laomobai/llama3-1 huggingface dataset:
system: What causes burning feet?
output: Diabetes and alcohol abuse are by far the most common causes of neuropathy in the legs. Poor absorption of B vitamins after gastric bypass can cause neuropathy in the legs and a sensation of burning feet. For people with other forms of neuropathy that cause burning feet, preventing further nerve damage is equally important.
system: What if you hate exercise but need to treat high triglycerides?
output: Solution: You're more likely to make exercise a part of your healthier life if it's convenient and enjoyable. It also helps to work out with a buddy who shares your goals. If you have aches or pains, see if your doctor can recommend a physical therapist. Your health insurance company may cover the cost if your doctor refers you. If your insurer doesn't cover physical therapy, also check out certified personal trainers to design a custom approach to exercise that will work with your lifestyle.
system: What if you don't like how your medicine makes you feel but you need to treat high triglycerides?
output: Solution: Let your doctor know. It may be possible to switch to another drug or adjust your dose. It is possible that lifestyle changes alone will be the best approach.
system: What conditions are caused by syphilis?
output: It's easily treated with antibiotics. If you have syphilis and don't get treated, the infection can lead to a number of serious -- even life-threatening -- conditions. They develop over many years and may include: Heart disease Nervous system disorders Mental disorders Blindness Aortic aneurysms If you have syphilis and are pregnant, you can pass it on to your unborn child.
system: Can having syphilis raise your chances of getting the human immunodeficiency virus (HIV)?
output: That's because syphilis sores can be open, making it easy for HIV to get into your body while you're having sex.
system: What are gummas, and how are they related to syphilis?
output: These are small bumps of dead tissue and fiber. They can form throughout your body if you don't get treated. You can get them in your internal organs and on bones or skin in the late stages. They typically go away with treatment.
system: What problems with your nervous system are caused by syphilis?
output: It's easily treated with antibiotics. Symptoms include: Severe headache Stroke Loss of muscle coordination Paralysis or inability to move part of your body Numbness A mental disorder called dementia Blindness or changes to vision
system: When can you do normal activities after a pacemaker implant?
output: Call your doctor if you notice: Increased drainage or bleeding from the insertion site Increased opening of the incision Redness around the incision site Warmth along the incision Increased body temperature (fever or chills) After your pacemaker is implanted, you may move your arm; you don't have to restrict its motion during normal daily activities. Avoid extreme pulling or lifting motions (such as placing your arm over your head without bending at the elbow). Activities such as golf, tennis, and swimming should be avoided for six weeks from when the pacemaker was implanted. Microwave ovens, electric blankets, and heating pads may be used. Cellular phones should be used on the side opposite your pacemaker. Ask your doctor or nurse for more specific information regarding what types of equipment may interfere with your pacemaker.
system: How can you care for your wound after a pacemaker implant?
output: Keep the area where the pacemaker was inserted clean and dry. After about five days, you may take a shower. Look at your wound daily to make sure it is healing. Call your doctor if you notice: Increased drainage or bleeding from the insertion site Increased opening of the incision Redness around the incision site Warmth along the incision Increased body temperature (fever or chills) After your pacemaker is implanted, you may move your arm; you don't have to restrict its motion during normal daily activities.
system: What is a follow-up schedule for a pacemaker?
output: Here is an outline of a typical pacemaker follow-up schedule: Check before you are discharged from the hospital, the day after implant Telephone call two weeks after implantation to make sure the wound is healing and to ensure the transmitter is working Six-week check Telephone checks every three to six months starting three months after your six-week check Pacemaker analysis every three to six months (in between telephone checks) Pacemakers usually last 6 to 10 years.
system: How long will my pacemaker last?
output: Here is an outline of a typical pacemaker follow-up schedule: Check before you are discharged from the hospital, the day after implant Telephone call two weeks after implantation to make sure the wound is healing and to ensure the transmitter is working Six-week check Telephone checks every three to six months starting three months after your six-week check Pacemaker analysis every three to six months (in between telephone checks) Pacemakers usually last 6 to 10 years. Biventricular pacemakers that are combined with an ICD do not tend to last as long.
