This is an update to my post back in 2024 regarding my intrathecal pain pump . Since then my pain doc has done very little except to increase my pump output every three or four weeks and refill it every three months or so. I still have not experienced any pain relief after almost three years. I know there are other pain pump users who have a very high daily output of dilaudid(6 or 7+ mg/24 hours). I recently tried going up that high, but I did not feel well afterwards. I had to have it turned back down. Now I am sitting here, with still no pain relief and feeling afraid to use any of the six boluses. Not sure what my next step is. My PM doc seems to be totally out of any answers. So, who knows?