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@davidc2569 When you had your trial, I assume that morphine did not help. What was the result with dilaudid? I had no relief from morphine in my trial by injection. However, the trial with dilaudid dropped my pain down to a 2 from about an 8. Unfortunately, the permanent implant has not provided me with any pain relief. I am just over three years on this thing and I had ONE DAY of decent pain relief. Go figure. I was at a high of 3.5 mg/24 hrs with six boluses. My PM doc told me that 1 mg/24 hrs was a pretty low dose. Get some dosages from folks here on Mayo and show it to your doc. Might help him/her change his mind.

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Replies to "@davidc2569 When you had your trial, I assume that morphine did not help. What was the..."

@heisenberg34

This is my 2nd pump... My trial was 10 years ago. They put a 20 mL pump in and said I was on way too much morphine, i guess that's why it doesn't work at 1 mg. They said if dilaudid doesn't work they have fentynol. If that doesn't work im S.O.L. I'm going to see a spine surgeon next week, this will be number 8. My spine is fused from L2 to S1, i have adjacent segment disease at L1, bent rods, retrolisthesis and they say they will probably have to do a revision surgury and fuse T9 to pelvis. I have to go to Washington University in St. Louis where they specialize in complicated surgery. Hopefully they can do something to get the pressure off my spinal cord at L1, they say im at high risk for Cauda Equina syndrome and feeling symptoms of it...
They should change your medicine, i am getting a little relief but not much, but we have another 6 weeks to get to max dose, i will also get 4 bolus doses per day.