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test_dataset.csv

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+queries,response
+"Patient: Good day. Aaj subah maine bahut time baad pehli baar khaansi ki. Corona virus ke chakkar mein mujhe laga ki ise report karna chahiye. Maine lagbhag 5 minute tak khaansi ki. Mujhe na to bukhar hai, na thakaan aur chest mein ajeeb sa feel ho raha hai. Mujhe kya karna chahiye?","doctor: in brief: best to stay home right now stay home, consult here. disinfect everything and stay safe. we are here to answer your questions. would you like to video or text chat with me?"
+Patient: Kya main jo meat khata hoon usse mujhe coronavirus ho sakta hai? Kya cooking se coronavirus mar jayega?,"doctor: cooking will kill. cooking adequately will kill the virus-30 sec of ,microwave."
+"Patient: 2 din pehle se mujhe thakaan aur body mein random dard mehsoos ho raha hai, zyaadatar pasliyon ke neeche, aur body temperature high tha kyunki main paseen. GP ne mujhe flu ki dawa di aur corona test ke khilaaf salah di. Kya mujhe corona test pe zor dena chahiye?","doctor: in brief: no,you shouldnt. unless you have a history of international travel recently or were in contact with someone who has tested positive for corona virsu. would you like to video or text chat with me?"
+"Patient: Mere 2 saal ke bete ko Thursday se dry khaansi aur naak beh rahi hai. Wo abhi tak bolta nahi hai isliye ye batana mushkil hai ki use saans lene mein koi dikkat hai ya nahi, isliye main chintit hoon. Use bukhar nahi hai?","doctor: in brief: observatn is enough. by looking at your child you'll know if he is having breathing difficulties. cough with a runny nose is common in children. you should be concerned only if he is refusing to play and eat, or if he develops breathing difficulties. having a fever doesn't mean he has the coronavirus. he is more likely to be infected with any of the common infections in your area of gauteng. would you like to video or text chat with me?"
+Patient: Kya COVID-19 ke patients ko ibuprofen ya RAAS antagonists se bachna chahiye?,"doctor: in brief: covid-19 and raas no, according to recent statement from american heart association, the patients with cardiovascular disease should continue acei or abr as prescribed. who also doesn't recommend avoiding ibuprofen for patients with covid-19 symptoms, although the use of acetaminophen could be an alternative option. would you like to video or text chat with me?"
+Patient: Main ek quadriplegic hoon aur mera seena jaam hai aur saans lene mein thodi dikkat ho rahi hai. Raat se mujhe feel ho raha hai ki mujhe apna gala saaf karna chahiye. Main 8 din pehle Cape Town se Joburg lautkar aaya hoon aur precaution ke taur par self-isolate kar raha hoon?,"doctor: in brief: monitor. stay at home, monitor your temperature, drink fluids and rest. nasal congestion and post nasal drip is not typically associated with covid-19. watch for dry cough, fever and if your shortness of breath does not resolve, discuss whether you need an inhaler, chest physiotherapy and/or testing. if you have a trach, watch for signs of infection such as more secretions or a change in color . would you like to video or text chat with me?"
+"Patient: Kaan mein khujli, dard, munh ki chhat mein dard wo bhi sirf raat ko. Post nasal drip. Maine kuch baar cheenka hai aur kabhi-kabhi subah naak behti hai. Ye kya ho sakta hai? Kabhi-kabhi main khaasta bhi hoon par zyada nahi. Koi idea? COVID-19?","doctor: in brief: probably not covid. may be allergic, bacterial sinus infection, a different virus, a narrow upper jaw with partial airway obstruction, or other causes. call your general physician and check if they want to see you. see your dentist to evaluate if your upper jaw is too narrow and if you need to see an orthodontist. would you like to video or text chat with me?"
+"Patient: Main Discovery ka main member hoon, main apne pati ke liye health COVID assessment complete karna chahta hoon. Mujhe bataiye ki main ye kaise kar sakta hoon?",doctor: in brief: call discovery you'll need to call discovery. would you like to video or text chat with me?
+"Patient: 23 March se gala sukha aur kharash hai, bahut halki khaansi hai par improve nahi ho rahi. 15-20 March ko Lanseria aur CT airports ke through Cape Town gaya tha. Wife ko 21 March se gale mein dard, naak band, lethargy aur sir dard hai. Kya humein doctor ko dikhana chahiye assessment ke liye?","doctor: in brief: stay home. stay home for at least 7 days, rest, drink fluids and monitor your temperature. there is an overlap between flu and covid-19 symptoms. nasal congestion and absence of fever are not typically associated with covid. would you like to video or text chat with me?"
