laomobai/llama3-1 huggingface dataset:
system: What can I expect at my first appointment with a rheumatologist?
output: Your first visit will be part conversation, part examination. Your appointment may take an hour or more, but it will be well worth the time. Because RA is a long-term disease, you'll see this doctor often.
system: Should I do family research before I go see a rheumatologist for rheumatoid arthritis?
output: What kinds of problems run in your family? Find out what you can about the health of your grandparents, parents, and any brothers and sisters.
system: Should I tell my rheumatologist about my previous conditions and medications?
output: Your rheumatologist will need to know about every medication you're taking: All your prescriptions for RA and other health problems Include over-the-counter medicines like , rub-on creams, and other pain relievers Vitamins, herbs, and supplements You can write up a list or toss all the bottles in a bag and take them with you. Ask your other doctors for copies of your records and any test results or X-rays, and take them with you, too.
system: Should I create a timeline of my rheumatoid arthritis before I see a rheumatologist?
output: Describe your symptoms and how they've changed over time.
system: How can you prepare for your rheumatologist?
output: Rheumatologists are like detectives looking for clues to relieve your pain and treat your condition. To give your new doctor a head start: Create a timeline. Go back as far as you can remember. Describe your symptoms and how they've changed over time. Do some family research. What kinds of problems run in your family? Find out what you can about the health of your grandparents, parents, and any brothers and sisters. List your meds. Your rheumatologist will need to know about every medication you're taking: All your prescriptions for RA and other health problems Include over-the-counter medicines like , rub-on creams, and other pain relievers Vitamins, herbs, and supplements You can write up a list or toss all the bottles in a bag and take them with you. Ask your other doctors for copies of your records and any test results or X-rays, and take them with you, too.
system: What can be part of your treatment plan for rheumatoid arthritis?
output: Physical therapy or occupational therapy : Your doctor may suggest you meet with one or both of these health professionals. Physical therapists can teach you exercises to help you move your joints and make them stronger. Occupational therapists can show you how to ease the strain on your joints during daily activities. Lifestyle changes: Exercise and weight control will be part of your treatment plan. You need to move your joints to keep them from getting stiff and to strengthen the muscles around them. If you're overweight, shedding extra pounds can take stress off joints and lessen pain.
system: What questions should you ask your rheumatologist?
output: One of the first questions the doctor will ask is, " What brings you here?" How often do you have symptoms? I don't like to take medicine. What are my other options? Will I have to take RA drugs for the rest of my life? Where can I find resources to help me learn more about living with the disease? How can I find a support group? By the end of this first visit, your new rheumatologist will know a lot about you and your RA.
system: What questions will your rheumatologist ask?
output: Then, get ready to answer a lot of questions, like: What are your symptoms? How often do you have symptoms? What makes you feel worse? ( Lack of activity, not enough sleep, stress, eating a certain kind of food?) What activities cause pain? Where on your body is the pain? How bad is the pain? Which words best describe your pain? ( Dull, sharp, stabbing, throbbing, burning, aching, cramping, radiating?) How does the pain make you feel? Are there symptoms other than joint, muscle, or bone pain that seem to be linked? ( Rashes, itching, dry mouth or eyes, fevers, infections?) Some questions may not seem to be about rheumatoid arthritis, but your doctor has a good reason for asking them. Tell him if you want to know why or if you feel uncomfortable. I don't like to take medicine.
system: What causes aplastic anemia?
output: Acquired causes include: Autoimmune diseases such as lupus and rheumatoid arthritis Chemicals such as pesticides, arsenic, and benzene Infections including hepatitis, Epstein- Barr virus, and HIV Radiation and chemotherapy treatments for cancer Inherited conditions such as Fanconi anemia, Shwachman- Diamond syndrome, and Diamond- Blackfan anemia, can damage cells and also cause aplastic anemia.
system: What are the symptoms of Fanconi anemia?
output: Symptoms of Fanconi anemia include: Abnormal thumbs Heart, kidney, and bone problems Skin color changes Small body, head, and eyes If you have Fanconi anemia, you're more likely to get a type of cancer called acute myeloid leukemia, or AML.
system: What is Fanconi anemia?
