Yes 60mg oxy, plus 60 mg targin (which is oxy with 30mg naltrexone to help with the opioid constipation) and the 2x Temgesic sublingual every 6 hours adds up to about 140mg heavy duty opioids again over 24 hours again. All which you know I subjected myself to the horror and angst of withdrawal. I'm not happy, not happy at all. The 60mg Valium is for 2 weeks only, but yesterday is the only day so far I took the 2 tablets and only just the once during the day, and 1 only at night. It's an attempt to get the muscle spasm under control. Personally, the neurosurgeon said to me your pain Mgt specialists have put you into the "too hard box". It was so very good of him to take me on and I wish he would consider me as a long term patient but as he said he's busy with actual surgeries not Pain Mgt services. I've just taken a 5mg Valium now and will get the other 5mg out to take with the sublinguals in 30 minutes.

I'm struggling to walk and turn in the bed again, I know I'm going down hill fast and I've booked our 25th wedding break from 19 August to 27 August in a 5 star resort but up North of WA. The weather will be warm and given I'm in Aus if something goes wrong it's not the end if the world. It's only a 2 hour flight. I will take out insurance though, I won't be covered but at least DB will.

The RGM says nothing to my reply, just I hope you're all good Pammie, we will catch up for coffee.

As soon as I arrive it will be obvious, but I'm going to rest today, well sort of, I'll cook a roast pork dinner, and portion off some for mum. But in the main I'll be resting and I'll go to the office at 7.30 so I can get all the printing off the printer and into my office and then spend the day in there. Working in hospital and from home has generated over 200 sheets of paper for printed, the printer will kick in as soon as my laptop powers up in the office with the wifi, so filing 200 pieces of paper will keep me sat with the WC files in my office, I will have phone calls to make and hopefully able to keep to myself. I'm off on Tuesday, (yay the curtains come back) I'm in Weds all day in meetings, I have an appt Thurs afternoon so can work from home before going there and then Friday I'm at appointments 9am & 12.30. Then at 3pm I have one if my friends mothersvfuneral so I should be able to keep a low profile this week.

It's the fact that the pain has returned so quickly has me worried, will they do facet joint injections again so soon, and my PM won't do them at L4/5 S1 at all, point blank refuses, so I might gave to ring Narula the NS and ask if he can refer me for some more "awake ones" my old PM who only works 1 day a week now will go them, but he referred me to this PM I see now for the threading of the 2nd lead. Did I tell you the NS went off his nut about me going Pilates. He was furious. No wonder my back started going down hill again from the time I started the Pilates, and it's what the PM told me to do. He relies on the physio to then tell him where to inject. It all seems a bit weird and given Narulas reaction to it, I can see me seeking a new PM and fast. Of course I won't get in before we go away so lots of prayers needed xxx