May I ask where you live and if you can find a new pain doctor to help you? If I were you on Mon or if they have an emergency number I would call your doctor and ask to speak to the nurse and say you can't wait till Thurs that you are in too much pain. Also since it sounds like you are not getting relief I would look for another opinion or approach. I can really relate to the no sleep issue. I can go couple nights with non and on most I sleep a few hours. Really it makes this so much harder to deal with. I do see a psych for the mental side of this where as before I did not. I am glad I finally have though my anxiety and sleep are still bad I have made progress. You may want to look into that as well. Sending thoughts your way