system: How do they keep the area sterile of where they insert the pacemaker?
output: Because it is very important to keep the area of insertion sterile to prevent infection, your chest will be shaved (if necessary) and cleansed with a special soap. Sterile drapes will be used to cover you from your neck to your feet. A soft strap will be placed across your waist and arms to prevent your hands from coming in contact with the sterile field.
system: How is a pacemaker places inside your heart?
output: The tip of the lead attaches to your heart muscle. The other end of the lead is attached to the pulse generator, which is placed under the skin in your upper chest. This technique is done under local anesthesia (you will not be asleep). Outside the Heart ( Epicardial approach): Your chest will be opened and the lead tip is attached to the outside of the heart. The other end of the lead is attached to the pulse generator, which is placed under the skin in your abdomen.
system: What happens during the final pacemaker check after the pacemaker is implanted?
output: Final pacemaker check: For your final pacemaker check, you will sit in a reclining chair. A small machine known as a programmer is used to check your pacemaker. It has a wand that is placed directly over the device. This machine allows the technician to read your pacemaker settings and make changes during testing. With these changes, the function of the pacemaker and leads can be evaluated. You may feel your heart beating faster or slower. This is normal; however, report all symptoms to the technician. Results of the pacemaker check are discussed with your doctor who will then determine your pacemaker settings.
system: How do I care for my wound after a pacemaker implant?
output: Keep the area where the pacemaker was inserted clean and dry. After about five days, you may take a shower. Look at your wound daily to make sure it is healing. Call your doctor if you notice: Increased drainage or bleeding from the insertion site Increased opening of the incision Redness around the incision site Warmth along the incision Increased body temperature (fever or chills) After your pacemaker is implanted, you may move your arm; you don't have to restrict its motion during normal daily activities.
system: What should you wear when you go to the hospital for your biventricular pacemaker implant?
output: When you come to the hospital, wear comfortable clothes. You will change into a hospital gown for the procedure. Leave all jewelry and valuables at home.
system: What are leads and how can they help with heart failure?
output: Leads are tiny wires implanted through a vein into the right ventricle and into the coronary sinus vein to pace or regulate the left ventricle. Usually (but not always), a lead is also implanted into the right atrium. This helps the heart beat in a more balanced way.
system: How does a biventricular pacemaker help treat heart failure?
output: Cardiac resynchronization therapy ( CRT), also called biventricular pacing, uses a special kind of pacemaker, called a biventricular pacemaker, designed to help the ventricles contract more normally. It keeps the right and left ventricles pumping in sync by sending small electrical impulses through the leads. This therapy has been shown to improve the symptoms of heart failure and overall quality of life in certain patients with significant symptoms that aren't controlled with medication.
system: How does heart failure affect the way your heart pumps blood?
output: When a person has heart failure, often the right and left ventricles do not pump synchronously. And when the heart's contractions become out of sync, the left ventricle may not be able to pump enough blood to the body. This eventually leads to an increase in heart failure symptoms, such as shortness of breath, dry cough, swelling in the ankles or legs, weight gain, increased urination, fatigue, or rapid or irregular heartbeat.
system: Does cardiac resynchronization therapy (CRT) help with heart failure?
output: This therapy has been shown to improve the symptoms of heart failure and overall quality of life in certain patients with significant symptoms that aren't controlled with medication.
system: Who do biventricular pacemakers help?
output: Biventricular pacemakers improve the symptoms of heart failure in about 50% of people that have been treated with medications but still have significant heart failure symptoms.
system: When will I be able to go home after a pacemaker implant?
output: Usually, you will be able to go home the day after your pacemaker is implanted. Your doctor will discuss the results of the procedure and answer any questions you may have. A doctor or nurse will go over specific instructions for your care at home. Please ask a responsible adult to drive you home, as the medications you received may cause drowsiness, making it unsafe for you to drive or operate heavy machinery.
