Dear Jesusplay....

I always think that the best policy with your T and pdoc are honesty and athenticity. Think carefully about how close you are to the edge. What might trigger you to fall? Can you contract for safety for a specific period of time in which IF it gets to bad, you will call ER and or doc and get emergency care? I tell my T point blank, when I'm at that point, I WILL call..and I do...I have a written plan of numbers to call and know where I can go to be admitted voluntaryily and get the help I need.

I do have means and capability and have had to deal with that with both docs. They also communicate as a team... Maybe there has to be a phrase...very specific...that you can say that is like pushing the big red button to get your T's attention. Mine involves very specific cuss words...and he will know. I can email, text or call and he will know....He also knows that I help him get admittance to me via phone or whatever when I do have to go to the hospital so that I can get best care possible safely for me...
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Having this conversation with an ignorant ER intern will NOT get you the help you really need. If you go to your T with honesty, a plan, and a pain level of where you are and how to help him better guage...you will probably get the real help you need. You have to honor your word or you will probably never be trusted again....

I hope smarter people than me in the Moderators and Wise Ones will also chime in with better advice....
Just take good care of you...
- WB