laomobai/llama3-1 huggingface dataset:
system: How is the recurrence of prostate cancer detected?
output: At each follow-up appointment, your doctor will order a blood test to measure PSA levels. This test helps your doctor detect a cancer recurrence. You will also be examined. New symptoms should be reported to the doctor, as these may prompt other testing. If prostate cancer recurs, follow-up treatment depends on what treatment you have already had, the extent of your cancer, the site of recurrence, other illnesses, your age, and other aspects of your medical situation.
system: What does a recurrence of prostate cancer mean?
output: Usually after surgery to remove the prostate, PSA levels in the blood decrease and eventually become almost undetectable. After radiation therapy, PSA levels usually drop to a stable and low level. If PSA levels begin to rise at any time after treatment, a local or distant recurrence may be occurring, requiring additional testing. Men who have cancer cells in the lymph nodes in the pelvic region may be more likely to have a recurrence. The higher the grade, the greater the chance of recurrence.
system: Where does prostate cancer spread?
output: Prostate cancer can recur locally in the tissue next to the prostate or in the seminal vesicles (two small sacs next to the prostate that store semen). It also can travel through the bloodstream and recur distantly in bones or other organs. This spread is called metastasis. Metastases through the lymph channels are called lymphatic metastases, while those through the bloodstream are hematogenous, or blood-borne metastases.
system: Where is prostate cancer found?
output: This spread is called metastasis. According to the American Cancer Society, nearly 100% of men with low- to intermediate-grade prostate cancer ( the most common types) can expect to live at least five years after the initial diagnosis. More than 90% of the time prostate cancer is discovered while it is either confined to the prostate gland or has spread beyond the prostate only to a small degree, referred to as regional spread. Among the less than 10% of men whose prostate cancers have already spread to distant part of the body at the time of diagnosis, about 30% are expected to survive at least five years.
system: What type of follow-up treatments are recommended for my recurring prostate cancer?
output: The stage of a cancer is one of the most important factors for selecting treatment options, as well as for predicting future outlook of the cancer. Researchers are working on new drugs to block the effects of male hormones, which can cause prostate cancer to grow, and drugs to prevent prostate cancer growth.
system: Could polyps be causing you to lose your voice?
output: These typically appear on one side of the vocal cord. They have a variety of sizes and shapes.
system: Can Parkinson's disease make me lose my voice?
output: A condition that affects your nerves, like Parkinson's disease, can affect the muscles in your face and throat. Nearly 90% of people with Parkinson's get some form of a speech or voice disorder. Parkinson's causes the parts of the brain that control movement and coordination to decline. This may mean that you're no longer able to control the muscles needed for speech.
system: How can cysts cause you to lose your voice?
output: They're firm masses of tissue that grow near or beneath the surface of your vocal cord. If they make serious changes to your voice, your doctor will likely recommend surgery to remove them.
system: How can a cold cause me to lose my voice?
output: When you speak, air passes through the voice box in your throat and hits the two bands called vocal cords. Your voice make sounds when they vibrate. A cold can throw a wrench into this smooth-running machine. Your throat gets inflamed and sore. Then your vocal cords swell, which affects the way they vibrate. The end result: You're hoarse. Rest your voice and drink plenty of fluids. Your volume will return when you recover.
system: How can allergies cause me to lose my voice?
output: When you think about allergies, you probably think of a runny nose, itchy eyes, and sneezing. But they can also take a toll on your voice in several ways: An allergic reaction can cause your vocal cords to swell. Postnasal drip -- when mucus moves from your nose into your throat -- can irritate your vocal cords. Coughing and clearing your throat can strain your vocal cords. Antihistamine drugs for allergies can dry out mucus in your throat. This may harm your vocal cords, which need moisture to work.
system: Could a cold be causing you to lose your voice?
output: When you speak, air passes through the voice box in your throat and hits the two bands called vocal cords. Your voice make sounds when they vibrate. A cold can throw a wrench into this smooth-running machine. Your throat gets inflamed and sore. Then your vocal cords swell, which affects the way they vibrate. The end result: You're hoarse. Rest your voice and drink plenty of fluids. Your volume will return when you recover.
system: Are you using your voice too much and causing you to lose your voice?
