That's great Nicole! I'm very glad to hear that you have finally found a good Doc. There are some great ones out there....Sometimes it just takes a little time and persistence.
Docs who tell patients to go to the ER, shouldn't be PM Docs. ERs are for emergencies, and times the Doc isn't available. ERs are not supposed to be doing the the PM Doc's job for him. That's just a cop out.
I hope you can find a better Doc Tina. A good PM Doc accounts for tolerance. One of my big pet peeves is when Doc's think there is this ceiling they can't go above. What most people don't realize is that there is no real ceiling. For example, some patients who have been on meds for a long time, can take extremely high doses...Enough to kill a horse.....But, required to them based on years and years of tolerance.
Docs should be treating the symptoms, not the amt of med. Whatever amt it takes to permit them to function, be almost pain free, and live a quality life.
Best of luck to you both.