Working in st Antonius hospital in Nieuwegein and Utrecht in the Netherlands. Anestesia nurse and pain consultant. Anestesia since 2001 in st Antonius hospital. Since 2006 involved in pain and neuromodulation. In our hospital we implant about 130 patients a year.(Abbott and Saludamedical) Intrathecal pumps for pain end spasticity (Medtronic)