I'm just wondering if people with chronic pain sometime experience different levels of pain. I am just coming out of killer pain that I'm not sure what to do with. I take my 9 mg Hydromorphone three times a day plus 4 mg Dilaudid every four hours. I occasionally have these extreme flair up where I'm beside myself at what to do. I consider going to emerg but am scepticle what they would be willing to do. Mostly I'm interested if other CP'ers experience such huge fluxuations in pain level. I'm so relieved to be coming out of current killer pain.