Thanks guys, I guess it is just up to pain management. I tried to see if they had a center here and that is a Big NO, but the good news is you can get pretty much any drug at the pharmacy without prescription. Things are a bit different here in Thailand and dealing with local doctors is out of the question. They don't belive in pain med. or sleeping meds. That's why I have to go to the hospital all of the time. There most doctors have training overseas, but my file is so thick from past surguries, illness ect. that I am embarrased to go. I really want to go and tell them I just need someone to understand the pain I am having and try to help, but I am reluctant to do so. They probably think I am a hypocondriach. One question I do have for you all. I had open Fundo surgery for GERD about 20 months ago and was in the hospital about a month recovering. The inciscion starts in the center just below the diaphram(I think, middle chest just below middle connection of ribs. It is actually right in front of the middle back pain I get. Do you think it could be involved. Just reaching, but you never know. Right now anything will help. Also how do you get comfortable while watching TV or working at the office? Well, have a nice day. I'll give it a whirl.