system: How is a pacemaker placed outside the heart?
output: Outside the Heart ( Epicardial approach): Your chest will be opened and the lead tip is attached to the outside of the heart. The other end of the lead is attached to the pulse generator, which is placed under the skin in your abdomen. This technique is done under general anesthesia (you will be asleep) by a surgeon. This is typically performed in conjunction with open heart surgery being performed for another reason.
system: When will the doctor need to check my pacemaker?
output: A follow-up pacemaker check is scheduled every three to six months. This check differs from the telephone check because the leads are also tested. Leads cannot be checked thoroughly over the telephone.
system: How do doctors implant a biventricular pacemaker?
output: Pacemakers can be implanted two ways: Inside the Heart ( Endocardial, Transvenous approach): This is the most common technique used. A lead is placed into a vein (usually under your collarbone), and then guided to your heart. The tip of the lead attaches to your heart muscle. The other end of the lead is attached to the pulse generator, which is placed under the skin in your upper chest. This technique is done under local anesthesia (you will not be asleep). Outside the Heart ( Epicardial approach): Your chest will be opened and the lead tip is attached to the outside of the heart. The other end of the lead is attached to the pulse generator, which is placed under the skin in your abdomen. This technique is done under general anesthesia (you will be asleep) by a surgeon. This is typically performed in conjunction with open heart surgery being performed for another reason. Your doctor will decide which approach is best for you, although almost all patients receive the transvenous approach.
system: When can you go home after your pacemaker implant?
output: Usually, you will be able to go home the day after your pacemaker is implanted. Your doctor will discuss the results of the procedure and answer any questions you may have. A doctor or nurse will go over specific instructions for your care at home. Please ask a responsible adult to drive you home, as the medications you received may cause drowsiness, making it unsafe for you to drive or operate heavy machinery.
system: What is a pacemaker identification card?
output: Pacemaker Identification: You will receive a temporary ID card that tells you what type of pacemaker and leads you have, the date of implant and the doctor who implanted it. In about three months following implantation, you will receive a permanent card from the company. It is important that you CARRY THIS CARD AT ALL TIMES in case you need medical attention at another hospital.
system: How will you know if your pacemaker needs to be changed?
output: After getting a pacemaker, you will need to follow-up with the doctor and nurses in a pacemaker clinic and through phone check-ups. This will allow them to monitor your pacemaker's function and anticipate when it will need to be changed. In addition, the pacemaker may be programmed to beep when the battery is low. Your doctor will demonstrate this beep for you. Resynchronization therapy is only one part of a comprehensive heart failure management program. Device and/or surgical therapy, when combined with taking medications, following a low-sodium diet, making lifestyle changes, and following up with a heart failure specialist, will help you decrease symptoms and live a longer, more active life. Your doctor will help determine what treatment options are best for you.
system: How does the doctor test if the leads are in place for the pacemaker?
output: After the leads are in place, the doctor tests the leads to make sure lead placement is correct, the leads are sensing and pacing appropriately and the right and left ventricle are synchronized. This is called "pacing" and involves delivering small amounts of energy through the leads into the heart muscle. This causes the heart to contract. When your heart rate increases, you may feel your heart is racing or beating faster. It is very important to tell your doctor or nurse any symptoms you feel. Any pain should be reported immediately.
system: When is a combination implantable cardioverter defibrillator (ICD) and pacemaker therapy recommended to treat heart failure?
output: People with heart failure who have poor ejection fractions (measurement that shows how well the heart pumps with each beat) are at risk for fast irregular heart rhythms -- some of which can be life-threatening -- called arrhythmias. Currently, doctors use an ICD to prevent these dangerous rhythms. The device works by detecting such a rhythm and shocking the heart back to normal. These devices can combine biventricular pacing with anti-tachycardia (fast heart rate) pacing and internal defibrillators ( ICDs) to deliver treatment as needed. Current studies are showing that resynchronization may even lessen the amount of arrhythmia that occurs, decreasing the times the ICD needs to shock the heart. These devices are helping heart failure patients live longer and improving their quality of life. This check is very important because adjustments will be made that can prolong the life of your pacemaker.
