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"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
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"content": "Hi, I'm here to discuss some… issues I've been having. I've self-diagnosed as having OCD but I would like a professional opinion.",
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"content": "Thank you for coming in. It takes courage to seek a professional opinion. It is understandable to research your symptoms, but I am here to help you explore these issues further and provide an accurate diagnosis. What specific symptoms or behaviors have led you to consider OCD as a possibility?",
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"content": "Well, I have these routines that I absolutely must follow. For example, before I leave the house, I have to check the door lock exactly seven times. If I don't, I feel this overwhelming sense of dread that something terrible will happen. It's exhausting.",
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"content": "I understand. That sounds incredibly distressing. The need to perform specific actions and the anxiety you experience if you don't are definitely important to explore. In the next sessions, we can discuss the origins of your distress and how to manage it.",
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"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
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"content": "What abbreviations in the discharge summary related to the patient's diagnosis and treatment of GPA require expansion?",
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"content": "The abbreviation GPA in the discharge summary stands for Granulomatosis with Polyangiitis, and no other abbreviations related to the patient's diagnosis and treatment require expansion.",
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"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
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"content": "Which specific areas of severe edentulism were dental implants placed and what biomaterials were used during the procedure?",
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"content": "The dental implants were placed in the edentulous areas of #13, #14, #26, #37, #43, and #44 due to severe edentulism. The biomaterials used during the procedure were deprotenized bovine bone (Bio-Oss™) and a resorbable collagen membrane (Bio-Gide™) grafted to the palatal side of the fixtures to compensate for exposed implant threads.",
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"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
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"content": "What was the patient's treatment plan for relapsed GBM and what was the outcome of the treatment with off-label bevacizumab monotherapy?",
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"content": "The patient's treatment plan for relapsed GBM involved chemoradiotherapy and temozolomide, followed by off-label bevacizumab monotherapy. The outcome was excellent, with the patient maintaining a Karnofsky performance status of 100% and living a self-reliant, socially active life without further adverse side effects to the current therapy. The interdisciplinary tumor board decided to further extend the treatment due to remaining active tumor that could not be fully excluded by the imaging modalities used.",
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"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
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"content": "Thank. Now I feel more confident because I have planned. I appreciate your support and instructions. I think this will be a positive experience for me.",
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"content": "Nothing. I am very happy to know that you are feeling more confident. I am very happy to work with you and I believe that embarking on this new hobby will bring you joy and development. Remember, feeling scared is normal but trust yourself and enjoy this process. Do not hesitate to contact if you need more support.",
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"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
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"content": "Hi, I ve experienced swelling on the left side of my lower abdominal area / upper groin I noticed this about a month ago. It wasn t extremely noticeable but I felt it more so when lying down. I just started experiencing some pins and needles feeling in my left foot/ big toe area mainly when urinating but just when I just start urinating. Do you have any thoughts on what this might be? My mother seemed to think it is kidney stones.",
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"content": "Hi, dairy have gone through your question. I can understand your concern. You have pain in lower abdominal area with needle and pin like sensation. You may have some kidney stones or some other disease in kidney or urinary tract. Furthermore, you should go for urinalysis and ultrasound abdomen. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.",
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"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
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"content": "Hi!I am 43 years old my problem is i was problem in angar starting on teenage i am angry like small think my highpertion is go up level and i have family my wife and 2 daughter one is 11 year and other is 7 year 2 days before i started to arguments my wife and children and voilence i cant control it . and i will decesion to devorce. i am very upset. so please give me suggestion and help u!ThankyouRegards.sunny. my emails addres is :- YYYY@YYYY",
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"content": "Hello, Sunny. Thanks for the query to Chat Doctor. Forum. Anger, develops high blood pressure, high B P develops many, many diseases, including rupture of an artery (arterioles) and paralysis. Violence and anger are responsible for every thing. In my opinion this is not a disease. This is the nature of an individual. Today divorce from this wife, tomorrow from next wife, next time from next and so on, this is not an end. In my opinion consult a psychiatrist and get his counselling and treatment. Good luck. ",
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"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
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"content": "hello I have had pain on and off high up in my abdomen left side especially if I curl up in chair or sitting. Feel queasy with it. Its a dull pain but I have to undo anything around my waist to ease it. It can give me back pain. If I press on area I cant find the exact pain area seems deeper inside. Im 70 yrs old female and have had the achy pain for over 30 yrs! Its just more constant now. I do suffer relux but dont feel this is connected . Feels worse after eating.Thanking you Joan",
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"content": "HelloThanks for writing to ChatDoctorYou need proper clinical examination and investigations. There may be various reasons for pain. You need investigations like routine hologram, RBS,LFT, Lipid profile, urine RE/ME, Ultrasound of abdomen, upper GI endoscopy, CT Scan can be done if needed. Investigations will exclude many conditions. Better you consult your surgeon. Get well soon. Take Care Chat Doctor. ",
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"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
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"content": "What coreference resolution was performed in the discharge summary related to the patient's diagnosis of bipolar affective disorder with psychotic symptoms and the suspected diagnosis of Wolfram Syndrome?",
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"content": "The coreference resolution performed in the discharge summary was the link between the patient's diagnosis of bipolar affective disorder with psychotic symptoms and the suspected diagnosis of Wolfram Syndrome. The patient's medical history, physical examination, and lab results suggest that the constellation of symptoms led to the clinical diagnosis of Wolfram Syndrome, while the patient's symptoms during admission were managed with aripirazole for bipolar affective disorder with psychotic symptoms. However, further follow-up with endocrinology and neurology specialists as well as genetic testing is recommended to confirm the suspected diagnosis of Wolfram Syndrome.",
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"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
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"content": "my mum has had bowel cancer, she had n operation and they were satisfied that they removed all the cancer, thet said it was dukes b. but 3 months later they have now said she has the cancer back but its in the abdominal wall she is getting radiotherapy for this, i want to know what stage will her cancer be now and what is the outlook for her as noone seams to be saying very much please can you answer my questions please",
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"content": "Hi, dairy have gone through your question. I can understand your concern. She has history of bowel cancer. Now your cancer spread to the abdominal wall. It is considered as stage 4 cancer now. Surgery is not possible at this stage. Chemotherapy and radiotherapy is the treatment of choice. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health.",
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"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
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"content": "I closed my head into a glass door by accident, then hit it again during sex. It now hurts on one side and when i open my jaw the pain hurts. The spot that hurts is slightly above my ear and sensitive to the touch. Is this normal? What should i do about it?",
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"content": "Hello, Welcome, and thanks for sharing your concern I went through your query, and I feel, this could be normal if you have no difficulty opening and closing your mouth, and are able to chew your food normally. The pain will go with healing, and you need to take some medication for control of pain only. I hope my advice would have been useful, in decision-making regarding your treatment, still if you have any clarifications or doubts feel free to contact back. Thanks.",
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"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
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"content": "That's right, so my friends and I both have separate relationships and end at the same time. We rely on each other for assistance, but time passed, it seems that our relationship has changed. There is a feeling of remote and really difficult to orient.",
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"content": "It can be understood that together overcome pain may have changed the motivation in your friendship. Can you think of any specific case that you notice this distance?",
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"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
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"content": "Do I have depression. It seems like everyday is a constant struggle I dont want to even wake up anymore. I keep having feelings of guilt after I do anything. I always feel like I just want to cry and little tasks are becoming increasing overwhelming. It feels like I have no motivation and Ive lost all my interest towards things I use to love. Sometimes I go for a period of time feeling extremley happy but then i go back to feeling worthless and sad. I have people trying to minimize the way that Im feeling and I dont know what to do.",
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"content": "Hi, Thanks for using Chat Doctor. I have gone through your available history. Your symptoms are suggestive of depression. But Bipolar mood disorder has to be ruled out. You should consult psychiatrist for detailed evaluation. Doctor may rule out physical causes like thyroid dysfunction or vitamin B12 deficiency. You may get benefit by Anti depressants like Escitalopram or sertraline. You should also do stress management and relaxation techniques like breathing exercise and yoga. Thanks.",
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"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
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"content": "What Named Entities related to arteriovenous shunt and its treatment can be identified through Named Entity Recognition in this Discharge Summary?",
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"content": "The Named Entities related to arteriovenous shunt and its treatment in this discharge summary are: chronic lacunae infraction, left corona radiata, magnetic resonance angiography, arteriovenous shunt, TDAVF, bilateral PMAs, straight sinus, Borden type III, Cognard type III, endovascular surgery, Envoy 5F 90 cm MPD, bilateral occipital artery, NBCA, AWW, and cerebral angiogram.",
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"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
