Here I am back again. I just came back from my pain management doc's office. My pain was so bad that I had difficulty walking. I have been seeing this guy for over two years. So far he has done two things for me. Increase the pump output every couple of weeks. Tried adding some kind of anesthetic to the hydromorphone(it did not help). My current pump output is 2.3 mg continuous. Six boluses of about .03 each. So far the bolus does not help. Some of you have been kind enough to tell me that you are at a much higher dosage that helps with your pain. I am getting the output increased, but it is such a slow process. My trial involved getting 4 mg hydromorphone injected which dropped my pain from an eight down to about a two. Having to endure the severe pain in between dosages is so frustrating. As I sat there in excruciating pain, he looked at the notes and told me that since the pain meds weren't doing much, and he already tried everything with the pump, there was nothing left that he could do except keep raising the output. I felt very helpless and alone, Here is a pain doc who has done very little who's telling me that he can't do anything else. Really? What a joke. There are no other pain pump docs in the area that I can go to, so I have to just suffer. If I can't reach some sort of therapeutic level from this pump, I don't what else to do. I guess I'm just mainly venting. Thank you all for your support.