faqs

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Does more pain mean my cancer has gotten worse?

What is a drug pump (also known as a pain pump, intrathecal drug delivery [IDD] system or targeted drug delivery [TDD] system)?

How does a drug pump work (also known as a pain pump, intrathecal drug delivery [IDD] system or targeted drug delivery [TDD] system)?

Will drug delivery treatment completely eliminate my pain?

What is the surgery like?

WHEN SHOULD I SEEK HELP WITH PUMP?

I’M AFRAID OF THE SURGERY – WHAT ARE THE RISKS?

IS THE PUMP AND PROCEDURE COVERED BY INSURANCE?

HOW DOES THE PUMP FEEL? WILL IT SHOW?

WHAT IF I MISS THE REFILL APPOINTMENT?

WHAT DOES A PUMP ALARM SOUND LIKE AND WHAT DO I HAVE TO DO?

WHAT IF I AM ALLERGIC TO SOME MATERIALS, CAN I TEST THAT BEFOREHAND?

WHAT DO I HAVE TO DO IF I WANT TO TRAVEL IN FOREIGN COUNTRIES WITH THE PUMP?

ARE PUMPS NEW?

IS THE DRUG AND AN EXPERIENCED PHYSICIAN AVAILABLE EVERYWHERE IN THE WORLD?

IS SYNCHROMED™ PUMP NEW?

HOW DOES IT FEEL TO HAVE THE PUMP IMPLANTED?

WILL PEOPLE BE ABLE TO SEE THAT I HAVE A PUMP?

WILL IT AFFECT WHAT CLOTHES I CAN WEAR IN TERMS OF COMFORT OR POSSIBLE DISCOMFORT? IF SO, HOW?

WHAT SHOULD I EXPECT AFTER SURGERY?

WHAT ARE FOLLOW-UP AND REFILL VISITS LIKE?

WHEN DO I NEED TO CALL MY DOCTOR OR NURSE?

HOW LONG WILL THE PUMP BATTERY LAST?

WHEN WOULD THE PUMP OR CATHETER NEED TO BE REPLACED?

HOW LARGE IS THE PUMP?

WILL THE PUMP SHOW THROUGH MY CLOTHES?

WILL MY SYSTEM LIMIT MY ACTIVITIES?

DOES THE PUMP MAKE ANY NOISE?

WILL A MICROWAVE OVEN INTERFERE WITH MY PUMP?

WILL THERE BE ANY PROBLEMS WHEN I PASS THROUGH THEFT DETECTORS AND SECURITY SCREENING DEVICES?

WILL I BE ABLE TO TAKE HOT BATHS OR SHOWERS?

CAN I USE A HOT TUB, SAUNA, STEAM ROOM OR TANNING BED?

WILL THE INFUSION SYSTEM CURE MY CONDITION?

WILL I BE ABLE TO STOP TAKING OTHER MEDICATIONS ONCE I HAVE THE INFUSION SYSTEM?

CAN I DRIVE A MOTOR VEHICLE?

CAN I DO SCUBA DIVING OR USE A HYPERBARIC CHAMBERS?

WHAT WILL HAPPEN IF I PASS A SECURITY DEVICES AND METAL DETECTORS, LIKE THOSE IN AIRPORTS OR DEPARTMENT STORES?

CAN I UNDERGO MAGNETIC RESONANCE IMAGING (MRI) TESTING?

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1

Grider JS, Etscheidt MA, Harned ME, et al. Trialing and maintenance dosing using a low-dose intrathecal opioid method for chronic nonmalignant pain: a prospective 36-month study. Neuromodulation. 2016;19(2):206-219. 

2

Hamza M, Doleys D, Wells M, et al. Prospective study of 3-year follow-up of low-dose intrathecal opioids in the management of chronic nonmalignant pain. Pain Med. 2012;13(10):1304-1313. 

3

Smith TJ, Staats PS, Deer T, et al. Randomized clinical trial of an implantable drug delivery system compared with comprehensive medical management for refractory cancer pain: impact on pain, drug-related toxicity, and survival. J Clin Oncol. 2002;20:4040-4049.

4

Bhatia G, Lau ME, Koury KM, Gulur P. Intrathecal Drug Delivery (ITDD) systems for cancer pain. F1000Res. 2013;2:96. doi:10.12688/f1000research.2-96.v4.

5

Brogan E, Winter NB, Okifuji A. Prospective Observational Study of Patient-Controlled Intrathecal Analgesia: Impact on Cancer-Associated Symptoms, Breakthrough Pain Control, and Patient Satisfaction. Reg Anesth Pain Med. 2015;40(4):369–75.

6

Deer T, Chapple I, Classen A, et al. lntrathecal drug delivery for treatment of chronic low back pain: report from the National Outcomes Registry for Low Back Pain. Pain Med. 2004;5:6-13.