Re: help needed truely unsure what to do
I agree with that advice. You can ask your primary doctor if there is any other pain specialist they refer to, but most only have one they typically refer to. Likely you will need to search out some options on your own. Schedule some appointments and treat them as interviews. Ask what their long term treatment plan would be for you. That would give you a good idea on their feeling of medication management.
Definitely have your records ready, as you will need to obtain them to give to the new doctor (they cannot request them until you are an established patient, and they need them before that). If you don't want to clue your doctor in that you are thinking of leaving, just ask to pick up a copy of your charts yourself, instead of having them directly sent to a new doctor. That way you can also make copies for multiple doctors, and have a copy for you as well (to review...check if everything is correct).
Be sure not to get any meds from a new doctor until you have notified your old docotr / cancelled any contract you have. Best to have an initial appointment with the doctor, they schedule the next appointment at your next refill date (or maybe the one after that, if its too soon). Then cancel your contract / notify your old doctor between that.
Good idea to find a new doctor as yours does not seem to listen. Its one thing if they do not want to increase your total opiate dose, but they should have some response and action to every question you ask. It can be tough to find a new (good) PM doc, but it should be good in the long run. Best wishes.
constant headache since 2006