output: Fanconi anemia makes your blood marrow produce too few blood cells. It's hereditary, meaning it's passed down from one of your parents through a gene mutation.
system: What are the symptoms of aplastic anemia?
output: Symptoms of aplastic anemia can include everything from shortness of breath and dizziness to headaches, pale skin, chest pain, fast heart rate (tachycardia), and cold hands and feet.
system: What causes myelodysplastic syndromes (MDS)?
output: Some people are born with a gene that causes MDS. These genes are usually passed down from one or both parents. If you have certain inherited syndromes, including Fanconi anemia, Shwachman- Diamond syndrome, Diamond Blackfan anemia, familial platelet disorder, and severe congenital neutropenia, you could be more likely to develop MDS. A small number of people also get MDS after radiation or chemotherapy treatment for cancer. Another risk is exposure to chemicals like benzene, which is found in tobacco smoke.
system: What is megaloblastic anemia?
output: With this type of anemia, your bone marrow produces abnormally structured red blood cells that are too large and too young. Because they're not mature or healthy, they can't carry oxygen throughout your body very well.
system: What are the complications of Fanconi anemia?
output: Symptoms of Fanconi anemia include: Abnormal thumbs Heart, kidney, and bone problems Skin color changes Small body, head, and eyes If you have Fanconi anemia, you're more likely to get a type of cancer called acute myeloid leukemia, or AML. Your odds of getting cancers of the head, neck, skin, GI tract, or genitals also go up.
system: How is congenital dyserythropoietic anemia (CDA) treated?
output: Some people never need treatment. But depending on the severity of the disease, your doctor might recommend a blood transfusion, a stem cell transplant, or with medicines to lower iron levels or interferon alfa-2 A, a drug typically used for treating leukemia and melanoma.
system: How is Diamond-Blackfan anemia treated?
output: Symptoms of Diamond- Blackfan anemia include: Fast heartbeat (tachycardia) Fatigue Heart murmur Pale skin Short height Weak bones Treatments include everything from steroids that can help produce more red blood cells to red blood cell transfusions and bone marrow transplants.
system: What are the symptoms of autoimmune hemolytic anemia?
output: Symptoms include fatigue, pale skin, fast heartbeat (tachycardia), trouble breathing, chills, backache, and yellow skin (jaundice).
system: How is autoimmune hemolytic anemia treated?
output: Treating the disease that caused the anemia can also stop your red blood cell damage. If you have an autoimmune disease, your doctor might treat you with steroid drugs to calm your immune system, which can help the anemia.
system: How does aplastic anemia affect you?
output: Blood cells are made from stem cells in your bone marrow. When you have aplastic anemia, stem cells in your bone marrow are damaged and can't make enough new blood cells. You're either born with aplastic anemia, meaning you inherited a gene from your parents that caused it, or you develop it (acquired). Acquired aplastic anemia is the more common of the two, and sometimes it's only temporary.
system: How is megaloblastic anemia treated?
output: But once symptoms do appear, they're similar to other types of anemia, and include: Dizziness and fatigue Diarrhea, nausea Fast or irregular heartbeat (tachycardia) Muscle pain or weakness Pale skin Trouble breathing Doctors treat megaloblastic anemia with vitamin B9 and vitamin B12 supplements to replace what your body is missing. You'll also need treatment for any disease -- such as Crohn's -- that caused your body to lack these vitamins.
system: What are the symptoms of Diamond-Blackfan anemia?
output: Symptoms of Diamond- Blackfan anemia include: Fast heartbeat (tachycardia) Fatigue Heart murmur Pale skin Short height Weak bones Treatments include everything from steroids that can help produce more red blood cells to red blood cell transfusions and bone marrow transplants.
system: What are the symptoms of myelodysplastic syndromes (MDS)?
output: Some people don't have symptoms with MDS, but others do, including: Bruising or bleeding Infection Fever Shortness of breath Weakness and fatigue Weight loss Oncologists (cancer doctors) and hematologists (blood doctors) treat MDS with chemotherapy, hematopoietic growth factors, and stem cell or bone marrow transplants.
system: What causes megaloblastic anemia?
