Steve, I respect and appreciate your candor and openness. You have hundreds if not thousands of friends you have never met, and many of them are right here on this forum. Whether you feel it or not, tonight and into the future most of them are going to be doing something on your behalf. Believe it.
In an ambiguous and uncertain situation, any decision is a good decision. Think about it, decide, and follow through without a second thought. There are several factors to consider, but I bet that over the next few days the proper course of action will announce itself.
Whatever course of action you follow, don't try to tough this out without painkillers. When required, they are proper drugs rather than problem drugs. Whatever you decide to do, there is going to be some discomfort in your future. You and your doctor will know how much pain medication is appropriate. Don't let yourself take any less than that.
Good thoughts are coming at you from all directions. You are not alone.