Prescribing opioids is difficult to navigate at times, both ethically and legally, and unfortunately there are clearly areas where the water is very murky. None (by this I mean the vast majority) of us want someone like you to suffer, especially given the bad 12-15 months you are having (though with the miracle of having a child in there too). But I would suspect most of us, without knowing you, would also have concerns about that prescription history (multiple scripts from multiple providers in the past year). You are a case, probably through no fault of your own, of the water being murky. To complicate matters, if you try and advocate for yourself, it makes prescribers dig in their heels.
These are the cases where clinicians need to be able to use clinical judgement. From the other side of the desk, so you can maybe have some insight into what the thought process is here, this is what I would be considering in making a clinical decision: it boils down to a choice about the risks to you vs the risks to me.
First off, do I have an objective clinical rationale for you requiring opioids (imaging demonstrating stenosis correlated with clinical evidence of radiculopathy combined with a clear failure of non-narcotic management).
Second off, can I safely prescribe you the medication. For me this is a question both about you (safely start and stop the medication) and about me (assume acceptable risk both to you and to my license); every script we write is a risk to both of us. I start with the opioid risk tool (score of 8 or more it is an automatic no for me, between 4-7 then the water is murky, and less than 4 is safe) and a review of your medical/surgical/prescriptive history. Are there other adjuncts that could be used more safely and effectively? I then consider the timetable of both the progression of symptoms and the overall course/prognosis.
Finally, is the overall clinical picture consistent with the risk assumption and the clinical evidence. For example, if you score a 0 on the screening tool but when I look at your history you've had 10 different prescribers in the past 12 months red flags go up; this is especially concerning with "soft" diagnoses - ones without objective clinical evidence or with clinical presentations that seem to be non-consistent with the objective evidence).
I don't want you to live in pain but I also don't want 1. you to end up in a worse place or 2. to put my license and practice at risk. The water is murky and clinical decisions become important: these are being biased by increased regulation and risk to the provider.