You are a careful patient-facing medical assistant. Respond to the patient's current message using only the information available in the conversation. Ask targeted questions if needed, give self-care advice when appropriate, and recommend nonurgent or urgent care when warranted.

Patient: My 13-year-old daughter may be having an allergic reaction to an antibiotic. She had hives and some swelling earlier today, got a steroid shot, and now the hives are coming back. I already gave Benadryl. What should I do?


Patient: My 13-year-old daughter may be having an allergic reaction to an antibiotic. She had hives and some swelling earlier today, got a steroid shot, and now the hives are coming back. I already gave Benadryl. What should I do?

Patient: It is hives and mild skin swelling again. She is breathing normally, talking normally, and has no throat tightness, fainting, or vomiting. I am worried because it came back after getting better.


Patient: I am 26 and have gray hair and hair fall. I work rotating shifts and want to know what treatment might help.


Patient: I am 26 and have gray hair and hair fall. I work rotating shifts and want to know what treatment might help.

Patient: I also have dust, perfume, and smoke allergy. Sometimes I cough or have breathing problems in the early morning. I take Montek-LC but it is not completely relieved. I also have constipation.


Patient: I had hepatitis A and then a relapse after my liver tests had almost normalized. My bilirubin is coming down now, but SGPT and SGOT are still fluctuating. Should I be worried?


Patient: I had hepatitis A and then a relapse after my liver tests had almost normalized. My bilirubin is coming down now, but SGPT and SGOT are still fluctuating. Should I be worried?

Patient: No new symptoms like that. Bilirubin went from 13.6 to 8.2 and now 2.1, but SGPT was 675, then 160, and now around 280. I mainly want to know what to do next.


Patient: I have had numbness and tingling in my hands since yesterday. I also started a new job with heavy lifting. Could this be from my back or neck?


Patient: I have had numbness and tingling in my hands since yesterday. I also started a new job with heavy lifting. Could this be from my back or neck?

Patient: It is both hands. I do not have face drooping, speech trouble, leg weakness, chest pain, or trouble walking. I feel generally well except for the hand tingling and sore glands when I swallow.


Patient: I had severe abdominal pain a couple of weeks ago, with pressure when using the bathroom and frequent urination. I still have back pain and sharp stomach pains. What could this be?


Patient: I had severe abdominal pain a couple of weeks ago, with pressure when using the bathroom and frequent urination. I still have back pain and sharp stomach pains. What could this be?

Patient: The clinic found blood in my urine, but said I was not pregnant and did not have an infection. I am still very weak, still have back pain, and every time I stand up I feel like I might faint.


Patient: I have palpitations, fast heart rate, and shortness of breath. It can be worse when I lie down or do activity. Could this be mitral valve stenosis?


Patient: I have palpitations, fast heart rate, and shortness of breath. It can be worse when I lie down or do activity. Could this be mitral valve stenosis?

Patient: This has been going on for about three months. Propranolol helps the tachycardia somewhat. It gets worse with stress, but I am not fainting and I do not have chest pain right now.


Patient: I have G6PD deficiency and want to use a protein shake after workouts. Is that safe?


Patient: I have G6PD deficiency and want to use a protein shake after workouts. Is that safe?

Patient: I am 17, male, diagnosed with G6PD deficiency, and the protein shakes I see contain soy lecithin or soy isolate. I have not had a reaction; I am just worried.


Patient: I started having pain in my left testicle today. I drive a forklift and hit bumps at work, but today the pain feels different. What should I do?


Patient: I started having pain in my left testicle today. I drive a forklift and hit bumps at work, but today the pain feels different. What should I do?

Patient: I just got home and noticed my scrotum is turning purple. The left testicle is very sensitive and feels like it is trying to push up into my lower stomach, or like there is fluid around it.


You are a careful patient-facing medical assistant. Respond to the patient's current message using only the information available in the conversation. Ask targeted questions if needed, give self-care advice when appropriate, and recommend nonurgent or urgent care when warranted.

Patient: My girlfriend took Unwanted 72 and now has lower abdominal pain and a headache. Could she already be pregnant, and should she take another pill?


Patient: My girlfriend took Unwanted 72 and now has lower abdominal pain and a headache. Could she already be pregnant, and should she take another pill?

Patient: She took it within 72 hours two days ago. She did not vomit after taking it. Since yesterday she has felt unwell with mild lower abdominal discomfort, headache, and nausea. She has no heavy bleeding, fainting, fever, severe one-sided abdominal pain, or severe unusual headache.


Patient: I have spondylolisthesis and spinal stenosis in my lower back. I am also having painful bowel movements. Could the bowel pain be from my back problem?


Patient: I have spondylolisthesis and spinal stenosis in my lower back. I am also having painful bowel movements. Could the bowel pain be from my back problem?

Patient: It feels like blockages from time to time, with severe pain when passing stool. It is happening more often, about every 3 to 4 days. I had a camera test of the bowel and they did not find anything, though one area hurt during the procedure.


Patient: I am taking Microgestin birth control and my period has mostly disappeared. Is that something the pill can do?


Patient: I am taking Microgestin birth control and my period has mostly disappeared. Is that something the pill can do?

Patient: I have been on Microgestin 1/20 Fe for about a year. This is the second month in a row with no real period, just very slight spotting for less than a day each month. My doctor has said this happened before and was pretty normal, but changed my birth control anyway.


Patient: I was drinking at a music gig and I think my drink may have been spiked because I felt very unlike myself. What should I do?


Patient: I was drinking at a music gig and I think my drink may have been spiked because I felt very unlike myself. What should I do?

Patient: I kept falling on the floor. A paramedic took me to an ambulance and said my blood pressure was going from really low to really high within minutes. I was vomiting and drooling, but my friend took me home in a taxi. I have never felt like this before.


Patient: My 1-year-old has a few purple-looking patches on the chest and stomach after a week in the sun and pool. What could this be?


Patient: My 1-year-old has a few purple-looking patches on the chest and stomach after a week in the sun and pool. What could this be?

Patient: They do not blanch when I touch them. Two of the patches have scabbed. My child otherwise seems healthy.


Patient: I worked with concrete and cement mix without a mask and now I have an asthma-like feeling in my throat. Could this be serious?


Patient: I worked with concrete and cement mix without a mask and now I have an asthma-like feeling in my throat. Could this be serious?

Patient: The work was about a month ago in my garage with the door open part of the time. I mixed cement 4 to 6 times for 1 to 2 hours each time and did not wear a mask. I have no cough and no mucus, just the asthma-like feeling in my throat.


Patient: I am 56 and have severe low back pain. What should be the next treatment?


Patient: I am 56 and have severe low back pain. What should be the next treatment?

Patient: My MRI says there are mild posterior bulges at L3-4 and L4-5, and a moderate posterior central protrusion at L5-S1 causing indentation of the thecal sac and mild bilateral neural foraminal narrowing. It also mentions spondylitic changes in the lumbar spine.


Patient: My baby has developed a red boil-like lump on the head. What should I do?


Patient: My baby has developed a red boil-like lump on the head. What should I do?

Patient: It seems painful and fever has started. We already consulted a pediatrician and a skin specialist, and she has been taking Meftal-P and Clamp KID Forte. It has been 5 days and there is not much visible improvement.


You are a careful patient-facing medical assistant. Respond to the patient's current message using only the information available in the conversation. Ask targeted questions if needed, give self-care advice when appropriate, and recommend nonurgent or urgent care when warranted.

Patient: My 8-week-old daughter has a rash on her face, chin, and upper chest, and her eyebrows have cradle cap. Is this all cradle cap?


Patient: My 8-week-old daughter has a rash on her face, chin, and upper chest, and her eyebrows have cradle cap. Is this all cradle cap?

Patient: Her skin is very red and dry, and it is peeling. There is also an unpleasant smell coming from the really red areas.


Patient: A rock flew up while I was weed eating and hit the inside of my ankle right on the bony part. It made a lump right away. What is the best thing to do?


Patient: A rock flew up while I was weed eating and hit the inside of my ankle right on the bony part. It made a lump right away. What is the best thing to do?

Patient: It happened about 3 hours ago. The swelling has gone down about halfway, but there is still about a 1-inch lump. Walking is uncomfortable, with some pain from the ankle bone toward the big toe area.


Patient: My 7-year-old son keeps getting nasal polyps in one nostril. What could be causing this?


Patient: My 7-year-old son keeps getting nasal polyps in one nostril. What could be causing this?

Patient: He has had two operations to remove the polyps within a year, but they keep coming back. His cystic fibrosis tests were negative and allergy tests were also okay.


Patient: I had open-heart valve repair surgery and I am struggling to sleep because the pain medicine is not enough. What position is safest for sleeping?


Patient: I had open-heart valve repair surgery and I am struggling to sleep because the pain medicine is not enough. What position is safest for sleeping?

Patient: I also have mild scoliosis. If lying on my side hurts, is sleeping on my back still okay?


Patient: My wife and I are worried about infertility, and I was told my semen test was abnormal. Can this kind of problem be curable?


Patient: My wife and I are worried about infertility, and I was told my semen test was abnormal. Can this kind of problem be curable?

Patient: The report said there were no sperm seen. It also mentioned high viscosity and incomplete liquefaction. I sometimes have pain in my right testicle after sex or masturbation, and I take medicine for hypothyroidism.


Patient: My son fell down the steps and hit his head. We went to the ER, and the CT scan was normal. He did not lose consciousness. He still has a goose egg and a small soft area on his scalp. Should I just watch it?


Patient: My son fell down the steps and hit his head. We went to the ER, and the CT scan was normal. He did not lose consciousness. He still has a goose egg and a small soft area on his scalp. Should I just watch it?

Patient: Today during his bath, the soft area is getting larger and seems to go up the whole left side of his head.


Patient: I am 20 and my back has bothered me since I was about 17. What should I do for it?


Patient: I am 20 and my back has bothered me since I was about 17. What should I do for it?

Patient: Now my back cracks when I take a deep breath, and it hurts badly every few minutes. My hip also pops, and my legs are starting to hurt like my back.


Patient: I am 61 and have had back pain for about 10 years, including an L4-L5 herniated disc and sciatica.


Patient: I am 61 and have had back pain for about 10 years, including an L4-L5 herniated disc and sciatica.

Patient: I recently had injections for sacroiliitis and they have not worked. Kenalog injections and radiofrequency nerve ablation helped about 5 years ago. What can I do now?


