randomani/MedicalQnA-llama2 huggingface dataset:
This is a medical question of type : information 
 What is (are) Alzheimer's Caregiving ? 
 Alzheimers disease has three stages: early (also called mild), middle (moderate), and late (severe). Understanding these stages can help you care for your loved one and plan ahead. A person in the early stage of Alzheimers disease may find it hard to remember things, ask the same questions over and over, lose things, or have trouble handling money and paying bills. As Alzheimers disease progresses to the middle stage, memory loss and confusion grow worse, and people may have problems recognizing family and friends. Other symptoms at this stage may include difficulty learning new things and coping with new situations; trouble carrying out tasks that involve multiple steps, like getting dressed; forgetting the names of common things; and wandering away from home. As Alzheimers disease becomes more severe, people lose the ability to communicate. They may sleep more, lose weight, and have trouble swallowing. Often they are incontinentthey cannot control their bladder and/or bowels. Eventually, they need total care.
This is a medical question of type : treatment 
 What are the treatments for Alzheimer's Caregiving ? 
 Currently, no medication can cure Alzheimers disease, but four medicines are approved to treat the symptoms of the disease. - Aricept (donezepil)for all stages of Alzheimers  - Exelon (rivastigmine)for mild to moderate Alzheimers  - Razadyne (galantamine)--for mild to moderate Alzheimers  - Namenda (memantine)for moderate to severe Alzheimers  -  Namzarec (memantine and donepezil)for moderate to severe Alzheimers Aricept (donezepil)for all stages of Alzheimers Exelon (rivastigmine)for mild to moderate Alzheimers Razadyne (galantamine)--for mild to moderate Alzheimers Namenda (memantine)for moderate to severe Alzheimers Namzarec (memantine and donepezil)for moderate to severe Alzheimers These medications can help slow down memory loss and allow people with Alzheimers to be more comfortable and independent for a longer time. If appropriate, the persons doctor may prescribe a medicine to treat behavior problems such as anxiety, depression, and aggression. Medicines to treat these behavior problems should be used only after other strategies have been tried. Talk with the doctor about which medicines are safest and most effective.
This is a medical question of type : information 
 What is (are) Alzheimer's Caregiving ? 
 Here are some ways you can learn more about Alzheimers disease. - Talk with a doctor or other healthcare provider who specializes in Alzheimers disease.  - Check out books or videos about Alzheimers from the library.  - Go to educational programs about the disease.   - Visit the website of the National Institute on Aging's  Alzheimer's Disease and Referral Center (ADEAR).   - The National Institute on Aging has a book, Caring for a Person with Alzheimers Disease, that can be viewed and ordered at www.nia.nih.gov/alzheimers/publication/caring-person-alzheimers-disease  -  Read about  Alzheimer's disease on NIHSeniorHealth. Talk with a doctor or other healthcare provider who specializes in Alzheimers disease. Check out books or videos about Alzheimers from the library. Go to educational programs about the disease. Visit the website of the National Institute on Aging's  Alzheimer's Disease and Referral Center (ADEAR). The National Institute on Aging has a book, Caring for a Person with Alzheimers Disease, that can be viewed and ordered at www.nia.nih.gov/alzheimers/publication/caring-person-alzheimers-disease Read about  Alzheimer's disease on NIHSeniorHealth.
This is a medical question of type : exams and tests 
 How to diagnose Alzheimer's Caregiving ? 
 When you learn that someone has Alzheimers disease, you may wonder when and how to tell your family and friends. You may be worried about how others will react to or treat the person. Others often sense that something is wrong before they are told. Alzheimers disease is hard to keep secret. When the time seems right, be honest with family, friends, and others. Use this as a chance to educate them about Alzheimers disease. You can share information to help them understand what you and the person with Alzheimers are going through. You can also tell them what they can do to help. Get more information about helping family and friends understand Alzheimer's disease.
This is a medical question of type : information 
 What is (are) Alzheimer's Caregiving ? 
