Conversation: The conversation between human and AI assistant.
[|Human|] Hello Doctor........My mother is 72 years old and she is suffering with Stage 4 of gallbladder cancer , we moved her to  for the treatment but the doctors of the XXXX OF GASTROENTEROLOGY were XXXX. She is also having Gallbladder stone of 26mm located in her duct. Please suggest what to do now as she doesn t have enough strength to go for some chemo therapy.....
[|AI|]  I am very sorry to hear about your mothers condition. Management of stage 4 gall bladder cancer is mainly palliative. If she does not have the strength to undergo chemotherapy, then the main focus of treatment should be pain relief. If the stone is present in the cystic duct (gall bladder duct), then nothing can be done about it but if it is in the common bile duct, then it can be removed by endoscopy (ERCP). Does your mother have jaundice as well? It would be advisable that you meet an oncologist and a palliative care specialist for further treatment. Tc