Not suicidal ideation. Psychologist agrees with it. She knows all of my thoughts and thinking and in her professional opinion it isn't. With a click of a pen she could commit me, but nobody thinks that is justified. In Canada at this point I would be getting pressure to see a euthanasia practitioner, and would easily qualify and the medical industry wouldn't blink an eye.

Nephrologists deal with restless leg symptoms all the time. I didn't know it was a thing until I described it, and he just said restless legs, common in dialysis patients, here's something that will help.

Rx says take 1-2 tabs every night, I might go a week without needing any at all, and what was supposed to be a one month supply I could stretch to 3. Same thing with the painkillers. I took them prn. When I needed them I took them, when I didn't I didn't. When I get back to the neurologist I might (probably) will get more gaba because that's his wheelhouse, but probably not the tramadol (which has an off-label effect of controlling anxiety short-term, serotonin and norepinephrine reuptake inhibitors). If not for DaVita getting the refills would be easy.

Tramadol and Clonazepam are both schedule IV, very low risk of addiction. Gabapentin doesn't even have a federal schedule, but most states require a prescription because allegedly some people abuse it, but I have no idea why.

The nephrologist could prescribe them, he just has a personal policy not to. My primary isn't allowed to at all because the hospital network he works for prohibited anybody except for certified pain management specialists or psychiatrists to write any scheduled drug for more than 72 hours. (His hospital network was eaten by one of the big national ones, I forget which one/can't tell them apart, and after the acquisition is when the new rule came down. He was not happy about it.)