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

### input:
I put it in the first box in what. I have tried. I don t get my check until the first day of the month on disabilityssi, what test would I need to find the problem, I am taking 450mg of effexor xr daily flonase nasal spray daily , lyrica150mg. , two inhalers , suboxone 8-2 film one daily,i buprophen 600 mg. For arthritis in my hands is bad Dec, I had a right hip replacement. Cartlidgegone in my joints. I can give you my debit card to draw out on July 1,2014. Please help me I have herniated disk in lower back. L4-5 S1. Two in my neck, I had cancer 2005, had a Partial Radical vulvectomy on the left side (castration). I was able to kee p my please help me. Removed 18 lymph nodesinleft groin area, sgeamous cell Carson a. Thank you, Judy Ainsworth

### output:

Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. Q1 : Suggest treatment for herniated disc in lower back at L4-L5 levelA1 : Herniated Disc at L4L5 Level requires Excision of the disc. This can be with Laminectomy or Endoscopy Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in Chat Doctor at http://bit.ly/ask