output: Each time you talk or sing, you use different muscles, including some in your mouth and throat. Just like other muscles in your body, overuse of the ones that help you speak can lead to fatigue, strain, and injury. The wrong technique can also bring on hoarseness. Here are some common things that you may be doing wrong: Speak, sing, yell, or cough too much Use a pitch that's higher or lower than normal when you talk Cradle your phone between your head and shoulder Cigarette smoke irritates your vocal cords, which can lead to long-term voice problems.
system: Could non-cancerous growths on your vocal cords be causing you to lose your voice?
output: Although experts aren't sure why, non-cancerous growths can appear on your vocal cords. They believe that heavy overuse of the voice, such as too much yelling or speaking, can be a cause.
system: How can polyps cause you to lose your voice?
output: These typically appear on one side of the vocal cord. They have a variety of sizes and shapes.
system: How can rheumatoid arthritis (RA) cause me to lose my voice?
output: About 1 in 3 people with RA get vocal problems, including a sore throat and loss of voice. That's because the condition can affect tiny joints in your face and throat, which leads to problems with your breathing and the way your vocal cords work.
system: How does GERD cause me to lose my voice?
output: It's a condition that makes stomach acid wash back up into the esophagus, a tube that leads into your throat. The main symptom is heartburn, but GERD can also weaken your voice. Stomach acid can irritate your vocal cords, throat, and esophagus. This leads to a hoarse voice, wheezing, and too much mucus in your throat.
system: Could allergies be causing you to lose your voice?
output: But they can also take a toll on your voice in several ways: An allergic reaction can cause your vocal cords to swell. Postnasal drip -- when mucus moves from your nose into your throat -- can irritate your vocal cords. Coughing and clearing your throat can strain your vocal cords. Antihistamine drugs for allergies can dry out mucus in your throat. This may harm your vocal cords, which need moisture to work.
system: Could laryngitis be causing you to lose your voice?
output: It's a not a disease, but a catch-all word that means you've lost your voice. If it happens suddenly, it's called "acute" laryngitis. You can get it from a cold or overusing your voice. You can get long-term laryngitis if you breathe in something irritating, like smoke or chemical fumes. It also develops if you get yeast infections of the vocal cords, which can happen if you use asthma inhalers or have problems with your immune system, the body's defense against germs.
system: When should you see a doctor about your voice problems?
output: Other symptoms for the disease are: Pain when swallowing Pain in the ear Trouble breathing Lump in the neck If your voice problems last for more than 2 weeks, see a doctor.
system: Can using my voice too much make me lose it?
output: Each time you talk or sing, you use different muscles, including some in your mouth and throat. Just like other muscles in your body, overuse of the ones that help you speak can lead to fatigue, strain, and injury. The wrong technique can also bring on hoarseness. Here are some common things that you may be doing wrong: Speak, sing, yell, or cough too much Use a pitch that's higher or lower than normal when you talk Cradle your phone between your head and shoulder Cigarette smoke irritates your vocal cords, which can lead to long-term voice problems.
system: How can trouble with my thyroid cause me to lose my voice?
output: This butterfly-shaped gland in your lower neck pumps out a hormone that controls a number of functions in your body. When your thyroid doesn't make enough of it, one symptom you might have is a hoarse voice. If you have a goiter -- when your thyroid gets larger -- you may cough a lot and have problems with your speech. A growth on the thyroid, or a nodule, can also affect the way you speak.
system: How can laryngitis cause me to lose my voice?
output: It's a not a disease, but a catch-all word that means you've lost your voice. If it happens suddenly, it's called "acute" laryngitis. You can get it from a cold or overusing your voice. You can get long-term laryngitis if you breathe in something irritating, like smoke or chemical fumes. It also develops if you get yeast infections of the vocal cords, which can happen if you use asthma inhalers or have problems with your immune system, the body's defense against germs.
system: Could laryngeal cancer be causing you to lose your voice?
output: Here are some common things that you may be doing wrong: Speak, sing, yell, or cough too much Use a pitch that's higher or lower than normal when you talk Cradle your phone between your head and shoulder Cigarette smoke irritates your vocal cords, which can lead to long-term voice problems. Other symptoms for the disease are: Pain when swallowing Pain in the ear Trouble breathing Lump in the neck If your voice problems last for more than 2 weeks, see a doctor.
system: Can losing my voice be a sign of throat cancer?
