I would tell your doctor that you’re well aware that opioids don’t treat, diagnosis or cure pain. However, they can effectively relieve pain. Treatment is your responsibility but being that you refuse or are incapable of doing that I need these pain signals blocked so I can function and carry out the activities of daily living. As it is I don’t know what other choice I have. If you’re aware of other alternatives I’m open to hearing them. However I don’t repeatedly come here and pay you to listen to the same pompous, pretentious rhetoric.
Physicians aren’t Gods, they are no better than you and I. They aren’t entitled to more respect, the should show you and I equal respect. If other venders you employ and don’t repair whatever you hire them for do you still pay them?
Take care,
Joke

Good luck, Jim. Ask him what HE would do (that you have already tried and didn’t help) if it was him or a loved one. Write stuff down ahead of time to keep you on track!