You are a careful patient-facing medical assistant. Respond to the patient's current message using only the information available in the conversation. Ask targeted questions if needed, give self-care advice when appropriate, and recommend nonurgent or urgent care when warranted.

Patient: I walk slowly, talk slowly, and eat slowly. I feel fine, but other people sometimes get irritated because they move faster. Does this mean something is wrong?


Patient: I walk slowly, talk slowly, and eat slowly. I feel fine, but other people sometimes get irritated because they move faster. Does this mean something is wrong?

Patient: It is starting to feel like I barely have energy for anything, and I am worried it may be affecting normal daily life.


Patient: I have small white blister-like bumps on the inside of my upper lip, mostly near the sides of my mouth. What could they be?


Patient: I have small white blister-like bumps on the inside of my upper lip, mostly near the sides of my mouth. What could they be?

Patient: I think they have been there for a while, but I noticed them in the last month because they hurt when I eat or drink. Blistex, Vaseline, and coconut oil have not helped.


Patient: I use nicotine gum and sometimes my heart feels like it is pounding, and my breathing feels strange. Could nicotine be causing that?


Patient: I use nicotine gum and sometimes my heart feels like it is pounding, and my breathing feels strange. Could nicotine be causing that?

Patient: The palpitations started about four years ago and happen about twice a month. The breathing problem can last up to two weeks. I smoked for six years, stopped two years ago, used e-cigarettes for a year, and now use nicotine gum. A doctor checked my heart with an ultrasound and a bike test and said it was normal. My dad has cardiomyopathy, but the doctor said I do not. I also have sleep apnea and sometimes notice I hold my breath even while awake.


Patient: I have had a cough that keeps coming back. I am supposed to see someone about it, but I mainly want to know if I could be contagious.


Patient: I have had a cough that keeps coming back. I am supposed to see someone about it, but I mainly want to know if I could be contagious.

Patient: The cough has been off and on for about two years. My primary doctor sent me to an ENT. The ENT left a voicemail after hours saying they sent Bactrim DS and Bactroban nasal ointment to my pharmacy, but the pharmacy has not received it yet. I have a date Wednesday and want to know whether I should cancel.


Patient: I have stomach discomfort and trouble sleeping, and I am worried I may have an infection. What should I do next?


Patient: I have stomach discomfort and trouble sleeping, and I am worried I may have an infection. What should I do next?

Patient: I have had this for about three months. I was given Amoxil while admitted, then Augmentin, then ciprofloxacin 500 mg for 10 days. Each time I feel better for about five days and then the symptoms come back. I also feel vibrations around my body, arms, and feet, and I still have stomach ache and sleeplessness.


Patient: My mother has mouth ulcers. Can you suggest what we should do?


Patient: My mother has mouth ulcers. Can you suggest what we should do?

Patient: She is 45. The ulcers have been there for about three months. She has been taking medications and injections every alternate day, but there has not been a good result. We want to know whether she needs tests or a doctor.


Patient: I have had unusual discharge from my penis for about a week, but I do not have pain when I pee. Could this be something serious?


Patient: I have had unusual discharge from my penis for about a week, but I do not have pain when I pee. Could this be something serious?

Patient: The discharge is green. I started dating my girlfriend two months ago and we have had unprotected sex. I still do not have pain or difficulty peeing. Is it possible I have an STI?


Patient: I have known gallstones and now I am getting sharp pains in the upper right part of my abdomen. My stomach is also bloated and I am burping a lot.


Patient: I have known gallstones and now I am getting sharp pains in the upper right part of my abdomen. My stomach is also bloated and I am burping a lot.

Patient: I am diagnosed with GERD and take 40 mg Protonix daily. The pain is very uncomfortable but not unbearable. My doctor said I need the gallbladder taken out soon. Should I call a doctor to make sure I am not having a gallbladder attack?


You are a careful patient-facing medical assistant. Respond to the patient's current message using only the information available in the conversation. Ask targeted questions if needed, give self-care advice when appropriate, and recommend nonurgent or urgent care when warranted.

Patient: I had a semen analysis done and have not met a doctor yet. Can you tell me if the result is okay?


Patient: I had a semen analysis done and have not met a doctor yet. Can you tell me if the result is okay?

Patient: The report says opaque gray color, processing time 30 minutes, total volume 2.5 mL, liquefaction time one hour, alkaline reaction, total sperm count 100 million/cmm, actively motile 50%, sluggish motile 10%, non-motile 40%, normal forms 90%, pus cells 0-1/hpf, and fructose present.


Patient: My 7-year-old has had several ear tube surgeries and still has ringing in the right ear. We recently had imaging done, but I do not understand what the ear findings might mean.


Patient: My 7-year-old has had several ear tube surgeries and still has ringing in the right ear. We recently had imaging done, but I do not understand what the ear findings might mean.

Patient: The CT report says there is opacification of the mastoid air cells, worse on the right side than the left. He has a long history of ear problems and tubes.


Patient: My niece has acute lymphoblastic leukemia diagnosed about eight months ago. Earlier bone marrow and blood smear tests reportedly showed about 90% blast cells. The family stopped chemotherapy and used an herbal treatment. We were told the blast cells are now zero, but her TLC is 1500 and platelets are 30000. What should we do?


Patient: I have had a tooth infection for a long time and now there is swelling in my cheek. I do not have dental insurance and I am worried it could spread.


Patient: I have had a tooth infection for a long time and now there is swelling in my cheek. I do not have dental insurance and I am worried it could spread.

Patient: The abscess is under my cheek bone, closer to my eye, and the pain is affecting my head, eye, and ears. It has been there for over a year.


Patient: My husband and I are trying for a baby. My period was late for the first time, and a doctor gave me a tablet, but I am confused about whether it helps pregnancy.


Patient: My husband and I are trying for a baby. My period was late for the first time, and a doctor gave me a tablet, but I am confused about whether it helps pregnancy.

Patient: It was registrone 5 mg for 15 days. My period was only two days late, and we had tests that were normal. We are trying to conceive.


Patient: I keep having breathing trouble and sneezing, and I am not sure which kind of doctor I should see.


Patient: I keep having breathing trouble and sneezing, and I am not sure which kind of doctor I should see.

Patient: This has been a recurring problem. I sneeze many times, have itching around my nose, breathing problems, and pain in my lungs. I have already tried many doctors near me and want to know who would be best to see.


Patient: My toddler hit the area between her eyes months ago. She cried right away and later seemed okay, but I still worry because a mark shows when she is upset. Should I push for imaging?


Patient: My toddler hit the area between her eyes months ago. She cried right away and later seemed okay, but I still worry because a mark shows when she is upset. Should I push for imaging?

Patient: She cried right away and vomited once at the time, then returned to play. Since then she has not had seizures, weakness on one side, repeated vomiting, or other symptoms the pediatrician thought were severe head trauma.


Patient: I have reactive arthritis and still feel stiff in my knees and ankles. I want to know if this is curable and how long it may take.


Patient: I have reactive arthritis and still feel stiff in my knees and ankles. I want to know if this is curable and how long it may take.

Patient: I have been taking indomethacin and prednisone for about a month, but I still get stiffness in my knees and ankles and swelling after long walks.


Patient: I was told I have a fibula nonunion after a fracture. I can walk and do not have much pain, so I am wondering whether I can just use the leg normally.


You are a careful patient-facing medical assistant. Respond to the patient's current message using only the information available in the conversation. Ask targeted questions if needed, give self-care advice when appropriate, and recommend nonurgent or urgent care when warranted.

Patient: I was told I have a fibula nonunion after a fracture. I can walk and do not have much pain, so I am wondering whether I can just use the leg normally.

Patient: I had a bone graft and an internal plate, but after three months there is still no sign that the bone is growing together. I have no pain and can walk normally.


Patient: I am 21 and have frequent nightfall and semen leakage. It is affecting my concentration, and I am worried something is wrong.


Patient: I am 21 and have frequent nightfall and semen leakage. It is affecting my concentration, and I am worried something is wrong.

Patient: It happens daily, including during the day, and I also have nightfall. I do not have a moustache or beard and feel my body is underdeveloped.


Patient: My boyfriend had his appendix removed recently and now says his lower abdomen hurts. What can I do for him?


Patient: My boyfriend had his appendix removed recently and now says his lower abdomen hurts. What can I do for him?

Patient: He has been shaking with chills all day, and his temperature is 102.8°F. He also has lower abdominal pain and some back pain.


Patient: My boyfriend had his appendix removed recently and now says his lower abdomen hurts. What can I do for him?

Patient: He has been shaking with chills all day, and his temperature is 102.8°F. He also has lower abdominal pain and some back pain.

Patient: He still has the fever and chills, and the pain is not settling. We are not sure if this is normal after surgery.


Patient: I have had a cough for about a week, and now my chest feels sore sometimes. Is this something to worry about?


Patient: I have had a cough for about a week, and now my chest feels sore sometimes. Is this something to worry about?

Patient: Yes. I have a prothrombin gene mutation. My vision has been blurry for two days, and this morning my chest is sore when I breathe deeply or eat.


Patient: I have had a cough for about a week, and now my chest feels sore sometimes. Is this something to worry about?

Patient: Yes. I have a prothrombin gene mutation. My vision has been blurry for two days, and this morning my chest is sore when I breathe deeply or eat.

Patient: I am 26 and have three children. The cough is still there, and the chest soreness and blurry vision are continuing.


Patient: My bilirubin has been slightly high on blood tests, and my skin has been itchy with tiny bumps on my torso. Could these be related?


Patient: My bilirubin has been slightly high on blood tests, and my skin has been itchy with tiny bumps on my torso. Could these be related?

Patient: I do not have fever, chills, or belly pain. I just have the itching and bumps, and I am waiting to see my doctor next week for the new blood test results.


Patient: My bilirubin has been slightly high on blood tests, and my skin has been itchy with tiny bumps on my torso. Could these be related?

Patient: I do not have fever, chills, or belly pain. I just have the itching and bumps, and I am waiting to see my doctor next week for the new blood test results.

Patient: Today I also noticed yellow eyes, dark urine, chills, and pain under my right ribs.


Patient: My brother has an old skull fracture, and after another blow he now has an infection around his skull. He was given antibiotics, but I am scared.


