Like gramps I wonder why you have'nt been more informed about this procedure and if you have had the trial yet?
I have a pump and lucky for me I have'nt had the problems that gramps has had yet I would say that my main reason for getting the pump was to stop taking all the pain meds I was on oral wise and patch wise. I've had my pump for two years (I said 1 in a previous reply, I was wrong) anywhoo where I'm going with this is that it takes a long time to tritate the pump while weaning off the other meds. For me that was 12 percocet a day and 200mc. fentnyl patches every 48 hours plus a ton of other stuff. After the first year I was finally down to 5 percocet and no patches and then I had to have another surgery. After the surgery I was back up to 10 percocet a day and 150mc fentnyl patches/48 hours. So I was back to first base. Another year later and I'm feeling not too bad and I am almost off my patches and percocet is down to about 6 a day. It takes a while is the bottom line and that is if you don't have the problems some people do.
Here is how the process went for me. My PainMngmt dr. refered me to a Neurosurgeon who explained all about the pump and showed me one and gave me a dvd to watch. Next I made an appt. for the trial. Out-patient thing where they injuect the medicine into your spinal column and you leave a little bit later and if your anything like me it will be the best 4hours + of no pain that you can imagine. Don't expect your pump to work like this though because it won't.
If all goes well in your trial they will put in the pump and you will begin coming off your other meds whilethey raise the amount of medication the pump puts out daily. Mine is a constant flow that I have no awareness of when it is happening, I mean it's not like you can feel it going into your body like a shot or something. I hope I've been helpfull and if you need to know anything else please post again.
Oh yea one more thing my pump gets filled every few months by using a cathetar/needle thing that the dr. injects thru my abdomen (it does'nt hurt) and into a port on the side of the pump.
To turn the pump up allowing more medication thru they use a hand held computer thing with a mouse that they rub over the pump. It's kinda cool really. Than and only sometimes you might feel a little woozy if they turn it up.
Good luck Anthony Toritoo (hope this isn't too much info for your needs. )