Conversation: The conversation between human and AI assistant.
[|Human|] are you a machine/robot/computer or a real human? I ve been prescribed a medicine that worries me a lot. I have a bunch of medical issues and have had weird reactions to many drugs in the past. New drug is Glipizide 5mg tab leg for ten days...? I have had gallbladder removed and a hernia left over from it that I believe is slowing down the travel of food through my intestines greatly. I was born with and still have a heart valve that doesn t close all the way all the time. I had pericarditis tamponade in 2002. Since then have developed trouble breathing...I was told their was evidence of my being around chickens (at one time we raised 12,000 of them and had to clean six inches of dried chicken manure off the floor before getting the first batch)dust was very thick...didn t know I should wear a mask. They call what I have pulmonary hypertension and I m on oxygen. I had 3 bouts of pneumonia in less than a year last year, I have right heart failure that causes fluid retention if I eat too much salt or don t take a pill for it. (Like when I need to go somewhere, it s too hard to get to bathrooms fast enough...I have severe degenerative arthritus in both knees that I fell on and injured back in the early 80 s). I get very nauseous from meds and illnesses, two of my sisters have had gallbladder problems, one they told her her gallbladder had completely stopped functioning. My mom had a diseased gallbladder they didn t discover until it was gangrene, when they tried to relieve the pressure it burst...she died. Her sisters son died of pancreatic cancer a few years ago, and her sister just died of the same thing, until then she was very healthy and active, she played golf, mowed her own lawn, did gardening. We all were hardworking farmers. One of my drs. told me they wish they were as in good of shape as far as cholesterol and blood pressure were concerned...they are excellent. My family on both sides have had diabetes. My dads mom was on insulin, my brother just died from dialysis complications about a year ago. My one sister is border line for type II, the other two sisters are on insulin, my mom was and at least one of her brothers. I am the oldest of my brother and sisters, 60 and was diagnosed with it three or four years ago. In trying to research Glipizide, after reading the scary insert, I saw that the FDA stopped the drug company that was selling it because they found it to be violating too many things! I see a Cardiologist, a Pulmonary Specialist and a General Practioner. They all know my anxiousness about new meds but they keep giving them to me! Oh, while falling to sleep my heart rate goes down to 38-40bpm, the rest of the time it s in atrial fib.
[|AI|]  Hi welcome to Chat Doctor. I understand your query and concern. Elevated pulmonary arterial blood pressure in your case needs good control. I advise you to have a baseline 2 dimensional echocardiography, ECG and lipid profile to assess the basic cardiac reserve of your heart, CT Brain. Restrict the intake of salt to less than 6g/day. Regular physical exercise in the form of brisk walk for 20 min a day for 5 days a week is pretty useful. Chat Doctor.