Jamos

Don't know what dosage your patch is. I'm assuming it's Fentanyl. I found that they only worked for me for 48 hours, not the 72. My doctors felt it was better to just change the patch every other day rather than increase the dosage.
Don't be bashful about demanding "big boy pain dosage".
Gritting your teeth and bearing up under pain seriously impacts (in a negative manner) your ability to win this fight unlike fights against a human opponent. Don't worry about the DEA propaganda on addiction, they just don't get that it's not enjoyable just ameliorative.
Focus on how your family needs you and you will get through this
Charm