Thank you all, I appreciate your responses... they're helpful. I have been on the patch for about 2 weeks now, and I am finding that by the 3rd day (afternoonish) I am in more pain. I might bright it up with my Dr. the next visit; however, it's not debilitating pain by the 3rd day... and the Dilaudid seems to keep it under control until I change the patch. I'm going to keep a schedule though, should my pain symptoms change.
Thanks again. I have found this board and its members to be very helpful and supportive. I hope everyone is doing well today