+Patient: Kya mujhe apne elderly parents ke COVID-19 catch karne ki sachmuch chinta karni chahiye? Unhe healthy rehne ke liye kya steps lene chahiye?,"doctor: yes. avoid contact but ensure that they have food, supplies and able to slay at home. they should drink fluids and if they develop a fever, please call your pcp right away and also consider a virtual appointment with ht. other symptoms to watch for include dry cough and shortness of breath. use good hand washing and disinfect surfaces."
+"Patient: Hello doctor, main 23 saal ka aadmi hoon. Mujhe anxiety aur depression hai lekin koi immunodeficiency disorder ya chronic disease nahi hai. Pehle, main janna chahta hoon ki kya meri immune system kamzor hai aur coronavirus se marne ki kitni probability hai. Doosra, mere gale mein khujli aur saans lene mein dikkat ho rahi hai. Anxiety ki wajah se ye hamesha hota hai par ab pehle se zyada persistent hai. Mujhe chest mein bahut halka sa dard, jalan aur khujli bhi feel ho rahi hai. Main pichle 10 dino se bahar nahi gaya aur kisi COVID positive vyakti ke contact mein nahi aaya. Maine pichle hafte smoking chod di hai. 20 cigarette per day se ghatkar 1 ya 0 ho gaya hoon. Mujhe khujli, dard aur jalan kyun feel ho rahi hai? Mere COVID-19 hone ki kitni probability hai? Aur isse marne ki kitni probability hai?","doctor: hello. anxiety can manifest itself in physical or psychological symptoms or both. the irritation sensation you are experiencing is a part of your anxiety. also please do not believe the hype about covid. it has a low mortality rate, of 2-3 percent, that too mortality is very high in people above 60-70 years with other co-morbidities. you do not have any such disorders and you have not even been in contact with anyone, so do not worry. please continue to take your medicines for anxiety if you are taking them, if not, please consider visiting a psychiatrist and get started on some low dose ssri type of medicines. also, if needed a low dose benzodiazepines can be added temporarily. also, please do some deep breathing exercises, or progressive muscle relaxation. you can also take some honey with water to reduce the itching in the throat and also try doing some gargles with lukewarm salt water."
+Patient: Kya hum corona hone par Disprin ya Compral pills use kar sakte hain? Inme ibuprofen nahi hota?,"doctor: in brief: yes you can,depends. corona virus treatment so far is symptomatic and supportive. it really depends what you treat with disprin/compral.you are they do not have ibuprofen. would you like to video or text chat with me?"
+"Patient: Hello doctor, mujhe pichle hafte se khaansi aur gale mein infection hai. Us time fever nahi tha aur chest mein bhi koi dard nahi tha. Do din baad, maine ek doctor se consult kiya. Unhone Cavidur 625, Montek LC, Ambrolite syrup aur Betaline gargle solution prescribe kiya. Tab se gale ka infection improve hua hai aur frequent khaansi bhi aa rahi hai. Khaansi bhi remarkably improve hui hai, halaanki poori tarah se nahi. Kal se fever ho raha hai (maximum 100-degree Celsius). Main kisi foreign returned vyakti ke contact mein nahi aaya hoon aur bahar bhi nahi gaya hoon. Humare state mein COVID-19 ka koi case nahi hai. Please suggest kya karna chahiye?","doctor: hello, i can understand your concern. in my opinion, you should get done a chest x-ray and cbc (complete blood count). if both these are normal then no need to worry much. i hope this helps."
+Patient: Meri cousin ko kal pneumonia aur collapsed lung ke liye admit kiya gaya tha jo kal hi diagnose hua tha. Aaj subah unhone surgery karke fluids clean out aur drain kiye. Ab wo heavily sedated hai aur uske right lung mein ek tube hai. Use theek hone mein kya lagega?,doctor: it sound like your cousin has something called- empyema. it is basically an abscess in the chest cavity. and the correct treatment for it is drainage - which was done appropriatley. but he should receive antibiotic treatment with coverage of both aerobic and anaerobic organisms. usually specimens are send from the procedure to see which organisms grow and provide a more directed antibiotic coverage.
