Hi well I am sorry you are being treated this way. I have seen many doctors but am on no narcotics though I have seen a few pain management doctors but they were for procedures. A few thoughts the apt you have in July starting today I would call everyday to see if cancelation. For me I have insurance but all office visits are not covered. The only time I had to pay up front was through a small private office. Any hospital based neuro or pain doc I was billed. I may not be the case for you but that could give you time to at least pay and some will work out a payment schedule. May I ask what state you live? The current doctor if you call and state that if you don't get the referal for another opinion you will file a complaint through the medical board I think or what ever hospital he has rights at maybe he would. I would not see this doctor. Most of the ones I have seen have known I may go for another opinion and seem fine with it. I would not see one who did not. I can relate to lack of sleep. I sleep but a few hours right now a night and like today have been up since 2am. Can you see a psychiatrist to help with meds for that and also the depression. For me though it did not take away my physical pain it as helped with my mental outlook overall. Not to say I am cheery but some progress. Sending painfree thoughts.