Pain managment (w/o tests)

[roman6886]

(summary) 20 yrs old. Got TTP last year and cost $300,000 in 3 months before insurance and a pretty big opiate tolerance ( 2mg IV dilaudid every for hours for 4 months straight) then got kicked off of insurance because i wasnt in school while i was in the hospital and spent 8 months getting back on.. One side of my family has osteoarthritis and my mother has rheumatoid arthritis.

I have been having intense arthritis knee pains (no prev injury) unbearably so (pull off the road, leave class, get out of bed). I cannot be tested for arthritis or rheumatoid no cure or anything that makes a big difference. my doc gave me 200 mg ER ultram and it doesnt do anything.. I dont want 2 ask for more because the doc was pretty nice giving me it in the 1st place.