Truth = dilaudid
Let me tell you how I first started on pain killers with my doc and how it eventually landed me the holy Grail: dilaudid. Without even trying!
I had a history of back pain which was getting worse. He offered me vikes and I told him the truth - only once before had I ever taken them, when a dentist scripted me some about a year prior. They worked, but i had to take 3 or 4 for them to work! But its ok, I'm willing to give it another try.
On a follow up a week later, I told him my reaction to the vikes was the same - it took 3 or 4 to actually get any pain relief. That seems like a lot, is there anything else I can try? So he moved me up to percs.
Another week goes by and I tell him they were the same - 3 or 4 works well. But I ask is it safe to take so many? He tells me it can be bad for my liver because all the Tylenol so he steps me up to dilaudid. He warns me its very strong, but I tell him if I had to take so many of the other pills for them to work, maybe i have some sort of natural tolerance. So, while this dilaudid stuff may be strong for most people, maybe it will be just right for me.
Naturally, I told him the dilaudid worked like a charm. I also asked a bunch of questions about the drug, like are they safe, will they cause long term damage if I end up needing them regularly to deal with my regular pain, etc. Basically, I wanted him to know that I was taking this seriously and didn't really like the idea of regularly taking pain killers, but if it works and he says it's safe, well, ok then.
Ever since then he scripts me every month like clockwork. He has no concern about me being on them and has never even hinted at wanting me to stop. In fact ive actually asked him point blank "so you're saying i can take these things every day for the rest of my life and i don't have to worry about it?"
He said "yup." I expressed concern about addiction, since you always hear about people being addicted to pain killers. He said if I had any history of addiction, like with booze or cigarettes, or if he felt I had an addictive personality, he would be concerned, but he felt it was not an issue with me.
So, ultimately, it was by me being "honest" with him and expressing concern about moving up the pain killer food chain that he dropped those super happy pills in my lap.
Good luck.