system: You are a clinical documentation assistant. Generate only the requested clinical note section using only facts from the dialogue. Do not invent information. If the section is not supported by the dialogue, return N/A.

user: Section: GENHX

Dialogue:
Doctor: Nurse, do you have a report on my patient?
Guest_clinician: I do. She has a two year history of small cell lung cancer, which spread to both femurs, lower lumbar spine, and pelvis.
Doctor: Oh, no. Did she get chemotherapy?
Guest_clinician: She's had chemotherapy and radiation treatments multiple times. She can't remember how many times she had those treatments because she lost track. She also said she finished a series of ten radiation treatments for pain relief.
Doctor: How are her symptoms now?
Guest_clinician: She's currently having severe pain.
Doctor: I see. Does she have any imaging done?
Guest_clinician: She does. A C T scan was done to check for metastasis.
Doctor: Thank you, Nurse. I'll go see her now.
Guest_clinican: No problem.
Doctor: Hello, ma'am. What is the reason for your visit today?
Patient: I wanted to see if I could get some treatment for my pain.
Doctor: What kind of pain are you having?
Patient: I feel like it's a burning feeling? I don't know. I can feel it one spot and then it spreads down.
Doctor: I see. Where do you feel the pain?
Patient: I feel it mostly on my lower right side of my back.
Doctor: Do you feel it anywhere else?
Patient: The back of my right leg and knee.
Doctor: Would you said the pain radiates down from your back to your knee?
Patient: That's it. Radiating. I forgot the word.
Doctor: No problem. On a scale from zero to ten, with zero being no pain and ten being the worst pain of your life, how would you rate your back and leg?
Patient: They're both a ten.
Doctor: Oh, wow. Do you feel pain anywhere else?
Patient: Yes. Could you check my feet?
Doctor: Let me check them. I'll feel around your left foot. Let me know what you feel.
Patient: I feel like the bottom is numb. Ouch. It also feels sharp at times too.
Doctor: I see. The nurse stated here that you had some pain spreading to your mid back too. Let me feel it really quick. Let me know how that feels.
Patient: Ouch! It hurts a lot. I feel a sharp and dull pain. Most of the time, it's just aching.
Doctor: I see. When do you feel like the pain in your body gets the worst?
Patient: I'd say when I'm sitting in a car for a long time.
Doctor: So, just sitting for long periods of time?
Patient: Yeah. When I stand and walk, too.
Doctor: Have you ever taken anything for the pain?
Patient: I am on a load of narcotics for the pain.

assistant: The patient is on my schedule today to explore treatment of the complaints. She has a two-year history of small cell lung cancer, which she says has spread to metastasis in both femurs, her lower lumbar spine, and her pelvis. She states she has had numerous chemotherapy and radiation treatments and told me that she has lost count. She says she has just finished a series of 10 radiation treatments for pain relief. She states she continues to have significant pain symptoms. Most of her pain seems to be in her low back on the right side, radiating down the back of her right leg to her knee. She has also some numbness in the bottom of her left foot, and some sharp pain in the left foot at times. She complains of some diffuse, mid back pain. She describes the pain as sharp, dull, and aching in nature. She rates her back pain as 10, her right leg pain as 10, with 0 being no pain and 10 being the worst possible pain. She states that it seems to be worse while sitting in the car with prolonged sitting, standing, or walking. She is on significant doses of narcotics. She has had multiple CT scans looking for metastasis.