+Patient: Kya main test karwa sakta hoon? Corona se koi known contact nahi hai par 7 March ko Congo ke ek doctor friend ke contact mein tha. Wo abhi bhi healthy hai. Mujhe 11 & 12 March ko halka sa gale mein dard hua tha. Phlegm aur laal aankhein. Temperature theek lag raha tha. Thermometer liya. Theek tha. 19 ko better feel hua par khaansi ho rahi thi.,"doctor: in brief: per rsa nicd: seek care right away if difficulty breathing, other severe symptoms. seek testing if sick, plus known covid-19 contact, or travel to high risk country, or been in facility treating people with covid-19, or severe pneumonia of unknown cause.call 0800 029 999 for test. if sick or possibly exposed (not both), stay home.seek consultation if sick.if known exposure & not sick, self-isolate 14 days. would you like to video or text chat with me?"
+"Patient: Mera gala kharash ho raha hai, phlegm aa raha hai, bhook nahi lag rahi, thakaan ho rahi hai. Main research facility mein pharmacist hoon. Mere bete ka 3rd contact hua tha. Use flu ke symptoms hain. Use quarantine kiya gaya hai. Hum uske contact ke results ka intezaar kar rahe hain. Kya mujhe khud ka test karwana chahiye?","doctor: in brief: cluster cases i would recommend staying at home, rest, drink fluids and monitoring your temperature. you may have covid-19 or another illness. if you are otherwise healthy, await test results. keep utensils, linens separate and washed. use good hand washing and disinfect surfaces. if the test is positive, please have screening of all family members in your home. avoid contact with others. would you like to video or text chat with me?"
+Patient: Main kisi aise vyakti ke contact mein aaya tha jiska COVID-19 test positive aaya hai. Use koi symptoms nahi hain. Test 18 March ko hua tha. Mujhe pet kharaab hone ke alawa koi symptoms nahi hain. Mujhe kya karna chahiye? Thanks.,"doctor: self quarentine. the current nicd and department of health guidelines are to self isolate for 14 days. if you develop fever, cough or shortness of breath contact your primary care provider and arrange for testing. for more info whatsapp the word ""hi"" to excellent department of health hot-line 0600 123456. ."
+"Patient: Good day doctor. Pichle hafte se, mera wazan kam ho raha hai. Pichle hafte mid mein ye 62 odd tha aur aaj jab maine check kiya to 61.35 hai. Kuch mahine pehle wazan 64 se upar tha. Mujhe koi aur symptoms nahi hain. Mujhe ye tab pata chala jab meri trousers dheeli ho gayi. Thanks.",doctor: in brief: dont think c this is a different problem. dont think it is covid. which is good news. what are your other symptoms? would you like to video or text chat with me?
+"Patient: Mera beta 2 mahine ka hai aur jab wo ek mahine ka tha tab use pneumonia ho gaya tha aur wo Balagung ke Eraz hospital mein ek mahine admit tha. 15 din baad use saans lene mein problem hone lagi, wo theek se saans nahi le pa raha. Kya aap mujhe bata sakte hain ki use kya problem hai aur iska solution kya hai?",doctor: hello dearwarm welcome to healthcaremagic.comi have evaluated your query thoroughly .* this has different reasons as - residual effect of pneumonia - decreased lung immunity - spasm of bronchi or alveoli with secretions - others .* need urgent pediatric consultation for further management .wishing your angel fine recovery .regards .
+Patient: Meri 2 saal ki beti ko halka sa bukhar hai aur wo ulti kar rahi hai. Main uske liye chintit hoon. Kya ye coronavirus ke symptoms hain?,doctor: probably not. much more important is what her exposure is to anyone who has covid19 or traveler from a highly infected area.fever >100.4f and respiratory symptoms are more common with covid 19 than vomiting.
+"Patient: Abhi pata chala ki mere MD ka COVID-19 test positive aaya hai. Mera unse direct interaction hua tha. Unhe koi symptoms nahi hain, unka test isliye hua kyunki wo February mein Switzerland gaye the. Kya mujhe test karwana chahiye? Main 67 ka hoon, ya phir wait karoon ki koi symptoms develop hote hain?","doctor: per rsa nicd: self-isolate for 14 days.seek testing if sick.call 0800 029 999 for test information.seek consultation if sick, preferably by phone or telemedicine.seek care right away if difficulty breathing, other severe symptoms.good luck, from the united states!"
+Patient: Hi. Main is weekend ek festival mein tha aur ab khabar aayi hai ki kisi ka test positive aaya hai. Kya test karwana aur/ya self-isolate karna accha idea hoga? Kya car se national travel theek hai?,"doctor: in brief: self-quarantine! enter self-quarantine then call your health care provider to get instructions regarding testing, self-quarantine and possible hospitalization then follow through! would you like to video or text chat with me?"