system: What happens to my heart if I have heart failure?
output: In the normal heart, the heart's lower chambers (ventricles) pump in sync with the heart's upper chambers (atria). When a person has heart failure, often the right and left ventricles do not pump synchronously. In addition, the heart failure patient may or may not need this type of pacemaker to treat slow heart rhythms and may or may not need an internal defibrillator (implantable cardioverter defibrillator, or ICD), which is designed to treat people at risk for sudden cardiac death or cardiac arrests.
system: How often do I need to get the pacemaker checked?
output: After your pacemaker check, an echocardiogram may be done. This check is very important because adjustments will be made that can prolong the life of your pacemaker. After that, your pacemaker should be checked every six months using a telephone transmitter to evaluate battery function. The nurse will explain how to check your pacemaker using the telephone transmitter. When the battery gets low, you will need to replace your pacemaker.
system: How does a traditional pacemaker work?
output: Pacemakers regulate the right atrium and right ventricle to maintain a good heart rate and keep the atrium and ventricle working together. This is called AV synchrony. In addition, the heart failure patient may or may not need this type of pacemaker to treat slow heart rhythms and may or may not need an internal defibrillator (implantable cardioverter defibrillator, or ICD), which is designed to treat people at risk for sudden cardiac death or cardiac arrests.
system: How do I prepare for the biventricular pacemaker implant?
output: Ask your doctor what medications you are allowed to take before your pacemaker is implanted. Your doctor may ask you to stop certain drugs several days before your procedure. If you must take medications, drink only small sips of water to help you swallow your pills. If you are uncomfortable or need anything during the procedure, please let the nurse know.
system: How is the pacemaker implanted?
output: The doctor will numb your skin by injecting a local numbing medication. Then the area will become numb. You may feel a pulling as the doctor makes a pocket in the tissue under your skin for the pacemaker. You should not feel pain. If you do, tell your nurse. After the pocket is made, the doctor will insert the leads into a vein and guide them into position using a fluoroscopy machine. You may feel your heart beating faster or slower.
system: What are symptoms of roundworms?
output: Some dogs don’t show symptoms of being infected, but many do. Here’s what to look for: Pot-belly Weakness Diarrhea Vomiting Belly pain Dull coat Weight loss Roundworms in poop or vomit If you see these signs, take your dog to the vet. He'll test a sample of your dog’s poop and begin a set of treatments if necessary.
system: How can a dog get roundworms?
output: Your dog may get them from: His mother. If your puppy’s mother is infected with roundworms, she may pass them before he’s born. Or he may get them by drinking her milk. The environment. Your pup can get roundworms if he eats roundworm eggs that come from another animal’s poop, or if he eats mice or other small animals that are infected.
system: What happens when a roundworm gets in your dog?
output: This is how the cycle continues: After your dog swallows the eggs, they hatch and turn into larvae. The larvae then spread through your dog’s liver and up to his windpipe. Next he coughs and then swallows the larvae. That’s how they get into his intestine, where they can grow into adult worms. Then they lay their own eggs, which continues the cycle.
system: What are treatments for roundworms?
output: There are many safe and effective deworming drugs. They include fenbendazole, milbemycin, moxidectin, piperazine, and pyrantel. Your vet will give your dog one to three doses at first, which will kill the adult worms. Your dog will get follow-up doses to kill any new worms that weren’t fully developed when the first doses were given.
system: How can you prevent roundworms in dogs?