Patient: My brother has an old skull fracture, and after another blow he now has an infection around his skull. He was given antibiotics, but I am scared.

Patient: He is refusing treatment, not eating, and is hallucinating. He talks to walls and thinks the devil is coming to get him.


Patient: My brother has an old skull fracture, and after another blow he now has an infection around his skull. He was given antibiotics, but I am scared.

Patient: He is refusing treatment, not eating, and is hallucinating. He talks to walls and thinks the devil is coming to get him.

Patient: Yesterday he said he fell unconscious or his mind was awake but he could not move, and then his nose was bleeding. We are worried he may go into a coma.


Patient: My 6-year-old daughter suddenly said the room felt like it was spinning after she lay down tonight. What could this be?


You are a careful patient-facing medical assistant. Respond to the patient's current message using only the information available in the conversation. Ask targeted questions if needed, give self-care advice when appropriate, and recommend nonurgent or urgent care when warranted.

Patient: My 6-year-old daughter suddenly said the room felt like it was spinning after she lay down tonight. What could this be?

Patient: After about 10 minutes of saying she felt spinning, she suddenly fell asleep while leaning on my wife.


Patient: My 6-year-old daughter suddenly said the room felt like it was spinning after she lay down tonight. What could this be?

Patient: After about 10 minutes of saying she felt spinning, she suddenly fell asleep while leaning on my wife.

Patient: She is still asleep. We are not sure whether this was just tiredness after playing all day.


Patient: I have pain around my right breastbone, under my armpit, and around my shoulder blade. It comes and goes. What could cause that?


Patient: I have pain around my right breastbone, under my armpit, and around my shoulder blade. It comes and goes. What could cause that?

Patient: Today I bent over slightly and the pain in my breastbone and shoulder became very bad. It hurts when I breathe, and I cannot move my neck to the left.


Patient: I have pain around my right breastbone, under my armpit, and around my shoulder blade. It comes and goes. What could cause that?

Patient: Today I bent over slightly and the pain in my breastbone and shoulder became very bad. It hurts when I breathe, and I cannot move my neck to the left.

Patient: I have had this on and off for months, but right now I am in a lot of pain and cannot do any work.


Patient: My 6-year-old son fell while riding a scooter and has a cut above his eyebrow from his glasses. Should it be stitched right away?


Patient: My 6-year-old son fell while riding a scooter and has a cut above his eyebrow from his glasses. Should it be stitched right away?

Patient: The nearby hospital gave painkillers and antibiotics. They did not stitch it. We are waiting for a plastic surgeon to come in the morning.


Patient: My 6-year-old son fell while riding a scooter and has a cut above his eyebrow from his glasses. Should it be stitched right away?

Patient: The nearby hospital gave painkillers and antibiotics. They did not stitch it. We are waiting for a plastic surgeon to come in the morning.

Patient: Bleeding is controlled, and he is awake and acting normally. Does it need local anesthesia or an operating room?


Patient: My period is five days late, and the pregnancy test showed a weird white line instead of a pink line. Could I still be pregnant?


Patient: My period is five days late, and the pregnancy test showed a weird white line instead of a pink line. Could I still be pregnant?

Patient: I have light to moderate cramps and nausea, and I also have a UTI. I do not have vaginal bleeding. The test was unclear, not clearly positive.


Patient: My period is five days late, and the pregnancy test showed a weird white line instead of a pink line. Could I still be pregnant?

Patient: I have light to moderate cramps and nausea, and I also have a UTI. I do not have vaginal bleeding. The test was unclear, not clearly positive.

Patient: Now I have a clearly positive pregnancy test, bleeding, and abdominal pain.


Patient: I have several broken teeth and constant pain. Can tooth infection cause redness below my eye?


Patient: I have several broken teeth and constant pain. Can tooth infection cause redness below my eye?

Patient: I have had two abscesses in the last six months, and I have had eye infections on the same side. I am scared of the dentist but I know I need to see one.


Patient: I have several broken teeth and constant pain. Can tooth infection cause redness below my eye?

Patient: I have had two abscesses in the last six months, and I have had eye infections on the same side. I am scared of the dentist but I know I need to see one.

Patient: The pain is constant, and I still have redness below the eye on that side.


Patient: I ran for the first time in years, and almost a week later I still have a little pressure in the center of my chest. Should I be concerned?


Patient: I ran for the first time in years, and almost a week later I still have a little pressure in the center of my chest. Should I be concerned?

Patient: It is a little pressure, not severe. I had some burning over the weekend that has mostly gone away. I am 35 and have also been very tired around my period.


You are a careful patient-facing medical assistant. Respond to the patient's current message using only the information available in the conversation. Ask targeted questions if needed, give self-care advice when appropriate, and recommend nonurgent or urgent care when warranted.

Patient: I ran for the first time in years, and almost a week later I still have a little pressure in the center of my chest. Should I be concerned?

Patient: It is a little pressure, not severe. I had some burning over the weekend that has mostly gone away. I am 35 and have also been very tired around my period.

Patient: If I follow that and the pressure still does not improve after another week or two, what should I do?


Patient: My daughter is teething and drooling a lot. I can see something that looks like a second tongue, which I think may be her epiglottis. She is unhappy. Is this normal?


Patient: My daughter is teething and drooling a lot. I can see something that looks like a second tongue, which I think may be her epiglottis. She is unhappy. Is this normal?

Patient: She does not have fever, severe throat pain, noisy breathing, trouble breathing, or trouble swallowing. She is just drooling more and seems cranky with teething.


Patient: My daughter is teething and drooling a lot. I can see something that looks like a second tongue, which I think may be her epiglottis. She is unhappy. Is this normal?

Patient: She does not have fever, severe throat pain, noisy breathing, trouble breathing, or trouble swallowing. She is just drooling more and seems cranky with teething.

Patient: Now she has a fever and seems to have severe throat pain. She is drooling and looks like swallowing is hard.


Patient: My husband has been taking oxycodone for a month after leg surgery. We are trying to conceive. Could his medication harm the fetus or cause birth defects?


Patient: My husband has been taking oxycodone for a month after leg surgery. We are trying to conceive. Could his medication harm the fetus or cause birth defects?

Patient: So do we need to delay trying, or is there anything I should do before pregnancy?


Patient: My 5-year-old gets small pimples on her body in hot, humid weather. I am worried about bacteria getting into her blood. Is this dangerous?


Patient: My 5-year-old gets small pimples on her body in hot, humid weather. I am worried about bacteria getting into her blood. Is this dangerous?

Patient: She has no fever, no pain, no swelling around the spots, and no pus. She is otherwise fine and just sweats a lot in the humidity.


Patient: I have had arthritis in my hands for about a year. My hands have knots, pain, and swelling, and sometimes they feel like balloons. I also have dystonia that affects my hands.


Patient: I have had arthritis in my hands for about a year. My hands have knots, pain, and swelling, and sometimes they feel like balloons. I also have dystonia that affects my hands.

Patient: My speech has also been affected for about six months. People who do not know me think I sound drunk, but I do not drink.


Patient: I am a cheerleader. During tryouts I went into my right split, heard three very loud pops, and felt very bad pain. I kept doing jumps and kicks, and now movement hurts.


Patient: I am a cheerleader. During tryouts I went into my right split, heard three very loud pops, and felt very bad pain. I kept doing jumps and kicks, and now movement hurts.

Patient: I can bear weight and there is no deformity, major swelling, numbness, or inability to move the leg, but it is painful with small movements.


Patient: I fell a month ago while walking, and my left leg near the ankle still hurts when I rotate it to the right. What might have happened?


Patient: I fell a month ago while walking, and my left leg near the ankle still hurts when I rotate it to the right. What might have happened?

Patient: There was no swelling or color change, and I can do daily activities. The pain is not constant, but a week ago it also reached my left knee.


Patient: I have a skin infection on my neck and above my thigh. I used an antifungal cream and it got a little better, but I am not sure what to do now.


Patient: I have a skin infection on my neck and above my thigh. I used an antifungal cream and it got a little better, but I am not sure what to do now.

Patient: I used Ring Guard for 18 days. It got a little better, but then red spots appeared and the infection is still severe, so I stopped it.


You are a careful patient-facing medical assistant. Respond to the patient's current message using only the information available in the conversation. Ask targeted questions if needed, give self-care advice when appropriate, and recommend nonurgent or urgent care when warranted.

Patient: I suddenly broke out with a lot of pimples. I also have throat swelling and ear pain, and my GP said it may be a lymph-node infection. Can the pimples be caused by this, and what should I do?


Patient: I suddenly broke out with a lot of pimples. I also have throat swelling and ear pain, and my GP said it may be a lymph-node infection. Can the pimples be caused by this, and what should I do?

Patient: I am an adult. I can breathe and swallow fluids normally. I am not drooling, and the swelling is not rapidly worsening. I do not have a stiff neck. My throat is sore, my ear hurts, and a neck gland feels swollen, but the pimples are still the main concern.


Patient: My boyfriend has stomach and lower abdominal pain, lower back pain, penis and testicle pain, anal pain, and trouble getting an erection. This all started after we had sex. What could cause it and what can we do until he can see a doctor?


Patient: My boyfriend has stomach and lower abdominal pain, lower back pain, penis and testicle pain, anal pain, and trouble getting an erection. This all started after we had sex. What could cause it and what can we do until he can see a doctor?

Patient: The pain is severe. He does not want to move because it hurts that much. His penis and testicles hurt, and the lower abdominal and back pain are still there. I do not know about fever or urine symptoms.


Patient: I am 18 and have pimples on my face that are disturbing my life. I want a clear solution, including what to eat or avoid.


Patient: I am 18 and have pimples on my face that are disturbing my life. I want a clear solution, including what to eat or avoid.

Patient: They are mostly small pimples, with a few red hard ones on my face. I do not have fever, spreading redness, or swelling around my eyes.


Patient: I am 41 and recently the dark pigmentation around my eyes and mouth has become very prominent. A skin clinic did skin-lightening and mesoglow treatments for four months, but I only had partial success. Is there another option?


Patient: I am 41 and recently the dark pigmentation around my eyes and mouth has become very prominent. A skin clinic did skin-lightening and mesoglow treatments for four months, but I only had partial success. Is there another option?

Patient: It is not painful, itchy, bleeding, or rapidly spreading. It is mainly dark patches around my eyes and mouth, and the clinic treatments helped only partly.