 Eating healthy foods helps us stay well. It's even more important for people with Alzheimers disease.  When a person with Alzheimer's lives with you --  -  Buy healthy foods such as vegetables, fruits, and whole-grain products. Be sure to buy foods that the person likes and can eat.   - Buy food that is easy to prepare, such as pre-made salads and single food portions.   - Have someone else make meals if possible.   - Use a service such as Meals on Wheels, which will bring meals right to your home. For more information, check your local phone book, or contact the Meals on Wheels organization at 1 (888) 998-6325.  Buy healthy foods such as vegetables, fruits, and whole-grain products. Be sure to buy foods that the person likes and can eat. Buy food that is easy to prepare, such as pre-made salads and single food portions. Have someone else make meals if possible. Use a service such as Meals on Wheels, which will bring meals right to your home. For more information, check your local phone book, or contact the Meals on Wheels organization at 1 (888) 998-6325. (Watch the video to learn about simplifying mealtimes for a person with Alzheimer's. To enlarge the video, click the brackets in the lower right-hand corner. To reduce the video, press the Escape (Esc) button on your keyboard.)  When a person with early-stage Alzheimers lives alone -- - Follow the steps above  - Buy foods that the person doesn't need to cook.   - Call to remind him or her to eat. Follow the steps above Buy foods that the person doesn't need to cook. Call to remind him or her to eat. In the early stage of Alzheimers disease, the person's eating habits usually don't change. When changes do occur, living alone may not be safe anymore. Look for these signs to see if living alone is no longer safe for the person with Alzheimers. - The person forgets to eat.   - Food has burned because it was left on the stove.  - The oven isn't turned off. The person forgets to eat. Food has burned because it was left on the stove. The oven isn't turned off.
This is a medical question of type : information 
 What is (are) Alzheimer's Caregiving ? 
 To find out about residential care facilities in your area, talk with your support group members, social worker, doctor, family members, and friends. Also, check the following resources. Centers for Medicare and Medicaid Services (CMS) 7500 Security Boulevard Baltimore, MD 21244-1850 1-800-MEDICARE (1-800-633-4227) 1-877-486-2048 (toll-free TTY number) www.medicare.gov  MS has a guide, Your Guide to Choosing a Nursing Home or Other Long Term Care," to help older people and their caregivers choose a good nursing home. It describes types of long-term care, questions to ask the nursing home staff, and ways to pay for nursing home care. CMS also offers a service called Nursing Home Compare on its website. This service has information on nursing homes that are Medicare or Medicaid certified. These nursing homes provide skilled nursing care. Please note that there are many other places that provide different levels of health care and help with daily living. Many of these facilities are licensed only at the State level. CMS also has information about the rights of nursing home residents and their caregivers. Joint Commission One Renaissance Boulevard Oakbrook Terrace, IL 60181 1-630-792-5000 www.jointcommission.org The Joint Commission evaluates nursing homes, home health care providers, hospitals, and assisted living facilities to determine whether or not they meet professional standards of care. Consumers can learn more about the quality of health care facilities through their online service at www.qualitycheck.org. Other resources include - AARP 601 E Street, NW Washington, DC 20049 1-888-OUR-AARP (1-888-687-2277) www.aarp.org/family/housing  - Assisted Living Federation of America 1650 King Street, Suite 602 Alexandria, VA 22314 1-703-894-1805 www.alfa.org  - National Center for Assisted Living 1201 L Street, NW Washington, DC 20005 1-202-842-4444 www.ncal.org  AARP 601 E Street, NW Washington, DC 20049 1-888-OUR-AARP (1-888-687-2277) www.aarp.org/family/housing Assisted Living Federation of America 1650 King Street, Suite 602 Alexandria, VA 22314 1-703-894-1805 www.alfa.org National Center for Assisted Living 1201 L Street, NW Washington, DC 20005 1-202-842-4444 www.ncal.org
This is a medical question of type : considerations 
 What to do for Alzheimer's Caregiving ? 
