Thank you everybody so far for your comments.

DejaVu, I have had both good and bad experiences with PAs so far. I prefer the PA at my PCP's office to the doctor who owns the practice, but prefer the other doctor that was there up until this past Thursday. The PA that is there is very knowledgeable about general health and he is currently in med school to get his MD. I do like working with him when I have that option but rarely do have that option. If the PA is in a specialized practice, such as pain management or orthopedics, they don't seem to know much other than some basics of the practice they are working for. I think that anyone that is willing to learn can do as much as they can.

I am really trying to look into topicals more now after I checked the results of my blood test that I had the other day. My AST (SGOT) levels have shot up quite a bit since my last test, which was done in June, going from 30 up to 50 now, which tells me my liver is having a little bit of a difficult time processing all of these pills I have to take now. It is not horrible but it is something that needs to be watched. At least the fetyanyl patch gets rid of having to take methadone 3x a day.

As for finding a new doctor, both PCP and PM, I have a few that are supposedly good doctors. I want to wait till the end of the year before I make any changes. I have never liked the hospital network I am in now, but my husband likes the doctor we were seeing. I want to switch out of this hospital network. The only problem is that I can't stand the idea of loosing my ortho by switching PCPs. I think it was his surgery that caused me to end up having CRPS, but he still does everything he can to help me