Brian, thank you for your reply. I am going with Mom tomorrow to see her internist and we are going to ask him to oversee her pain management and refer us to a social worker. I can't begin to express how grateful I have been for this forum. At all hours of the day and night, in confusion, anger, sorrow and triumph I have looked to people on this web site for support and encouragement. More information is available to me here than from any doctor who has treated my mom - and there have been plenty! I'll keep everyone "posted" on her journey.