Conversation: The conversation between human and AI assistant.
[|Human|] I have deteration of the  spine. Have been through therapy, pain management, two surgeons who will not do surgery,chiropractors have not helped. Bluging disk and 4 or 5 spurs. This has almost taken my ability to stay up very long as the bones in neck and lower back have closed in on the nerves in both areas, which causes numbness and weakness in the the arms arms and legs. I have been on several pain pills who I can not tolerate mainly due to the side effects. I live every day in pain and now severe depression. I dont know how much I can live like this and my medicare will not cover depression which is too expensive for my social security budget. Also laser surgery which might give some relief but again not covered by medicare. Is there anything left that might help.
[|AI|]  Hello and The main problem that you are suffering from is that of spine-bulging discs and bony spurs. The bulging discs and the bony spurs are impinging on the nerves emanating from the spinal cord. Compression of these nerves are causing pain and numbness of the area supplied by these nerves. The pain is not being controlled by medication. You need to consult your doctor for surgical management of the problem. Surgery will excise the bulging discs and the bony spurs. This will reduce the compression of the nerves and thus relieve pain. The low mood that you are experiencing is due to the agonizing pain. You can consult your treating doctor for short term prescription of mood stabilizers. However, complete relief will only be achieved when the underlying condition is treated. Thanks and take care Chat Doctor.