to simply dismiss you is "abandonment of care" and its against the rules. If your MD wants you to see pain management he must call and help you set up the appointment as most clinics wont allow you to call and let yourself in.

Set up an appointment to speak to your MD. Express your fears that while you know he too must be frustrated, you are worried that he will simply walk away from you before either finding a way to make it better, or referring you over to someone who can be of more help. Ask him to please agree to continue to help you until either of those conditions is met. Most MDs will see you trying to find ways to make it better, and be willing to help.

We live in a time when folks MD shop, hop and then sell their pills, and move on to the next MD and this has led to an air of distrust between MD and patient. If you speak honestly with your MD and let him know that you see you have reached the end of the road with him, but are afraid of being dumped before you can get to the next stop, he should work with you. If he dumps you, doesnt refill your meds, you can go to the ER, and ask for a referral as well, and get a small amount of pain help. If the MD works for the hospital you can contact a patient advocate and ask that the hospital provide assistance to you to get you onto the next step while speaking to the MD about dropping you without leading you to the next step. Even if the MD feels you are drug shopping, or mentally ill, he should not just stop seeing you. he should refer you.

I hope you feel better.