Instruction: Acute Respiratory Failure from strong scentsAge27SexMaleHeight194cmWeight104kg 14% BodyfatRaceCaucasian, Irish/DanishDuration of complaintLifelongLocation (Geographic and on body)Ontario Canada. Lungs, esophagus?Any existing relevant medical issues (if any)AsthmaticCurrent medications (if any)Salbutamol Turbuhaler, Ventolin, FloventInclude a photo if relevant (skin condition for example)N/AThis question is going to be short, and concise; with examples.When a strong smell is present, my airway cuts out completely. I have theorized that it it may have something to do with what I call "thick air".Examples: Diesel exhaust scent, frying greasy or oily things, the smell of certain algae (like near a pond), occasionally with foul smells (this will seem odd, but it's innocent in my exposure((a day old corpse, animal or otherwise)).It's not particularly tied to smoke, cigarette smoke does not bother me, and I use an E-Cigarette. This has been something I've dealt with my entire life. It is quite painful when my airways suddenly close, and I can only breathe again when I place a cloth over my mouth (if the scent is still present) or move to fresh air. My doctor has told me he thinks it's something called laryngospasm, but this doesn't seem exclusively correct, as from my understanding, this is caused by your vocal chords... and that doesn't quite make sense to me.Edit: I should mention that once I am able to breathe, I typically uncontrollably cough, and sometimes vomit because of my coughs.

Output: Throat tension, hoarseness, and/or voice changes shortly before, during, or shortly after these episodes?My first thought is along the lines of your docs. Look up vocal cord dysfunction or paradoxical vocal cord motion and see how well that matches your experience.(Edit: also, Id not consider this acute respiratory failure unless you became hypoxemic/needed supplemental oxygen or needed to be mechanically ventilated in some way. These things can happen due to vocal cord dysfunction in fairly severe cases of it)

Below is an instruction that describes a task. Write a response that appropriately completes the request. ### Instruction: Acute Respiratory Failure from strong scentsAge27SexMaleHeight194cmWeight104kg 14% BodyfatRaceCaucasian, Irish/DanishDuration of complaintLifelongLocation (Geographic and on body)Ontario Canada. Lungs, esophagus?Any existing relevant medical issues (if any)AsthmaticCurrent medications (if any)Salbutamol Turbuhaler, Ventolin, FloventInclude a photo if relevant (skin condition for example)N/AThis question is going to be short, and concise; with examples.When a strong smell is present, my airway cuts out completely. I have theorized that it it may have something to do with what I call "thick air".Examples: Diesel exhaust scent, frying greasy or oily things, the smell of certain algae (like near a pond), occasionally with foul smells (this will seem odd, but it's innocent in my exposure((a day old corpse, animal or otherwise)).It's not particularly tied to smoke, cigarette smoke does not bother me, and I use an E-Cigarette. This has been something I've dealt with my entire life. It is quite painful when my airways suddenly close, and I can only breathe again when I place a cloth over my mouth (if the scent is still present) or move to fresh air. My doctor has told me he thinks it's something called laryngospasm, but this doesn't seem exclusively correct, as from my understanding, this is caused by your vocal chords... and that doesn't quite make sense to me.Edit: I should mention that once I am able to breathe, I typically uncontrollably cough, and sometimes vomit because of my coughs.. ### Response: Throat tension, hoarseness, and/or voice changes shortly before, during, or shortly after these episodes?My first thought is along the lines of your docs. Look up vocal cord dysfunction or paradoxical vocal cord motion and see how well that matches your experience.(Edit: also, Id not consider this acute respiratory failure unless you became hypoxemic/needed supplemental oxygen or needed to be mechanically ventilated in some way. These things can happen due to vocal cord dysfunction in fairly severe cases of it).


Instruction: Tension and Hoarseness, definitely. My voice becomes gravely and it tends to hurt to speak.Only one instance a few weeks ago, I couldn't get fresh air and from what I've been told, I blacked out. That was strangely because of some smells from a Kernels popcorn stand.I apologize for the mis-identified title. I understand the difference now. Thank you for your response!

