{ "text": "Hey Ms. [PERSON_NAME], good to see you again. How are you? I'm about the same as when I saw you the last time. I still got a lot, lot of pain. A lot of pain. Well, we refilled your prescription at about the same dose. Tell me on that scale of 1 to 10 what your average pain level has been over the last [DURATION]. I'm telling you it's nine. That's why that same dose is just not enough. But I'm saying nine, even with the medicine. Yeah, and you would have ate last time, so it's actually a little worse. You think? What about your enjoyment of life? On that same scale of 1 to 10, how much is the pain interfering with your life? You don't have a life. Tell me a little bit more about that. That sounds tough. I mean, here it is [OCCUPATION], this is the way it is. I go to work, I come home, I eat supper, I take a shower, I go to bed, I get up. If it's a good [DURATION], I go ahead and go to work and come home, take a shower, go to bed and I don't have a life. And the days I'm not working, I'm sleeping. I don't know if you gave me a number on a scale of 1 to 10, how much does that interfere then with your built in enjoyment? I think about an 8 at least. I mean, I see other people, they got a life and I don't. We all get one life and this is mine. Wow, that sounds tough. Let me ask you one other thing. What number best describes how during the last [DURATION] the pain has interfered with your general activity? One to ten, One to ten. At least a seven. I told you, I go to work, I get up, I go to work. No, one [DURATION]. [DURATION] [DURATION]. I did, I did, but. But I push myself so you can work, but not really anything else. I don't go out with friends. Some invited me to a wedding last [DURATION]. I didn't feel like it. Yeah, I don't. We talked about trying some other things last time. I think we talked about some yoga. Did you have a chance to do that? No, I didn't. I tell you what happened. I was planning to do that, but what happened is my friend was [MEDICAL_CONDITION]. She's the one that's been inviting me. She's [MEDICAL_CONDITION]. I didn't want to go by myself and I'm a little bit worried. I think, I think you have pay like $[MONEY_AMOUNT] [DURATION] [DURATION] if you're going to join to take the class and that's a little bit expensive for me. And I don't know if that's going to work. I don't know if that's going to help me. I'll be honest with you, because I mean, stretching here and there and all that, I don't know how that even relates to my stomach. But you have some doubts about. Yeah, I do. I do. But I mean, I was going to go, I just didn't. It just didn't get to happen this time. Well, could I just talk to you a little bit more about why we think it works and how last time you mentioned to me that when you get active you have less pain. So part of that is just distracting and focusing on other things. And you mentioned that's true, that when you do deep breathing, sometimes that's the only thing. So there's some things. There's some kind of mind, body connections that by focusing on other things, learning techniques, there's a lot of deep breathing and yoga. But the studies show that people with [MEDICAL_CONDITION] [MEDICAL_CONDITION], if they do yoga, many of them, their pain level goes down and their quality of life goes up. And that's what we'd really like for you. We don't just want you to. They've actually studied that. They find that's true. That's surprising. So, you know, our goals here are to get your pain level down, but. But we really want to increase your activity level. We want you to enjoy life. And so that's why thinking about some of these other things besides taking [DRUG] really might open a window for you, a door to hopefully a more enjoyable life. That would be so good. You ever feel [MEDICAL_CONDITION]? All the time. You feel [MEDICAL_CONDITION] a lot? I feel it. You ever think about hurting yourself? No, I don't get that low, but I get low. You ever thought about trying some medication? So some of the [DRUG] actually have an effect in [MEDICAL_CONDITION] [MEDICAL_CONDITION] as well. I think about it. I think about it because I have a friend that used. She used to be so [MEDICAL_CONDITION]. Did the [DRUG] help her? She's so much better now. So I've been thinking about it. I just didn't know who to talk to. So there's a couple of things that we might try. We might try the yoga and we might also try some [DRUG] [DRUG]. That sound like something that you'd be interested in trying over the next. I want it. I think it's time. Good. Good. I do too. I do too. I have here the results of your [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS]. What do you think we found there? Nothing. Well, we found. We Found your [DRUG]. Found the medicine. Well, you knew those were going to be in there