Steve, Thanks so much for your info. It means everything to get some reassurance that the patch will help. Did they ever prescribe oral morphine sulfate for break through pain for you? Morphine has such a scary sound and we haven't used it yet. The nurse said it is quick acting and only lasts up to 4 hrs. Did you ever take any motrin while on the patch or was the patch enough? This is all so foreign to us and to Richard who wouldn't even take an aspirin before this all started. Thanks again, Geri