Conversation: The conversation between human and AI assistant.
[|Human|] hi, been on oxcodone 30 mg ( after the new formulation of oxcontin op) i have been on Ms Contin 60 mg 3x day, prn and oxcodone 30ms (IR for breakthrough pain) (ms contin Extended release 4x q. 6hrs. prn for the past 17 yeasrs. in Oct 2011 I was diadgosed with staage iv cancer and active heo c and the pain is intolerable. the doctor i was seeing cut me off when he leaned of the cANCER and hep c. now my life is miserable. i am 60 years old and just am AMBULATORY BECAUSE OF THE PAIN. NOW ON MEDICARE.
[|AI|]  Thanks for your question on Chat Doctor. I can understand your situation and problem. But stage 4 malignancy with hepatitis c is not having good prognosis. Palliative treatment in the form of pain management and nutritional support is the only options available. Newer pain management options are available for terminal cancer patients. These are1. Transdermal patch of fentanyl (opioid). This gives sustained pain relief for at least 72 hours.2. Low dose sedation.3. Nerve blocks by direct injection in nerves. So you can discuss these pain management options with your doctor and start suitable option for you.