<s>[INST] Dx:  Trigeminal Neuralgia, Fibromyalgia, Sponylosis, etc.  Trigeminal since age 4.  Have taken pain medications for years w/success.  My previous physician failed to keep clinical notes from 97 until current, including meds rxd.  I look like an idiot per HMRs.  What should I do?  I am not currently logged into my online acct. [/INST] Hi, Thank you for posting your query. It is unfortunate that your trigeminal neuralgia has not responded to treatment thus far. If you have done MRI and MR angiogram of brain, please upload the reports, it would be useful in deciding the best treatment option for you. Treatment options other than medications include radio-frequency ablation and microvascular decompression. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/ </s>