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Are you scared of being put on different pain killers or just that they might not be effective because of the sub?
You shouldn't be scared to tell the MD because if you have had chronic pain it is normal to have something to make your quality of life better be that drugs or surgery which you are doing both of. Pain killers are natural for pain and for it's intended use. Have you been abusing them within this time of taking them? If not, there should be no reason for anyone to suspect you of being a drug seeker.
There are other pain killers out there that will work for you and telling your doctor is a step in the right direction. You and him/her will have to experiment on which ones work. Also, the anesthesiologist will have to know for the right drug to give you or not give you because of the sub.
Don't be scared it'll all turn out for the good, just be honest. Good luck! I'm at home recovering from a surgery 7 weeks ago.
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