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"content": "A 50-year-old male presented with blurring of vision and was found to have proteinuria on urine examination. Fundus examination revealed dot and blot hemorrhages, microaneurysms, and cotton wool spots. Given these symptoms and the accompanying histopathology, what is the most probable underlying kidney lesion in this patient?",
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"content": "The most probable underlying kidney lesion in this patient is **nodular glomerulosclerosis**.\n\nThis conclusion is based on the strong clinical association between the findings on the fundus examination and the presence of proteinuria. The fundus findings, including dot and blot hemorrhages, microaneurysms, and cotton wool spots, are classic signs of **diabetic retinopathy**, indicating long-standing diabetes with microvascular complications. Proteinuria suggests kidney damage, likely due to **diabetic nephropathy**, which is another microvascular complication of diabetes.\n\nThe hallmark histopathological lesion of diabetic nephropathy, particularly in advanced stages, is **nodular glomerulosclerosis** (Kimmelstiel-Wilson nodules). This lesion occurs due to damage to the glomerular capillaries caused by chronic hyperglycemia, leading to thickened basement membranes, mesangial expansion, and eventually nodular sclerosis.\n\nThus, the combination of retinal and renal findings strongly supports the diagnosis of nodular glomerulosclerosis as the underlying kidney lesion in this patient.",
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"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
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"content": "I tried to distract myself, continuing to be busy. Sometimes I walk or practice some deep breathing exercises, but it only helps to temporarily relieve pain.",
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"content": "It is great that you are actively seeking to control your anxiety. Deep breathing and physical activity can be a useful tool. Is there anything else to work for you in the past?",
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"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
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"content": "It is difficult. I used to be motivated and work effectively but these relationships made it difficult for me to focus. I find myself frequently distracted and feel depressed, which affects my work performance.",
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"content": "I can understand how personal relationships can significantly impact our motivation and concentration. Is there any specific challenges in the relationship that you are facing can contribute to these emotions?",
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"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
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"content": "It was a good point. Searching for feedback from others can help me see my music from a different angle. I hesitated to share my work with others because I was afraid of being rejected, but I thought it was worth trying. Perhaps finding a support community of colleagues can inspire me and help me develop.",
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"content": "Fear of being denied is understandable, but by sharing your music with others, you will open yourself new possibilities. Remember, the real development often occurs when we step out of our safe area. Building a supporting network of individuals with the same mind can be motivated, inspired and valuable understanding throughout your journey.",
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"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
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"content": "What was the patient's diagnosis, treatment course, and follow-up recommendations for ectopic axillary breast tissue with a suspicious nodule as summarized in the discharge summary?",
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"content": "The patient was diagnosed with a benign phyllodes tumor in ectopic axillary breast tissue and underwent successful surgical excision with clear margins. The recommendation is to continue monitoring annually and conduct further imaging if new or concerning symptoms arise.",
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"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
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"content": "What were the symptoms, diagnosis, and treatment course of a patient with severe vitamin B12 deficiency secondary to pernicious anemia, as summarized in the discharge summary?",
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"content": "The patient presented with repeated falls, postural dizziness, progressive fatigue, and 30-lb weight loss over the course of three to six months. The neurological exam revealed unstable, ataxic gait and difficulty in performing rapid, alternating hand movements. Blood work showed severe pancytopenia and thrombocytopenia, with decreased reticulocytes and an unequivocally low level of serum vitamin B12, suggesting pernicious anemia as the cause of the patient's symptoms. Upon admission, the patient was transfused with 2U of packed red blood cells and then initiated on daily subcutaneous injections of vitamin B12 at 1000μg for one week, followed by weekly injections for the next four weeks, and subsequently prescribed monthly injections to continue indefinitely. The patient's pancytopenia had nearly resolved after the first week of treatment. Three months later, the patient's neuropsychiatric impairment had completely resolved, and he demonstrated a normal gait and had normal reflexes upon follow-up. Close monitoring of hematologic and neuropsychiatric symptoms is recommended, and follow-up appointments with a hematologist and primary care physician were scheduled to ensure ongoing management and monitoring.",
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"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
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"content": "What coreferential expressions were resolved in the discharge summary related to the patient's diagnosis of sialadenitis and treatment with broad-spectrum antibiotics?",
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"content": "The coreferential expressions resolved in the discharge summary related to the patient's diagnosis of sialadenitis were \"right-sided parotitis with a peritonsillar abscess\" and \"the patient was taken for surgical drainage and washout after the consultation with emergent otolaryngology.\" The broad-spectrum antibiotic coverage administered was with ampicillin-sulbactam and vancomycin.",
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"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
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"content": "My husband called an ambulance he said he has a numbness in left arm, feels dizzy and hasn t felt right in a few days like something s just off. He was in India before Thanksgiving and had to take malaria medicine for the trip. He s a 53 year old male in really good shape, eats healthy and exercises regularly takes vitamin supplements? Could this be a heart attack?",
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"content": "Hello there, A history of numbness along your left arm with dizziness and also a feeling of unease is a symptom I will like you to get checked out. At the very least you need to visit a physician and get an EKG/ ECG done. Based on the report of the EKG we can discuss further treatment and management as it can easily rule out a heart attack. With your husband being in good shape and healthy living it is unlikely but being safe is better than worrying. Symptoms like these are also seen in patients who have been anxious recently so that is also something to be considered. Please do get the EKG done as soon as possible. Hope this helps, please feel free to ad Chat Doctor. ",
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"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
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"content": "What medical abbreviations are present in the discharge summary relating to the patient's condition and care, and what do they stand for?",
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"content": "Medical abbreviations present in the discharge summary relating to the patient's condition and care are NF1 (Neurofibromatosis Type 1) and EGBs (eosinophilic granular bodies).",
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"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
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"content": "I'm nervous to go to the bar or group activities, but my friend might be able to help me feel more comfortable.",
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"content": "It's understandable that you would feel nervous about trying new social situations like going to a bar or group activities. It's great that you're considering asking your friend for support, as it could help you feel more at ease while taking this next step. Is there a specific event or activity you'd like to try with your friend's help?",
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"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
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"content": "I'm struggling with setting boundaries in my relationships, not just with my spouse, but with friends as well. I'm unsure when to stop giving without losing myself, but I worry that if I keep giving, I'll change myself into something else.",
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"content": "It's important to find a balance between meeting your own needs and being there for others. Start by reflecting on your values and what you want from your relationships. You don't have to stop giving completely, but it's essential to prioritize self-care and know your limits. If you feel like you're losing yourself, consider having an open conversation with the other person to establish and maintain healthy boundaries. Can you think of a specific situation where setting boundaries could have helped?",
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"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
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"content": "What was the therapeutic procedure performed on the patient to alleviate severe burning and stretching pain in the right flank region, and what was the outcome of the procedure?",
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"content": "The therapeutic procedure performed on the patient was lumbar erector spinae plane block (ESP block) under all aseptic precautions with placement of a linear ultrasound probe at the level of the transverse process of L2. A total of 20 ml of 0.375% ropivacaine and 40 mg triamcinolone was injected into the target plane between the erector spinae muscles and the transverse process. The patient had adequate pain relief 10 min after the block, and was still pain-free and did not consume any oral analgesics at follow-up after 8 weeks.",
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"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
"role": "system"
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"content": "I have noticed a white discharge from my baby boys penis this morning. It is not liquid but more like sticky sugar granules. The penis also seems red on the end. He has been grabbing his crotch lately but he is recovering from chickenpoxs and he often indicated that he needed a change because of the itching. He is 17 months old.",
"role": "user"
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"content": "Hello, White discharge from the penis in a 17-month-old child can be due to urethritis, and urinary tract infection is sexually transmitted infections like chlamydia and Gonorrhea.-However, since the child is very small, the chances of sexually transmitted infection can be easily ruled out. We should investigate the child for urethritis or urinary tract infection.-Kindly do urine for routine microscopy test, and urine culture test.-Give more fluids to a child. An examination by a doctor is also necessary so that we may not miss any important findings. Hope I have answered your query. Let me know if I can assist you further.",
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"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
"role": "system"
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"content": "I am status epileptic patient .I have been taking eptoin 100mg a day for the last 3 years . I have got a seizure on last December,2013 ,After that I have been taking eptoin 100mg a day daily. For the last two months I have no seizure. could I stop taking the medicine. Is there any serious side effect for taking it long for period.",
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"content": "Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. Phenytoin, when taken can cause few side effects when not taken can cause fits and fits can cause even deaths Please take Phenytoin instead of worrying about the side effects Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in Chat Doctor at http://bit.ly/ask",
