Shell,
I only know about CRPS from what I've learned from all you here.... but I'm sorry you are having a flare of your symptoms. I hope you hear back from your PM and maybe get in before Thursday.
I had to laugh at your lidocaine patches comment... and using the Voltaren gel... etc. Sometimes, I'll have three or four patches - on my hands, arms, back - hey, whatever it takes to help the pain, right?? :)
I also take oral fentanyl (Actiq, 1200mcgs); it works so well because it's so fast-acting. I wish it helped for *longer*... but at least it's a relief that comes within minutes. But all the oral fentanyl is so darn expensive - and most insurances balk at paying for it. We have to do some insurance adjustments in October - and I'm praying that it doesn't mess w/ them paying for the fentanyl.
Hang in there.... I hope you get some relief and can get into see your doc!
--Tina