Oh I have been where you are so many times, I totally get it. Thanks for tagging me. First, let me say that finding a pain doctor in this day and age is difficult and finding one that doesn't treat you like a little child that needs to be monitored at all times and scolded and threatened if you push back at all is nearly impossible. Mine is an anesthesiologist at a well-known hospital in Manhattan so he has the protections of a big hospital system. It allows him to prescribe the amounts I need and not get looked at like a drug dealer, although it still does happen. I've been with him for decades and there have been periods, sometimes months at at time, when we had to make alternative arrangements due to some person who isn't a doctor thinking they know better than my doctors do. As for cancelling on friends that's 100% a thing. I have been lucky enough to have some of the most understanding friends in the world and still, if I cancel enough times in a row I definitely won't get invites for a while until I reach out again and restart it. It's just human nature I'm afraid and just one of things that makes extra work for those of us who suffer with RA. I know it's not fair, but just know you are not alone in any of this. If there's anything we can do to help just ask and we will always be around to chat, or listen, or just be here if you want to vent and know you are not alone. Keep on keepin' on, DPM