I have had the DNA/genetic testing for the medications I'm on. It came back that I have a mutated gene for using opioids. The paper says I would need high dose standard dosing to get pain relief. I have multiple pain disorders, one is fibromyalgia, I was lectured on why it's not used and no support to use that medication. I get it, I'm not the prescriber! My problem is this, I have dilaudid as a rescue drug(2mg every 24 hrs, when standard is every 4-6) my providers have given me nothing to use between nothing and the rescue drug, if I had something between nothing at all and dilaudid. I may never need the dilaudid. One of my patient rights is adequate pain management and this is not happening. What options do I have to use. And yes, I see a counselor, a psychiatrist, someone to manage my IC, had Interstim as last ditch effort for some relief which has not happened. I have more doctors then a dog has fleas, I take 21 pills a day but none are for that daily pain to help me. I've had transvaginal mesh that I think is the cause of my falling. I've had MRI,angiography wth and without contrast. I also have familial Essential Tremors ad have appt with neuro next month. I have episodes of not recognizing my surroundings or getting someplace and I don't know why, I've started talking and it's jibberish. For the most part I know when I'm doing it but can't stop it. Most significant family history is my mother died from ALS. Thank you for any information you can provide, oh, my hearing has decreased and so has my vision drastically.