Conversation: The conversation between human and AI assistant.
[|Human|] I have one stone measuring 1 cm in my gallbladder which has been there for the last 10 years. I have never had problems but my doctor wants me to have a yearly ultrasound to check if it does not grow bigger. Could I have it crushed by laser, as I do not tolerate general anesthesia and can it be done under sedation only? Thank you for answering
[|AI|]  Hi.a gallstone couldn't be crushed by a laser like in the case of some ureteral stones. Your doctor is monitoring your stone and clinical condition every time he does a repeat ultrasound. How can you say that you're not able to tolerate general anesthesia?definitive and a gold standard treatment for gallstones now is laparoscopic cholecystectomy. You could opt for open surgery if you want, and could request your anesthesiologist to do a spinal anesthesia, if indeed you are not able to tolerate GA after his/her evaluation. Hope this helps. Good day!!~ Chat Doctor.