1. C. Douglas Stewart, PA/C MBA Dir. of Interventional Pain Medicine Center For Pain Relief Charleston, West Virginia

4.  Faster  More Automated  Less personal intervention  What do we need??

5.  Smaller in Displacement  Better Battery  The Pizo Battery  Dual Chamber Pump  Remote Programming and Evaluation

6.  Much research currently going on  Nerve Growth Factor 2004 on going  Lentiviral Gene Transfer 2011  Alters gene expression in DRG  Capsasicin 2012  Adenovirus engineered RNA 2012  Nano Technology  Then of course the ultimate drug –  “PANACEACAINE”

7.  We definitely need to keep an eye on the horizon but the other one needs to be focused on the patient.  SAFETY!!  It’s easy to become distracted with the new, latest and greatest

9.  It’s a moving target  How we do refills  New equipment available  Ultrasound?  Constant Vigilance  A “Plan”

11.  Makes us stop  Evaluate  Everything correct  Verify  Sign off  This is not esoteric