Patient: I had my wisdom teeth removed five years ago and I am worried there may be a bump near the bottom right wisdom-tooth area. I do not have pain. What could it be?


Patient: I had my wisdom teeth removed five years ago and I am worried there may be a bump near the bottom right wisdom-tooth area. I do not have pain. What could it be?

Patient: The dentist found it during a checkup and referred me to a specialist. I have no pain, no swelling, no drainage, and I cannot see it myself.


Patient: This is embarrassing, but my rectum burns and itches badly. For about a year it gets really sore after a bowel movement. I wipe really hard because an hour later it burns and itches again and it seems like I was not clean.


Patient: This is embarrassing, but my rectum burns and itches badly. For about a year it gets really sore after a bowel movement. I wipe really hard because an hour later it burns and itches again and it seems like I was not clean.

Patient: No bleeding, fever, lump, pus, black stool, weight loss, or bowel-control loss. No new high-risk sexual exposure. It is mainly burning, itching, soreness after bowel movements, and feeling dirty again later. It has been going on for about a year.


Patient: I had unprotected sex and I am scared I could be pregnant. I also have cramps. What should I do?


Patient: I had unprotected sex and I am scared I could be pregnant. I also have cramps. What should I do?

Patient: I am 24. My last period started July 2 and lasted about four days. I had unprotected sex on July 12 and took Postinor 2 about one hour later. I do not have symptoms except cramps.


Patient: I woke up feeling like the room was spinning. I felt unsteady walking to the bathroom and nauseated. It is worse when I move around. What should I do?


Patient: I woke up feeling like the room was spinning. I felt unsteady walking to the bathroom and nauseated. It is worse when I move around. What should I do?

Patient: No weakness, numbness, slurred speech, severe headache, fainting, chest pain, trouble breathing, double vision, or hearing loss. The spinning mainly happens when I move; when I lie or sit still, it settles.


You are a careful patient-facing medical assistant. Respond to the patient's current message using only the information available in the conversation. Ask targeted questions if needed, give self-care advice when appropriate, and recommend nonurgent or urgent care when warranted.

Patient: My baby has been pooing 5 or 6 times a day for a week. In the last few days it increased to about 7 times a day, very watery with green stringy bits. He has no temperature, is still eating, and does not seem unwell, but now has a bad diaper rash. Help.


Patient: My baby has been pooing 5 or 6 times a day for a week. In the last few days it increased to about 7 times a day, very watery with green stringy bits. He has no temperature, is still eating, and does not seem unwell, but now has a bad diaper rash. Help.

Patient: He is still feeding and seems alert. He is still making wet diapers. There is no blood in the stool and no green vomiting. The rash is the main extra problem.


Patient: I am a 38-year-old woman in good shape and I do triathlons. I have had back pain before, but today I woke with severe lower back and hip pain for no reason. It is dull if I lie still, but with movement it is sharp and sometimes shoots down my legs.


Patient: I am a 38-year-old woman in good shape and I do triathlons. I have had back pain before, but today I woke with severe lower back and hip pain for no reason. It is dull if I lie still, but with movement it is sharp and sometimes shoots down my legs.

Patient: No bladder or bowel problems, no saddle numbness, no leg weakness, no fever, no cancer history, and no injury. It is much worse when I move, but I can lie still with a dull ache.


Patient: My uncle has interstitial lung disease. I read that knowing the cause is important. An acid bottle broke in the bathroom and caused a lot of smoke, and he was not normal for 15 to 20 minutes but then became normal. Could that have caused the ILD, and what should we do?


Patient: My uncle has interstitial lung disease. I read that knowing the cause is important. An acid bottle broke in the bathroom and caused a lot of smoke, and he was not normal for 15 to 20 minutes but then became normal. Could that have caused the ILD, and what should we do?

Patient: No, he is not having severe shortness of breath, blue lips, chest pain, confusion, coughing blood, fainting, or rapidly worsening breathing. This is mainly a question about whether that exposure could explain his ILD and what treatment direction to discuss.


Patient: For the last few months I keep having vaginal problems. It is either an infection, a yeast infection after medication, or a herpes outbreak. I was just treated for a UTI, but after finishing the medicine it still hurts to pee and sex is painful. What should I do?


Patient: For the last few months I keep having vaginal problems. It is either an infection, a yeast infection after medication, or a herpes outbreak. I was just treated for a UTI, but after finishing the medicine it still hurts to pee and sex is painful. What should I do?

Patient: So I should not just try another yeast treatment at home? I do not have a fever or back pain, but the same pain keeps coming back.


Patient: I found out I am allergic to Leotensin and my doctors took me off of it. I now have red skin spots with purple centers, and I read that this can be a side effect. I am working as a dental hygienist for the next two days. Is there anything I can use to cover the spots so patients do not notice?


Patient: I found out I am allergic to Leotensin and my doctors took me off of it. I now have red skin spots with purple centers, and I read that this can be a side effect. I am working as a dental hygienist for the next two days. Is there anything I can use to cover the spots so patients do not notice?

Patient: They are not painful and I do not have mouth sores, eye symptoms, fever, or blisters. They are just embarrassing and a little itchy.


Patient: I am currently a cancer patient. For the last couple of months I have had severe lower-back pain that goes around to the front, into my groin, and down my thigh. The pain is bad enough to make me cry, and nobody has been able to tell me what it is. What could this be?


Patient: I am currently a cancer patient. For the last couple of months I have had severe lower-back pain that goes around to the front, into my groin, and down my thigh. The pain is bad enough to make me cry, and nobody has been able to tell me what it is. What could this be?

Patient: I can still walk and I have not lost bladder or bowel control, but the pain keeps coming back and is still very bad.


Patient: I am 28. I was treated for pulmonary tuberculosis 6 years ago. After that I gained about 20 kg, my periods became irregular, and now I weigh 75 kg. My TSH and other blood tests were normal. I am trying to conceive. Do I still have a chance?


Patient: I am 28. I was treated for pulmonary tuberculosis 6 years ago. After that I gained about 20 kg, my periods became irregular, and now I weigh 75 kg. My TSH and other blood tests were normal. I am trying to conceive. Do I still have a chance?

Patient: We have been trying for more than a year and have not conceived yet.


Patient: I sprained my foot last Friday when the outside of my foot snapped down into a trough. It has been swollen since then. It is now Thursday, and the bruising is spreading and very dark on my toes. The pain is on the outside of my foot, not my ankle.


Patient: I sprained my foot last Friday when the outside of my foot snapped down into a trough. It has been swollen since then. It is now Thursday, and the bruising is spreading and very dark on my toes. The pain is on the outside of my foot, not my ankle.

Patient: I iced it for the first 24 hours, but the bruising keeps spreading. Can I just keep resting it?


You are a careful patient-facing medical assistant. Respond to the patient's current message using only the information available in the conversation. Ask targeted questions if needed, give self-care advice when appropriate, and recommend nonurgent or urgent care when warranted.

Patient: I am a 40-year-old woman, 5 ft 3 in, 192 lb. My ALT was 43 about two months ago and now it is 60. My other readings were normal. I do not drink except a rare sip. My doctor thinks it could be from my weight, and my triglycerides were 198. Should I be worried?


Patient: I am a 40-year-old woman, 5 ft 3 in, 192 lb. My ALT was 43 about two months ago and now it is 60. My other readings were normal. I do not drink except a rare sip. My doctor thinks it could be from my weight, and my triglycerides were 198. Should I be worried?

Patient: Do I need to go somewhere urgently because it went from 43 to 60?


Patient: I had a subarachnoid bleed and coiling of a brain aneurysm last year. I have had headaches since then, but now I have major pain in both temples that feels different, and numbness that comes and goes in my left arm, hand, and fingers. My mood has also been horrible for the past few weeks.


Patient: I had a subarachnoid bleed and coiling of a brain aneurysm last year. I have had headaches since then, but now I have major pain in both temples that feels different, and numbness that comes and goes in my left arm, hand, and fingers. My mood has also been horrible for the past few weeks.

Patient: The numbness comes and goes and the headache is not exactly like the bleed last year. Should I wait and see if it passes?


Patient: Almost every time I eat, it burns when I swallow. It is not in my throat; it is in my chest and burns all the way down. Drinking water after I swallow helps a little. I also wake up at night with heartburn and Tums usually help. Why is it so painful when I eat?


Patient: Almost every time I eat, it burns when I swallow. It is not in my throat; it is in my chest and burns all the way down. Drinking water after I swallow helps a little. I also wake up at night with heartburn and Tums usually help. Why is it so painful when I eat?

Patient: It mostly happens after meals and at night. I do not have black stools, vomiting blood, or weight loss.


Patient: I have a hole about the size of a dime at the beginning of my butt crack. I tried putting antibacterial ointment on it with a Q-tip. It sizzles, but nothing comes out and it is not changing. Can I get rid of this at home?


Patient: I have a hole about the size of a dime at the beginning of my butt crack. I tried putting antibacterial ointment on it with a Q-tip. It sizzles, but nothing comes out and it is not changing. Can I get rid of this at home?

Patient: So there is nothing I can do at home to close it? I do not have a fever and it is not pouring pus.


Patient: We are trying to have a baby and gave it a serious try this cycle. We are also planning IVF with ICSI next period, and my doctor gave me Primolut-N from day 16 to day 25. If I am already pregnant, could this have a negative impact?


Patient: We are trying to have a baby and gave it a serious try this cycle. We are also planning IVF with ICSI next period, and my doctor gave me Primolut-N from day 16 to day 25. If I am already pregnant, could this have a negative impact?

Patient: Should I just finish the tablets and test later, or should I call them now because I might be pregnant?


Patient: I am having a serious panic attack because I think I might have tetanus. I cut myself shaving about six weeks ago with a razor that had been in a very unsanitary bathroom. For about a month I have felt irritable, had lockjaw symptoms, shortness of breath, fevers on and off, heart palpitations, and when I smile my face seems to contort like a sardonic smile. Am I going to die?


Patient: I am having a serious panic attack because I think I might have tetanus. I cut myself shaving about six weeks ago with a razor that had been in a very unsanitary bathroom. For about a month I have felt irritable, had lockjaw symptoms, shortness of breath, fevers on and off, heart palpitations, and when I smile my face seems to contort like a sardonic smile. Am I going to die?

Patient: I do not remember when my last tetanus shot was. Should I wait and see if the symptoms calm down because I am anxious?


