Please excuse my tardy reply. I am sorry to hear about the situation you are experiencing - I've been there. I too manufactured multiple kidney stones. The pain can be brutal.
To answer your question: I think it would be appropriate to contact your PMP and discuss your proposition with him. It certainly makes sense to me that your pain requires periodic control and not constant opiates. It's pretty sad that a Urologist cannot RX an opiate for you more regularly - but that's the state of our Opiate Phobic country.
In your instance, ER is an appropriate choice for you when you are passing a stone. Obviously a CT will reveal that you do have stone(s) and that you have a need for pain management. I hope you don't suffer needlessly.
Your Urologist should work with your local ED (emergency department) which will allow them to treat you as needed (PRN). If you return to the same ED they will be familiar with your situation and have previous CTs to review - and can repeat a CT. This should alleviate any fears that may have of drug seeking behavior. It would allow your pain to be treated PRN.
I hope something I have offered has been helpful. Please let us know how you are doing. I wish you all the best.
Thank you for your reply! I contacted my urologist this morning and requested a kub which I'll have done tomorrow morning. Once I get the results I think I'm going to contact my pm doctor and see if he'll accomadate me. Hopefully that way I can cut back on all the xrays and catscans. I'm weary of the er only because the last er Dr refused to order any imaging because of how many I've already had. Unfortunately I don't always have blood in my urine with stones so a lot of the time they'll tell me I don't have one because of the lack of blood. I've really had to assert myself to get imaging in the past but I'm afraid that will be an uphill battle now. And of course I'd like to avoid extra radiation whenever possible. I really feel for those who are in constant pain, I can't even imagine if this were a 24/7 issue. Again thank you so much!
Just checking in to see how you are doing. I've been off the boards for awhile due to a nasty personal illness.
I'll look forward to hearing more from you. I hope you'll reach you goals soon. When kidney stones are painful and chronic it had been devastating to our functioning and personal life. My heart goes out to you.