### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
yes Dr. I just moved to FL. from CA. I have chronic spinal stenosis, acute nerve damage ove a log period of time   L4, L%;  C4, C% disease syatica, skinproblems rheumatoid arthritsis and Hep C  [small viral load]  I have extensive medical records---MRI head to toe from Scrippts Memorial Hospital EMG from UCSD and full blood work done here at ST Josephs.I have recently been treated with nerve block injections (eight injections each every other week and given pain meds which I do not abuse at all I am also taking flexerall and sometimes tamazapam at night to sleep Yhe nerve block injections were given to me by a pain management clinic here in FL. and has helped. But this doctor is no longer acceptable to me. Now I have no medication and am bed ridden  (practically) I need help. I can no longer work and am so depressed. I moved to Florida to be with my daughter during her last semester of high school and have not been able to to see her because I dont want her to see me in such painPlease help meGordon Howard  206 495 7941I need some pain meds I was on percocet 10mg  once 4xs a daymorphine sulphate   i 3xs a dayI dont care if you can only perscribe tylenol 4 or vicadin 1o mg but I am sufferingIf you cannot perscribe for me , then this has been a waste of time

### output:

Hi, you became a chronic pain patient, I advise you to consult an orthopedic surgeon, and use only those medicines.  I to my patient with such symptoms prescribe injections of Vitamin B1, 6, and 12, for 10 consecutive days, and to be continued one injection every week. And N.S.A.I.D. like diclofenac and paracetamol, for 10 days, then changed to acyclophenac and paracetamol, then again change to the previous. I hope this regimen may help you. And slowly decrease the painkillers.  Thank you.