+"Patient: Kyunki mujhe type 1 diabetes hai, agar mujhe coronavirus ho jaye to mere saath kya ho sakta hai?","doctor: might be more severe. people with diabetes can have more fragile immune systems with difficulty fighting infections, so if you contract coronavirus you might be at greater risk for breathing complications. any serious illness can affect blood sugar control in diabetics also. i recommend taking extra precautions to minimize contact with people so as to avoid contacting the virus. ."
+"Patient: Hi, main 55 saal ki white female hoon, 5'4"", 180 lbs. Mujhe bachpan mein asthma aur bronchitis tha, aur mujhe frequently steroids diye jaate the. 17 saal ki umar mein ye theek ho gaya tha. Pichle 14 saalon mein mujhe fibromyalgia/chronic fatigue, RA develop ho gaya, 14 mahine tak mera sed rate 53-108 par raha aur wo pata nahi kar paye ki kyun, Cushing's syndrome, paeron mein neuropathy, aur sabse important - hypogammaglobulinemia. Maine 4 saal tak monthly IgG IVs li, phir 6 saal pehle insurance kho diya. Main disabled hoon aur Medicare par hoon, 6 saal se maine IVs nahi li hain. Is time mein mujhe 17 baar pneumonia hua, ek baar septic pneumonia, constant sinus problems, PCP infection aur hypo se related arthritis ka ek rare form (doctor mujhe iska naam nahi bata paye). Maine Medicare, foundations aur pharm companies se contact kiya treatment dobara shuru karne mein help ke liye. Kisi bhi possible help ke liye contact karna apathy se mila aur kisi ne mujhe sahi direction mein point karne ki koshish nahi ki. Main bahut worried hoon aur janna chahti hoon ki agar mujhe IgG treatments nahi mil paayin to mere survive karne ke chances kya hain. Aapke time ke liye bahut bahut shukriya.","doctor: hello, the cause of chronic pneumonia is mandatory to be evaluated here with culture of bronchial lavage fluid, ct scan of the thorax and other supportive evaluations. unless the root cause is identified, one cannot get the complete management chart. hope i have answered your query. feel free to post further doubts. thank you. regards, dr. bhagyesh v. patel, general surgeon"
+"Patient: Hi doctor. Mera poora body dard kar raha hai, gardan bhi. Aisa lag raha hai jaise mera brain mere sir mein dheela ho gaya ho aur sir dard bhi ho raha hai?","doctor: in brief: viral systemic infec sounds like it could be systemic infection, like influenza or corona viruses. please contact the nicd for screening to see if you have to get tested.public hotline:+27 800029999; +27 800111132; +27 82 883 9920.only use paracetamol for pain, if not allergic to it. would you like to video or text chat with me?"
+"Patient: Genital warts kahan se aate hain? Mere partner ko visible warts hain, lekin mujhe nahi. Main female hoon. Kya ye andar ho sakte hain? Is virus ki origin kya hai?",doctor: in brief: hpv virus human papiloma virus. you wont necessarily have them but you could have the virus. when last did you have a papsmear. they can pick it up on that. once we are out of lockdown get a papsmear. would you like to video or text chat with me?
