Christina
I have no words of wisdom about the meds, but I am so sorry you are in so much pain! I am also sorry that you feel that you can't get competent help at your er. I'll bet living is a small town may be comfortable at times, but it probably sucks that everyone knows your business and can judge you. I felt a bit like this where I grew up, and it wasn't even that small!
I hope you will start feeling better soon!
Many hugs!
Bluemountains