I have been in PM, since 2018, when a surgeon put a pedicle screw in my nerve roots, during a laminectomy. PM doctors won't give me more than 120 MM's, even though my pain is nothing close to being controlled. It is always a nine. I developed gluteal, thigh, buttock, and leg atrophy, after the surgery, and have never been given a diagnosis, although I've been to neurologists, rheumatologists, etc. I also have a deformed spine as a result of the surgery, and have been to many doctors, but instead of helping, they won't say anything nice, because they protect the surgeon. I need surgery for severe spinal stenosis, and I have been putting it off because most of my pain is in my anorectal area. This is why I need more than 120 MM's. I live in TN, but I saw a neurosurgeon, in GA. I also saw a pain mgmt. doctor just to see what he would say. He told me I was in pain because I need a short acting medicine to go along with the Fentanyl. He could not believe that I have not been able to get more than 120 MM's for eight long years. I told my PM NP what the doctor said. She gave me a choice of short of long acting, but not both. Same old story. She offered to give me morhine, and said it might work better. I assumed she would be giving me an amount equal to 50 mcg Fentanyl every 72 rs. I don't think she did. I appreciate the answers. I am new to this site.