All the diagnosis that I’ve hash tagged is not even the entire list of diagnosis. Hence the question when is enough enough?! With fibromyalgia and ankylosing spondylitis, the pain is chronic and wide spread. Then came all the other auto immune disorders. The disk degenerative leading to neuropathy that then leads to muscle spasms since the nerves are damaged or already dead. Then came the PAD, peripheral arterial disease. That means my arteries are not pumping enough oxygen filled blood to my legs. Without oxygen, cells die. Worst case scenario, gangrene can set in or amputation if limb no longer functions. Surgery on November 1st. Laser ablation of the artery. The last and worst. Complex Regional Pain Syndrome . Worst pain known to the medical community. Worst then child birth, worst then amputation without anesthesia. It usually spreads from the affected limb to another. No cure. No known effective treatment overall. The constant pain and fatigue is overwhelming. I’m grieving for the future that I had envisioned. I’m grieving for the person I used to be. The insult is so many imaging, x rays, and labs, plus a cardiologist, vascular surgeon, rheumatologist, neurologists, gastroenterologist, podiatrist, my primary and physical therapist all diagnosing, with back up, these horrible disorders and the new guidelines concerning pain killers, where does that leave me? Don’t punish those living daily lives in extreme pain because of the misuse of meds by addicts. There are vets being denied pain meds because of this situation with pain meds. Doctors should treat their patients and not worry about being sued instead. I deserve some quality of life and so do every single one of you. I wish you well.