output: But once symptoms do appear, they're similar to other types of anemia, and include: Dizziness and fatigue Diarrhea, nausea Fast or irregular heartbeat (tachycardia) Muscle pain or weakness Pale skin Trouble breathing Doctors treat megaloblastic anemia with vitamin B9 and vitamin B12 supplements to replace what your body is missing. You'll also need treatment for any disease -- such as Crohn's -- that caused your body to lack these vitamins.
system: What are the symptoms of sideroblastic anemia?
output: Symptoms for both types include: Chest pain Fast heartbeat, or tachycardia Headaches Trouble breathing Weakness and fatigue Treatment for sideroblastic anemia depends on the cause.
system: How are myelodysplastic syndromes (MDS) treated?
output: Some people don't have symptoms with MDS, but others do, including: Bruising or bleeding Infection Fever Shortness of breath Weakness and fatigue Weight loss Oncologists (cancer doctors) and hematologists (blood doctors) treat MDS with chemotherapy, hematopoietic growth factors, and stem cell or bone marrow transplants.
system: How is sideroblastic anemia treated?
output: Symptoms for both types include: Chest pain Fast heartbeat, or tachycardia Headaches Trouble breathing Weakness and fatigue Treatment for sideroblastic anemia depends on the cause. If you have acquired anemia, you'll need to avoid the chemical or drug that caused it. Other treatments include vitamin B6 therapy and bone marrow or stem cell transplants.
system: How is Fanconi anemia treated?
output: Symptoms for both types include: Chest pain Fast heartbeat, or tachycardia Headaches Trouble breathing Weakness and fatigue Treatment for sideroblastic anemia depends on the cause. Treatments include hormone therapy and growth factors to boost blood cell growth. If symptoms become severe, your doctor might recommend a bone marrow stem cell transplant. Oftentimes a bone marrow transplant can cure the problems altogether.
system: What causes sideroblastic anemia?
output: Think of your red blood cells as the transport system that carries oxygen to your body's tissues. The iron buildup causes the formation of abnormal red blood cells called sideroblasts. There are two main types of sideroblastic anemia: Acquired sideroblastic anemia can be caused by exposure to certain chemicals or drugs. Hereditary sideroblastic anemia happens when a gene mutation disrupts normal hemoglobin production. This gene produces âheme,â the part of hemoglobin that carries oxygen.
system: What is congenital dyserythropoietic anemia (CDA)?
output: In this group of blood disorders, your body can't use iron to make hemoglobin -- the protein that carries oxygen in your blood. All CDAs are passed down through families. There are three types of CDA, types 1, 2, and 3. Type 2 is the most common and type 3 is the rarest. Symptoms include chronic anemia, fatigue, yellow skin and eyes (jaundice), pale skin, and missing fingers and toes at birth.
system: What are myelodysplastic syndromes (MDS)?
output: When you have aplastic anemia, stem cells in your bone marrow are damaged and can't make enough new blood cells. MDS is a type of cancer.
system: What are the symptoms of megaloblastic anemia?
output: Some people are born with a gene that causes MDS. But once symptoms do appear, they're similar to other types of anemia, and include: Dizziness and fatigue Diarrhea, nausea Fast or irregular heartbeat (tachycardia) Muscle pain or weakness Pale skin Trouble breathing Doctors treat megaloblastic anemia with vitamin B9 and vitamin B12 supplements to replace what your body is missing.
system: What causes autoimmune hemolytic anemia?
output: When you have aplastic anemia, stem cells in your bone marrow are damaged and can't make enough new blood cells. Acquired causes include: Autoimmune diseases such as lupus and rheumatoid arthritis Chemicals such as pesticides, arsenic, and benzene Infections including hepatitis, Epstein- Barr virus, and HIV Radiation and chemotherapy treatments for cancer Inherited conditions such as Fanconi anemia, Shwachman- Diamond syndrome, and Diamond- Blackfan anemia, can damage cells and also cause aplastic anemia. Symptoms of Fanconi anemia include: Abnormal thumbs Heart, kidney, and bone problems Skin color changes Small body, head, and eyes If you have Fanconi anemia, you're more likely to get a type of cancer called acute myeloid leukemia, or AML.
