Go to the pain clinic. It proves to the doc you have pain. Docs and ER nurses see a lot of people come through the ER for "pain" its easy for someone to say they are in pain, and the nurses know that. Unfortunately, for people with REAL pain, the docs assume you're probably a junkie first. If you work with the pain clinic, the docs will see how serious you are, and then if you still need the meds, they will see you truly need them for breakthrough pain.