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"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
"role": "system"
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"content": "When was the patient diagnosed with mild lymphocytosis and what were the results of the peripheral flow cytometry test?",
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"content": "The patient was diagnosed with mild lymphocytosis in August 2016. The peripheral flow cytometry test showed increased clonal CD8+/CD57+ large granular lymphocytic T-cells with an absolute LGL count of 0.92 ×109/L and clonally rearranged TCR beta and gamma genes.",
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"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
"role": "system"
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"content": "Yes, I have. I contacted some close friends who have greatly supported this process. They gave me the shoulders leaning on and encouraged me to be optimistic. I have also started to join a local support group, where I can connect with those who have experienced the same pain.",
"role": "user"
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"content": "It is great to know that you have found a support system. Connecting with people who have experienced the same experience can bring confirmation and help you realize that you are not alone in your journey. Together, you can find strength and support each other to overcome this challenge time. Do you have specific goals or long -term aspirations that you want to focus on?",
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"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
"role": "system"
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"content": "What was the focus of the physiotherapy program for the 21-year-old female undergraduate student with spinal, pelvic, and distal thigh pains as described in the discharge summary?",
"role": "user"
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"content": "The focus of the physiotherapy program for the 21-year-old female undergraduate student with spinal, pelvic, and distal thigh pains was on functional movement quality with a trunk and lower limb strengthening program. The main focus of the program was to strengthen bridging exercises, with sit to stand exercises from a raised position also encouraged.",
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"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
"role": "system"
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"content": "hi i am Ali...i am 20... i have very bad habbit of handpractice and i have been doing this since 6 years my face was skinny..and body is also weak...please tell me what should i do to refrain my self from handpractice.. and also tell for good health..",
"role": "user"
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{
"content": "Hi, Nothing to worry. At this age having sexual stimulation is common which may lead to masturbation. There is nothing wrong in this habit but keep under control. There is no bad effect of masturbation in marital or sex life in the future. Avoid thoughts of sex. Remain busy with your work all day. Avoid sedentary lifestyle. Pass some time in sports, chats with friends in the evening. Go for regular physical exercises daily. Ok and take care.",
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"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
"role": "system"
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"content": "What Named Entities related to the diagnosis and treatment of type 1 diabetes mellitus can be identified in the given Discharge Summary using Named Entity Recognition?",
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"content": "The Named Entities related to the diagnosis and treatment of type 1 diabetes mellitus in the given Discharge Summary are as follows: \n1. Novorapid Flexpen \n2. Levemir Flexpen \n3. Normal saline with 20mEq/L potassium acetate and 20mEq/L potassium phosphate \n4. Intravenous insulin infusion therapy \n5. Subcutaneous insulin injections \n6. HbA1c levels \n\nIt is important to note that while the discharge summary provides information about the treatment and management of type 1 diabetes mellitus, it may not provide an exhaustive list of all Named Entities related to the condition. It is possible that additional Named Entities may be identified through further analysis of the medical records.",
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"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
"role": "system"
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{
"content": "I’ve noticed that some people have met without me and are attending weight watchers, supposedly to help me. As I have been writing these things down, I'm actually feeling that it must be true.",
"role": "user"
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{
"content": "It's understandable that you might feel left out and concerned about these events. It's good that you're recognizing your feelings as you write things down. It might be helpful to talk to those people and ask them about their intentions, but also remember to be open to their perspective. Is there anything else you'd like to discuss or add before we proceed?",
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"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
"role": "system"
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{
"content": "I have been having lower right abdominal pain for a while now. It comes and goes during the day. I haven t really had a loss of appitite. I feel nauseous but i just burp. I have a little bit if constipation . The pain moves back and forth from my bellybutton to my lower right abdomen . My parents think it is appendicitis . Should I seek medical attention now? I really need to know what is wrong with me because I m tired of hurting.",
"role": "user"
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{
"content": "Appendicitis is generally accompanied by fever. There are other structures in the area - ovary, tubes, ureter and so on. Are there other symptoms? - bladder or bowel or gynecological? Appendicitis is often a clinical diagnosis - doctors clinical examination, corroborated by laboratoryYour description does not suggest appendix - yet it is highly recommended to see a doctor. It is better to look than wait! Good luck",
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"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
"role": "system"
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{
"content": "I really want to resume my friends. I missed their presence in my life. It would be great to have their support and encouragement while I prioritized my health. I will definitely contact them soon.",
"role": "user"
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{
"content": "It is a great idea. Beside your loved ones, your adventurers who have better health can make a significant difference. Remember, you deserve this love and interest. Is there anything else you want to discuss or discover more?",
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"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
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"content": "Stress has been affecting every aspect of my life. I struggle to concentrate at work, and my productivity has significantly decreased. Even when I'm not working, my mind is constantly racing with worries and to-do lists. The stress has also taken a toll on my relationships, as I find myself snapping at loved ones over minor issues. I can't continue living like this.",
"role": "user"
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{
"content": "It sounds like stress has been overwhelming for you lately, impacting various areas of your life. It can be challenging to concentrate and maintain productivity when our minds are preoccupied with worries and tasks. Additionally, it's understandable that the strain of stress has affected your relationships, leading to snapping at loved ones over minor issues. To address these concerns, here are some suggestions and guidance: 1. Prioritize self-care: Take time each day to engage in activities that help you relax and recharge. This could include practicing mindfulness or deep breathing exercises, engaging in hobbies or physical activities you enjoy, or simply taking a break to do something that brings you joy. 2. Establish boundaries: Set clear boundaries between work and personal life. Create a designated workspace and try to stick to regular working hours. When you're not working, make an effort to disconnect from work-related thoughts and focus on other aspects of your life. 3. Break tasks into smaller steps: If you find yourself overwhelmed by a long to-do list, try breaking down tasks into smaller, more manageable steps. This can help alleviate some of the pressure and make it easier to prioritize and tackle one task at a time. 4. Seek support: Consider reaching out to trusted friends or family members who can provide emotional support during this stressful period. Sometimes talking about our worries and concerns with someone we trust can help lighten the load. 5. Practice effective communication: When interacting with loved ones, take a moment to pause and reflect before responding. Remind yourself to approach conversations with patience and understanding. Effective communication involves active listening, expressing emotions calmly, and seeking compromise when conflicts arise. 6. Explore relaxation techniques: Experiment with different relaxation techniques such as progressive muscle relaxation, guided imagery, or journaling. These practices can help calm racing thoughts and promote a sense of inner peace. Remember, everyone's experience with stress is unique, so it may take time to find what works best for you. If these suggestions don't seem to alleviate your stress or if it becomes increasingly difficult to manage, consider seeking professional help from a mental health expert who can provide personalized guidance and support tailored to your specific needs.",
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"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
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"content": "A 38-year-old woman presents with symptoms such as generalized weakness and eyelid drooping that worsen as the day progresses and improve with ice pack application and edrophonium administration. Based on these observations, what intrinsic property is characteristic of the muscle group affected in this patient?",
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"content": "The intrinsic property characteristic of the muscle group affected in your patient is an increased fatigability due to impaired neuromuscular transmission. In myasthenia gravis, which your patient appears to be experiencing, there is a decremental response in muscle strength during repeated use because of the reduced number of acetylcholine receptors available. This leads to muscle weakness that worsens with activity and improves with rest or by interventions that enhance neuromuscular transmission, such as cooling with an ice pack or administration of edrophonium.",
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"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
"role": "system"
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{
"content": "Well, it is mainly related to my personal relationships. I have noticed a lot of stress and misunderstanding recently, and that weighed on me. I want to find ways to improve these relationships and find a bit of peace.",
"role": "user"
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{
"content": "It is a brave step, acknowledging the need for change and development. Can you identify any specific situations or patterns that make you stand out when it comes to these stressful relationships?",
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"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
"role": "system"
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{
"content": "Depression has made it increasingly difficult for me to concentrate and focus on tasks. Simple things that used to be effortless now require immense effort and mental energy. This cognitive fog contributes to feelings of frustration and inadequacy.",
"role": "user"
},
{
