u/Crafty_Teacher_7382

So, I'm starting at a new pain management clinic in 1-2 weeks. They only deal with pain management medication. I'm going to a new (and only my second) pain clinic because the other place kept talking to me about a pain pump and I'm just not ready for that or know if I ever will be, so they basically said they can no longer do my meds which felt very gross when I heard the words...almost like weaponizing it against me.

Just a quick little background on me - 49/m, chronic neck and back pain with several issues seen on 2 different MRI's that's been going on for the past 4 years. It has completely changed my life and my quality of life. It's a pretty miserable existence as I'm sure most of you know.

Here's where I need some advice/feedback - I am so sick of the "game" of all this. The walking the fine line of conveying you need help, but not wanting to look like a crack head. Do you guys typically lay it all out on the table or how do you navigate the "game" of it all with a pain dr? Have you ever walked in and said something like "I feel like crap and want to try "x""? I'm just so sick of all this and I feel like I've never really been heard! I want someone to truly want to help me and to actually follow through. I've tried several different medications with fairly low doses and nothing has helped. Have you guys had good luck with a combo of meds? I guess I just really don't know how to go into this new clinic and "state my case" and say that I need HELP without big red flags going up. I am so sick of this game of wanting to actually receive help and take something that actually helps, but not being to direct or saying the wrong thing etc......

I get so much anxiety with my pain and then double the anxiety about going to hope/maybe/possibly getting help. It's all such a workout!

Any advice, help, words etc would be so greatly appreciated!!! Feel free to ask me anything about what I've tried, doses, injections etc - I just didn't want to write a novel initially.

Thank you so much for reading

-Josh

Hey guys! I need some help. I have a PC with Windows 11, I use Qbit for torrenting and I have a Plex server. I’ve been told I should use the rr programs (sonarr, radarr, prowlarr, lidarr) to make everything easier and to help not mess up my seeding torrents. Does anyone know of a super super thorough guide and/or video that goes step by step in setting up and connecting everything? Obviously my Plex has been set up for years with the folders etc as well as Qbit and its folders. I’ve seen some stuff online that goes over setup, but I don’t find them thorough enough and end up getting confused and give up. I’ve downloaded all the rr’s and haven’t installed anything yet because I’d much rather do it while I follow along with someone else walking me through each step. Any help would be greatly appreciated!
Thank you in advance.
~Josh

I have a few questions that are probably pretty elementary. I just started downloading torrents from private trackers/torrent sites at the end of last year and I’m a little confused by how seeding works. I download (a lot of freeleech) and then just let it seed and never remove anything. Is it normal to see those torrents not being uploaded? Nearly every time I check, they are all at 0, but say “seeding”. Do they seed for so long and then become “dead”? My ratios are all good and most are 2.0+ with the exception of TV Vault which always just sits at .92. I don’t know if I’m doing something wrong or not…? I use QBit and I’d say it’s running about 85% of the time. Do I need to DL and seed new torrents to keep the ratio going up?
Any help, advice or tips would be greatly appreciated.
Thank you!

I have a few questions that are probably pretty elementary. I just started downloading torrents from private trackers/torrent sites at the end of last year and I’m a little confused by how seeding works. I download (a lot of freeleech) and then just let it seed and never remove anything. Is it normal to see those torrents not being uploaded? Nearly every time I check, they are all at 0, but say “seeding”. Do they seed for so long and then become “dead”? My ratios are all good and most are 2.0+ with the exception of TV Vault which always just sits at .92. I don’t know if I’m doing something wrong or not…? I use QBit and I’d say it’s running about 85% of the time. Do I need to DL and seed new torrents to keep the ratio going up?
Any help, advice or tips would be greatly appreciated.
Thank you!

I have a few questions that are probably pretty elementary. I’m a little confused by how seeding works. I get (a lot of FL) and then just let it seed and never remove anything. Is it normal to see those torrents not being uploaded? Nearly every time I check, they are all at 0, but say “seeding”. Do they seed for so long and then become “dead”? My ratios are all good and most are 2.0+ with the exception of TVV which always just sits at .92. I don’t know if I’m doing something wrong or not…? I use QBit and I’d say it’s running about 85% of the time. Do I need to DL and seed new files to keep the ratio going up?
Any help, advice or tips would be greatly appreciated.
Thank you!

I have a pain appointment tomorrow with my regular pain doc. I’ve been on Dilaudid 4mg 3x daily for months now and I don’t get any relief at all!! I’m not sure what I should do tomorrow, I just know something needs to change. I don’t know if I should come right out and ask for a higher dose or ask for something entirely different..? My progression has been Oxycodone 5mg to BuTrans patches to Morphine ER, to Dilaudid. I’ve never asked for an increase of dose for anything or to change medications. Do you guys even think I’d benefit from a dosage increase if I don’t see any benefit from where I’m at? I just know that there are a lot of experts in here that have been in this “game” for far longer than I have and I like reading your guys’s feedback and tips. I don’t even know what I would suggest or ask for as a natural progression from what I’m on and what I’ve taken. Ugh, this is all so frustrating.
Thank you guys so much in advance! You’re all so kind and friendly and just know I appreciate it.
~Josh