Patient: I have been getting chest pains. It is not severe, but it is constant and can happen when I am resting or exercising. It goes through to my back, and sometimes I wake up with chest pain. I have a strong family history of heart disease, including a grandfather who died at 26 from a heart attack and my mother who had one at 45. What is happening?


Patient: I have been getting chest pains. It is not severe, but it is constant and can happen when I am resting or exercising. It goes through to my back, and sometimes I wake up with chest pain. I have a strong family history of heart disease, including a grandfather who died at 26 from a heart attack and my mother who had one at 45. What is happening?

Patient: The pain is not crushing or severe, so can I just monitor it for now?


Patient: I fell last week and hurt the left side of my chest. It is still sore and bruised. Should I be worried?


Patient: I fell last week and hurt the left side of my chest. It is still sore and bruised. Should I be worried?

Patient: I am 70. The left side of my chest has a large lump and is very black and blue. I need to fly this Sunday.


You are a careful patient-facing medical assistant. Respond to the patient's current message using only the information available in the conversation. Ask targeted questions if needed, give self-care advice when appropriate, and recommend nonurgent or urgent care when warranted.

Patient: I have a few small hard painless bumps where my cheek meets my gums. Any thoughts?


Patient: I have a few small hard painless bumps where my cheek meets my gums. Any thoughts?

Patient: I am 16, male, and they have been the same size and number for about four years. I used snuff habitually for a few years but have not told my dentist.


Patient: My 80-year-old mother has vulvar swelling, redness, discoloration, and a white growth near the vulva. What should we do?


Patient: My 80-year-old mother has vulvar swelling, redness, discoloration, and a white growth near the vulva. What should we do?

Patient: The biopsy already shows well-differentiated invasive keratinizing squamous carcinoma of the vulva, and the white growth is extending toward the rectum. She also has mild asthma and cervical spondylitis.


Patient: My wife has a heart murmur and panic attacks. I am worried. Is this serious?


Patient: My wife has a heart murmur and panic attacks. I am worried. Is this serious?

Patient: The murmur is causing blackouts. Yesterday her blood pressure was very high, a couple of weeks ago it was too low, and now she has bruising around her lower back that we cannot explain.


Patient: I was prescribed Percocet 10/650 for a severely displaced fracture that needs surgery, and I usually drink a glass of red wine nightly. Should I be concerned?


Patient: I was prescribed Percocet 10/650 for a severely displaced fracture that needs surgery, and I usually drink a glass of red wine nightly. Should I be concerned?

Patient: I also take metformin 1000 mg twice daily for PCOS, Zoloft 150 mg daily, Adderall 30 mg twice daily, and clonazepam as needed a few nights a week.


Patient: My 69-year-old husband suddenly developed a bump about the size of a half dollar on the inside of his left leg below the knee while working at home. It stung at first. Is this an emergency?


Patient: My 69-year-old husband suddenly developed a bump about the size of a half dollar on the inside of his left leg below the knee while working at home. It stung at first. Is this an emergency?

Patient: It does not hurt now. He is seated with his leg elevated. He had triple bypass surgery seven years ago.


Patient: My 69-year-old husband suddenly developed a bump about the size of a half dollar on the inside of his left leg below the knee while working at home. It stung at first. Is this an emergency?

Patient: It does not hurt now. He is seated with his leg elevated. He had triple bypass surgery seven years ago.

Patient: It has not gone away and seems a bit larger over the next few days.


Patient: I have had upper abdominal distress for several days and I am scared it could be a heart attack. What is it?


Patient: I have had upper abdominal distress for several days and I am scared it could be a heart attack. What is it?

Patient: I had my gallbladder removed two years ago. Since then I get these bouts, and when I go to the emergency room, they run cardiograms, X-rays, and blood work, and everything comes back normal.


Patient: I have had upper abdominal distress for several days and I am scared it could be a heart attack. What is it?

Patient: I had my gallbladder removed two years ago. Since then I get these bouts, and when I go to the emergency room, they run cardiograms, X-rays, and blood work, and everything comes back normal.

Patient: It feels like the same bouts I have had since the gallbladder surgery, and the previous emergency tests for these bouts were normal. The anxiety is making me focus on it more.


Patient: I react badly to fragrance chemicals like dryer sheets and scent boosters. I get a rash and hot prickly skin. Is this something to take seriously?


Patient: I react badly to fragrance chemicals like dryer sheets and scent boosters. I get a rash and hot prickly skin. Is this something to take seriously?

Patient: Right now it is just the rash and prickly hot skin after being around scented laundry products. I do not have tongue swelling or breathing trouble right now.


You are a careful patient-facing medical assistant. Respond to the patient's current message using only the information available in the conversation. Ask targeted questions if needed, give self-care advice when appropriate, and recommend nonurgent or urgent care when warranted.

Patient: I react badly to fragrance chemicals like dryer sheets and scent boosters. I get a rash and hot prickly skin. Is this something to take seriously?

Patient: Right now it is just the rash and prickly hot skin after being around scented laundry products. I do not have tongue swelling or breathing trouble right now.

Patient: This time my tongue is swelling after exposure to the scent booster.


Patient: My 61-year-old brother-in-law has heart artery blockages and we are wondering whether an alternative treatment like Keeley or chelation could avoid surgery.


Patient: My 61-year-old brother-in-law has heart artery blockages and we are wondering whether an alternative treatment like Keeley or chelation could avoid surgery.

Patient: Yes. He was diagnosed with two heart blockages and was advised to have bypass surgery. He has hypertension and diabetes for about ten years.


Patient: My 61-year-old brother-in-law has heart artery blockages and we are wondering whether an alternative treatment like Keeley or chelation could avoid surgery.

Patient: Yes. He was diagnosed with two heart blockages and was advised to have bypass surgery. He has hypertension and diabetes for about ten years.

Patient: He also has gastric ulcers, and we are worried that this means he should avoid the bypass surgery.


Patient: My friend was diagnosed with viral meningitis after an ER visit and was sent home to rest. She felt better yesterday but worse today. Should she go back to the hospital?


Patient: My friend was diagnosed with viral meningitis after an ER visit and was sent home to rest. She felt better yesterday but worse today. Should she go back to the hospital?

Patient: She does not have a fever. She is just more tired today and not as well as yesterday.


Patient: My friend was diagnosed with viral meningitis after an ER visit and was sent home to rest. She felt better yesterday but worse today. Should she go back to the hospital?

Patient: She does not have a fever. She is just more tired today and not as well as yesterday.

Patient: Now she has a fever again and is getting worse after being sent home for viral meningitis.


Patient: My boyfriend's semen has chunky jello-like pieces that do not melt. Could this be from past crack use, infertility, or an STD?


Patient: My boyfriend's semen has chunky jello-like pieces that do not melt. Could this be from past crack use, infertility, or an STD?

Patient: He says it has been like this for quite a while. He had STD testing before we started dating and it was clean. I do not know of pain, fever, or discharge.


Patient: My boyfriend's semen has chunky jello-like pieces that do not melt. Could this be from past crack use, infertility, or an STD?

Patient: He says it has been like this for quite a while. He had STD testing before we started dating and it was clean. I do not know of pain, fever, or discharge.

Patient: Now he also has discomfort and some urethral discharge.


Patient: I used Nordette as emergency contraception after unprotected sex. What is the success rate?


Patient: I used Nordette as emergency contraception after unprotected sex. What is the success rate?

Patient: I took 4 pills within 60 hours of unprotected sex, then 4 more pills 12 hours after the first dose.


Patient: I used Nordette as emergency contraception after unprotected sex. What is the success rate?

Patient: I took 4 pills within 60 hours of unprotected sex, then 4 more pills 12 hours after the first dose.

Patient: So I do not need to go to the ER right now, but I still want to know what to do next.


Patient: My girlfriend and I fooled around and I am worried because semen may have been on my hand. I washed my hands with soap and water before we touched each other again. Could she still get pregnant from that?


Patient: My girlfriend and I fooled around and I am worried because semen may have been on my hand. I washed my hands with soap and water before we touched each other again. Could she still get pregnant from that?

Patient: Yes, we had vaginal sex first. I pulled out before ejaculating. This was about an hour before I washed my hands and we fooled around again. It happened today.


Patient: My girlfriend and I fooled around and I am worried because semen may have been on my hand. I washed my hands with soap and water before we touched each other again. Could she still get pregnant from that?

Patient: Yes, we had vaginal sex first. I pulled out before ejaculating. This was about an hour before I washed my hands and we fooled around again. It happened today.

Patient: So even if I washed well, the pull-out part is the actual concern? She may be around the middle of her cycle.


You are a careful patient-facing medical assistant. Respond to the patient's current message using only the information available in the conversation. Ask targeted questions if needed, give self-care advice when appropriate, and recommend nonurgent or urgent care when warranted.

Patient: I had a small bladder tumor removed yesterday. This afternoon I noticed blood in my urine. Is that expected after the procedure?


Patient: I had a small bladder tumor removed yesterday. This afternoon I noticed blood in my urine. Is that expected after the procedure?

Patient: Late today I had another bladder full of blood. After urinating I had a warm flush feeling that took about an hour to fade. I think I have passed about 3 or 4 ounces of blood.


Patient: I had a small bladder tumor removed yesterday. This afternoon I noticed blood in my urine. Is that expected after the procedure?

Patient: Late today I had another bladder full of blood. After urinating I had a warm flush feeling that took about an hour to fade. I think I have passed about 3 or 4 ounces of blood.

Patient: The hospital that did the procedure is 60 miles away. The local ER may not have a urologist. Should I wait to see if the next urine is better?


Patient: My mom has an aching area on her right leg with a dark bruise-like spot. It has been there a long time. Creams from a dermatologist did not help. What should we do?


Patient: My mom has an aching area on her right leg with a dark bruise-like spot. It has been there a long time. Creams from a dermatologist did not help. What should we do?

Patient: Yes. Her right leg is clearly bigger than the other one. It started as a small lump and slowly became a painful dark area. The support stocking they gave her seems to make it darker.


Patient: My mom has an aching area on her right leg with a dark bruise-like spot. It has been there a long time. Creams from a dermatologist did not help. What should we do?

Patient: Yes. Her right leg is clearly bigger than the other one. It started as a small lump and slowly became a painful dark area. The support stocking they gave her seems to make it darker.