output: If your dog has roundworms, you may notice them in his poop or vomit. Your vet will give your dog one to three doses at first, which will kill the adult worms. If your puppy’s mother is infected with roundworms, she may pass them before he’s born. But you can do a lot of things to ward them off. Keep your dog away from small, wild animals. Consider keeping him on a leash or in a fenced yard. Talk to your doctor about possibly deworming your dog every so often if he’s at high risk of an infection. Keep them away from areas where dogs have used the bathroom.
system: What are roundworms?
output: !s_sensitive, chron ID: $('article embeded_module[type=video][align=top]:eq(0)').attr('chronic_id'), continuous Play: true, cp Options: { flyout: true }, display Ads: true, mode: 'in-article', sticky: true }) }); }); } else { $(function(){ $('.responsive-video-container').remove(); }); } They’re usually white or light brown and a few inches long. ( They look like spaghetti.) If your dog has roundworms, you may notice them in his poop or vomit. These parasites are common.
system: What drugs interact badly with creatine?
output: Side effects can include: Weight gain Anxiety Breathing difficulty Diarrhea Fatigue Fever Headache Kidney problems Nausea, vomiting Rash Stomach upset Certain drugs, including diabetes medications, anti-inflammatories like ibuprofen and naproxen, and diuretics, can have dangerous interactions with creatine. Taking the stimulants caffeine and ephedra with creatine can increase the risk of side effects.
system: How does creatine affect kids who use it?
output: Despite the popularity of creatine among young people, there has been very little research conducted in children under age 18. Of those studies, a few have suggested a positive effect but the overall evidence is inconclusive. In one study, teenage swimmers performed better after taking creatine; in another study, it helped high school soccer players sprint, dribble, and jump more effectively.
system: What is melanoma?
output: Melanoma is the most serious form of skin cancer. It starts in skin pigment cells called melanocytes.
system: How can I prevent skin cancer?
output: Radiation therapy if you have advanced melanoma Follow these tips to help prevent skin cancer: Wear sunscreen every day. It should have a sun protection factor ( SPF) of at least 30 and should be "broad-spectrum," meaning it guards against UVA and UVB rays. Put it on 15 minutes before you go outside. Reapply every 80 minutes when outside, and more often when swimming or sweating. Check the label for directions. Choose clothing, cosmetics, and contact lenses that offer UV protection. Pick sunglasses with total UV protection and a wide-brimmed hat to shade your face and neck. If you have kids, be a good role model for sun protection and help your child learn how to take good care of their skin. Check your skin at least once a month so you know what's normal for you. This will help you notice any changes or new growths. Try to stay out of the sun as much as possible from 10 a.m. to 4 p.m, the peak hours for UVB radiation. The UVA rays, which cause premature skin aging and initiate skin cancers, are out all day long.
system: What is cryosurgery?
output: You'll get this done in your doctor's office. She will use a spray, cotton swab, or metal device called a cryoprobe to apply extremely cold liquid nitrogen to the cancer. This freezes the cancer cells and the immediate surrounding cells. The frozen skin thaws and forms a scab, which eventually falls off, leaving a white scar.
system: What is electrodesiccation and curettage?
output: Electrodesiccation and curettage. These in-office procedures take 5 minutes or less. You'll get anesthesia in the affected area. Your doctor will use a metal scoop device followed by an electric needle to scrape away the skin cancer cells.
system: How important is treatment for skin cancer?
output: Early treatment greatly improves your chances of beating it. Left untreated, it can spread to other parts of your body and become hard to control.
system: How is skin cancer diagnosed?
output: This means any new spot or mole changing in color, shape, or size, and any spot that itches, bleeds or becomes painful.. Doctors usually diagnose skin cancer by doing a biopsy. You'll be awake for this short, in-office procedure. First, you'll get some local anesthesia, which means it will numb just that area of your skin. Your doctor will then take a small sample of skin. A specialist will check the sample under a microscope to see if it's cancer.
system: What is the most common type of skin cancer?
output: Almost all skin cancers -- 95% -- are basal cell and squamous cell cancers. Also called non-melanoma skin cancers, they are highly curable when treated early.