As a former oncology and hospice nurse, I have to say......you medication line up makes NO SENSE to me.

"doubled my Oxycodone 30mg to 60 mg 3 times a day....also take Oxycontin 30mg 2x day"

Taking 180 mg of Oxycodone for break through pain med per day while only taking a long acting dose of Oxycontin total 60 mg per day is just plain bizarre. If you are taking Oxycontin 30 mg po twice a day, the breakthrough dose should be Oxycodone 5 to 10 mg every 4 hours prn. I'm not suggesting that you need less overall Oxycodone, but it seems to be set up all wrong. Normally, a knowledgable pain doc would prescribe more Oxycontin and less Oxycodone. Is it possible that the dos meant to increase the OxyContin to 60 mg twice a day ?

I'm also not sure why the Dilaudid is mixed in there. If the Oxycodone?Contin works, why not just more of that ? Are you taking the Marinol all in one dose or spread out throughout the day ?