 As Alzheimers disease gets worse, you will need more help to care for the person. It's okay to seek help whenever you need it. Several kinds of help are available. - Home health care agencies send a home health aide or nurse to your home to help you care for a person with Alzheimers. They may come for a few hours or stay for 24 hours and are paid by the hour.  Home health care agencies send a home health aide or nurse to your home to help you care for a person with Alzheimers. They may come for a few hours or stay for 24 hours and are paid by the hour. - Meal services bring hot meals to the person's home or your home. The delivery staff does not feed the person. Some groups do not charge for their services. Others may charge a small fee. Meal services bring hot meals to the person's home or your home. The delivery staff does not feed the person. Some groups do not charge for their services. Others may charge a small fee. - Adult day care services provide a safe environment, activities, and staff who take care of the person with Alzheimers at their own facility. Many programs provide transportation between the persons home and the facility.  Watch a video to see what services adult day care provides. Adult day care services provide a safe environment, activities, and staff who take care of the person with Alzheimers at their own facility. Many programs provide transportation between the persons home and the facility.  Watch a video to see what services adult day care provides. - Geriatric care managers visit your home to assess your needs and suggest and arrange home-care services. They charge by the hour. Most insurance plans don't cover these costs.  Geriatric care managers visit your home to assess your needs and suggest and arrange home-care services. They charge by the hour. Most insurance plans don't cover these costs.
This is a medical question of type : information 
 What is (are) Alzheimer's Caregiving ? 
 Everyone needs help at times. However, many caregivers find it hard to ask for help. They may feel they should be able to do everything themselves, or that it's not all right to leave the person in their care with someone else. Or maybe they cant afford to pay someone to watch the person for an hour or two. Family members, friends, and community resources can help caregivers of people with Alzheimers disease. Here are some tips about asking for help. - It's okay to ask for help from family, friends, and others. You don't have to do everything yourself.  - Ask people to help out in specific ways, like making a meal, visiting the person, or taking the person out for a short time.   - Call for help from home health care or adult day care services when needed.   - Use national and local resources to find out how to pay for some of this help.  It's okay to ask for help from family, friends, and others. You don't have to do everything yourself. Ask people to help out in specific ways, like making a meal, visiting the person, or taking the person out for a short time. Call for help from home health care or adult day care services when needed. Use national and local resources to find out how to pay for some of this help. To learn where to get help in your community, contact - The Alzheimers Disease Education and Referral (ADEAR) Center, 1-800-438-4380 or www.nia.nih.gov/alzheimers   - The Alzheimer's Association, 1-800-272-3900 or www.alz.org   - The Eldercare Locator, 1-800-677-1116 or  www.eldercare.gov. The Alzheimers Disease Education and Referral (ADEAR) Center, 1-800-438-4380 or www.nia.nih.gov/alzheimers  The Alzheimer's Association, 1-800-272-3900 or www.alz.org  The Eldercare Locator, 1-800-677-1116 or  www.eldercare.gov. You can also contact your local area agency on aging.
This is a medical question of type : information 
 What is (are) Paget's Disease of Bone ? 
 Enlarged and Misshapen Bones Paget's disease of bone causes affected bones to become enlarged and misshapen. Our bones are living tissue, and our bodies are constantly breaking down old bone and replacing it with new bone. In Paget's disease, however, old bone is broken down and replaced at a faster rate than normal. The new bone is larger and weaker than normal bone. Paget's disease can occur in any bone in the body, but it is most common in the pelvis, spine, skull, and leg bones. It may occur in just one bone or in several bones, but it does not affect the entire skeleton or spread from affected bones to normal bones. Common symptoms include pain, misshapen bones, and a greater chance of broken bones. Complications Paget's disease can also lead to complications, such as arthritis, headaches, hearing loss, or nervous system problems, depending on which bones are affected. If not treated, Paget's disease can reduce a person's ability to perform activities of daily living, thereby reducing quality of life. Although it is the second most common bone disease after osteoporosis, Paget's disease is still uncommon. According to Bone Health and Osteoporosis: A Report of the Surgeon General, an estimated 1 million people in the U.S. have Paget's disease, or about 1.3 people per 100 men and women age 45-74. The disease is more common in older people and those of Northern European heritage. Men are more likely than women to have the disease. Cause is Unknown Paget's disease is named after the British surgeon, Sir James Paget, who first identified the disease in 1877. Researchers are not sure what causes it. Heredity may be a factor in some cases. Research suggests that a close relative of someone with Paget's disease is seven times more likely to develop the disease than someone without an affected relative. However, most people with Paget's disease do not have any relatives with the disease. Researchers think the disease also may be caused by other factors, such as a slow-acting virus. A Treatable Disease The good news is that Paget's disease of bone is treatable, especially if it is diagnosed early. In recent years, the Food and Drug Administration has approved several medications that can stop or slow the disease's progression. In some cases, surgery can help patients manage the symptoms and complications of the disease.