output: Here are some common things that you may be doing wrong: Speak, sing, yell, or cough too much Use a pitch that's higher or lower than normal when you talk Cradle your phone between your head and shoulder Cigarette smoke irritates your vocal cords, which can lead to long-term voice problems. Other symptoms for the disease are: Pain when swallowing Pain in the ear Trouble breathing Lump in the neck If your voice problems last for more than 2 weeks, see a doctor.
system: What breakfast foods can boost my energy?
output: People who eat breakfast every morning report less fatigue and stress than people who skip it. High-fiber foods, like hot oatmeal, stick with you longer than a sweet roll or pastry. As the day wears on, they'll prevent you from getting hungry (hunger can lead to low energy).
system: What snacks can boost my energy?
output: Your brain needs fuel to function at its best. When your blood sugar level drops, your mind will start running on fumes and will feel fuzzy as a result. So if your head is starting to droop, eat a snack that will give you enough energy to take you through the rest of the afternoon. Snacks that combine protein with slow-burning carbs -- like banana slices with peanut butter, or granola with fresh berries -- are best for maintaining your blood sugar levels over the long term.
system: How does exercise help me boost my energy?
output: Exercise is a natural energy booster, because whenever you do it, oxygen-rich blood surges through your body to your heart, muscles, and brain. Regularly squeezing a workout into your day -- even if you can spare only 10 minutes at a time -- will help keep your energy levels at their peak. Move around every chance you get, even if it's just to pace in circles while you're on the phone.
system: What types of nuts can I eat to help me boost my energy?
output: Eat a handful of almonds or peanuts, which are high in magnesium and folate (folic acid). These nutrients are essential for energy and cell production. A lack of these nutrients in your system can leave you feeling weary.
system: What can I do socially to help me boost my energy?
output: Hang out with upbeat friends. Emotions are surprisingly contagious. People who are constantly negative and down can sap your energy, while those who are always up and excited can give you a real lift.
system: How can drinking water often help boost my energy?
output: Dehydration can leave you feeling drained and fatigued. You don't necessarily have to follow the "eight glasses a day" rule, but you do want to drink enough water to keep your body well hydrated. You can tell you're well hydrated when you don't feel thirsty and your urine is light-colored. Try to get to the fridge or water cooler for a refill every few hours. The walk there will also help you wake up.
system: How can a cinnamon stick help boost my energy?
output: Some people say that just a whiff of this scented spice can reduce fatigue and make them feel more alert. No cinnamon handy? Grab a mint from your bag. Peppermint's sweet aroma is another fatigue fighter for some people. More research is needed to see if and how these aromas actually affect a person's energy level.
system: How can singing help me boost my energy?
output: Singing gives you a kind of emotional high while it reduces levels of stress hormones in your body. So grab a hairbrush, put on your favorite song, and sing away. If you're at work and don't want to face your co-workers' puzzled stares, you might want to save your vocal stylings for the car.
system: How can yoga boost my energy?
output: Do a downward dog. Some studies have found that yoga, which uses various postures and deep breathing for exercise and meditation, can be an excellent fatigue fighter.
system: How can sunshine help  boost my energy?
output: Going outside can even improve your self-esteem. If you absolutely can't get out, at least open the shades.
system: How do I stop the bleeding from a broken foot?
output: If the bone is pushing through the skin, do not touch it or try to put it back in place. Apply ice.
system: What are signs of a broken foot that needs immediate medical attention?
output: Bleeding doesn't stop after several minutes of firm pressure. Blood spurts from the wound. If the bone is pushing through the skin, do not touch it or try to put it back in place. Elevate the foot and have the person stay off it as much as possible.
system: What are common sources of sadness around the holidays?
output: What makes one person feel sad may not affect another person. Typical sources of holiday sadness include: Stress Fatigue Unrealistic expectations Over-commercialization Financial stress The inability to be with one's family and friends Balancing the demands of shopping, parties, family obligations, and house guests may contribute to feelings of being overwhelmed and increased tension.
system: What can help me deal with holiday stress?
output: Make realistic expectations for the holiday season. Set realistic goals for yourself. Do not take on more responsibilities than you can handle. Make a list and prioritize the important activities. Do not put all your energy into just one day (i.e., Thanksgiving Day, New Year's Eve).
system: What organizations are available to help treat multiple sclerosis?