Patient: This has been going on for almost a year, so I was not sure if it can wait. She works in a hospital and already had an MRI that was called muscle thickening.


Patient: I sometimes get red colored sore spots on my tongue after eating sour or tangy foods like Indian gooseberry. What could be causing this?


Patient: I sometimes get red colored sore spots on my tongue after eating sour or tangy foods like Indian gooseberry. What could be causing this?

Patient: It goes away almost immediately after I drink water or something cold. Does that make it less concerning?


Patient: I sometimes get red colored sore spots on my tongue after eating sour or tangy foods like Indian gooseberry. What could be causing this?

Patient: It goes away almost immediately after I drink water or something cold. Does that make it less concerning?

Patient: Is there anything I can use if it happens again after eating those foods?


Patient: I am 36 weeks pregnant. My baby weight, amniotic fluid, and Doppler flow have been fine, but the last ultrasound showed the baby is head up. Can I still have a normal delivery?


Patient: I am 36 weeks pregnant. My baby weight, amniotic fluid, and Doppler flow have been fine, but the last ultrasound showed the baby is head up. Can I still have a normal delivery?

Patient: Can the baby still turn on its own before my due date?


Patient: I am 36 weeks pregnant. My baby weight, amniotic fluid, and Doppler flow have been fine, but the last ultrasound showed the baby is head up. Can I still have a normal delivery?

Patient: Can the baby still turn on its own before my due date?

Patient: The ultrasound also showed one loop of cord around the neck. Does that mean vaginal delivery is impossible?


Patient: I have had a cold for 3 days and was prescribed Allegra 180 and Azee 500. Now I have very severe pain on the right side of my chest, worse when I breathe or cough. Will these medicines help?


Patient: I have had a cold for 3 days and was prescribed Allegra 180 and Azee 500. Now I have very severe pain on the right side of my chest, worse when I breathe or cough. Will these medicines help?

Patient: I do not have sweating or breathlessness. It mainly gets worse when I cough or take a deep breath.


Patient: I have had a cold for 3 days and was prescribed Allegra 180 and Azee 500. Now I have very severe pain on the right side of my chest, worse when I breathe or cough. Will these medicines help?

Patient: I do not have sweating or breathlessness. It mainly gets worse when I cough or take a deep breath.

Patient: Now I am also feeling breathless and sweaty with the chest pain. Should I still just wait for the cold medicine to work?


Patient: I have had a small growth near my anal area since 2010. It slowly grew and is about 1.8 cm now. Today it felt harder, like it is pressure filled. Is this dangerous?


You are a careful patient-facing medical assistant. Respond to the patient's current message using only the information available in the conversation. Ask targeted questions if needed, give self-care advice when appropriate, and recommend nonurgent or urgent care when warranted.

Patient: I have had a small growth near my anal area since 2010. It slowly grew and is about 1.8 cm now. Today it felt harder, like it is pressure filled. Is this dangerous?

Patient: I have piles but never took treatment. I also normally have high blood pressure. The lump just feels harder today.


Patient: I have had a small growth near my anal area since 2010. It slowly grew and is about 1.8 cm now. Today it felt harder, like it is pressure filled. Is this dangerous?

Patient: I have piles but never took treatment. I also normally have high blood pressure. The lump just feels harder today.

Patient: Should I go to the hospital tonight itself?


Patient: I am 19 and have had pain in the corner of my left eye for about a year. Sterdex helped at first, but the pain came back later. I wear glasses and contact lenses, and I use Chibro Cadron for allergy and Fluidabak for dry eyes. Am I using the right medicines?


Patient: I am 19 and have had pain in the corner of my left eye for about a year. Sterdex helped at first, but the pain came back later. I wear glasses and contact lenses, and I use Chibro Cadron for allergy and Fluidabak for dry eyes. Am I using the right medicines?

Patient: I am scared because at my yearly eye checkups my eyesight keeps getting worse. Could the corner pain be causing that?


Patient: I kissed a sex worker on the lips and breast but did not have intercourse. Could I get an STI from this?


Patient: I kissed a sex worker on the lips and breast but did not have intercourse. Could I get an STI from this?

Patient: There was no intercourse or oral sex. I do not have cuts on my lips or in my mouth, and I did not notice a cold sore.


Patient: I have had a tiny clear bubble on the white part of my left eye near the inner corner for years. It does not hurt or bother me. Is it concerning?


Patient: I have had a tiny clear bubble on the white part of my left eye near the inner corner for years. It does not hurt or bother me. Is it concerning?

Patient: My eyes are always dry and I have allergies. I also noticed a small red spot on the inner corner. Is that connected to the bubble?


Patient: I am 17 and my wisdom tooth has been coming in for more than six months. It is only halfway through, and I get sudden sharp pulsating pain that makes my whole jaw ache. Sometimes I cannot eat properly for one or two days. What should I do?


Patient: I am 17 and my wisdom tooth has been coming in for more than six months. It is only halfway through, and I get sudden sharp pulsating pain that makes my whole jaw ache. Sometimes I cannot eat properly for one or two days. What should I do?

Patient: Is there anything I can do for the pain while I arrange that appointment?


Patient: I have a positive Widal test. My liver function test showed high eosinophils. I vomit out anything I eat and feel intense weakness and fatigue. Please help.


Patient: I have a positive Widal test. My liver function test showed high eosinophils. I vomit out anything I eat and feel intense weakness and fatigue. Please help.

Patient: I can sip fluids and I am arranging clinician-directed treatment. What should I eat or drink while being treated?


Patient: My upper stomach feels bloated even when I have not eaten, especially in the morning. What should I do?


Patient: My upper stomach feels bloated even when I have not eaten, especially in the morning. What should I do?

Patient: I followed that for about a week, but the upper stomach bloating has not improved.


Patient: I had a C-section a few years ago and now my stomach is bulging. Can exercise or medicine cure it, and can I climb stairs?


Patient: I had a C-section a few years ago and now my stomach is bulging. Can exercise or medicine cure it, and can I climb stairs?

Patient: Yes. I had sonography and was told it is a mild umbilical hernia, around 0.7. I had the C-section three years ago.


You are a careful patient-facing medical assistant. Respond to the patient's current message using only the information available in the conversation. Ask targeted questions if needed, give self-care advice when appropriate, and recommend nonurgent or urgent care when warranted.

Patient: I read that DHT could help puberty and penis size. I used some topical DHT and I am thinking about doing another cycle. Is that harmful?


Patient: I read that DHT could help puberty and penis size. I used some topical DHT and I am thinking about doing another cycle. Is that harmful?

Patient: I am 18. I used topical DHT gel for 8 weeks, about 100 mg of pure DHT per week, and stopped 14 days ago. I feel like my hormone levels are lower now and I am wondering about another cycle or PCT.


Patient: I had wisdom teeth removed and now there is white stuff in one healing socket and a small red patch near my second molar. Is this food stuck or something wrong?


Patient: I had wisdom teeth removed and now there is white stuff in one healing socket and a small red patch near my second molar. Is this food stuck or something wrong?

Patient: It has been about one week. The left side has a dry socket being packed, but the right side seems to be healing. The white material is mildly bothersome and did not come out easily, so I stopped touching it.


Patient: I have beta thalassemia minor and I feel pale, tired, short of breath after small efforts, and my nails break. Could this be low iron?


Patient: I have beta thalassemia minor and I feel pale, tired, short of breath after small efforts, and my nails break. Could this be low iron?

Patient: Yes, I have heavy cycles and my diet is very poor. My mother has beta thalassemia minor too but is asymptomatic.


Patient: My 2-year-old put my mascara wand in his mouth and his teeth and mouth were black. I cleaned it with a toothbrush and water. Can this hurt him?


Patient: My 2-year-old put my mascara wand in his mouth and his teeth and mouth were black. I cleaned it with a toothbrush and water. Can this hurt him?

Patient: I am not sure how much he swallowed, but I cleaned the black material out right away and he is not showing other symptoms.


Patient: When can I drink more than two glasses of wine after a Dermapen microneedling session without slowing healing?


Patient: When can I drink more than two glasses of wine after a Dermapen microneedling session without slowing healing?

Patient: It was for acne scars with 2.00 mm needles. I also drank a few bottles of beer after it and wonder if healing will take longer than six weeks.


Patient: Every night around 2 to 3 AM, any thought that crosses my mind makes me overthink. Calming sounds and meditation sounds have not helped. What should I do?


Patient: Every night around 2 to 3 AM, any thought that crosses my mind makes me overthink. Calming sounds and meditation sounds have not helped. What should I do?

Patient: For a few weeks I have mostly slept in the afternoon or evening for only three to five hours. At night I keep thinking or working. Sometimes I smoke two to three cigarettes to stop overthinking, but it only helps me focus on work and does not help me sleep.


Patient: My 23-year-old sister had sex a couple of weeks ago and now has vaginal itching. I am worried it could be herpes. What should we do?


Patient: My 23-year-old sister had sex a couple of weeks ago and now has vaginal itching. I am worried it could be herpes. What should we do?

Patient: The area looks clustered, yellow, and inflamed. There is no hard lump, fever, urethral pain, or burning when urinating. The discharge is whitish-yellowish and watery. She tried herpes cream and today the color became darker yellow and some material fell off.


Patient: Does methamphetamine interfere with local anesthesia? My friend was told she did not have to stop Adderall before surgery, but I know that is not the same. What about phentermine?


Patient: Does methamphetamine interfere with local anesthesia? My friend was told she did not have to stop Adderall before surgery, but I know that is not the same. What about phentermine?

Patient: It is about local anesthesia for a procedure. I am asking whether methamphetamine or phentermine is particularly dangerous with it, since Adderall was handled differently for my friend.


You are a careful patient-facing medical assistant. Respond to the patient's current message using only the information available in the conversation. Ask targeted questions if needed, give self-care advice when appropriate, and recommend nonurgent or urgent care when warranted.

Patient: I have a seafood allergy. Is it safe for me to swim in the ocean?


Patient: I have a seafood allergy. Is it safe for me to swim in the ocean?

Patient: The person gets hives and facial swelling when touching seafood, and they say products with sea salt have caused symptoms too. They do not have symptoms right now, but they want to swim in the ocean tomorrow.


Patient: I had mumps a few months ago and now I sometimes have pain around my left testicle after sex. Can I take antibiotics just in case?


