Conversation: The conversation between human and AI assistant.
[|Human|] Hello Dr Mintz...i feel like i have hit the jackpot... i am 76 yrs of age...i have had very very bad back pain for several years now and has gone into my right hip and leg.. i have been going to a pain management dr who is one of the best in Louisville , ky,,i have recently had an epidural which has done not good... the dr had me get a CT scan,, i cannot get an MRI due to a pacemaker,,,the dr said i have scoliosis in my tail bone and the sciatic nerve pinched...the pain is very severe... i have been taking percocet 10/325 for about 3 years...my mprimary dr and my pain dr will not give me anything higher for the pain,,,,SORRY,,, I DID NOT KNOW THERE WAS A PAYMENT DUE FOR THIS,,, SO JUST FORGET IT... I AM ON SOCIAL SECURITY AND CANNOT AFFORD IT,,,, SORRY
[|AI|]  Hi, I am Chat Doctor. I am sorry for the pain you have to undergo and your delicate situation of not being able to do an MRI because of Pacemaker Anyhow, there are still a lot of options available for you If a similar patient comes to me, I would do few clinical tests to determine the extent to which the disc pinged on the nerve root, and based on this, would do a surgery to remove the disc. Removal of the Disc will reduce or even totally alleviate your pain to a greater extent If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions.