Hi Kathy...I completely understand what you are talking about!! I can't tell you how many times I heard from idiot ER docs and urologists about the pain being in my head and not being as severe as I stated because I wasn't obstructed with stones (most of the time). Now, I have proof that it was more than just stones. I'm actually thinking of sending all of those docs a copy. They probably won't even look at it, but it would make me feel better, you know? How are you doing??? Have you started tapering your Methadone? I've started tapering my Duragesic and Actiq. Take care and keep me posted, ok?? Have a good weekend!! :)