+"Patient: Mera beta 3 saal ka hai, aur use Wednesday ko head cold ho gaya, jo turant uske chest mein chala gaya (wo preemie-grad hai, aur use pehle pneumonia aur RSV se problem hui thi). Use bukhar hai, aur uska respiratory rate 48-50 ke beech hai. Main nahi jaanta ki mujhe thoda aur intezaar karna chahiye ya use le jaana chahiye. Mujhe aisa feel hota hai ki main hamesha choti-choti baaton ke liye use le jaata hoon, par uska itihaas batata hai ki medical intervention hamesha zaroori tha. Ye bahut jaldi lagta hai ki lung ka issue evident ho gaya, jabki usne Wednesday raat ko hi cold ke signs dikhaye the.","doctor: hello,your son’s respiratory rate is too high. please take him to er immediately and take a chest x-ray immediately.hope i have answered your query. let me know if i can assist you further.regards,dr. siva kumar reddy"
+"Patient: Main approximately 5 saalon se methadone le raha hoon, 30mg ki dose din mein 4 baar. Isse na sirf unpleasant withdrawal symptoms ruke hain, balki 11 saal pehle hui severe back injury se chronic pain bhi kaafi kam hui hai. Pehle 3 saal tak dawa lene se, halaanki ye in areas mein effective thi, par iska ek exceptional side effect tha ki isse sex mein bilkul interest nahi raha ya physically sex karne ki ability bhi khatm ho gayi. Mujhe energy bhi bahut kam lagti thi, jisse bahut si cheezein jo main enjoy karta tha wo band ho gayin, jisse mujhe severe depression ho gayi. Doctor se extensive talks ke baad mera blood analysis hua aur pata chala ki mera testosterone level itna kam tha ki mushkil se register ho raha tha. Phir mujhe 3 hafton ka cycle diya gaya 2ml Delatestryl ke injections ka aur pichle kai saalon se main wahi insaan ban gaya jo pehle tha (isse mujhe meri zindagi wapas mil gayi). Ab mujhe clinic mein ek naya doctor mila hai aur usne mujhe bataya hai ki wo sirf methadone prescribe karega aur kisi aur prescription ke liye zimmedar nahi hoga. Mera koi family doctor nahi hai aur hamara emergency department kehta hai ki ye unke domain se bahar hai. Walk-in clinic har kisi ke saath itna bura behave karta hai ki mujhe yakin hai ki wo is prescription ko continue karne se mana kar denge. (Walk-in clinic ke baare mein perspective dene ke liye - main kuch mahine pehle severe pneumonia ke saath wahan gaya tha aur doctor ne meri chart ek baar dekhi aur kaha ki main tujhe koi %$# narcotics nahi doonga aur turant chale jao) Kya aap koi suggestion de sakte hain ki main apne naye methadone doctor ko (jo sirf 2 mahine se methadone prescribe kar raha hai) kaise samjhaun ki isse meri zindagi par kitna bura asar padega?","doctor: hello and welcome to ‘ask a doctor’ service. i have reviewed your query and here is my advice. * the pneumonia management depends upon the symptoms which are not narrated here precisely. * the methadone is known to cause long terms side effects over liver, kidney and other body systems, which should be discussed with the treating physician. awaiting for the symptomatic details to guide further. hope i have answered your query. let me know if i can assist you further."
+Patient: Phlegm aur mucus se related hai?,"doctor: cough,phlegm. at this time your symptoms are characteristic of a viral upper respiratory tract infection, and if your sputum is very discolored, bronchitis may be present. absence of fever,chills, chest discomfort,shortness of breath or wheezing is reassuring but your md may recommend starting antibiotic treatment. leave it to him/her whether covid19 treating is advisable depending upon exposure history."
+"Patient: Meri maa ko CRE/resistant Klebsiella pneumoniae hai (spelling maaf kijiye). Wo zyaadatar antibiotics, sulfa, aur penicillin se allergic hain. Unka 5 baar ilaaj ho chuka hai, obviously ye poori tarah se kaam nahi kiye! Wo aasani se anaphylactic ho jaati hain! Treatments ke beech mein. Last treatment 7 din pehle hua tha. Pehle din, IV ertapenem 1mg aur lidocaine, treatment se pehle. Wo treatment se 1 ghanta pehle 50mg oral Benadryl leti hain. 9 aur doses IM hone the aur 6th dose par unhe shock ho gaya. Unhe subah phir se admit kiya ja raha hai dobaara koshish ke liye. Wo colloidal silver ki oral doses le rahi hain. Help, kya karna chahiye? Ye kitne time tak chal sakta hai isse pehle ki wo mar jaayein? CRE se marne ke kya symptoms hain?","doctor: hi, in such conditions we recommend another class of antibiotics but in the survey of the allergologist who should monitor closely the patient's situation. hope i have answered your query. let me know if i can assist you further. regards, dr. jnikolla, pulmonologist"
+Patient: Mera COVID-19 test positive aaya hai. Mujhe kaun si dawa leni chahiye?,"doctor: only if hospitalized. covid-19 infection is worldwide, in all but some isolated areas. the goal is to keep people separated so that the clinics and hospitals are not overwhelmed. patients can be presumed positive regardless of whether they got tested or not, as there's no way to test everyone. no good outpatient treatment found yet. trials of various meds are done for hospitalized patients. (mar. 2020)"
+"Patient: Kabhi-kabhi bukhar, body dard?","doctor: probable flu. this definitely sounds like influenza is starting.( unless you have any obvious reason to suspect covid-19,malaria,tick bite fever or glandular fever).rest,vitamin c and a suitable over the counter painkiller. i would advise avoiding ibuprofen and other non-steroidal anti-inflammatory medication."