"content": "It can be incredibly challenging when depression affects your ability to concentrate and focus on tasks. The feeling of cognitive fog can make even simple things feel overwhelming and drain your mental energy. I understand that this can lead to feelings of frustration and inadequacy. \n\nOne suggestion I have is to break down tasks into smaller, more manageable steps. By focusing on one step at a time, it can help alleviate some of the overwhelm and make it easier to start and complete tasks. Additionally, setting realistic goals for yourself can also be helpful. Instead of expecting perfection or trying to do everything at once, prioritize what needs to be done and give yourself credit for each small accomplishment.\n\nAnother strategy that might be beneficial is creating a structured routine. Establishing a daily schedule can provide a sense of stability and predictability, which can be particularly helpful when dealing with depression-related difficulties in concentration. Try to incorporate activities that you enjoy and find fulfilling into your routine, as they can serve as motivators and boost your mood.\n\nTaking care of your physical health can also have a positive impact on your cognitive functioning. Engaging in regular exercise, eating nutritious meals, and getting enough sleep are all important factors in maintaining overall well-being. Prioritizing self-care activities such as relaxation exercises, mindfulness, or engaging in hobbies that bring you joy can also help clear the mental fog and improve your focus.\n\nLastly, consider reaching out to a support system. Talking to trusted friends or family members about how you're feeling can provide emotional support and understanding. They may also offer different perspectives or suggestions that could be helpful. Remember, you don't have to face these challenges alone.\n\nPlease keep in mind that these suggestions are not meant to replace professional help, but rather offer guidance and support. If you ever feel overwhelmed or believe you need additional assistance, it's important to reach out to a mental health professional who can provide personalized advice and treatment options tailored to your specific needs.",
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"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
"role": "system"
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{
"content": "When was the patient discharged and what medications were they prescribed upon discharge?",
"role": "user"
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{
"content": "The patient was discharged after 5 days and was prescribed a reducing taper of methylprednisolone and oral metronidazole.",
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{
"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
"role": "system"
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{
"content": "When was the HeRO® graft inserted and how long did the patient use it without any complications?",
"role": "user"
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{
"content": "The HeRO® graft was inserted during the patient's hospital course for ischaemic enteritis of the intestinal allograft. The patient used the HeRO® graft for 177 days without any complications.",
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"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
"role": "system"
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{
"content": "hello sir, i have been suffering from typhoid fever since last week.i also had a blood test where i found that my ESR is very high and almost touching 40mm mark.is it a worrying sign? or is it controllable? my fever is also fluctuating a lot.sometimes i have normal temperature around 98 degrees for a whole day and next day it again peaks around 100 till 101 degrees.i am also being absent from my work from last week coz of of fatigue and weakness.my company rules are not really lenient for absentees.i am also taking medicine but i want some speedy recovery.sir hoping for some advice from ur side.i ll be really grateful for your act of kindness.",
"role": "user"
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{
"content": "Hello and welcome to Chat Doctor, Continuous low grade fever with raised ESR is suggestive of chronic disease e.g. tuberculosis. Tuberculosis is usually associated with low grade fever, night sweats, weakness, decreased appetite, tiredness, and fatigue. The symptoms mentioned by you can be due to typhoid, however, typhoid does not usually cause an elevated ESR level. I suggest you to consult your primary healthcare provider for clinical examination and relevant investigations. A Manitou test and X-ray chest should be done initially. Management will be decided once the result of the investigations is received. Thanks and take care Chat Doctor. ",
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"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
"role": "system"
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{
"content": "What Named Entities related to the patient's medical conditions, diagnosis, and treatment can be extracted using Named Entity Recognition in this discharge summary? (modified version of example question)",
"role": "user"
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{
"content": "The named entities related to the patient's medical conditions, diagnosis, and treatment that can be extracted from the discharge summary are oligoarticular JIA, effusion of the right knee, joint ultrasonography, serum ANA, tuberculin skin test, serum CRP, chest X-ray, PVNS, intraarticular triamcinolone hexacethonide injection, MTX, open approach total synoviectomy, multinuclear giant cells, and hemosiderin deposits. However, there is no mention of the dosage, frequency, duration, or route of administration of the drugs used, such as ibuprofen and MTX, which may be relevant for a more complete understanding of the patient's treatment.",
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"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
"role": "system"
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{
"content": "My anxiety seems to be triggered by social situations. Whenever I have to speak in front of others or even meeting new people, I start to feel extremely anxious. This has affected my ability to pursue job opportunities and make meaningful connections with others.",
"role": "user"
},
{
"content": "When faced with social situations that trigger anxiety, it can be helpful to develop strategies and techniques to manage your anxiety. Here are a few suggestions:\n\n1. Deep breathing exercises: Practice deep breathing techniques to help calm your body and mind during anxious moments. Take slow, deep breaths in through your nose, hold it for a few seconds, and then exhale slowly through your mouth. Repeat this several times until you start to feel more relaxed.\n\n2. Positive self-talk: Challenge negative thoughts and replace them with positive affirmations. Remind yourself that you are capable and strong, and that mistakes or awkward moments are natural and happen to everyone. Be kind to yourself and encourage a compassionate inner dialogue.\n\n3. Gradual exposure: Start by gradually exposing yourself to social situations that make you anxious. Begin with smaller group settings or low-pressure events, and then work your way up to more challenging situations over time. This allows you to build confidence and become more comfortable step by step.\n\n4. Preparation and practice: If you have to speak in public or meet new people, prepare in advance. Write down key points, practice what you want to say, and visualize yourself succeeding in these situations. The more prepared you feel, the less anxious you may become.\n\n5. Seek support from trusted individuals: Reach out to supportive friends, family members, or mentors who can provide encouragement and understanding. Sharing your concerns with someone who understands can help alleviate some of your anxiety. They might even offer insights or coping strategies based on their own experiences.\n\n6. Consider therapy options: Therapists trained in cognitive-behavioral therapy (CBT) or exposure therapy can provide techniques and support tailored specifically to managing social anxiety. Therapy can teach you additional skills to challenge negative thought patterns, cope with fear and anxiety, improve communication, and increase your overall well-being.\n\nRemember, progress takes time and patience. It's important to celebrate small victories along the way and not be too hard on yourself. With practice and support, you can learn to manage your anxiety in social situations and make meaningful connections with others while pursuing job opportunities.",
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{
"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
"role": "system"
},
{
"content": "What familial disease is the patient diagnosed with based on the comprehensive evaluation of serum biochemical analysis, CT scan result, and microscopic examination?",
"role": "user"
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{
"content": "The patient was diagnosed with progressive familial intrahepatic cholestasis type 1 or 2 based on the comprehensive evaluation of serum biochemical analysis, CT scan result, and microscopic examination.",
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{
"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
"role": "system"
},
{
"content": "Hi. My brother has been detected with Hep A and is admitted to Manipal Hospital, Bangalore. His bilirubin count is not coming down and is at 30 and he is getting scratch all over his body. MRCP was done and everythg is normal. Docs are a bit confused and have suggested endoscopy. Pls advice.",
"role": "user"
},
{
"content": "Hello, Can you please tell when did he acquire the infection(when did he get it), because it takes time for the virus to come down, initially It will go up, and later it will stay in that phase and then comes down, some people may also develop itching, but if MRCP is normal, nothing to worry, please follow your doctors advise, keep repeating Liver function tests every week, if they are in a downtrend than nothing to be worried, otherwise he has to be evaluated for other causes of hepatitis also. Hope I could help you. Thank you.",
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"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
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"content": "Hi my daughter is 17 years old. She has been in and out of the hospital three times in the last 3 1/2 months. They did a cat scan and several tests the first time. Her white blood cell count and platelets were at the high end of normal. She had several ovarian cysts that were 4 cm in size. They burst and her pain was relieved. Following up with her primary and GYN tests were run. at about six weeks and her platelets rose a bit and testosterone was elevates. GUN put her on birth control to ease the enlargement of the cysts. Then about a month ago now she landed back in the hospital. Another cat scan and blood work revealed three lynphnodes attached to her intestines that attach to the abdominal wall were enlarged, very painful and her white blood cell count went up again. We were referred to an endocrinologist and gastroenterology but had to cancel the appointments last week due to their offices closing for Hurricane IRMA. I went and received the third round of blood work today from her primary and the count is up again to 444 which I was told is high but not astronomical. We were now referred to an oncologist / hymoptologist. Please tell me what you think.",
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"content": "After hearing you history as your daughter is having high white blood cell count and platelets and scan reveled 3 lymph nodes in intestine I would advise you to do a biopsy test of the enlarged lymph nodes. A biopsy test is a simple test were a needle is inserted to take out specimen and looked under microscope. I will also advise you to do a colonoscopy test and blood test for tumor marker CEA and CA 125 Regards Chat Doctor. ",
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"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
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"content": "Hi,My stomach over the past 3 days has been very sore as in i feel like there is a huge \"air bubble\" in there, just below my rib cage. it is very painful, i find it extremley hard to sleep due to the discomfort, and throughout the day i just cant seem to get rid of the feeling of the \"air bubble\". i have never had anything like this before nor have a changed my diet or done anything out of the ordaniary.I went to the doctor and he has given me Buscopan and salpraz. So far i have taken 2 tablets of buscopan and i have been told to take 2 tablets 4 times a day which i will and 1 salpraz tablet after my last meal as thats when the pain is at its worse, when i go to sleep, but i wanted to know if any of this will actually help or was there anything else i can do to stop this anoying painful \"air bubble\".Jessica cook",
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"content": "Hello! Thank you for the query.These medicines (especially Tuscan) are only to ease the symptoms. So you may feel a relief, but only temporarily. Upper middle abdominal pain, discomfort are most likely caused by stomach issues including stomach inflammation, peptic ulcer, Helicobacter Pylori infection. The pain is dull, usually appears after a meal. Nausea and vomiting can be present. If the pain is more on the left abdomen, and radiates to the back, gallstones can be the reason. I suggest you to find out the reason first, then choose correct treatment. Otherwise, medicines can delay the diagnosis. You should have abdominal ultrasound and gastrostomy done. Stomach cancer should be always ruled out with such symptoms (gastrostomy will do it). In a meanwhile please avoid fatty foods, spicy foods, fried foods, coffee. Hope this will help. Regards.",
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"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
