4. Anesthesia: Chronic Pain
Evaluation Dialogue Between Doctor-Patient: | |
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Doctor | Good morning. How are you feeling? |
Patient | Verá doctor, estoy que no puedo más, tengo mucho dolor en la espalda. He probado mucha medicación que me han dado otros médicos y no me solucionan el problema. |
Doctor | Is the pain constant throughout the day or does it come and go? |
Patient | Tengo dolor todo el día, pero hay momentos en los que aumenta mucho. |
Doctor | Do you feel a cramping or burning sensation? |
Patient | Sí, es como un calambre que empieza en la espalda y se va por toda la pierna. |
Doctor | Which medication have you tried? |
Patient | He tomado antiinflamatorios: paracetamol y tramadol. |
Doctor | You are probably suffering from lumbago, and I can offer you an injection treatment called a caudal epidural block. It can take the pain away for a few weeks. |
Patient | Me lo puede hacer ya o tengo que pedir otra cita. |
Doctor | I’ll give you an appointment. You’ll have to get blood work done before the procedure, have someone come with you, and fast for six hours prior. |
Patient | ¿Y eso me va a quitar el dolor? |
Doctor | Many patients feel much better, but others do not. In your case, it’s worth a try since this technique can help relieve a lot of pain. You have been resistant to other, less invasive, treatments. |