I am sorry you have pain and have employment issues. You drive a bus. I suppose your first concern, should be if the pain Inhibits you from 100% bus driving. If it does, you must not go to work, but tell the employer. Young adults lives could be in danger. Your physician the PCP is the one in charge of you, not the specialists. His note should be enough until your pain issue is resolved. I wish you all the best. Ginnie