I got it to work by combining the advice from this thread http://forums.gentoo.org/viewtopic-t-859769-start-0.html and this article. http://confignewton.com/?p=211
from the confignewton article, do what it says about commenting out the module-udev-detect and module-detect lines in both default.pa and system.pa
next, I added this to default.pa:
### Load audio drivers statically
### (it's probably better to not load these drivers manually, but instead
### use module-udev-detect -- see below -- for doing this automatically)
load-module module-alsa-sink sink_name=rear device=hw:0 channels=2 channel_map=rear-left,rear-right
load-module module-alsa-sink sink_name=front device=hw:1 channels=2 channel_map=front-left,front-right
At the end of default.pa, I added a line similar to what is talked about in the gentoo thread:
load-module module-combine channels=4 channel_map=front-left,front-right,rear-left,rear-right