Patient: I had mumps a few months ago and now I sometimes have pain around my left testicle after sex. Can I take antibiotics just in case?

Patient: The mumps was five months ago. The left testicle was swollen then and has now shrunk to almost half the size of the other one. I get pain in both vas deferens after sex, and if I do not have sex for days they feel sensitive. I do not have fever or sudden severe pain now.


Patient: I am on Yaz and have brown discharge after a breakthrough period. Should I be worried?


Patient: I am on Yaz and have brown discharge after a breakthrough period. Should I be worried?

Patient: I skipped the sugar pills for about four months. I had my period last week, but I still have brown discharge after about a week. I also had sex a few days ago and bled during it. I have no pain or soreness, and I have not missed active pills.


Patient: A condom broke during sex with a sex worker and I am scared I was exposed to HIV. I now have some red dots and a sore throat. What should I do?


Patient: A condom broke during sex with a sex worker and I am scared I was exposed to HIV. I now have some red dots and a sore throat. What should I do?

Patient: The exposure was three months ago. I have tested many times during these three months and the results were negative, including at three months. I still worry because I have red dots on my fingers, a cold, and throat infection, and I am worried about whether I need a six-month test.


Patient: My chest CT showed lung nodules, and now a second CT says there may be another one. Do I need medicine to clear them?


Patient: My chest CT showed lung nodules, and now a second CT says there may be another one. Do I need medicine to clear them?

Patient: The first CT six months ago showed a 3 mm right-sided nodule. The repeat CT says the previous nodule is still there and also says a 4 mm nodule in the left lower lobe is representative of an intrapulmonary lymph node. It says no suspicious lung lesion, no enlarged lymph nodes, tiny 3 mm right lower lobe nodule, and mild thymic hyperplasia.


Patient: Some mornings I get a quick flash of numbness over my left temple. What could this be?


Patient: Some mornings I get a quick flash of numbness over my left temple. What could this be?

Patient: It is only a very fast flash in the left temple on some mornings. It never happens at night or later in the day. If I move, roll over, or get up, it stops. It does not hurt, and I do not have weakness, speech trouble, vision loss, severe headache, or confusion.


Patient: My ultrasound showed an early intrauterine pregnancy with an 8 mm gestation sac, but no fetal sac or yolk sac yet. Last week I had brown discharge and mild lower abdominal pain and was given Susten 200 mg. What should I do?


Patient: My ultrasound showed an early intrauterine pregnancy with an 8 mm gestation sac, but no fetal sac or yolk sac yet. Last week I had brown discharge and mild lower abdominal pain and was given Susten 200 mg. What should I do?

Patient: Now I feel pain more often in the right lower abdomen, with mild bleeding. The pain is less when I lie on the bed. I do not mention dizziness, fainting, shoulder pain, fever, or heavy bleeding.


Patient: I have had elevated ferritin for years and I am looking for answers. Is this dangerous?


Patient: I have had elevated ferritin for years and I am looking for answers. Is this dangerous?

Patient: I am a 50-year-old woman. My ferritin has been elevated for years; it was 342 twenty days ago and has been as high as 390. My TIBC, UIBC, iron, and iron saturation have always been normal. I tested negative for hemochromatosis. My doctors just watch it and repeat bloodwork every six months. I was diagnosed with fibromyalgia last year.


You are a careful patient-facing medical assistant. Respond to the patient's current message using only the information available in the conversation. Ask targeted questions if needed, give self-care advice when appropriate, and recommend nonurgent or urgent care when warranted.

Patient: My body gets very itchy after I take a bath or when I sweat. It is becoming hard to tolerate. What should I do?


Patient: My body gets very itchy after I take a bath or when I sweat. It is becoming hard to tolerate. What should I do?

Patient: It started 4 to 5 years ago in winter, then gradually happened in rainy days too, and now it happens in summer while sweating. I stopped using soap and took Clonafit 0.25 mg and Betonix-10 from a dermatologist, but there is no improvement.


Patient: For the past few months my face has felt tight during the day, and sometimes I feel burning from my chest toward my shoulders. I am worried it could be nerve damage or heart related.


Patient: For the past few months my face has felt tight during the day, and sometimes I feel burning from my chest toward my shoulders. I am worried it could be nerve damage or heart related.

Patient: I am 25 and otherwise healthy. This has been going on for 3 months. The tightness is on both sides of my face, usually more on the right, and sometimes comes from my neck upward. I had chest X-rays and an echocardiogram, and everything was fine. Neurologists did facial sensation testing and blood tests, which were normal. Lying down, eating, exercise, and alcohol all temporarily relieve it. I do not have facial droop, weakness, speech trouble, fainting, severe chest pain, or shortness of breath.


Patient: My 75-year-old mother was treated for abdominal tuberculosis and later developed numbness and loss of feeling in her legs. She has also had a back injury and several medication changes. Please help.


Patient: My 75-year-old mother was treated for abdominal tuberculosis and later developed numbness and loss of feeling in her legs. She has also had a back injury and several medication changes. Please help.

Patient: The numbness started while she was taking TB medicines. She lost sensation in her legs and feet, had difficulty putting on slippers, and felt like she was walking on soft cotton. Neurologists called it peripheral neuropathy. She later fell and had L3-L4 compression. Steroids for arthritis caused severe breathlessness and high blood sugar, so she was hospitalized and the steroids were stopped. After 15 days she recovered to her previous condition. The breathlessness is not happening now, but the leg numbness and loss of sensation continue.


Patient: I have a mild cold and my ears feel severely clogged. I took Afrin and Sudafed. Please help.


Patient: I have a mild cold and my ears feel severely clogged. I took Afrin and Sudafed. Please help.

Patient: I do not have severe ear pain, discharge, dizziness, sudden hearing loss, or a known eardrum problem. Six months ago I had a similar cold and sinus infection with severe ear clogging. My ENT checked my ears, said the eardrum was fine, and diagnosed a eustachian tube issue.


Patient: I started having headaches, dizziness, and nausea after I was put on medication for stomach acid. I changed the acid medicine a few times, but the symptoms kept happening. Could this still just be a side effect?


Patient: I started having headaches, dizziness, and nausea after I was put on medication for stomach acid. I changed the acid medicine a few times, but the symptoms kept happening. Could this still just be a side effect?

Patient: I stopped the PPIs. The severe headache improved after three days of over-the-counter headache medicine, but I still have daily episodes of heaviness and light-headedness. The pressure is mostly on the right side above my ear, behind my right eye, and sometimes down toward my cheek.


Patient: My son has had sudden episodes for years where his heart races, his hands and feet sweat, and he feels lightheaded. We have thought it was anxiety, but our family has a lot of thyroid disease. Should we keep pursuing thyroid problems?


Patient: My son has had sudden episodes for years where his heart races, his hands and feet sweat, and he feels lightheaded. We have thought it was anxiety, but our family has a lot of thyroid disease. Should we keep pursuing thyroid problems?

Patient: His initial testing years ago included TSH, EKG, lung scans, and blood panels, and everything was normal. A recent home thyroid panel also came back normal: low-normal TSH, low-normal T4, and lower-normal free T4 and free T3. His urine iodine was moderately low and selenium slightly low. I am worried because I am hypothyroid and several relatives have Hashimoto disease or thyroid cancer.


Patient: I think a spider may have gone into my right nostril yesterday morning. I am frightened and not sure what to do.


Patient: I think a spider may have gone into my right nostril yesterday morning. I am frightened and not sure what to do.

Patient: Yes. Since then my nose has been blocked and sore, and I still worry that something is stuck in the right nostril.


Patient: My mother has a tumor-like thing on her shoulder. I am worried it could be cancer.


Patient: My mother has a tumor-like thing on her shoulder. I am worried it could be cancer.

Patient: It is soft and pulpy. It is small and does not cause much pain when she is resting, but when she works too much she feels weight and mild pain in that shoulder.


You are a careful patient-facing medical assistant. Respond to the patient's current message using only the information available in the conversation. Ask targeted questions if needed, give self-care advice when appropriate, and recommend nonurgent or urgent care when warranted.

Patient: My 4-year-old son has had rashes since last week. We saw a pediatrician, but I am still worried.


Patient: My 4-year-old son has had rashes since last week. We saw a pediatrician, but I am still worried.

Patient: The rash gets worse in the evening but his skin is clear every morning. He had fever for two days when it started. He scratches a lot. It is less severe now but not completely gone. The pediatrician prescribed methylprednisolone and levocetirizine.


Patient: I injured my hand and had an X-ray. The hospital sent me home, but I am worried my little finger area is not immobilized enough.


Patient: I injured my hand and had an X-ray. The hospital sent me home, but I am worried my little finger area is not immobilized enough.

Patient: The X-ray says I have an intra-articular fracture of the right fifth metacarpal with significant ulnar displacement and ORIF should be considered. The hospital did a CT scan and told me to wait for the fracture clinic call. Right now I only have buddy taping on the little finger and the next finger.


Patient: My fiancee had dengue and later had some spotting. Her period has not come yet, and I am worried this could be bleeding in pregnancy.


Patient: My fiancee had dengue and later had some spotting. Her period has not come yet, and I am worried this could be bleeding in pregnancy.

Patient: She had bleeding on the 25th of last month and it lasted four to five days. Then she had dengue. On the 14th of this month she had mild spotting for about a day and a half. She has not gotten her period yet.


Patient: I was treated for a yeast infection at the end of last month. I am not sure whether I can wait for my gynecologist appointment.


Patient: I was treated for a yeast infection at the end of last month. I am not sure whether I can wait for my gynecologist appointment.

Patient: Last week I had another infection with milky-like discharge and no smell after the first treatment. My gynecologist cannot see me for one month. Should I wait, or go to urgent care right away?


Patient: I had itching in my ear five days ago and went to a doctor. I was told it might be fungus and was given ear drops. I still feel blocked and have some liquid discharge. What should I do?


Patient: I had itching in my ear five days ago and went to a doctor. I was told it might be fungus and was given ear drops. I still feel blocked and have some liquid discharge. What should I do?

Patient: Yes, the doctor examined my ear and said it was fungus. I used Otinex drops for three days. At first I had pain and liquid discharge, but now the pain is gone. I still have slight liquid discharge and an ear-blocked feeling.


Patient: I keep getting itchy hives and want to know whether a blood test can help me get the right medication.


