<s>[INST] I am getting 16 teeth pulled this week and havent been to a normal doctor for years because of money issue. Only reason how I am affording to get 16 teeth pulled is because a family member is paying. But since 2003, I have had chest/head pains and Im wondering if its safe to get my teeth pulled if those issues are going on? [/INST] Thanks for using Chat Doctor. Read your query. Having chest pains/ head pains is a matter of concern which says there is some underlying issue which has to be checked up. I would advise you to visit a GP doctor first and get a check-up done in relation to your chest pain and then proceed with the tooth removal. Any underlying heart conditions may cause you damage when the local anesthesia is given. Thanks and regards. </s>