I live in fl. One of the worst pill mill states there is. There is a big difference in the kind of pain clinics and drs. there are. The Dr. I go to is certified by the state. He does infussions, blocks and all the rest required by his degrees. There are other just plain drs. who do run pill mills, and sometimes do it for money. That makes it hard on the legitimate pain doctors, and gives them a bad rep. I would always go to someone that my PCP referred me to. That is how I found my current pain specialist. A real specialist addresses all the concerns there is, before putting you on strong narcotics. ginnie