<s>[INST] Hello, my name is JoAnn Endress. I am 59 years old. I had 2 failed lower back surgeries in 1999 and 2000. I have neuropathy all of the way down to my feet. I have been falling a lot the past few weeks. I have rods and screws from L2 to S1. I have been seeing the same Pain Managemt Dr. for the past 10 years, I have been good and faithful. He has sent some records on D.V.D. form and old x-rays. I am running out of my pain meds. My pain has been getting worse. [/INST] Hi, JoannEndress, You are 59 years old, You had 2 surgeries on lower back, and both failed,had neuropathy,  you have rods and screws from l2 to s1, you are on pain medication.                          You must be knoing that it is a must to bear the pain,you can try to minimise the pain.I to my patients prescribe gabapentine, methyl cobalamine, along with pain killers.                           Avoid potato, other tubers, tomato, egg, chicken, and sea foods.                          Practice meditation, minimal yoga, reading books, and hearing music. Thank you. </s>