Conversation: The conversation between human and AI assistant.
[|Human|] I am a62 yr old male with good bones and teeth. I am 1-A on heart transplant list.  I received reclast in 2010 & 2011.  I was in Vanderbilt heart prepping for L-VAD implanted pump and I was having trouble with teeth chipping and then, thay did an X-ray of my mouth as I was complaining of upper tooth pain.  Thay want to pull the tooth,But thay saw I had been taking Reclast and would not touch it due to the drug(Reclast) causing jaw breakdown,and tmj got worse causing jaw bleeding out my ear. To have the heart transplant, it must be fixed.  Please help! NOW WHAT?  Timothy P.Jones.
[|AI|]  Dear Timothy P Jonesboro problem is not a simpler one. It requires consultation with your previous and present attending medical and dental doctors. Recast that you are taking is given to increase mineral density in men. Now if your teeth is removed in inference with this medication, then it might result in bisphosphonate associated osteoporosis of the jaw. And your bleeding problem indicates towards some systemic disorder which could even be deficient platelets or deficient coagulating procedure in blood. So a thorough medical analysis needed along with your blood reports, recent x-rays and consultation with the doctor who advised you to have recast. Until unless all this is done, you won't be able to undergo heart transplant.