Conversation: The conversation between human and AI assistant.
[|Human|] I am a 39 year old lady, have had appendix out, have had 3 cesarians and a full hyrsterectomy.  I have a history of small kidney stones for 8 yrs in both kidneys.  Been hospitalised twice with the pain on passing.  Last one passed was 5mm, very painfull with vomitting.  This week, bloody urine for 6 days.  My doc picked up UTI & assumed stones again, gave pain relief.  Not coping at home, went to ED st Hospital.  Catscan revealed a 14mm by 8mm stone in left kidney.  Sitting in the pelvis of left kidney.  Cant possibly pass.  I live in a Regional area of Australia.  Cant get it operated on for about a month as I have no private health insurance.  My question is:  How do I deal with the pain without becoming reliant on the drugs?  Do I have to keep treating the UTIs in the meantime with antibiotics?  I have to work full time and look after 3 children on my own, what can I do to make this wait easier?
[|AI|]  HelloThanks for query. You are known to get recurrence of urinary stones since many years and now detected to have stone of a size of 14 mm in pelvis of your left kidney. The best treatment option for this stone to be removed is Extra Corporeal Shock Wave Lithography(ESL). This is a non-invasive technique and does not require hospitalization and can be done as out patient procedure so that one can carry on his/her routine work . It is a non obstructing stone and can be certainly managed for a couple of weeks till you decide to go for Estate following treatment 1) Antibiotics to prevent infection 2)Pain killers as on when required (Diclofenac or Cyclops)3) Chat Doctor. 4) Avoid lifting heavy objects You can go ahead for ESL once you decide to go for it preferably within a month or two.