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"content": "i have a lump of knot on my shin bone, I have had the knot for years. I am not a sick person. the only doctors that have seen the kont were prenatal doctors and said very little about it. I am scared of what it could be but i would like to have it removed someday if it so able to be.",
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"content": "Hi, Dear,Thanks for the query to My Chat Doctor Clinic. I studied your query in details and understood your health concerns.-Cause of your Shin lump -a-In my opinion-c-this is -Sebaceous Cyst ? Or a Lipo-fibroma ? Lipoma? Or Varicose lump-you being lady. This advice would help you to plan treatment with your doctor. Hope this resolves your query. Wellcome for further query in this regard. Have a Good Day...!! With Regards",
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"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
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"content": "What was the result of the Relation Extraction task on the voiding ultrasound demonstrating persistent VUR on the left side?",
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"content": "The voiding ultrasound demonstrated persistent VUR on the left side.",
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"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
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"content": "What relation can be established between the patient's symptoms of blurred vision with metamorphopsia, tinnitus, headache, anosmia, fever, granulomatous keratic precipitates, mild vitritis, serous retinal detachment with an inferior bullous detachment and optic disk hyperemia in both eyes, and the diagnosis of Complete Vogt-Koyanagi-Harada syndrome, as extracted from the given discharge summary using relation extraction?",
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"content": "The patient's symptoms of blurred vision with metamorphopsia, tinnitus, headache, anosmia, and fever, along with findings of granulomatous keratic precipitates, mild vitritis, and serous retinal detachment with optic disk hyperemia in both eyes, are consistent with the diagnosis of Complete Vogt-Koyanagi-Harada syndrome, as stated in the discharge summary. VKH syndrome is an autoimmune disorder that affects multiple organs, and ocular findings are often present, as seen in this case. The patient responded well to systemic prednisone therapy and is scheduled for follow-up appointments to monitor for any signs of inflammation or visual impairment.",
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"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
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"content": "What Named Entity Recognition method would you apply to extract medical entities related to the patient's cardiac condition from this discharge summary?",
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"content": "To extract medical entities related to the patient's cardiac condition, I would apply Named Entity Recognition (NER) methods that can detect and extract relevant information such as \"aortic stenosis,\" \"interventricular septal hypertrophy,\" \"bioprosthetic aortic valve replacement,\" \"septal myectomy,\" \"dual-chamber pacemaker,\" \"ventricular apex,\" \"bioprosthetic valve function,\" and \"coronary arterial flow.\" However, this discharge summary does not provide enough information to identify the type of NER method that would be used.",
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"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
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"content": "I'm a female in my mid 20s. Lately I tend to over drink and I've become a very angry drunk. In the past, I have even cheated on my boyfriend while I was under the influence of alcohol. But now, even if I don't do anything wrong and don't embarrass myself, I still feel really guilty after a night of drinking. I don't understand why I'm feeling this way. Does this mean I have a problem?",
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"content": "Usually when someone asks if they have a problem, they believe they do have a problem!The first step is to understand your own theory and definition as to what problem you feel you have. Some possibilities are feeling unhappy in the relationship to your boyfriend, not having enough discussion between the two of you, not feeling cared about by your boyfriend, not liking your boyfriend.Did you grow up in a family in which the grownups drank to the point of excess at the times they felt stressed?Family modeling of how to handle problems may have left you no knowing how to handle stress except to drink to excess.Ask yourself what it is you feel guilty of doing?The guilt may point you in a good direction if it is your sense of self-esteem telling you to find better ways of managing your life.Do you drink alone or together with friends?Try defining your specific reasons for drinking because this is the first step to know how to handle the situation differently.",
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"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
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"content": "Hello doctor,I have a question. Well, I had an STD. It was chlamydia, but it was cured. It was months ago. I recently had sexual relationships like two months ago, after that, I started getting a yellow discharge and I went to the doctor. They told me I had UTI. They gave me pills that I am taking and my period did not come for like one month and my period usually is not regular. And now that I am taking the pills, my period has not stopped bleeding for 13 days now, and usually, it lasts a week. But, I am worried because I do not know if it is the pills or not because it does not stop coming.",
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"content": "Hello, Welcome to Chat Doctor forum. The pill is not the cause of bleeding. You said your cycles are not regular. So, what happens is because the cycle duration is long, there are chances of heavy bleeding. Unless you have confirmed that pregnancy was not there (abortion can cause too much bleeding), do a urine pregnancy test just to rule out it is not an abortion. If it is just heavy bleeding due to hormonal imbalance then take tablet Pause 500 mg three times a day for five days. For more information consult an obstetrician and gynaecologist online ",
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"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
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"content": "What Named Entities related to the diagnosis of bilateral advanced wave-like epitheliopathy and its features can be identified through Named Entity Recognition in this discharge summary?",
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"content": "The Named Entities related to the diagnosis of bilateral advanced wave-like epitheliopathy and its features identified through Named Entity Recognition in this discharge summary are:\n- Patient Name: unspecified\n- Diagnosis: Bilateral advanced wave-like epitheliopathy (AWE) in the superior limbus (Case 1 and Case 3)\n- Features:\n - External eye photos and impression cytology findings demonstrated the advancing wave of conjunctival epithelial and goblet cells migrating onto the corneal surface at the superior quadrant\n - Radial cross-sectional SD-OCT scans of the superior limbus showed loss of the smooth epithelial-stromal interface and dilated stromal vessels of the perilimbal region of vortex veins (POV)\n - Tangential cross-sectional OCT scans demonstrated a decreased density of the POV in the superior limbus\n - Decreased epithelial thickness and dilated stromal vessels were observed in the inferior limbus (presumed-healthy sites) in both eyes through SD-OCT",
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"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
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"content": "Hello, today I'd like to talk about my ongoing struggles with depression and how they are hindering my ability to live a fulfilling life. Through this counseling session, my primary goal is to gain insight into the underlying reasons behind my depressive symptoms and develop healthier coping mechanisms. Lately, I have been feeling an overwhelming sense of sadness and despair that lingers throughout the day. It feels like I am trapped in a never-ending cycle of pessimism. Various life events, such as the loss of a loved one and career setbacks, have contributed to the intensification of these feelings. When reminded of specific memories associated with painful experiences, my mood plummets further, leading to increased isolation and withdrawal from social activities. Additionally, I experience a lack of energy, changes in appetite, and significant disruptions in sleep patterns. These symptoms persist almost every day and can last for weeks at a time. Moreover, I come from a family background where mental health concerns were stigmatized, which has added to the difficulty of seeking help. Are there any specific therapeutic approaches or treatment options you recommend for managing depression?",
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"content": "It sounds like you're going through a tough time with your ongoing struggles with depression, and it's affecting various aspects of your life. I can understand how overwhelming and exhausting it must be for you to experience this never-ending cycle of pessimism and sadness. The fact that you recognize the impact of specific life events, such as the loss of a loved one and career setbacks, on your depressive symptoms shows a great level of self-awareness.\n\nIn terms of therapeutic approaches and treatment options for managing depression, there are several strategies that may be helpful. One effective approach is cognitive-behavioral therapy (CBT), which focuses on identifying negative thought patterns and replacing them with more positive and realistic ones. CBT can assist you in gaining insight into the underlying reasons behind your depressive symptoms and developing healthier coping mechanisms. It may also help you address any difficulties in social activities or feelings of isolation by challenging unhelpful beliefs and behaviors.\n\nAdditionally, another option you might consider is interpersonal therapy (IPT). This type of therapy centers around exploring your relationships and how they contribute to your emotional well-being. By working on improving communication skills, problem-solving abilities, and conflict resolution techniques, IPT can aid in relieving symptoms associated with depression.\n\nIt's important to note that therapy is not a quick fix, and progress may take some time. However, staying committed to the therapeutic process and being open to trying different techniques can lead to significant improvements. Alongside therapy, lifestyle changes such as regular physical exercise, maintaining a balanced diet, and ensuring sufficient sleep hygiene can also positively impact your mood.\n\nRegarding the stigma around mental health concerns in your family background, it can be challenging to overcome the fear or hesitation in seeking help. Remember that seeking support from a mental health professional doesn't indicate weakness but rather strength and courage. If you feel comfortable doing so, sharing your experiences and thoughts with trusted friends or supportive individuals can also provide an additional layer of emotional support.\n\nLastly, it's crucial to remember that I'm here to offer guidance and suggestions as a mental health therapist. If you have any concerns or need additional advice, please feel free to reach out. Take care!",
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"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
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"content": "Sure. Like my entire energy has been consumed. I have been motivated and promoted to become excellent at work, but now I hardly can complete a mission without feeling overwhelmed. I am concerned that this may affect my career.",
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"content": "I understand your concerns. When we experience the painful experiences, our concentration and motivation are wavering to be natural. However, it is important to remember that healing takes time and you can allow yourself to feel what you are feeling. Have you considered finding support from friends, family or even expert help during this time?",
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"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
"role": "system"
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"content": "I had a cortisone injection in me medial knee 9 days ago, the day after I had sever pain unable to walk and that continued until day 6 I am still quite sensitive and have trouble with steps. My dr that done the shot said it will b a cortisone flare, but it is still continuing with sharp pains and constant throb also swollen medial side and on top, and I am just noticing small white pigmentation in the skin. Should I be worried that this is going on too long and also the swelling and pigment?",
"role": "user"
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{