because I've been taking medicine. Right, right. And nothing else. So that's great. So that makes me feel. I'm not. I don't have a life. We hope we can change that. Let's see, the other thing is, I wanted to count your [DRUG] today. Do you have your [DRUG] bottle? Now, that's something I want to tell you about. I'm so. Okay. So here's what happened. I said to myself, put that bottle by the door, and that way you won't forget it when you walk out the door and it's sitting on the cabinet. And I know. I can tell you that there were, like, six to eight [DRUG] in it. But when I pulled up in the parking lot, I said, oh, so I don't have my [DRUG] bottle. But I know there was. I can tell you there was like, six or eight left in there. Okay, so you do have some [DRUG] left. Yeah. But you didn't remember to bring them. Right. Well, that's a real important part of what we do, because that's one of the things that helps us again, reassures us that you're safe because you're taking your medicine as prescribed and you're not losing control, just trying to do everything right, everything that you told me to do. Good, good. Well, in order for me to feel comfortable about continuing to write your medication, I'm going to need you to bring that bottle back any [DURATION] that you want to. Next [DURATION] you can bring it. And I have to bring it back before my next visit. I'd like you to bring it back next [DURATION], and the [OCCUPATION] can count it for you and then give it back to you. I'm just gonna bring it, show it to her, and she's gonna count it, and then I'm making the whole trip for that. Okay. And again, it's just we're dealing with potentially. I'm not an [MEDICAL_CONDITION]. I told you I'm not an [MEDICAL_CONDITION]. And I'm glad about that. These are just safeguards that, as I told you, we use with all our patients to make sure that things are safe for you. You do this with all your patients? We do this with all our patients who take these [DRUG], and the more reassurances that we have that you're not losing control and the more comfortable we feel. I've given you the medication control. Wonderful, wonderful. So you can bring your [DRUG] back, a bottle back next [DURATION], and. Let's see, I'll bring it back. Wonderful. Wonderful. I'll bring it back. Okay, so it sounds like our plan for the next [DURATION] would be like this. I'll write your prescription. We'll keep your [DRUG] [DRUG] at the same level. I'm going to write you an [DRUG] [DRUG] today. It'll be a [DRUG] that you take [MEDICAL_PROCESS] [MEDICAL_PROCESS] [DURATION]. You're going to try the yoga. What's a reasonable amount, number of times, do you think, for you to go to yoga over the next [DURATION]? Well, I mean, I can't go during the [DURATION], I don't think, but I can. I think I can go on a Saturday. I can try. I'm just going to. I'm going to try to go on Saturday. Okay. All right. So you think you can make maybe how many times in the next [DURATION]? I'm going to try to do. If I say three, then I might get two. So I'm going to say three and I might get two. Okay. I think that would be great for it to really benefit you. It's probably better for you to get into a routine and do it, you know, say, at least [MEDICAL_PROCESS] [MEDICAL_PROCESS] [DURATION], maybe more often. But I think three is a reasonable goal. We're just going to keep working together on this. And my goal, my goal is to be getting in shape. My goal is going to be to be dealing with my pain. What is my goal? Well, we're hopeful that the yoga is going to help decrease your pain level. I also have some other goals for you. I hope it's going to make your life a little bit fuller and a little bit more enjoyable. You'll be out, you'll be with people, you'll be exercising. That helps a lot of people feel better. So I hope it's going to help some of those other areas of your life in addition to decreasing your pain. Yeah, that's been a long time. So I'm going to try, but I don't know those people in that class, so I don't know. But, you know, one. Yeah, my friend goes with me, then I can do it. Well, I appreciate you opening up with me about these things. It sounds like you've had a tough time over the last [DURATION] [DURATION], and I think we can help you get feeling better and your life to get better. And I appreciate that, [OCCUPATION], because you know what, I've been to a lot of [OCCUPATION] and they love to just write a prescription and get you out the door because they think you're an [MEDICAL_CONDITION]. And I'm not, I'm not an [MEDICAL_CONDITION]. But I just want to say thank you. You're so welcome. I really think we can do something here. I think we can help your life get better. And why don't we keep working together on that? Thanks so much. 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