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

### input:
Hi my name is JoAnne and i have a history with melanoma of the brain n spinal cord. I was diagnosed when I was 25. First I had a tumor in the frontal lobe of my head yhe size of a golf ball and a small one deeper in my brain. I hhad the big one removed. the other one was gammaknifed. I had fill brainradiation chemo. 7 months later a molecule from the surgery hooked onto my spinal cord and became a small tumor that was also radiated and lasered. I had small problems after that. To make this story short . . side effects were doublevision (had surgery to tighten muscles in one eye). Went to Germany to get a vaccine amd did that for 2 and a half years. In 2012 my spinal cord had to be operated on. The tumor they just had radiation around it and had to be taken out, it was petrified and had a large cyst w small melanoma cysts. I know a lot about pain n medication. My fiance has a fractured foot from slipping on ice and they gave him pain medication. I always had a high tolerance for pain. But he was still complaining about it. He is already on high blood pressure medication, he is over weight, and he is on 2 other meds for his heart. They gave him after complaining again that he still had pain, everybody has a little pain with these things even with meds and your on bed rest. He is a sergeant major in the army. so he goes to doctor again and complains again about pain thry put him on roxicodone 1 pill every 4 hours and i do not agree that he needs that medication. He is a smoker and has not been drinking alcohol thank god. How do you feel about this pain medication for a foot fracture. I dont agree. Is this a wise choice for the doctor to be prescrbing him? this medication of course.

### output:

Hi, I am Chat Doctor.  I have read your question and understand your concerns. Let me try to help you 1The Topic of the question is "Suggest treatment for brain metastases" But you have asked about Pain medication 2. Question 2 : Is this a wise choice for the doctor to be prescribing him? Answer 2 : Madam, You have to understand that pain tolerance for each and every individual is different and so the doctor has to prescribe more 