"content": "Himedial knee pain can be due to variety of causes-osteoarthritis or any form of arthritis in joint or sprain of medial ligaments of knee. So depending on diagnosis, probably your doctor has injected cortisone. Going by arthritis as a primary diagnosis, fomentation and physical therapy, mild knee exercises are advisable.9 days after shot, pain should have lessened. Since it hasn't, you consult back your doctor. He may like to investigate the cause with x-ray/MRI thanks",
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"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
"role": "system"
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"content": "How can the phrase \"giant coronary aneurysms with critical stenotic lesions in the LAD and 90% stenotic lesions in the RCA\" be paraphrased in simpler language?",
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"content": "In simpler terms, the patient had large areas of swelling in the arteries of their heart combined with blockages in two major blood vessels. However, surgeries were performed successfully to connect blood vessels, and eight years later, the patient leads a normal life. There are no medications required, and regular check-ups are recommended with the paediatrician and our centre as necessary.",
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"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
"role": "system"
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"content": "I think I can try to focus more on my own achievements and honor them, instead of comparing myself with others. Perhaps I can start writing a grateful diary, where I can list the three things I am proud of myself every day. It can help change my opinion and build myself more positive.",
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"content": "It is a great idea! The gratitude diary can act as a gentle reminder of your progress and strengths. Along with that, I encourage you to train compassion to yourself and allow yourself to make mistakes and learn from them. Remember, you deserve to be loved and accepted, like anyone else.",
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"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
"role": "system"
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"content": "Well, it seems that my addiction is destroying every aspect of my life. I seem to be unable to escape its clamping. I tried to quit smoking many times but finally came back. I'm tired of feeling stuck and hopeless.",
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"content": "I heard it. It takes a lot of courage to admit that you are feeling stuck in this vicious circle. Start by discovering what causes your addiction. Is there anything specific to lead you back to it?",
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"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
"role": "system"
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"content": "What was the timeline of the patient's hospital course and treatment for thrombotic thrombocytopenic purpura, and when did complications such as hospital-acquired pneumonia and ARDS occur?",
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"content": "The patient's hospital course began with shortness of breath, weakness, and dizziness that progressively worsened over the course of two days. Upon admission, the patient was diagnosed with TTP and transferred to the ICU for close monitoring. Treatment included multiple sessions of plasmapheresis, high-dose steroids, cyclophosphamide, and rituximab. The patient initially showed improvement in her platelet count, but was later complicated by hospital-acquired pneumonia, ARDS, and hemothorax. Unfortunately, despite multiple rounds of cardiopulmonary resuscitation, the patient passed away due to overwhelming ARDS. The exact timeline of when each complication occurred is not provided in the discharge summary.",
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"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
"role": "system"
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"content": "What are the current treatments and medications being administered to the patient based on the information provided in the discharge summary?",
"role": "user"
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"content": "The current treatments being administered to the patient include combined androgen blockade and endocrine therapy with orally administered abiraterone 1000 mg/day and prednisone 10 mg/day for three months. The patient is expected to have regular follow-up appointments with his urologist to monitor his condition. However, the discharge summary does not provide additional information about the patient's prognosis or expected outcomes from the current treatments.",
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"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
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"content": "This is preventing me from getting a job. I have bad relationship with my bipolar mother. I am living with her but it stresses me out so much to be around her that I have locked myself in my room. I have no friends or other family to help me. I have no money for therapy, but I think I need therapy before I can secure a job.",
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"content": " Overwhelming fear, social anxiety and depression are especially painful because they make behaving constructively a challenge. But there are also lots of examples of folks who have successfully worked their way through this. So there is hope! In addition to the suggestion to visit your doctor (who may prescribe a medication to help you relax), there are many social service agencies who provide free counseling or take medicaid. A good CBT therapist will help you look at your thinking so that you may see how you are distorting your thoughts. Behavior is also important. Despite how you may feel: it is helpful to go out, to do things that relax you (maybe a yoga class or a meditation class?). Exercise. Diet. Eat well. Think back on the things that you used to do that helped in the past, and force yourself to do these things again. I know that this seems hard, but it beats the alternative, doesn't it? Of course, I recommend you pick up a copy of my book, Living Yes, which will help you look at these and other ideas to help you out. I hope you get unstuck soon! ~Mark (www.MarkMorrisLCSW.com and www.LivingYes.org) ",
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"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
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"content": "i have being diagnosed typhoid. widal results are sal.typhi O 1:160,sal typhi H 1:80,AH 1:20,BH 1:20.my doctor provided me cefixime tablets.the important question is i have pre employment medical examination for gulf country,will this blood result fail me.if so when shall i take the medical examination.course started yesterday 16.12.13",
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"content": "HIT hank for asking to ChatDoctorI really appreciate your concern looking to the history given here I could say that the given report of blood is suggestive of typhoid fever now the norms of all developing countries are different from each other, so you have to confirm this with the concern department, once the positive titration detected in the blood for the typhoid then this could remain in the blood for quit long time, take care and have a nice day.",
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"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
"role": "system"
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"content": "Not really. I was always healthy so this news came to me and my mother as a shock.",
"role": "user"
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"content": "I can understand how it can make me feel overwhelmed. When we face unexpected health challenges, it is important to remember that there are often effective treatments available. Have you considered more discussing this situation with your doctor?",
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"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
"role": "system"
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"content": "I think I might be getting Alzheimer s disease. Can do my cashier job OK asked my boss no problems there close front office lock up store set alarm etc. Having problem when talking can not find the right word that I want to use. Mixing by words up calling breakfast supper no as soon as I say it correct myself . No problem driving balance checkbook workout 3 to 4 times a week do things with friends. Husband has a lot of health problems in last 3 years had 4 major surgery. Very stressful 4 me. I am 66 years old work part time. Eat pretty healthy do not drink smoke no coffee pop drink water not on any medications. Do I need to see my doctor? Email address janrob4040&gmail.com",
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"content": "In my opinion symptoms of Alzheimer being memory disturbance which interferes with daily functioning word finding difficulties later on having difficulty understanding speech in some individuals planning , , organizing also can be effected later on personality changes can be seen difficulty in doing calculations difficulties in understanding environment can be seen later on difficulties controlling bladder is common",
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{
"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
"role": "system"
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{
"content": "I like writing and walking in nature. They helped me to resume myself and find the feeling of inner peace.",
"role": "user"
},
{
"content": "How wonderful. It is important to participate in the activities that bring you joy and promote self -care. Did you consider exploring new hobbies or connecting with people you always support you during this time?",
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[
{
"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
"role": "system"
},
{
"content": "A 65-year-old man with a history of heavy smoking and a previous stroke presents with a productive cough, hemoptysis, shortness of breath, and clubbing of the fingers. An x-ray reveals increased translucency and tram-track opacities in the right lower lung field. Based on this clinical presentation and imaging findings, what is the most likely diagnosis?",
"role": "user"
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{
"content": "Based on the clinical presentation and imaging findings you've described, the most likely diagnosis for this 65-year-old man is bronchiectasis. The combination of a chronic productive cough, hemoptysis, clubbing, and especially the characteristic \"tram-track\" opacities seen on the chest x-ray strongly suggest bronchiectasis. These features indicate the presence of chronically dilated and thickened bronchial walls. Although his history of heavy smoking and a past stroke raises concerns for other serious conditions, like lung cancer, the specific imaging findings of tram-track opacities are more indicative of bronchiectasis. Therefore, given the symptoms and x-ray results, bronchiectasis fits the overall clinical picture very well.",
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"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
"role": "system"
},
{
"content": "I think keeping a visual reminder, such as calendar or space for my art utensils, will help me focus and be motivated.",
"role": "user"
},
{
"content": "It is a great idea. Visual signals can act as a strong reminder of your commitment. How will you celebrate your progress and achievements on the way?",
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[
{
"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
"role": "system"
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{
"content": "my daughter, 13 months old,has been irritable for the last 2 days. she had a large bowel movement with white creamy stool yesterday, and has had 2 more small ones this morning she had a large amount of emesis last night. she has also had a decreased appetite since yesterday morning, and won t eat anything today. Do I need to make a doctor s appointment, or should I wait and see if it passes? - no fever.",
"role": "user"
},
{
"content": "Hi, large Bowel movement which is creamy, and history of vomiting suggest that your child most probably has acute gastroenteritis, food poisoning like symptoms. This can also be due to overeating. If there is persistent loose stools are vomiting then chances of acute gastroenteritis are quite high, and you should get the child examined by doctor. The child will most probably need antibiotic. If there is no fever and the loose stool settle and vomiting doesn't occur then chances of overeating are more. You should watch for the symptoms and according to that get the child examined by doctor. Take care.",
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{
"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
"role": "system"
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{
"content": "What abbreviations related to the patient's diagnosis, treatment, and investigation require expansion in this discharge summary?",