+Patient: Kya koi specific animals ya pets hain jo doosron se zyada corona catch kar sakte hain? Mujhe kin animals se door rehna chahiye?,doctor: in brief: limited risk from my reading the corona virus is limited in the animals it infests to varieties of bats and snakes. i would not put your dog or cat on such a list. would you like to video or text chat with me?
+"Patient: Mujhe 30 June ko pneumonia diagnose hua tha. Maine apni antibiotics aur khaansi ki goliyan khatam kar li hain. Main abhi bhi kabhi-kabhi khaasta hoon, kabhi-kabhi gag karta hoon. Saans lene mein dikkat aur wheezing ho rahi hai, mere paas ek inhaler hai, main ab phlegm nahi nikal raha. Meri doctor kehti hain ki Mucinex DM loon. Maine ek bottle khatam kar li hai. Maine Robitussin cough medicine bhi li hai. Unhone ye bhi kaha ki khaansi 4-6 hafton tak chal sakti hai.","doctor: hello, these symptoms last for 3-4 weeks. so no need to worry if fever is not there. hope i have answered your query. let me know if i can assist you further. take care regards, dr kaushal bhavsar, pulmonologist"
+"Patient: Hello doctor, meri maa asthmatic aur diabetic hain aur pneumonia se peedit hain. Unka ilaaj Delhi ke Malviya Nagar mein Madam Mohan Malviya Hospital mein chal raha hai. Wahan ke doctors ne unke chest ka HRCT test karwane ki salaah di hai. Kya aap koi hospital recommend kar sakte hain jahan hum ye test karwa sakte hain?",doctor: thanks for your question on healthcare magic.i can understand your concern. hrct thorax is done at radiology center. so ask your doctor about near by ct scan centers.usually ct scan is not required for diagnosis of pneumonia.but in some cases if diagnosis is not confirmed or patient is not improving or we suspect tb or ild (interstitial lung disease) then hrct thorax is advised.hope i have solved your query. i will be happy to help you further. wishing good health to your mother. thanks.
+Patient: Main ek call center mein kaam karta hoon aur mere ek agent ka COVID-19 test positive aaya hai. Maine use Wednesday ko test karwane ke liye ghar bheja tha aur kal uska result positive aaya?,doctor: covid. https://www.healthtap.com/blog/covid-19-care-guidelines/resources-for-managing-covid-19https://www.healthtap.com/blog/covid-19-care-guidelines/self-quarantine-guide.
+"Patient: Meri girlfriend ko coronavirus hai, bad symptoms ke saath. Use symptoms shuru hue 7 din ho gaye hain, aur maine use aakhiri baar tab dekha tha. Mujhe abhi tak koi symptoms nahi hain. Kitne aur din tak main close exposure se symptoms shuru hone ke zone mein hoon?","doctor: in brief: quarantine you should be in self quarantine as it might take another week for you to develop symptoms. as soon as spiking fever, having a sore throat or cough- test. do not travel, nor visit medical facilities. would you like to video or text chat with me?"
+"Patient: Meri 62 saal ki behen abhi pneumonia ke liye hospital mein bharti hai, jo ek girne se related foot surgery ke baad diagnose hua tha. Use 8 saal pehle breast cancer hua tha. Wo abhi Tamoxifen le rahi hai. BRCA II gene hai. 3 behno ko bhi gene mutation aur breast cancer ka history hai. Sabse choti behen breast cancer ke recurrence se guzar gayi (lungs, liver aur bones mein mets). Hospital ne lung mein blood clot ko rule out kar diya. Pneumonia diagnose hua. Kya CT scan karwana chahiye kyunki use long-standing khaansi aur pneumonia ke multiple bouts hue hain?","doctor: hello and welcome to ‘ask a doctor’ service. i have reviewed your query and here is my advice. yes, she can safely do the chest ct. there is not any contraindication of doing it in pneumonia. regards, dr.jolanda"
+"Patient: Mera chest congested hai aur saans lene mein bhaari lag raha hai (pata nahi bukhar hai ya nahi, zyada khaansi nahi hai par gala kharab hai). Mujhe ye bhi pata hai ki mere office aur mere boyfriend ke office mein kisi ko COVID-19 hua hai. Mujhe kya karna chahiye?","doctor: in brief: ? telephonic consult if you are able, consult telephonically with your gp. if not, do not go into public places, rather get symptomatic treatment - let someone who is well do this as swiftly as they can. otherwise continue consulting on this forum. we can help you. if you have access to a test this is the only way to know if you truely have it. would you like to video or text chat with me?"
