Thanks for your reply David. 6 months, what a long time - that can't have been at all easy, makes me feel 'bad' to moan about my situation. I don't know what else is available to me in terms of meds, the one you mention I've not heard of but shall make an appointment with my GP to find out if I can try it if it's available, or if not see what she thinks about changing cos the morphine simply isnt doing it any longer. I suppose I've become too accustomed to it and it's no longer efficacious. Today I got a call from Aberdeen hopsital to say I've to go in for a Pet/Ct scan next week to check for cellular activity. Had one to help dx where my cancer was back in March as originally after finding it in my lymph node they thought it was a primary in my thyroid, then of unknown origin for about 2 months. How did the speech therapist help you David? I'm not at all sure what to expect. Take care.