Hi, I just got finished with a rotation where I dealt with a particulary annoying patient that had to consult with the "pain team" every couple hours. I was considering a career as one who specializes in pain managemnt, but after dealing with this patient, it seems that pain relief is going to be impossible due to the substantial psychosomatic component of his problem. After speaking to others, this seems like a pervasive problem. Can anyone comment, or add to what they think is the "most difficult patient population?" Thanks, bigfrank.