-- Again, the 'pain doc' zeroed in on the fibromyalgia and refused to even consider any other cause for my continued pain. I let myself down by crying in front of him, so now he'll also report to my doctor that I am hysterical and need more psychotherapy. Darn it, I'm getting soooo frustrated with these people! Here's the text of the letter I'm sending to him and my primary care doctor: Dear Doctor Fibruch: You dont know how sorry I am that I had to come see you on a bad pain day. Its hard to think through the pain and make my points intelligently. My concern is you did not seem inclined to listen to me about any of the other medical problems that I have that are contributing to my pain. Focusing only on the FMS, exercise and changing medications is not what I expected or wanted. I tried to get you to listen to me and it didnt work, so maybe a written communication is appropriate. I have tried several times to exercise through the pain to get to the other side. I get very mixed messages about this issue. Dr. Berman told me that if it hurt an hour after doing a certain type of exercising, that I should back off. Ive gone from full water aerobics, to Arthritis Foundation water class, and to a self managed class where you can do just as much as you can do and not worry about keeping up with anybody else. Even just walking a few laps was too much, no matter how many times I tried. Then it got cold and going from a warm pool to a cold car would have me in bed for the rest of the day. I am planning on trying again, but the Arthritis Foundations classes are during the day and I am currently trying to hold a job. I was hoping you would have some idea for a work-around solution for use of the Center for Health Enhancement in the evening, besides the full water aerobics class. The PT department at KU Medical Center instructed me to do light stretching exercises and walk when I can. They tried some massage, but the effects didnt last. I do stretches every day and try to take breaks during the workday to walk around the little park area outside my office. But the pain doesnt go away, ever. It is not always FMS pain, but Im sure it makes the FMS worse. Now, about those other problems you waved off while talking about taking me off the pain medications. I also have: · Osteoarthritis · Degenerative disc disease · Adhesions related disorder (yes, they do cause pain) · Bone spurs in various locations, including spine. What I am trying to tell you is I that I was hoping we could come up with a plan to treat these other problems causing me pain. I have already had surgery for the adhesions, but they returned. I can accept that further surgery is probably not the answer for the adhesions, but pain management is necessary. I will be seeing an orthopedist for my knee 50-60% functional as opposed to 10-20% without it. Im sure I looked and acted depressed when I left your office. I feel that I had a right to be that way. You did not listen to me... Rose, It's hard to win some times. If you go to the Dr. and you are downed out from the pain, they say you are depressed. When you go in and try to smile, they think that your pain isn't so bad. Every time I go to PM, my pain that day is low so I don't tell him how it makes me so miserable. I was up all night with mine, it usually hits at night when my intestines start moving. I broke down and bawled like a baby at about midnight. I had to get up at 5:30 to go to work. I feel wiped out. My pain has gotton worse as I went to a University Dr. last week and they placed a pessory in me and it hurts but I don't even want to try and take it out. I think it is pressing on my adhesions. I am glad you wrote your letter. Even though you may not get through to the dr. It will help you emotionally. Love, Kel .