This is a medical question of type : symptoms 
 What are the symptoms of Paget's Disease of Bone ? 
 Symptoms Many people don't know they have Paget's disease because they have a mild case of the disease and do not have any symptoms. However, people with more advanced cases of the disease will likely have symptoms. Symptoms vary depending on which bone or bones are affected. People with Paget's disease may experience - bone pain  - misshapen bones  - fractures  - osteoarthritis of the joints adjacent to bone affected by the disease.  bone pain misshapen bones fractures osteoarthritis of the joints adjacent to bone affected by the disease. Paget's disease can also cause a variety of neurological complications as a result of compression of nerve tissue by bone affected by the disease. Misshapen bone is most obvious when the leg bones, skull, or bones of the spine are affected. Leg bones may become bowed, the skull may become enlarged, and malformed spinal bones may cause curvature of the spine. Complications People with Paget's disease also are more likely to break bones because bones affected by the disease are more fragile. Enlarged and malformed bones can distort the position of bones and joints. This causes wear and tear on the joints next to bones affected by Paget's disease, resulting in arthritis. On very rare occasions, Paget's disease is linked to the development of osteosarcoma, a type of bone cancer. Less than one percent of patients have this complication.
This is a medical question of type : exams and tests 
 How to diagnose Paget's Disease of Bone ? 
 An Underdiagnosed Disease Experts believe that Paget's disease is underdiagnosed; people with a mild case and no symptoms may never know they have the disease. Or, they may receive a diagnosis by accident when x-rays or other laboratory tests done for another reason reveal Paget's disease. When symptoms do occur, they usually appear gradually and, in the early stages, may be confused with those of arthritis or other medical problems. Sometimes a person may not receive a clear diagnosis until the disease progresses and complications develop. Diagnostic Tests X-rays are almost always used to diagnose Paget's disease, but the disease may be discovered using one of three tests: - x-rays  -  an alkaline phosphatase blood test  -  or a bone scan. x-rays an alkaline phosphatase blood test or a bone scan. Bones affected by Paget's disease have a distinctive appearance on x-rays, which may show increased bone density, an abnormal bone structure, bowing, and enlargement. X-rays of leg bones may show very tiny fractures called microfractures. The enzyme alkaline phosphatase is involved in the normal growth of new bone. Having higher-than-normal levels of this chemical in the blood, however, may be a sign of Paget's disease. The alkaline phosphatase blood test measures the level of this substance. A bone scan provides a picture of the affected bones that doctors can use to see how far the disease has progressed. If a bone scan done for another reason suggests Paget's disease, the doctor can order x-rays to confirm the diagnosis. If the Disease Runs in the Family Early diagnosis and treatment of Paget's disease is important. Because Paget's disease can be hereditary, some experts recommend that the brothers, sisters, and children of anyone with the disease talk to their doctor about having an alkaline phosphatase blood test every 2 to 3 years after about age 40.
This is a medical question of type : information 
 What is (are) Paget's Disease of Bone ? 
 Paget's disease of bone is a disease that causes affected bones to become enlarged and misshapen. Our bones are living tissue, and our bodies are constantly breaking down old bone and replacing it with new bone. In Paget's disease, however, old bone is broken down and replaced at a faster rate than normal. The new bone is larger and weaker than normal bone.
