Conversation: The conversation between human and AI assistant.
[|Human|] I had a lap. gallbladder surgery in 1993 I just gradually over the years kept getting sicker and sicker .I have 13-24 surgical clips in my liver area from that surgery.The last time I was in the hospital they told me it is a injury why I keep getting sick.It can be fixed but there is no one in this area qualified to fix me.And now today I got a letter from FDA on medical device report in the MAUDE database in the MedWatch program.Anyway I am in so much pain and very weak also my whole body is covered in rash ,and my stomach is so swollen it feels like it is literally breaking my ribs,now if I walk around the block it does that in my back also.Would you know anywhere I can go to get all those clips out?So I do not have to live on pain meds. and antibiotics also.Please Let me know if you can think of anything,this is begining to get scarey I think I had another pancreatietis again.There is no pain like that.PLEASE HELP!!!! YYYY@YYYY Diane
[|AI|]  Clips will be applied to cystic duct and cystic artery during gall bladder surgery. They should not be removed as there will be Bile leakage from cystic duct and the artery will bleed. It is not possible to remove them.13-24 clips are more in number. They might have applied due to unexpected injury to any structure. But, complications after 20 yrs are rare.Pain abdomen and rash are due to some other causes. Get an Ultrasound abdomen or CT scan abdomen, Serum Amylase and Serum Lipase levels. Consult a Gastroenterologist and proceed. Nothing to worrying you good healthRegards