i have chronic pain and was in a pain management program in pennsylania and took tramadol and oxy which worked great. Nothing else did. The drs had no problem. I saw them like clock work and they refilled my rx's with reg apts and blood work. Iv'e been Dx'd with CRPS & 100% disability due to pain & ptsd. Since moving to Ohio, no Dr will rx either drug and my pain is un-managed. Ohio has written into state law that these drugs cannot be rx'ed outside a hospital or nursing home within X # of days from a surgery. Drs are terrified of losing their licenses. I think this dr. has rocks in their head. I honestly feel that Drs do who do not know or understand pain (even if they are "pain mgt" drs) just blow off patients pain & concerns. They do NOT understand how pain sucks the soul out of us and denies us the ability to get through a day or night or the ability to work gainfully or around the house or sometimes even have meaningful thought or conversation. Sorry. Find a different Dr that really understands pain and your friend. This doc doesn't get it.