This is a little off topic but I am pretty desperate for answers. I have had increasing pain due to neuropathy as noted on this site. However, in the past few weeks the pain has extended into my right arm(mostlt tingling). I have been experiencing involuntary twiches in thet arm as well. My appetite is off. Can eat but no hunger pangs. Thinking about \food often puts me on the edge of nausea. Pain in the lower half of my body two days ago was so bad, I thought I was going to pass out. I actually considered going to the ER. Decided against that due to very bad experience nine month ago. I had a scheduled visit with one of my pain management docs yeasterday. I told him about all the new symptoms and how I was experiencing so much pain that it was hard to think. His response was not totally unexpected. "Contact your PCP". I told him that my PCP was a CRNP with whom I had discussed this a few days prior. She did not seem to have a good grasp of my situation. So, I practically begged the pain doc to address my pain before I passed out or had to go to the ER. He just shrugged and gave me another appointment. I feel as if I am in a Catch-22 situation.