This is a medical question of type : symptoms 
 What are the symptoms of Paget's Disease of Bone ? 
 Pain may be a symptom, especially among people with more advanced Paget's disease. Affected bones also can become enlarged, misshapen, and more fragile and likely to break. Misshapen bones tend to be most noticeable in the legs, skull, and spine.
This is a medical question of type : complications 
 What are the complications of Paget's Disease of Bone ? 
 Over time, Paget's disease may lead to other medical conditions, including arthritis, headaches, hearing loss, and nervous system problems, depending on which bones are affected. On very rare occasions, Paget's disease is associated with the development of osteosarcoma, a type of bone cancer. Less than one percent of patients have this complication.
This is a medical question of type : exams and tests 
 How to diagnose Paget's Disease of Bone ? 
 Paget's disease is almost always diagnosed by x-ray, although it may be discovered using one of two other tests: an alkaline phosphatase blood test or a bone scan. Paget's disease is often found by accident when a person undergoes one of these tests for another reason. In other cases, a person experiences problems that lead his or her physician to order these tests. If Paget's disease is first suggested by an alkaline phosphatase blood test or bone scan, the physician usually orders an x-ray to verify the diagnosis. A bone scan is typically used to identify all the bones in the skeleton that are affected by the disease.
This is a medical question of type : treatment 
 What are the treatments for Paget's Disease of Bone ? 
 The Food and Drug Administration has approved several medications that can stop or slow down the progression of the disease and reduce pain and other symptoms. These medications fall into two categories: bisphosphonates and calcitonin. Doctors most often prescribe one of the four strongest bisphosphonates, which are risedronate, alendronate, pamidronate, and zoledronic acid.
This is a medical question of type : treatment 
 What are the treatments for Paget's Disease of Bone ? 
 Yes. Some complications from Paget's disease respond well to surgery. Joint replacement may be helpful in people with severe arthritis of the hip or knee. Surgery can also realign affected leg bones to reduce pain or help broken bones heal in a better position.
This is a medical question of type : symptoms 
 What are the symptoms of Skin Cancer ? 
 Early Detection is Important When skin cancer is found early, it is more likely to be treated successfully. Therefore, it is important to know how to recognize the signs of skin cancer in order to improve the chances of early diagnosis. Most non-melanoma skin cancers (basal cell carcinoma and squamous cell carcinoma) can be cured if found and treated early. Skin Changes A change on the skin is the most common sign of skin cancer. This may be a new growth, a sore that doesn't heal, or a change in an old growth. Not all skin cancers look the same. Sometimes skin cancer is painful, but usually it is not. Checking your skin for new growths or other changes is a good idea. Keep in mind that changes are not a sure sign of skin cancer. Still, you should report any changes to your health care provider right away. You may need to see a dermatologist, a doctor who has special training in the diagnosis and treatment of skin problems. A Mole That is Bleeding Also see a doctor if a mole is bleeding or if more moles appear around the first one. Most of the time, these signs are not cancer. Sometimes, it is not even a mole. Still, it is important to check with a doctor so that any problems can be diagnosed and treated as early as possible. Don't ignore your symptoms because you think they are not important or because you believe they are normal for your age. Signs of Melanoma Melanoma skin cancer is more difficult to treat, so it is important to check for signs and seek treatment as soon as possible. Use the following ABCDE rule to remember the symptoms of melanoma. See a doctor if you have a mole, birthmark, or other pigmented area of skin with  A = Asymmetry. One half of the mole looks different than the other half. (top left image)  B = Border. The edges are often ragged, notched, or blurred in outline. The pigment may spread into the surrounding skin. (top right image)  C = Color. The mole is more than one color. Shades of black, brown, and tan may be present. Areas of white, gray, red, pink, or blue may also be seen.(bottom left image)   D = Diameter.There is a change in size, usually an increase. Melanomas can be tiny, but most are larger than the size of a pea (larger than 6 millimeters or about 1/4 inch). (bottom right image)   E = Evolving. The mole has changed over the past few weeks or months.