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

### input:
I am in the middle of changing doctors do to the Affordable Care Act. I was seeing several doctors who are not on my list because I had a PPO for the last 30 years as of. What I need to start off with is where is a doctor that could be my primary care physician. I would prefer to have an internist. I have several different issues. I had severe osteoporosis but the doctor that was seeing me is awesome but he is not on my insurance plan.Since then I had a 90% compression fracture at T-11 which because of my condition I had to undergo surgery and the results are less than just okay. When they went in to repair it my two other vertebrates collapsed. I actually need to find someone who can help me because there are other issues; severe migraines lasting at least half of every month. I had broken my shoulder went thru therapy, I no this sounds hard to believe BUT,My therapist over-extended my arm(shoulder) yelled out oh my...I think I tore it tendon. And she was right. AFTER SURGERY a month went by and I started feeling awful. PAIN IN ABDOMEN and not keeping any food down. a few weeks and 2 hospitals later and not getting any better I was diagnosed w/pancreatitis. (AND NO I DO NOT DRINK!) I COULD GO ON AND ON BUT I WON t.

### output:

Hi, thank you for providing the brief history of you. A thorough neuromuscular assessment is advised. As most cases with osteoporosis needs attention to strengthen the bond which only can not happen with calcium supplement or Vitamin D3 supplement. In my clinical practice I recommend more of physical therapy as there is a lot of physics to understand here in calcium deposition and also the Strengthening in the bones. Also, I recommend physical therapy with slow and gradual muscle Strengthening first and then gradual weight-bearing. Also, the therapist you chose needs to understand your case first and give you priority attention as physics applied to your case should be completely different from what conventional physical therapist apply have treated similar cases and got the 99% recovery in them with proper and graded physical therapy. Anything worked out within the physiological limits of the body and assessed from movement to movement can help the recovery. Slow and steady wins the race. And developing a good physical and functional status is of utmost importance proper implementation of the physical therapy needs to be assured. For any further queries/doubts/rehabilitation related questions you can ask me directly, and I will be happy to help you in all possible way.regards Jay In Chat Doctor. 