Thank you all for the responses and ideas, I'm ready to do anything to help him. We did see pain specialist yesterday and he took him all the meds he was on except Gabipentin and started im on Methadone, Hydromorphone. Last night was rough but he's been sleeping all day, sometimes soundly other times jerking and seems to be dreaming vivid dreams. Since he can't talk it's so hard to know how he's feeling.