How do I explain to a pain management specialist about my needs?

I have pre-existing muscularskeletal pain that was not treated well prior to surgery. Post-surgery, I have learned that time released meds, like OxyContin, do not work very well since I do not have a stomach any longer. The pain specialists I have seen refuse to understand that I am not exaggerating my level of pain post-op. How do I explain to a physician that OxyContin does not sit in my pouch very long like it used to sit in a normal-sized stomach?

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