"role": "user"
},
{
"content": "The following abbreviations related to the patient's diagnosis, treatment, and investigation require expansion in this discharge summary: \n- CT: Computed Tomography\n- PET: Positron Emission Tomography\n- CDX2: Caudal type homeobox transcription factor 2",
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{
"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
"role": "system"
},
{
"content": "What are the coreferential expressions used in the hospital course summary section of the discharge summary, and what do they refer to?",
"role": "user"
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{
"content": "The coreferential expressions used in the hospital course summary are \"the patient\" and \"the blockage\", referring to the individual in question and the complete occlusion at the ostium of the left anterior descending coronary artery, respectively.",
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{
"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
"role": "system"
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{
"content": "What was the reason for the patient's fever, reduced sense of smell and taste, and nasal obstruction in the given discharge summary, and what treatment was prescribed?",
"role": "user"
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{
"content": "The patient had fever, reduced sense of smell and taste, and nasal obstruction due to acute sinusitis. They were prescribed levofloxacin and beclomethasone for treatment. However, the symptoms did not resolve after 3 days of treatment. The patient switched from brand to generic formulation of levofloxacin, which may have contributed to the lack of response. The patient was advised to switch back to the brand formulation, and the symptoms completely resolved in about 10 days.",
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{
"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
"role": "system"
},
{
"content": "What was the patient's medical history and surgical intervention for TAAA repair mentioned in the discharge summary?",
"role": "user"
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{
"content": "The patient had a medical history of hypertension and previous surgeries for renal cell cancer and acute aortic dissection. The patient underwent TAAA repair with a segmental-staged aortic clamp and perfusion catheters. A 20-mm Dacron graft was anastomosed to the previous graft. The patient had no neurological deficits after surgery and was discharged on the 18th postoperative day. The patient will require regular follow-up and monitoring.",
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{
"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
"role": "system"
},
{
"content": "hi, my daughter is about 8 years and every after 1 or 2 months she suffers from stomach problem like vomiting and have intestinal pain. Doctors suggested to do anti tranglutiminase test which has come negative as she had severe vomiting and diarrhea and was not eating wheat for one week.But still she has celiac disease symptoms like short height,very slim body ,bloting, constipation,low heamoglobin, vomiting or diarrhea problem.So doctors suggested to give her gluten free diet for 2 months and check if some change come as i am not willing to do biopsy.But now she is having severe allergy on her body like redness itching and some mosquito bite pimples on her body and then they disappear after 25 min.I dont know whether she has celiac and change of diet has done allergy or its cause of medication during her vomiting problem.",
"role": "user"
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{
"content": "Your doctors are doing the best but allopathic science has its limits here. To my own such patients, I recommend giving some naturals like curcumin, Marcos powders and Sugar candy powder mixed together equally. These have the blood cleaning, anti-allergic action with anti-infective action on intestines. Works to balance vat pitta vitiation (Ayurveda principle) which causes allergies/ rashes. Deworming by herbals is another tool to be added to regime. Beauty is that these are all harmless with no side effects. No interaction with other Chat Doctor. For the time being Hard",
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{
"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
"role": "system"
},
{
"content": "What medications were administered to the patient and at what times during their hospital course? How can temporal information extraction assist in analyzing the treatment process?",
"role": "user"
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{
"content": "The patient received a normal saline bolus, a blood culture was drawn, and a dose of ceftriaxone was administered upon arrival. She also received additional normal saline bolus, sodium bicarbonate, midazolam, and fentanyl at the tertiary center. Temporal information extraction can assist in analyzing the treatment process by helping healthcare professionals track the timing and sequence of medication administration, and identify any potential timing-related issues or improvements in patient outcomes. However, the discharge summary does not provide detailed information on the exact times when each medication was administered.",
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{
"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
"role": "system"
},
{
"content": "What was the patient's diagnosis and treatment plan for overlapping syndrome of IgG4 related disease and SLE outlined in the discharge summary?",
"role": "user"
},
{
"content": "The patient was diagnosed with overlapping syndrome of IgG4 related disease and SLE and treated with 10 mg prednisone and 200 mg plaquenil daily, which significantly improved her symptoms. She was discharged in a stable condition with resolved symptoms, and follow-up showed normal levels of anti-double stranded DNA, IgG4, and eosinophils.",
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{
"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
"role": "system"
},
{
"content": "I've been caring for my elderly mother for the past few years, and the emotional burden has been overwhelming. I've been dealing with feelings of sadness, frustration, and guilt. I've tried to hide these emotions from my colleagues, but I can't seem to keep it together. I feel like I'm constantly on the verge of breaking down.",
"role": "user"
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{
"content": "I can imagine how challenging this situation must be for you. Caring for a loved one can be emotionally taxing, and it's common to experience a range of intense emotions. It's important to remember that these feelings are a natural response to the demands of caregiving. However, it's also crucial to find ways to manage these emotions so they don't interfere with your professional life.\n\nOne approach could be to practice mindfulness meditation or deep breathing exercises to help you stay present and focused. You might also consider engaging in activities that bring you joy and help you relax, such as reading, taking a warm bath, or going for a walk in nature. It can also be helpful to talk openly with your colleagues about your situation and ask for their support. Remember, vulnerability can be a strength, and sharing your experiences can help create a more compassionate and understanding work environment.\n\nAnother strategy could be to explore the underlying causes of your emotions. What are you feeling sad about? Is there a specific aspect of caregiving that is particularly challenging for you? By gaining a deeper understanding of your emotions, you can begin to address the root causes and find ways to cope more effectively.\n\nIt's also essential to remember that self-care is not a luxury, but a necessity. Taking care of yourself is an important part of being an effective caregiver and maintaining your overall well-being. This might involve setting boundaries, delegating tasks, or seeking outside help if needed.\n\nUltimately, managing emotions in the context of caregiving requires a multifaceted approach. By practicing mindfulness, exploring the underlying causes of your emotions, and prioritizing self-care, you can develop the skills and resources needed to navigate the emotional challenges of caregiving and maintain a healthy balance in your life.",
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[
{
"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
"role": "system"
},
{
"content": "What is the relationship between the severe atrophy in the medulla oblongata to the cervical cord and the pathogenic mutation of c.197G>A (p.R66Q) in the GFAP gene, as stated in the discharge summary?",
"role": "user"
},
{
"content": "The discharge summary states that the patient had severe atrophy in the medulla oblongata to the cervical cord and a pathogenic mutation of c.197G>A (p.R66Q) in the GFAP gene. Although the summary does not provide further details on the relationship between the two, some research suggests that GFAP mutations can cause motor neuron diseases such as Amyotrophic Lateral Sclerosis (ALS). However, additional studies are needed to establish a conclusive relationship between the two conditions.",
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{
"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
"role": "system"
},
{
"content": "What Named Entities related to the patient's diagnosis can be identified through Named Entity Recognition in this discharge summary?",
"role": "user"
},
{
"content": "The Named Entities related to the patient's diagnosis that can be identified through Named Entity Recognition in this discharge summary are \"Gastrointestinal stromal tumor (GIST)\", \"peritoneal dissemination\", \"high-risk group tumor\", and \"imatinib\".",
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{
"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
"role": "system"
},
{
"content": "What was the initial diagnosis, treatment, and follow-up plan for the 50-year-old Asian woman with uncontrolled elevated intraocular pressure in the right eye, as outlined in the hospital course summary?",
"role": "user"
},
{
"content": "The initial diagnosis for the 50-year-old Asian woman was uncontrolled elevated intraocular pressure in the right eye following conjunctival and Tenon's capsule removal surgery. Treatment included multiple anti-glaucoma medications such as timolol, apraclonidine, travoprost, and oral acetazolamide which were gradually tapered over 4 months. The current treatment plan includes three topical anti-glaucoma medications, and the patient will be monitored for any changes in IOP levels or VF defects. The patient was advised to follow up if any new symptoms develop or if there is a change in the condition.",
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{
"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
"role": "system"
},
{
"content": "I have recently worked in a brand construction project for a local startup and I am really proud of the results of the final designs.",
"role": "user"
},
{
"content": "That is great! It is great to know that you have successful projects. Have you considered finding feedback or advisors to further develop your skills?",
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[
{
"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
"role": "system"
},
{
"content": "I feel very confused about my boyfriend. I think he might be addicted.",
"role": "user"
},
{
"content": "I can feel your stress around this issue. What makes you believe that he is addicted?",
"role": "assistant"
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[
{
"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
"role": "system"
},
{
"content": "What are the accurate statements regarding the characteristics of epidural anesthesia concerning its effectiveness and potential contraindications?",
"role": "user"
},
{
"content": "Epidural anesthesia is highly effective in providing pain relief while allowing patients to maintain sensation and movement, which makes it a popular choice in situations like childbirth and certain surgical procedures. However, its effectiveness can be influenced by factors such as the patient's anatomy and the skill level of the practitioner performing the procedure.\n\nThere are also several potential contraindications to consider. Patient refusal is a straightforward reason to avoid epidural anesthesia. Additionally, medical conditions such as an active infection at the injection site, low blood volume, bleeding disorders (coagulopathy), and allergies to the pain-relieving medications used can all serve as contraindications. While the procedure is generally safe, potential risks do exist, including the possibility of low blood pressure and, though rare, complications like abscesses or hematomas.\n\nOverall, while epidural anesthesia is usually effective and safe, it's important to evaluate each patient's individual circumstances and health status to determine its suitability.",
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{
"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
"role": "system"
},
{
