Doctor: Hi, Mr. #####. How are you?
Patient: I’m good, Dr. #####. Nice to see you.
Doctor: Nice to see you again. What brings you back?
Patient: Well, my back’s been hurting again.
Doctor: Oh, I see. I’ve seen you a number of times for this, haven’t I?
Patient: Yeah, well, ever since I got hurt on the job 3 years ago, it’s something that just keeps coming back.
Doctor: It’ll be fine for a while, and then I’ll bend down or I’ll move in a weird way, and then Unfortunately, that, that can happen, and, and I do have quite a few patients who get recurring episodes of back pain. Have you been keeping up with the therapy that we had you on before?
Patient: Which, the pills?
Doctor: Actually, I was talking about the physical therapy that we had you doing. The pills are only meant for short-term because they, they don’t actually prevent the back pain from coming back.
Patient: Um, see, yeah, once my back started feeling better, I was happy not to go to the therapist anymore.
Doctor: Why was that?
Patient: Well, it was starting to become kind of a hassle, you know, with my work schedule, and the cost was an issue. But I was able to get back to work, so— and I could use the money.
Doctor: Do you think the physical therapy was helping?
Patient: Yeah, well, it was slow going at first.
Doctor: I see. Physical therapy is a bit slower than medications, but the point is to build up the core muscles in your back and your abdomen. Physical therapy is also less invasive than medications, so that’s why we had you doing the therapy. But you mentioned that cost was getting to be a real issue for you. Can you tell me more about that?