advocate for myself and so many people I have lost track. However a doctor can make your life easier with minimal - systemic damage ie; pharmaceuticals....... they should provide it. Period. I have more than one doctor for other things. I scrutinize them, interview them and see if they have what it takes to serve me. If not - I don't engage, or they are summarily fired. Sounds cold? Well we have all been there haven't we? We pay them. Not the other way around. I get pretty spun up on this subject. I have zero compassion for the doctor who cannot connect with what its like to endure pain for decades, yet still be able to smile. If they are more worried about their lisences, then the welfare of their patients - I've got a very short plank on a nice pirate ship they can take a loooong walk off of. Hope you get my humor and my point. I have done my research and my homework. :0) and I need naps, lots of 'em.