system: How is an ankle fracture diagnosed?
output: What your doctor recommends depends on the type of break you have and how severe it is. He'll look at X-rays or other scans to figure out the best approach.
system: What is expressive aphasia (non-fluent) versus receptive aphasia (fluent)?
output: Common types of aphasia include the following: Expressive aphasia (non-fluent): With expressive aphasia, the person knows what he or she wants to say, yet has difficulty communicating it to others.
system: What is primary progressive aphasia?
output: Primary progressive aphasia is a rare disorder where people slowly lose their ability to talk, read, write, and comprehend what they hear in conversation over a period of time. With a stroke, aphasia may improve with proper therapy. There is no treatment to reverse primary progressive aphasia. People with primary progressive aphasia are able to communicate in ways other than speech.
system: What is anomic aphasia?
output: Because of the difficulties, the person struggles to find the right words for speaking and writing.
system: What is aphasia?
output: It's more common in older adults, particularly those who have had a stroke. Aphasia gets in the way of a person's ability to use or understand words. Aphasia does not impair the person's intelligence. People who have aphasia may have difficulty speaking and finding the "right" words to complete their thoughts. They may also have problems understanding conversation, reading and comprehending written words, writing words, and using numbers. Aphasia is usually caused by a stroke or brain injury with damage to one or more parts of the brain that deal with language.
system: What's the difference between mild and severe aphasia?
output: With mild aphasia, the person may be able to converse, yet have trouble finding the right word or understanding complex conversations. Severe aphasia limits the person's ability to communicate. The person may say little and may not participate in or understand any conversation.
system: What are the main symptoms of aphasia?
output: The main symptoms of aphasia include: Trouble speaking Struggling with finding the appropriate term or word Using strange or inappropriate words in conversation Some people with aphasia have problems understanding what others are saying. Some people have trouble using numbers or even doing simple calculations.
system: Can acupuncture help relieve back pain?
output: One recent review of 22 acupuncture studies showed that it provided short-term relief from chronic back pain. It also showed there was greater improvement in pain for people who got acupuncture compared to those who received a âshamâ treatment. Other studies have found, though, that sham acupuncture can be as effective as actual acupuncture. Those studies also found that, compared to standard treatment, both actual acupuncture and sham acupuncture are more effective.
system: How does acupuncture help back pain?
output: According to traditional Chinese medicine, the body has more than 2,000 of these points. Stimulating these points is said to correct the imbalance of qi and improve the flow of energy. Practitioners believe that this helps relieve pain and improve health. Or it may release immune system cells in the body.
system: Does sweat spread HIV?
output: HIV doesn't live in saliva, tears, pee, or sweat -- so it can't be spread by casual contact with these body fluids.
system: How do you get HIV?
output: The infection spreads from person to person when certain body fluids are shared, usually during vaginal or anal sex, or when sharing drugs you inject. It can also be passed from dirty needles from tattoos and body piercing. It can be spread through oral sex, too, although the chance is small.
system: Which health care professionals can best perform physical evaluations and prescribe medications for ADHD?
output: While all of the professionals listed above can treat ADHD, only certain ones can prescribe medication and do thorough physical evaluations to rule out other possible causes of symptoms. These professionals are doctors (either a medical doctor or doctor of osteopathy), nurse practitioners, and physician assistants supervised by a doctor. Because medication is a key part of ADHD treatment, it is important that all members of your treatment team communicate with each other on a regular basis.
system: What are motor symptoms of Parkinson's disease during the advanced stage?
output: Some people never reach this stage. This is when medication doesn't help as much and serious disabilities set in. At this point, you likely: Are limited to bed or a wheelchair Can't live on your own Have severe posture issues in your neck, back, and hips Need help with daily tasks Almost everyone with Parkinson's gets at least one of these.
system: What are motor symptoms of Parkinson's disease during the moderate stage?
output: Often within 3 to 7 years, you'll see more changes. Early on, you might have a little trouble with something like buttoning a shirt. At this point, you may not be able to do it at all. You might also find that the medicine you take starts to wear off between doses. You can expect: Changes in how you speak, like a softer voice or one that starts strong, but trails off Freezing when you first start to walk or change direction, as if your feet are glued to the ground Trouble swallowing Falls to be more likely Trouble with balance and coordination Slower movements Small, shuffling steps Advanced stage.