output: 116 Hackensack, NJ 07601 (201) 487-1050www.mscare.org Multiple Sclerosis Foundation 6520 North Andrews Ave Fort Lauderdale, FL 33309-2132 (954) 776-6805 https://msfocus.org National Multiple Sclerosis Society 733 Third Avenue New York, NY 10017 (800) FIGHT MS (1-800-344-4867)www.nationalmssociety.org Multiple Sclerosis Association of America 375 Kings Highway North Cherry Hill, NJ 08002 (800) LEARN- MS (1-800-532-7667)www.msaa.com Multiple Sclerosis International Federation 3rd Floor Skyline House 200 Union Street London SE1 0 LX +44 (0)20 7620 1911 E-mail: [email protected]www.msif.org Multiple Sclerosis Society of Canada 250 Bloor St. East, Suite 820 Toronto, Ontario M4 W 3 P9, Canada (800) 268-7582 E-mail: [email protected]http://www.mssociety.ca/ American Academy of Neurology 201 Chicago Ave. South Minneapolis, Minnesota 55415 (800) 879-1960 E-mail: [email protected]www.aan.com National Institute of Neurological Disorders and Stroke NIH Neurological Institute Attn: NINDS P. O.
system: What are resources for people with disabilities and special needs?
output: Avonex.com Teva Pharmaceutical Industries Ltd. - Copaxone MS Watch: www.mswatch.com Shared Solutions (800) 887-8100www.copaxone.com Serono - Rebif (877) 447-3243http://www.rebif.com/ American Association of People with Disabilities 2013 H Street, NW, 5th floor Washington, DC 20006 (800) 840-8844 TTY: (202) 457-0046 www.aapd.com/ American Disability Association Member Services 815 First Avenue Suite 280 Seattle, WA 98104 www.adanet.org E-mail: [email protected] dis ABILITY Information and Resources www.makoa.org/ Disabled Peoples' International www.dpi.org/ National Center for Complementary and Alternative Medicine NCCAM Clearinghouse P. O.
system: What complementary medicine centers are available to treat multiple sclerosis?
output: Box 7923 Gaithersburg, Maryland 20898 1-888-644-6226 or (301) 519-3153 Fax: 1-866-464-3616 ( Toll- Free) E-mail: [email protected]http://nccam.nih.gov/
system: What pharmaceutical companies can help treat multiple sclerosis?
output: Box 5801 Bethesda, MD 20824 (800) 352-9424http://www.ninds.nih.gov Berlex - Betaseron MS Pathways (800) 788-1467www.betaseron.com/ Biogen - Avonex MS Active Source (800) 456-2255www.abovems.comwww. Avonex.com Teva Pharmaceutical Industries Ltd. - Copaxone MS Watch: www.mswatch.com Shared Solutions (800) 887-8100www.copaxone.com Serono - Rebif (877) 447-3243http://www.rebif.com/ American Association of People with Disabilities 2013 H Street, NW, 5th floor Washington, DC 20006 (800) 840-8844 TTY: (202) 457-0046 www.aapd.com/ American Disability Association Member Services 815 First Avenue Suite 280 Seattle, WA 98104 www.adanet.org E-mail: [email protected] dis ABILITY Information and Resources www.makoa.org/ Disabled Peoples' International www.dpi.org/ National Center for Complementary and Alternative Medicine NCCAM Clearinghouse P. O.
system: What medical centers are available to treat multiple sclerosis?
output: The Multiple Sclerosis Learning Center at the Mellen Center The Cleveland Clinic Foundation 9500 Euclid Avenue Cleveland, Ohio 44199www.clevelandclinic.org (866) 588-2264 or (800) CCF- CARE (1-800-223-2273) Consortium of Multiple Sclerosis Centers 3 University Plaza Drive, Ste. 116 Hackensack, NJ 07601 (201) 487-1050www.mscare.org Multiple Sclerosis Foundation 6520 North Andrews Ave Fort Lauderdale, FL 33309-2132 (954) 776-6805 https://msfocus.org National Multiple Sclerosis Society 733 Third Avenue New York, NY 10017 (800) FIGHT MS (1-800-344-4867)www.nationalmssociety.org Multiple Sclerosis Association of America 375 Kings Highway North Cherry Hill, NJ 08002 (800) LEARN- MS (1-800-532-7667)www.msaa.com Multiple Sclerosis International Federation 3rd Floor Skyline House 200 Union Street London SE1 0 LX +44 (0)20 7620 1911 E-mail: [email protected]www.msif.org Multiple Sclerosis Society of Canada 250 Bloor St. East, Suite 820 Toronto, Ontario M4 W 3 P9, Canada (800) 268-7582 E-mail: [email protected]http://www.mssociety.ca/ American Academy of Neurology 201 Chicago Ave. South Minneapolis, Minnesota 55415 (800) 879-1960 E-mail: [email protected]www.aan.com National Institute of Neurological Disorders and Stroke NIH Neurological Institute Attn: NINDS P. O.
