Jim, I am so sorry to hear about this!

If possible, I think your therapist should advocate for you.

The magic language is this, are you having a better quality of life and more functionality on the morphine and if so, then you can describe at what doses you had better coverage of your pain. It's all about a quality of life issue and if the morphine is improving that for you. So keep those words in mind!

The CDC recommendation is that 90 MME (morphine milligram equivalent) per day is MAXIMUM dose doctors should prescribe.

I tried to copy and paste the PDF graph of what the equivalence are for different opiates but it did not turn out in a very user-friendly format here.

Actually this chart is so poor that I would recommend you doing a web search asking how many milligrams of morphine equals 90 morphine milligram equivalent or MMEs. I am not positive but sometimes it can be a one-on-one such as one milligram of morphine equals 1 morphine milligram equivalent (MME). Other opiates might be 1.5 mg May equal one morphine milligram equivalent.

I would also make a list of everything you have tried and hopefully it's a long list and neuroplasticity is included but if not don't worry I'm sure you have use many things including exercise, music, meditation, prayer, socializing, heat, ice and there must be many more things.

Most doctors do not want to take a risk with patients who are depressed or have suicidal ideation or attempts. I'm sure you can understand that but that is where your therapist could help. If you have been seeing your therapist regularly that is a plus for you as opposed to some people who don't show up for a lot of appointments.

Well Jim, these are just some brainstorming thoughts I have. I am not a licensed therapist or a licensed professional of any kind but I'm glad to help when I can and I have resources to go to when I recognize my limitations are exceeded in being able to help.

Please keep me posted and I hope this all works out in your favor because you deserve relief!

Take really good care of yourself and I wish you the warmest blessings ever! Your friend, Sunny flower. 🙏😊