Good afternoon. I posted this in another forum but thought I would post it here also. I am a caregiver for a migraine sufferer of many years. Her chronic pain has cost her her job and her quality of life. She is currently seeing Dr. Gosey in Williamsville, NY but the NP assigned to her does not fully realize the level of her pain and subsequent lack of quality of life. The previous NP had her on a higher doseage of pain medication but when she recently left the practice, the new NP lowered the doseage by 2/3 and does not seem really interested in her case(I think it's a case of office politics). Also the previous NP was considering the pain pump as the next step as she has tried every preventative and her pain medication is not providing relief or control. The current NP brushed that off and will not even talk about it. After searching the internet I am looking for a doctor that will entertain the option of a pain pump or even the out-patient ketamine infusion therapy I have been reading so much about. I did see some posts from people in and around NY but they were old postings. I have considered making an appointment with Dr. Kreusz(sp?) in TX for the ketamine therapy but if there is help available closer, I would like to pursue that first. I appreciate any help/advice/information that anyone can provide. Thank you!!