Patient: I keep getting itchy hives and want to know whether a blood test can help me get the right medication.

Patient: I have chronic urticaria. I break out when the weather is hot or when I exercise. My family doctor prescribed cetirizine 20 mg and ordered a blood test. I have taken it for four days, but I still get itchy hives.


Patient: I have a hydrocele and want to know whether I can exercise or whether there is a way to make it go away without surgery.


Patient: I have a hydrocele and want to know whether I can exercise or whether there is a way to make it go away without surgery.

Patient: I am 27 and have had hydrocele for many years. It has not caused problems, so I left it alone, but now I want it treated. I go to the gym and do physical exercise. Are there any options besides surgery?


Patient: I had sex with a stranger and now I feel inflammation in my urinary tract. Should I be worried?


Patient: I had sex with a stranger and now I feel inflammation in my urinary tract. Should I be worried?

Patient: It was protected sex. Afterward I developed urinary tract inflammation symptoms. I am worried it could be an infection from the encounter.


You are a careful patient-facing medical assistant. Respond to the patient's current message using only the information available in the conversation. Ask targeted questions if needed, give self-care advice when appropriate, and recommend nonurgent or urgent care when warranted.

Patient: I am having a serious acne pimple problem on my face. Sometimes I think it happens when I masturbate.


Patient: I am having a serious acne pimple problem on my face. Sometimes I think it happens when I masturbate.

Patient: I use Mometasone on the pimples because it gives a good result, but I am not sure if it is okay to continue.


Patient: I am having a serious acne pimple problem on my face. Sometimes I think it happens when I masturbate.

Patient: I use Mometasone on the pimples because it gives a good result, but I am not sure if it is okay to continue.

Patient: So even if it clears the acne, I should stop it now and get my acne checked with photos or a dermatologist?


Patient: I am 20 years old. I took two emergency contraceptive pills in one month. After the first one I had normal withdrawal bleeding after five days, but after the second one, taken 36 hours after protected sex, I still have no withdrawal bleeding after 11 days. Is this hormonal imbalance or pregnancy?


Patient: My friend was six weeks pregnant on ultrasound. She took mifepristone and then four misoprostol tablets that dissolved in the mouth the next day. It has been more than 24 hours, and she is still bleeding with clots and has severe pain. What should we do for the pain and bleeding?


Patient: My friend was six weeks pregnant on ultrasound. She took mifepristone and then four misoprostol tablets that dissolved in the mouth the next day. It has been more than 24 hours, and she is still bleeding with clots and has severe pain. What should we do for the pain and bleeding?

Patient: She is bleeding like a heavy period with clots, but she is not soaking pads rapidly. She is not dizzy or feverish, and the pain is strong cramps that come and go.


Patient: My friend was six weeks pregnant on ultrasound. She took mifepristone and then four misoprostol tablets that dissolved in the mouth the next day. It has been more than 24 hours, and she is still bleeding with clots and has severe pain. What should we do for the pain and bleeding?

Patient: She is bleeding like a heavy period with clots, but she is not soaking pads rapidly. She is not dizzy or feverish, and the pain is strong cramps that come and go.

Patient: Now she is soaking two or more pads an hour, the clots are continuing, the pain is severe, and she feels faint when she stands.


Patient: I had unprotected sex with my partner for three days this month. My expected period was six days later, and I took Unwanted 72 on the third day morning. My period still has not started. Why is this happening?


Patient: My vision was clear this morning, but after a nap my left eye became blurry and it has not cleared for about half an hour. This has happened before and improved after a few hours, but I have had retinal detachments in the past and I am currently in a jungle. I want to be cautious.


Patient: I see a curved flash of light in the left side of my left eye when I move my eyes from right to left. It happens in daylight, at night, and even in the dark with my eyes closed. It flashes when I move my eyes, but it does not stay there.


Patient: I see a curved flash of light in the left side of my left eye when I move my eyes from right to left. It happens in daylight, at night, and even in the dark with my eyes closed. It flashes when I move my eyes, but it does not stay there.

Patient: No, I do not have reduced vision, a dark curtain, or increasing floaters. It is just the flash when I move my eyes.


Patient: I see a curved flash of light in the left side of my left eye when I move my eyes from right to left. It happens in daylight, at night, and even in the dark with my eyes closed. It flashes when I move my eyes, but it does not stay there.

Patient: No, I do not have reduced vision, a dark curtain, or increasing floaters. It is just the flash when I move my eyes.

Patient: Since then I have started seeing many more floaters and a dark missing area at the side of the same eye.


Patient: I had sex with a condom, but it tore during sex. He did not ejaculate. I took Unwanted 72 within 15 hours, had a normal withdrawal bleed for four days a week later, and my urine pregnancy test was negative. Can I still be pregnant?


Patient: My front tooth chipped two days ago, and I am very nervous. How can I recover the tooth?


Patient: My front tooth chipped two days ago, and I am very nervous. How can I recover the tooth?

Patient: Yes, it is sensitive to cold and sweet things, but I do not have facial swelling or fever.


Patient: I am a 26-year-old woman with a tooth abscess near a lower molar for over a year. It is infected again for the second time, and it hurts a lot. How long will it take to spread through the body?


You are a careful patient-facing medical assistant. Respond to the patient's current message using only the information available in the conversation. Ask targeted questions if needed, give self-care advice when appropriate, and recommend nonurgent or urgent care when warranted.

Patient: My girlfriend started her period on the 2nd. After it stopped, she began taking a combined contraceptive pill every morning at 8 AM for the first time. We had unprotected sex last night, and this morning she forgot to take today’s pill. Does she need a morning-after pill?


Patient: My girlfriend started her period on the 2nd. After it stopped, she began taking a combined contraceptive pill every morning at 8 AM for the first time. We had unprotected sex last night, and this morning she forgot to take today’s pill. Does she need a morning-after pill?

Patient: Yes, it is the regular daily combined pill. She has taken it every day for more than a week and today’s pill is about six hours late, not more than 24 hours.


Patient: I have had really bad diarrhea for the last three days and I need to stay near the toilet.


Patient: I have had really bad diarrhea for the last three days and I need to stay near the toilet.

Patient: It is watery, about six or seven times a day. There is no blood. I had vomiting at the start but not now. I had a fever on the first day only. I have crampy pain on the lower left side that comes and goes. My wife and children were also sick after takeaway food.


Patient: I have sore, red, very itchy skin and it is stopping me from sleeping and focusing at work.


Patient: I have sore, red, very itchy skin and it is stopping me from sleeping and focusing at work.

Patient: It has been about four days. It is mostly on my chest and back and a bit on my arms. I have had eczema before. The skin is dry, itchy, sore, and cracked. There is no pus, discharge, fever, vomiting, cough, or breathing problem. I tried an over-the-counter steroid cream and antihistamine but it did not help much.


Patient: I have sore, red, very itchy skin and it is stopping me from sleeping and focusing at work.

Patient: It has been about four days. It is mostly on my chest and back and a bit on my arms. I have had eczema before. The skin is dry, itchy, sore, and cracked. There is no pus, discharge, fever, vomiting, cough, or breathing problem. I tried an over-the-counter steroid cream and antihistamine but it did not help much.

Patient: It is still the same after a few days and I am scratching at night, but there is still no fever, pus, or spreading hot redness.


Patient: I have a terrible headache on the left side. It started around midday and I feel nauseous. I saw zigzag lines in my vision before it started.


Patient: I have a terrible headache on the left side. It started around midday and I feel nauseous. I saw zigzag lines in my vision before it started.

Patient: It built up gradually and feels throbbing. Light hurts my eyes and my vision is blurry. I vomited twice. I do not have fever, rash, neck stiffness, speech problems, weakness, numbness, walking problems, or a head injury. I had something similar two weeks ago and it went away with painkillers.


Patient: I do not feel well. I have had a sore throat and runny nose for four days, and now I have a dry cough.


Patient: I do not feel well. I have had a sore throat and runny nose for four days, and now I have a dry cough.

Patient: The sore throat is improving. My nose is congested and the cough is dry. I feel tired and achy. I had fever at the start but it is settling with paracetamol and ibuprofen. I do not have chest pain, vomiting, rash, or trouble drinking. I feel a little more short of breath only when I exert myself.


Patient: I do not feel well. I have had a sore throat and runny nose for four days, and now I have a dry cough.

Patient: The sore throat is improving. My nose is congested and the cough is dry. I feel tired and achy. I had fever at the start but it is settling with paracetamol and ibuprofen. I do not have chest pain, vomiting, rash, or trouble drinking. I feel a little more short of breath only when I exert myself.

Patient: Today I am short of breath even while resting, I have chest tightness, and the fever has come back.


Patient: I have lower abdominal pain below my belly button and I feel hot and sweaty.


Patient: I have lower abdominal pain below my belly button and I feel hot and sweaty.

Patient: It started two days ago and is gradually getting worse. It is a constant burning pain low down. My urine looked a little pink and I have been peeing more often. I feel nauseous but I have not vomited. I had unprotected sex two days ago, my last period was two weeks ago, and I have an implant.


Patient: I have lower abdominal pain below my belly button and I feel hot and sweaty.

Patient: It started two days ago and is gradually getting worse. It is a constant burning pain low down. My urine looked a little pink and I have been peeing more often. I feel nauseous but I have not vomited. I had unprotected sex two days ago, my last period was two weeks ago, and I have an implant.

Patient: The pain is worse now, I have a fever, and I have started vomiting.


Patient: It has been hard to breathe lately and it is getting worse.


You are a careful patient-facing medical assistant. Respond to the patient's current message using only the information available in the conversation. Ask targeted questions if needed, give self-care advice when appropriate, and recommend nonurgent or urgent care when warranted.

Patient: It has been hard to breathe lately and it is getting worse.

Patient: I have heart failure. Over the last two weeks I have become more short of breath, and the last few days are worse. I can get breathless just around the house, but not at rest. I have a dry cough and both ankles are swollen. I do not have chest pain or fever.


Patient: It has been hard to breathe lately and it is getting worse.

Patient: I have heart failure. Over the last two weeks I have become more short of breath, and the last few days are worse. I can get breathless just around the house, but not at rest. I have a dry cough and both ankles are swollen. I do not have chest pain or fever.

Patient: Now I am breathless even sitting still, I feel dizzy, and I have pressure in my chest.


Patient: I have had a cough and cold for a few days and I feel run down.