@avmcbellar There are a couple of reasons for considering a pump, the primary one being replacing oral medications with more effective intrathecal delivery. The research I've done has indicated that the pump requires as little as 10% of the oral dose. Of course, there's not a lot of certainty in any medical treatment, as no two people are the same. My neurologist mentioned to me this morning to ask about the possibility of a bolus delivery option to treat breakthrough pain. I understand that once the therapeutic dosage is determined, it works automatically, and is a safer treatment in terms of abuse or overdose.

My wife and I are scheduled to get the vaccine on the 30th. I'm more than a little concerned about the impact it might have on my neuropathy. I don't know which one is being offered here, and I need to schedule an appointment for the 2nd shot.

I've never had any reaction to vaccines until the 2nd shingles vaccine a month ago. The injection site is still sore if I lie on my left side, though I didn't have any immediate reaction. I'm hopeful that the covid vaccine will be effective but benign.

You wrote in the past about eye exercises. I asked my neurologist about that, as well, and he put in his notes to consider it, whenever I'm ready. Prisms corrected the double vision for a month or so, but it returned, and sometimes I see 3 images. When I asked the ophthalmologist what else can be done, he said get used to it. Not a very helpful response. Perhaps you could recommend some research on the subject. Preferably in layman's language.

Jim