Indeed but it really isn't that much to ask is it
I think the first step for you is not extracting anymore patches and not looking for the rush on fent. Because you are a legitimate pain management patient it might not be feasible to get off opioids completely, and either way it is going to make jumping off more difficult. Stick with the patches solely as they are meant to be used, don't extract them, don't put them in your mouth, don't use a lot on at once, just don't abuse them in any way and that is how you can beat the drug.
From that point you can try tapering down some more until you find a pain management amount that works for you whether it involves no opioids or just a few.
You already recognized that it is going to be difficult for you to stop abusing while still using because you enjoy getting high and just taking them as intended seems harder than stopping altogether. As I said though the actual pain might have you in a bind and cold turkey in this situation might actually be the easy way out