Unmanaged pain

Around 5 PM my pain began to creep up to unmanageable. I've been twitching in my seat for hours. I had to remove my lidocaine patch at 8 PM, took 2 5/500 Vicodin, and hope this will address it. If not, I give up on decreasing the Fentanyl and will put on another ~ 12 mcg patch.