system: How can a therapist help my bipolar disorder?
output: A therapist can help you: Work on your relationships with family, friends, and co-workers Find good ways to manage stress Solve problems at school or work Stick to your bipolar treatment and live a healthy life Get a new perspective on your situation Learn ways to talk to other people about your bipolar disorder Avoid situations that may trigger a manic or depressive episode, such as too little sleep or drug and alcohol use Make a plan for what to do if you become depressed or manic In addition to one-on-one therapy for bipolar disorder, you might want to try couples counseling or family therapy, depending on your situation.
system: Can alternative therapies help bipolar disorder?
output: Bipolar disorder is not a condition that you can tackle on your own. If you're interested in trying one, talk to your doctor. There's no harm in trying things like massage or meditation, which don't have any risks. But be careful with other remedies, such as herbs or supplements. Some can keep the medications you take from working well. Never start taking anything without asking your doctor about it first.
system: How can support groups help my bipolar disorder?
output: A therapist can help you: Work on your relationships with family, friends, and co-workers Find good ways to manage stress Solve problems at school or work Stick to your bipolar treatment and live a healthy life Get a new perspective on your situation Learn ways to talk to other people about your bipolar disorder Avoid situations that may trigger a manic or depressive episode, such as too little sleep or drug and alcohol use Make a plan for what to do if you become depressed or manic In addition to one-on-one therapy for bipolar disorder, you might want to try couples counseling or family therapy, depending on your situation. Although friends and family members care about you, they may not understand what you're going through. Some of them may be more critical than supportive. That's one reason to think about joining a support group for people who have the disorder. If you're interested in joining a support group, ask your doctor about organizations in your area, or contact the NAMI or the DBSA.
system: How can you avoid bug bites in the summer?
output: If you can't stay away from it, wear long pants and sleeves, and tuck your pant legs into your socks. Don't wear bright colors, perfume, or other strong scents when you go outside. Use insect repellent when you're in wooded or brushy areas. Products with DEET or picaridin as active ingredients tend to protect you longer. But don't use them on children younger than 3 years old. Oil of lemon eucalyptus gives you protection similar to products with low concentrations of DEET, studies show.
system: When should you call a doctor about rashes from poisonous plants?
output: Call your doctor if: You have a fever. The rash is severe or looks infected. The rash is on your lips, eyes, face, or genitals. Call 911 if you think you're having a severe reaction.
system: How can you prevent a rash from poisonous plants?
output: The reaction happens when oil from these plants gets onto your skin. The best way to prevent a rash is to learn what these plants look like and avoid them. If you do come in contact with one, wash your skin in warm water right away. Scrub under your fingernails so you won't spread the oil to other parts of your body. Wash your clothes in hot water to remove the oil.
system: When should you see a doctor about cuts and scrapes?
output: See your doctor if you notice symptoms of an infection, such as: Fever Inflammation Tenderness Pus coming from the wound Get medical care right away for wounds on the face, or for major skin gashes that are deep, bleed heavily, or have objects embedded in them.
system: How do integrase strand transfer inhibitors (INSTIs) help treat HIV and AIDS?
output: Atazanavir or ATV ( Reyataz) Darunavir or DRV ( Prezista) Fosamprenavir or FPV ( Lexiva) Indinavir or IDV ( Crixivan) Lopinavir + ritonavir, or LPV/r ( Kaletra) Nelfinavir or NFV ( Viracept) Ritonavir or RTV ( Norvir) Saquinavir or SQV ( Invirase, Fortovase) Tipranavir or TPV ( Aptivus) These stop HIV from making copies of itself by blocking a key protein that allows the virus to put its DNA into the healthy cell's DNA.