Weighing options, again and again

Having another bad day. I seem to be having more of those again. I'm sitting here debating whether to take more pain meds (I only have one bottle of regular Tramadol left and my doctor doesn't want to give me more because she put me on extended release and is under the assumption that it will always be enough. Screw flare ups.) I'm also weighing long term options. I have chosen twice now after discussions with my doctor to stay on Celebrex +  Tramadol. Having weighed the pros and cons of stronger meds, it just seems to be the best decision for me right now. Harsher meds have side effects that I'm not ready to deal with, not with 4 kids at home depending on me. But days like today make me think over my options and question my decisions. It just hurts so bad I'm out of comparisons. I've tried quite a few- being hit by a car, being quartered, being set on fire, breaking all your limbs at once and being set on fire. Hammering a nail into each joint and having electricity shot down each nail? Sure. Anyway, I know that eventually this will pass as they always do and I'll be back to "normal" until the next flare. Then, when things are normal again, I"ll be glad for my decision.