+"Patient: Hi, kya main abhi aapke health queries ka jawab de sakta hoon? Kripya apna sawal yahan type karein... Main doctor ke paas 2 baar gaya hoon. Pehli baar, severe sinus infection tha, ek hafte baad phir jaana pada, pneumonia ho gaya tha, teesri baar phir jaana pada. Teeno baar mujhe injection diya gaya, pehli baar antibiotics aur C-pack, doosri baar steroids, antibiotics aur injection, aur teesri baar antibiotics aur injection. Meri pasliyon ke neeche dard ho raha hai jo peeth aur kandhe tak pahunch gaya hai. Kya aapko lagta hai pneumonia aur kharab ho gaya hai? Kya mujhe phir se doctor ke paas jaana chahiye?",doctor: hello dearwarm welcome to healthcaremagic.comi have evaluated your concern in depth .* this indicates lung pathology giving nerve endings pain with hurting ribs radiating to back and shoulder .* if not carried out x-ray chest with or without ct thorax is a must for proper diagnosis and management guidelines .hope this clears your query .regards .
+"Patient: Meri 5 saal ki beti ko abhi 39 degree ka bukhar aaya hai, wo cheenk rahi hai, naak beh rahi hai aur khaansi ho rahi hai. Kya humein uska test karwana chahiye?","doctor: maybe. has she been around anyone who has tested positive for covid-19? is she having shortness of breath or labored breathing? if so, then, yes, consider getting her tested. if not, it is more likely that she has the flu or some other virus. if it seems like more than just a regular cold, reach out to her pediatrician for more advice."
+Patient: Hi. Mera seena bahut tight hai par khaansi nahi hai. Kabhi-kabhi aisa lagta hai jaise khaansi aane waali hai par aati nahi. Phir jab main seedha khada hota hoon to aur kharab ho jaata hai. Bukhar nahi hai. Gibs University se COVID ka possible exposure hua hai par sure nahi hoon. Chest mein bahut jalan ho rahi hai.,"doctor: in brief: consider asthma have you ever had asthma or wheezing? that can cause tightness & shortness of breath, as can certain heart problems. without fever & cough, covid 19 is less likely, but probably best to call your dr’s office for recommendation. if the breathing worsens you should be seen assp by video visit or perhaps in person to listen to lungs & assess need for possible chest x-ray, ekg, & medication would you like to video or text chat with me?"
+"Patient: Hi, main Chaitanya hoon, 27 saal ka. Main roz subah swimming karta hoon. Kya COVID-19 paani se failta hai? Infection se bachne ke liye mujhe kya precautions leni chahiye?","doctor: hello and welcome to ask a doctor service. i have reviewed your query and here is my advice. first few cases were suspected to have spread from food. however human to human spread is mainly from air droplets. i would suggest you to refrain from swimming for sometime. although the virus will get killed in swimming pool if it doesnot find host for more than few minutes. other precautions include to avoid social gatherings, wash hands frequently with soap and water, cover face with mask, stay home during sickness, avoid travel. hope it helps. let me know if i can assist you further. dr vaishalee"
+"Patient: Mere boyfriend ko achanak se smell ki sense chali gayi. Use 3 din pehle sleep apnea ka test kiya gaya tha, ek machine par, aur uska ek nostril halki cold ki wajah se band hai. Jab test hua tha tab uske nostrils clear the. Ye kya wajah ho sakti hai?","doctor: covid-19? you won't like to hear this, but loss of smell (anosmia) or taste often is the first symptom of covid-19, the epidemic coronavirus infection. nasal congestion also could go along with this. and you probably know that covid-19 is currently a big problem in nyc. he should contact his doctor right away."
+Patient: Mere 82 saal ke pitaji pneumonia ke liye hospital mein the aur per cardiac catheterization se blockage pata chala. Ye diagnose hua ki blockage bypass ya stent ke liye bahut zyada hai. Sirf dawa di gayi hai heart ki madad ke liye. Heart muscles bhi dead dikhe isliye bypass surgery ka koi faayda nahi tha cardiac physician ke hisaab se kyunki blockage hatane ke baad bhi muscles heart ki madad nahi karenge. Mera sawal ye hai ki ab ghar aane ke baad wo raat ko sote waqt bahut uncomfortable feel karte hain. Wo sote hue karahte hain. Wo uthkar bed par baith jaate hain. Phir let jaate hain aur yahi chalta rehta hai. Wo kehte hain ki hospital stay se thak gaye hain. Wo kehte hain ki hospital stay se thak gaye hain jaise hospital bed wagera. Wo actually subah 6 baje sote hain aur phir din mein theek rehte hain. Phir agli raat phir se shuru ho jaata hai. Wo 2 February se ghar par hain. Current medical doctor ne neend ki dawai di par wo aur kharab thi. Meri maa primary caretaker hain aur unhone bataya ki ghar aane ke baad unki raat ki neend kharab ho gayi hai. Kya ye naya diagnosis iska kaaran hai ya koi aur wajah hai? Thanks.,doctor: hello dearwarm welcome to healthcaremagic.comi have evaluated your query thoroughly .* there are different reasons for this as - lung abscess - effusion - cardiac distress induced - lung hypoxia due to altered pulmonary pressure - anxiety exacerbation - others .hope this clears your query .regards .