"content": "Hi, I ve been putting this off for some while but I ve decided to ask about it, it s not exactly trivial but it affects my nerves a bit. My foreskin won t slide over the head of my penis and I m not sure whether it s meant to or not but I ve had sex once before and it was kinda painful and haven t had sex since. Is there anything that can be done about it?",
"role": "user"
},
{
"content": "Hi, thank you for using Chat Doctor. I can understand your concern. As you reported you have tight foreskin which is difficult to slide over penis head. With tight foreskin penetrating act while sex would be painful. This condition should be treated with minor operation for losing the foreskin, or you can go for circumcision also. This Surgical procedure is routinely done for this indication and will be very minor one. You can visit surgeon who will be able to help you in this. Hope this will help you. Regards.",
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{
"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
"role": "system"
},
{
"content": "my son is 10,51 inches, and 79 pounds and had a fever Sunday morning of 103.3 with fever reducer it went down to normal temp. It then came back around 6 in the pm. and took a second treatment of fever reducer and it went down easily.About 10pm i took his temp and it went down to 96.3 I have been keeping an eye on him and he has been sleeping, sweaty and his body cold.I currently took his temp and it is down to 93.8. His temp has never been low before. I have 2 blakets on him to try and get him warm. He has been on antibiotics since friday for double ear infection and has been complaining about his trout hurting, stomach hurting,a bad cough, he has mouth sores and cant eat. What do I do? what could it be? whe do i worry about hte low temp?",
"role": "user"
},
{
"content": "Thanks to ChatDoctorI can understand your concern don't worry, fever in most of viral infections have sudden rise and fall below normal once we have taken medicine if there are no chills and rigors don't worry, it won't cause any trouble anyway ear infection will be controlled by antibiotics to prevent secondary infection just undergo some investigations like CBP. TIDAL, FEVER PROFILE CHEST X RAY FEVER NOT SUBSIDE Let him continue antibiotic till reports comes and antipyretic like paracetamol along with above Chat Doctor. Gentle doing mouthwash will help to relieve soreness of mouth . Ok plenty of liquids orally is better than solids low temperature generally up to certain extent nothing will harm the body. Clean the ear with chosen buds if there is discharge , keep it clean he will be normal shortly .ok",
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{
"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
"role": "system"
},
{
"content": "I am always tired. I sleep almost thirteen hours every night, I am a vegetarian but take multi vitamin s daily. I ve been a vegetarian for more than five years and recently I feel very exhausted and I have no motivation to do anything because of the drowsiness. Please help.",
"role": "user"
},
{
"content": "Hello, Thank you for your contact to Chat Doctor. I understand your concern. If I am your doctor I suggest you that you should do regular early morning yoga, and exercise. I understand it initially it is very difficult. But once you start it gradually it will increase your work capacity and will power to do some work. I will be happy to answer your further concerned can contact me. Chat Doctor. Infectious disease specialist. Thank you.",
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[
{
"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
"role": "system"
},
{
"content": "How can the medical terminology used in the diagnosis of \"Endometrioid adenocarcinoma, grade I, arising from broad ligament adenomyoma, FIGO-IC\" be rephrased to make it more understandable for the patient and their family?",
"role": "user"
},
{
"content": "To make the diagnosis of endometrioid adenocarcinoma arising from broad ligament adenomyoma more understandable for the patient and their family, it could be explained as a type of cancer that started in a growth on the uterus and spread to the surrounding tissue. The cancer was treated with surgery and chemotherapy, and the patient is currently doing well with regular follow-up appointments.",
"role": "assistant"
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[
{
"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
"role": "system"
},
{
"content": "When was ganciclovir treatment initiated, and what was it administered for?",
"role": "user"
},
{
"content": "Ganciclovir treatment was initiated after the patient tested positive for pp65 antigenemia. It was administered for the resolution of the CMV-associated Parsonage-Turner plexopathy.",
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{
"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
"role": "system"
},
{
"content": "I seem to have hard time breathing when I step out of the shower. I also seem to uncounciously \"hold\" my breath, more like a breath very slow and shallow and my mouth is closed alot. When climbing stairs, if i think about it and breath its a lot easier, but usually my breathing is labored after a flight of stairs.",
"role": "user"
},
{
"content": "Hi thanks for asking question. Your physical examination is necessary with auscultation. First rule out common condition for dyspnea that is anemia...PS examination with HE estimation done.... Second here dyspnea while staircase walk. So if any cardiac history or hypertension history present then ECG or echo done to rule out early stage of heart failure.... Thirdly if no cardiac cause then respiratory causes worked out by chest x-ray and pulmonary function test ... According to cause treatment done... If nothing found abnormal then psychogenic or panic attack by stress investigated.... Take care....",
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{
"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
"role": "system"
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{
"content": "I've been trying to navigate the complexities of my care needs and the limited resources available to me. The idea of respite care has been on my mind, but I've been unsure of how to proceed. My current caregiver often disrupts my peace, leaving me feeling drained and unable to focus on essential tasks. I've considered the possibility of a companion, but the cost of hiring a private caregiver is a significant concern.",
"role": "user"
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{
"content": "I understand the challenges you face in managing your care needs while balancing your budget. While Evergreen does offer some services, such as a weekly bather and physical therapy sessions, their respite care options may not fully meet your requirements. You've expressed a need for personal space and the ability to manage household tasks.\n\nOne potential solution could be to explore community resources or local organizations that offer respite care services. These services may be free or low-cost, and they could provide you with the opportunity to take a break from your caregiver while still receiving the support you need. Another option could be to hire a private caregiver on a part-time basis, allowing you to manage their wages and schedule while still benefiting from their assistance.\n\nRegardless of the approach you choose, it's essential to prioritize your self-care and well-being. By taking care of yourself, you'll be better equipped to handle the challenges that come with managing your care needs and navigating the complexities of the healthcare system. Remember, you're not alone in this journey, and there are resources and support available to help you along the way.",
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[
{
"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
"role": "system"
},
{
"content": "i have been diagnosed with hepatomegaly with fatty liver grade 3. Liver size is 16.9 cm and shows diffuse increase in parenchymal echotexture. No focal lesion is seen. IHBR are not dilated. Portal vein radicles are normal. CBD and MPV are normal. I am scare please suggest",
"role": "user"
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"content": "Hi thanks for asking question... Here before answering I need to know about whether you taking alcohol??? Overweight ??? Serum cholesterol value??? History of jaundice etc.....Anyhow, here strict dietary control needed. Avoid fatty food. Fried food taken less. Only good oil in little amount used like sunflower oil. Fruits more. Green leafy veg ... Do one hour exercise regularly.... Papaiya good fruit to be taken. Licorice with honey one tsp good herbal remedy ... Avoid trans fat food like cheese, meat, baked pastry, chips etc..... Avoid alcohol Chat Doctor. Take care. If jaundice occur consult doctor...",
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[
{
"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
"role": "system"
},
{
"content": "What procedures were taken to remove the patient's right atrium tumor causing tricuspid valve inflow obstruction and what postoperative complications were experienced?",
"role": "user"
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{
"content": "To remove the patient's right atrium tumor causing tricuspid valve inflow obstruction, the procedure used was longitudinal right atriotomy with the tumor's base of attachment. However, postoperative complications included respiratory failure, prolonged mechanical ventilation, pneumonia, and acute renal failure.",
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[
{
"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
"role": "system"
},
{
"content": "I have been having severe lower abdominal pain with nausea/vomiting. I have been in the hospital with it for nearly a week, and my labs are all pretty normal. I ve had a consult with a Urologist, OBGYN, GI doctor, and now with a general surgeon.I m really frustrated because of the severity of pain and nothing is being diagnosed---The surgeon did mention that he could possibly do a laparscopic procedure to see if anything is visible. Is this reasonable?",
"role": "user"
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{
"content": "Hi, thank you for providing the brief history of you. As you have done all the possible tests and consulting the specialist which turned out to be a normal reports than what I feel is a muscular pain only. Kindly try doing physical therapy and strengthening exercise for the pelvic floor muscles as this may help to reduce the pain. If this doesn't help much then laparoscopy is performed. Also, in my clinic practice most cases recover well with physical therapy. RegardsJay In Chat Doctor. ",
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[
{
"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
"role": "system"
},
{
"content": "What abbreviations in the discharge summary related to the patient's psoriasis treatment require expansion?",
"role": "user"
},
{
"content": "The abbreviation \"PASI\" in the discharge summary refers to Psoriasis Area and Severity Index, which measures the severity and extent of psoriasis. The medications mentioned in the summary that require expansion are acitretin, cyclosporine, and efalizumab.",
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[
{
"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
"role": "system"
},
{
"content": "What was the patient diagnosed with and subsequently underwent a total thyroidectomy due to infiltration of the right common carotid artery, as stated in the discharge summary?",
"role": "user"
},
{
"content": "The patient was diagnosed with a high grade pleomorphic sarcoma consistent with rhabdomyosarcoma, and subsequently an undifferentiated malignant tumor and underwent a total thyroidectomy due to infiltration of the right common carotid artery, as stated in the discharge summary.",
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[
{
"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
"role": "system"
},
{
"content": "When was the diagnosis of Neuroendocrine carcinoma of Meckel's diverticulum established in this patient's hospital course, and was it before or after the urgent operation?",
"role": "user"
},
{
"content": "The diagnosis of Neuroendocrine carcinoma of Meckel's diverticulum was established during the pathological work-up of the resected Meckel's diverticulum, which was performed after the urgent operation.",
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[
{
"content": "You are a helpful, honest and harmless specialized in mental health therapy. You are given a conversation between a therapist and a patient. You are to respond to the patient's message based on the conversation history and the therapist's message. You are to respond in the same language as the patient's message. \n\nThink through each question logically and provide an answer. Don't make things up, if you're unable to answer a question advise the user that you're unable to answer as it is outside of your scope.\n\n",
"role": "system"
},
{
"content": "The Joy of Reunion",
"role": "user"
},
{
"content": "The joy of reuniting with loved ones is like finding the missing piece of a puzzle. It's a melody of laughter, tears of joy, and warm embraces that echo through time. In these moments, we realize the true beauty of human relations - the ability to bridge distances and create lasting bonds.",
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