<s>[INST] phisicians is needed C-4 n C-7. are all fused. I also have a herniatef disk lower bsck. i moved too loiisiania n now i cant find a pain msnsgment doc. I hsbe been on meds since 1989. And educated ..liver fllare up caused my nuero. to put. me on opjiates n muscle relaxer since 1996. I been off my mefs . n bedridden. for two mths. what can I do to get a doctor. er says i need a foc asap. plus im trying too settle my workcomp. case of 1989. since 1993 in state of ct. know attorney will take it so im doing it my self. this is why i dont have a doctor. please advice. my heart rate at. 190 over 80. alot. pain is erratic n acute. [/INST] Yes, heart rate can be elevated due to the impact of severe pain. The pain is also probably provoking anxiety. So you should seek treatment/medications to calm your system, such as antianxiety treatment. And since that involves seeing a doctor, you should be evaluated for inherent high blood pressure as well. And of course, better control of the pain will allow for less shock to your system, so getting back on your pain meds will help that also. </s>