I have been using morphine & baclofen in my pump for 2 yrs. now with a catheter break & pump revision surgery 4 X in the past 12 months. I have reached a point where the morphine dose is so high as to effect me physically (tired, fatigued, confused at X etc.) yet provide almost no pain relief (severe neuropathic in left foot and leg) and the baclofen is just about right (morphine rate 11 mg./day & baclofen 250 micrograms/day. I just underwent a dilaudid trial involving injection of .025mg. of dilaudid into the intrathecal space. When my pain mgmt. M.D. returns from vacation the plan is to substitute dilaudid for morphine & then titrate up to a hopefully therapeutically effective dose for pain relief w/o the side effects referenced above. DOES ANYONE OUT THERE HAVE PERTINENT EXPERIENCE WITH DILAUDID IN THE PUMP OR ANY SALIENT ADVICE TO OFFER ME IN THIS ONGOING AND NEVERENDING SEARCH FOR RELIEF AND THEN A LIFE???