Kendall, My son Ryan was on oral baclofen for a short time. It made him a zombie, so we took him off. He is not a candidate for Botox, as his spasticity is "dynamic" and only really kicks in when he is in motion. His spasticity doctor believes his problems are triggered more by dystonia, and put him on Artane for awhile. That drug was hell, and I got him off of it asap. He is currently on nothing. The doctor has talked about using other drugs, as elimination on the way toward a pump. That sounds like the same route Janet's doctors are taking, and is the preferred protocol of the pump manufacturers. I don't like the "guinea pig" feel of the whole thing. I am also not a fan of drugs. Just thought I would share our experience. If you will sign onto the CPPARENT Listserv and search the archives, you will find many children who have a pump. Those parents share experiences a lot. It seems that the kiddos either have amazing experiences or they get infections and have horrible experiences, eventually having the pump removed. There are also several adults on the list who battle spasticity and dystonia, and they share their experiences also. That isn't an easy decision, so I wish you the best of luck. Wanda