+"Patient: Mujhe kai baar pneumonia hua hai, hamesha left lung mein. Pichli baar ek saal pehle hua tha, wo theek nahi hua. Mere pulmonologist ne bataya ki bimari saare scar tissue ke beech mein hai. Mujhe Crohn's disease bhi hai aur main Remicade se treat ho raha hoon. Kai C-scans ke baad jo ek mass dikhate the aur biopsies aur cultures jo negative aaye, pichle mahine mera left lung poora nikaal diya gaya aur mujhe pulmonary eosinophilia diagnose hua. Kya ye sahi lagta hai?","doctor: hello dearwarm welcome to healthcaremagic.comi have evaluated your query in details .* according to the narration it was seemingly the correct decision of surgery on part of the surgeon as well as patient , because the medicines were not going to cure it at all .wishing you fine recovery .feel free to ask any further queries .regards ."
+"Patient: Hi, meri chest X-ray se pata chala hai ki mujhe small lingular infiltrate hai. WBC, lymphocytes, HCT etc. infection ki wajah se elevated hain. Mujhe Augmentin Duo aur steroid ka course diya gaya tha. Abhi main Azithromycin 250mg le raha hoon. Pneumonia ke symptoms abhi bhi hain. Kya mujhe apna treatment change karna chahiye?","doctor: hello dearwarm welcome to healthcaremagic.comi have gone through your query thoroughly .* x-ray result indicates infection of the lung with some sort of bacteria giving rise to pneumonia .* pneumonia recovery takes time depending upon the virulence of the organisms , host immune response and other co morbid conditions .* if your symptom score has declined from the initiation of the therapy wait for further progress , if the intensity of the symptoms is as it is then have to consider the change of therapy or consultant .hope this clears your doubt .thanks .regards ."
+"Patient: Mera gala kharab hai, khaansi ho rahi hai, gardan mein glands sooj gayi hain. Main teacher hoon. Main pichle hafte Wednesday tak bahut saare bacchon ke contact mein thi. Parents mein se ek ka COVID-19 test positive aaya hai par main unke contact mein nahi thi. Mujhe kya karna chahiye?","doctor: urti. dear teacheracording to your description, it can be just a viral sore throat. any fever/headache/dry cough/body pains?are you improving?rest, medication like paracetamol/antihistamines/lozenges.you are an unlikely contact for covid 19 at present, but observe, isolate , unless you do not improveregardsdr wil."
+Patient: Mujhe lagta hai COVID-19 ka incubation period 7 din ka hai. To agar aap 7 din ke baad bimaar padte hain to kya 14 din ka quarantine period symptoms dikhne se shuru hota hai ya 7 din ka incubation period 14 din ke quarantine period mein shaamil hai?,"doctor: after symptoms show. as per the nicd guidelines for clinical management of suspected or confirmed covid-19 disease, ""those with mild disease may be de-isolated 14 days after symptom onset, while those with severe disease may be de-isolated 14 days after achieving clinical stability (e.g. once supplemental oxygen is discontinued)"". [available at: http://www.nicd.ac.za/diseases-a-z-index/covid-19/covid-19-guidelines/]"
+"Patient: France se lautne ke baad se cheenk aa rahi hai / naak band hai aur halka sa gala kharab hai, temperature theek hai, khaansi ya high fever ke symptoms nahi hain, kya mujhe chinta karni chahiye?","doctor: simple cold but..... sounds like simple cold, but under the current health challenges of the world, it's best to be preemptive. and because covid-19 is an infectious disease mostly transmitted through respiratory fluid droplets, one should first follow the who/cdc current guidelines on hygiene. then gargle with salt-water or vinegar-water after each meal/bedtime plus take aleve or ibuprofen for soreness/fever... ."