The pain score conversation is thirty seconds of my life I will never get back, every time.

You have two changes at once here. You cannot attribute anything until one of them moves.

Sleep first. Bad night, bad day, more symptoms. Fix that before changing anything else.

You have two changes at once here. You cannot attribute anything until one of them moves.

Written confirmation email after every phone call. Cheapest insurance there is.

Half of what people describe as tolerance is a change in the underlying condition, and the two need different answers.

Most of the popular protocol is borrowed from a clinical population and applied to healthy people without comment.

Worth asking what specifically was measured. Pain scores move with mood and function does not.

Same shape here, different drug. The thing that helped was documenting the refusal rather than re-arguing it. They refer rather than write.