Amit and Jeff are still (!) sweating it out in the block box, and have the good fortune to be joined by three wonderful guests: Stuart Grant from the University of North Carolina, Steve Coppens from the Catholic University of Leuven, and Gary Schwartz from Maimonides Medical Center in NYC. We cover such topics as peripheral nerve stimulation for looooong term pain control, the value of the ESP (and where it might just be hype--I'm talking to you, bunionectomy), the struggle of teaching residents AND fellows in the same institution, and cryoanalgesia of the cuties and intercostal nerves and what that means for patients both before their operations and after. Oh, and maybe why you shouldn't let your colleagues (or your trainees) stick needles in your back...