I went through a huge deal of hating on my MD last year.
I'm going to empathize a little with you here. I'm one of those self-sharers, as a way of trying to understand where you are coming from. (I really liked my last councillor, so I don't get having an incompatible one)
I've taken the same pain meds and doses for about the last 10 years. I'm allergic to heavy narcotics. Or just can't tolerate it. So I have zero recourse to manage pain greater than what I have on a daily basis. I'm always near the top of the pain scale just normally. I deal with it and manage it.
I don't often need a doctor. Mine just keeps my scripts filled. I look younger than my age and I am proportioned night to weight wise. My hair is still blond without dye. On a good day I could still pass for 40. My Dr more or less told me he would not assist me in getting my disability. He said "Get a lawyer". I did. And at $150.00 out of pocket to see him and $250.00 for lyrica plus $60.00 for the other one. I paid about $400.00 for meds before the Medicare.
Last year I had a terrific flair. My neck is fused on 4 levels. I trimmed some roses that were over an arbor. It must have rolled my cage over onto a nerve. It's happened but this felt like what people with shingles describe. And it lasted 6 weeks. I to put my hard collar on night and day just to survive minute to minute. I had no insurance. I could not afford to go to emergency or have another MRI or CT scan. I called after hours a couple of times. And I ran up a $500.00 bill seeing him
The man was a total dick to me. I'm also a medical professional so I'm not unaware of drug seeking behavior. I felt very insulted over the way he and his staff dealt with me. I never asked for more or different meds.
I do think he could have discussed a taper up and down of even that Lyrica. Pfffttt. Makes me mad all over again.
I also needed a paper trail of having unmanageable flairs of debilitating nerve and muscle pain.