Tayla, my PM Dr hasn't given up yet. He believes that if I reduce my Kadian to 150mg a day (down from 200mg) and take Namenda, which is the drug prescribed for severe Alzheimers, I might get the relief I'm seeking. Interesting! He's not against the pump, in fact he thinks I'll get the relief I'm seeking, but he want's to do it as a last resort. So I guess I haven't exhausted all my options yet. Thanks for your imput.

Bruce