trt,

Evidently, from what I read above, it varies from place to place as to which doc manages the pain meds. Regardless, if it's the RO or MO, you have a right to the meds! My RO and his staff managed mine (I was also receiving concurrent chemo and had a MO)) and NEVER failed to ask me about pain levels. I'm sorry your care hasn't been as attentive to this point - but, please, make yourself heard. You need the meds - they're not a crutch but an essential weapon in the battle.