| Evaluation Dialogue Between Doctor-Patient: |
| 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. |