How crazy is it that my mom knows about my pain pill addiction and still has the audacity to ask me if ill take her to her pain clinic appointment 
That’s a hard one. I don’t know your story, or length of time you’ve been clean, but maybe she trust you enough to know that you’re not going to go out and use over taking her to get appointment.
If it is a trigger for , be upfront and honest with her about it. She should respect that and not ask again.
Hang in there. You’re doing great!
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My mother was a addict to pills and it took her at 53
I’m glad you are trying to find a solution to get out of the chaos are disease gets us in 
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Well, your mother is asking for help. She can’t be blamed for asking for help. She is not the one with a problem. If it’s too much for you in early sobriety then help her get a uber.
Just my thoughts.
I’m not sure if she’s going to the pain clinic because of addiction or if it’s for legitimate pain. Either way, when someone’s dealing with pain and trying to get their meds, that can become their only focus. She probably doesn’t realize this could be a trigger for you. If she doesn’t, it’s totally okay to let her know gently.
You can say, “Mom, this is a trigger for me and I can’t take you.” Setting boundaries like that can really support your recovery and keep you strong.
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It's ok to say no to ppl especially if you're not that far into recovery. I, bein where I'm at in my recovery, think that putting myself in situations where I have to tell myself no is the most important thing I can do. It's almost like practice for when the real thing comes around. The more I tell myself no the easier it gets for me. Idk if this works for everybody but telling myself no ahead of time has helped me. If you find yourself obsessing over it I'd say that's your sign you should tell your mom no and that in turn will be you telling yourself no.