Hello Cnt , I am also new here and felt compelled to reach out to you after reading your post , you certainly have a lot on your plate and I applaud your courage in dealing with those issues , I'm sorry your expierencing such difficulty and pain in your life and at a young age as well , my goodness thats a lot ! I'm sorry I can't offer any ideas on new pain meds , I am expierencing issues at age 53 that are hard for me to deal with and I wanted to offer moral support to you .Reach out as much as possible and keep in contact with friends and people like us who also suffer pain , isolating is bad news , I can tell you from personal expierence , you seem to get that .Writing is also valuable and it seems you also do that, Bravo ! These web sites are Godsends ,I right away felt not alone as soon as I logged in and saw , felt, read of people facing challenges and then wrote both to them in support , and wrote of my own issues challenges and hopes for the future .I wish you the best of luck with your future , please keep us posted and great good fortune with the procedures you have coming .Good fortune to you friend !