system: What are motor symptoms of Parkinson's disease during the mild stage?
output: And drugs usually work well to keep them in check. You might notice: Your arms don't swing as freely when you walk You can't make facial expressions Your legs feel heavy Posture becomes a little stooped Handwriting gets smaller Your arms or legs get stiff You have symptoms only on one side of your body, like a tremor in one arm Moderate stage.
system: What can I expect from Parkinson's disease?
output: Parkinson does follow a broad pattern. While it moves at different paces for different people, changes tend to come on slowly. Symptoms usually get worse over time, and new ones probably will pop up along the way. Parkinson's doesn't always affect how long you live. At this point, you likely: Are limited to bed or a wheelchair Can't live on your own Have severe posture issues in your neck, back, and hips Need help with daily tasks Almost everyone with Parkinson's gets at least one of these.
system: What non-motor symptoms may show up early in those with Parkinson's disease?
output: Another might have major tremors but no issues with thinking or memory. You may have these issues years before any classic motor symptoms like tremors: Constipation Depression Loss of smell Low blood pressure when you stand up Pain Sleep issues You also might get these symptoms later in the disease. Drooling and a more urgent need to pee are also common.
system: What makes Parkinson's disease hard to predict?
output: Parkinson's comes with two main buckets of possible symptoms. One affects your ability to move and leads to motor issues like tremors and rigid muscles. The other bucket has non-motor symptoms, like pain, loss of smell, and dementia. You may not get all the symptoms. Another might have major tremors but no issues with thinking or memory. And someone else may have severe symptoms all around. All that adds up to a disease that's very hard to predict. Dementia and psychosis are two serious mental health issues that usually take a while to show up.
system: When should I see a doctor about a sprain or strain?
output: All but the most minor strains and sprains should be evaluated by a doctor. Consult a doctor as soon as possible if there are symptoms of a possible broken bone: There is a "popping" sound with the injury. The person can't move the injured joint or limb or bear weight on it. The limb buckles when the injured joint is used. There is numbness. There is significant swelling, pain, fever, or open cuts.
system: What is RICE therapy?
output: Ice for 20 minutes every hour. Never put ice directly against the skin or it may damage the skin. Use a thin towel for protection. Compress by wrapping an elastic ( Ace) bandage or sleeve lightly (not tightly) around the joint or limb. Consult a doctor as soon as possible if there are symptoms of a possible broken bone: There is a "popping" sound with the injury. Continue RICE for 24 to 48 hours, or until the person sees a doctor.
system: Who gets skin picking disorder?
output: Skin picking disorder happens in both children and adults. It can begin at almost any age.
system: What causes skin picking disorder?
output: You may pick at the scab or rash, which causes more injury to the skin and keeps the wound from healing. More itching leads to more picking and more scabbing, and the cycle continues. During a time of stress. You may absently pick at a scab or the skin around your nails and find that the repetitive action helps to relieve stress.
system: What is skin picking disorder?
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(); }); } When this happens, picking at the skin -- for example, picking a scab or the skin around your nails -- can become so frequent and intense that it causes bleeding, sores, and scars. Some people with this disorder repeatedly scratch to try to remove what they see as some kind of imperfection in their skin.
system: How is skin picking disorder classified?
output: Skin picking disorder is considered a type of repetitive "self-grooming" behavior called " Body- Focused Repetitive Behavior" ( BFRB). Other types of BFRBs include pulling or picking of the hair or nails that damages the body. It is classified in the DSM- V (a compendium of psychiatric diagnoses) as a type of obsessive compulsive disorder because of the compulsive urge to perform repetitive behaviors.
system: When should you call a doctor about your stoma?
output: Pick up the phone if you notice any of these problems: The skin around the stoma looks red, raw, or it leaks fluid. You have a fever of 101 degrees F or higher. You have nausea, vomiting, pain in your gut, severe constipation, or diarrhea. You're weak, have muscle cramps, or pee less than usual -- these are warning signs of dehydration.