Context: The Tramadol has no effect . Pain is getting worse , but I can still tell hot from cold , though I do n't do so good at the vibration tests . I use a lot of post - it notes and such to help me remember things and my wife helps as well . I have slowed my work load down some and this helps with the dystonia .
Question: Why may the Tramadol not be working on the narrator ?
Option 0: The medicine may be correct for the disease .
Option 1: The narrator may be experiencing a serious issue .
Option 2: None of the above choices .
Option 3: The dosage may be too high .
Answer: 1