An update on my pain pump refill/check. A new pain doctor that I had not seen before came in to do my pump refill. I asked him if he had gotten any of the messages I had sent/called in regarding having my pump checked for proper function since my pain level had suddenly increased. He was not aware of any such information. Go figure. Anyway, he did the dye test to see if the pump and associated hardware were actually delivering the meds to my soinal cord region. Yes, everything checked out ok. He said I was already at a higher level of meds than I was when my test was done! How is that possible. He didn't know. Said something about tolerance. Well, I spoke witha woman who has had a pump for over 25 years. So, end result of visit? Reduction in pump output, resulting in more pain as I am sitting he this morning. I will be forced to go back to tramadol. I have a couple of weeks' supply. After that, I don't know what I will do. Any suggestions from you subscribers out there. I had such high hopes for this pump. Now, I am feeling depressed, not knowing which way to turn.