well i haven't been to the ER yet but its been close, i have made an apt with my pm,, I'm frustrated there too. i am taking your advice and seeking the letter and my pm calling but here is what my pm said on the phone.. if it is during hours come here and i will give you something now i don't think he gets it. he is an hour and a half away I'm talking about needing days of help. the pain has kept escalating and I'm on my third lesion. that is where i have been taking ativan and lying very still praying my lesions don't turn in to ulcers. two on back and one on arm above elbow. this is what happens to me when pain is not controlled. lesions.remember i have a few bad ones when i was in crisis a few years ago. well the lesions get everyones attention. fist they biopsy them at the hospital and then once they are sure i don't have aids they usually treat me. God help us all. thank you all so much I will let you know what happens at pm. I appreciate your post s so much. sincerely dc