Output: I see laryngospasm occasionally in my clinical practice, and one is usually unable to breath to the point of turning blue. It occurs when a physical substance tickles your vocal cords: saliva, blood, water while drowning, etc.. not generally fumes. Rarely lasts more then a minute.What you're describing sounds closer to bronchospasm for which you're at high risk: asthma, smoker (yes I know it's e-cig... It doesn't make it harmless : https://www.ncbi.nlm.nih.gov/m/pubmed/29847989/). My advise is to get better control of your asthma depending on the frequency of these symptoms and, well, you know this is coming: stop smoking. For standard cigarettes smokers, it can take 2 months for your body hyperreactivity to return to normal, not sure what the data says for e-cigs.

Below is an instruction that describes a task. Write a response that appropriately completes the request. ### Instruction: Tension and Hoarseness, definitely. My voice becomes gravely and it tends to hurt to speak.Only one instance a few weeks ago, I couldn't get fresh air and from what I've been told, I blacked out. That was strangely because of some smells from a Kernels popcorn stand.I apologize for the mis-identified title. I understand the difference now. Thank you for your response!. ### Response: I see laryngospasm occasionally in my clinical practice, and one is usually unable to breath to the point of turning blue. It occurs when a physical substance tickles your vocal cords: saliva, blood, water while drowning, etc.. not generally fumes. Rarely lasts more then a minute.What you're describing sounds closer to bronchospasm for which you're at high risk: asthma, smoker (yes I know it's e-cig... It doesn't make it harmless : https://www.ncbi.nlm.nih.gov/m/pubmed/29847989/). My advise is to get better control of your asthma depending on the frequency of these symptoms and, well, you know this is coming: stop smoking. For standard cigarettes smokers, it can take 2 months for your body hyperreactivity to return to normal, not sure what the data says for e-cigs..


Instruction: How can I avoid respiratory problems with the flu shot?I know the importance of getting my flu shot, so I intend to get it. However, I always get breathing problems accompanied by dizziness and fatigue for a couple days after getting my shot. It presents the day after the shot, not the day of, so I don't think it's an allergic reaction. I guess it's just my immune system freaking out. Anyways, is there a way to avoid the respiratory issues, or should I just get my shot on a Friday so I can let everything play out over the weekend?22F, 5'2, 120lbs, no meds, generally healthyThanks!

Output: This could be an allergic reaction, although it doesn't sound typical. It's worth discussing with your doctor before getting the shot. Some people shouldn't get the flu shot, it's possible you're one of them.If it's not an allergic reaction then I don't have a good alternative explanation. I would suggest Tylenol and rest.

Below is an instruction that describes a task. Write a response that appropriately completes the request. ### Instruction: How can I avoid respiratory problems with the flu shot?I know the importance of getting my flu shot, so I intend to get it. However, I always get breathing problems accompanied by dizziness and fatigue for a couple days after getting my shot. It presents the day after the shot, not the day of, so I don't think it's an allergic reaction. I guess it's just my immune system freaking out. Anyways, is there a way to avoid the respiratory issues, or should I just get my shot on a Friday so I can let everything play out over the weekend?22F, 5'2, 120lbs, no meds, generally healthyThanks!. ### Response: This could be an allergic reaction, although it doesn't sound typical. It's worth discussing with your doctor before getting the shot. Some people shouldn't get the flu shot, it's possible you're one of them.If it's not an allergic reaction then I don't have a good alternative explanation. I would suggest Tylenol and rest..


Instruction: If it's an allergic reaction, do you think taking Benadryl would work?

Output: Maybe, but then you would be even more tired. Better to know for sure than guess.

Below is an instruction that describes a task. Write a response that appropriately completes the request. ### Instruction: If it's an allergic reaction, do you think taking Benadryl would work?. ### Response: Maybe, but then you would be even more tired. Better to know for sure than guess..


Instruction: UPDATE: [26F] recommended for termination of pregnancy in a country where I don't speak the languageOriginal post here: https://www.reddit.com/r/AskDocs/comments/ici7ez/26f_recommended_for_termination_of_pregnancy_in_a/First of all I want to say thank you, thank you, thank you not only to the physicians who responded but also to everyone who upvoted and comment-bumped me for visibility. Obviously the physician responses helped on the medical end, but the simple comment bumps helped so much emotionally. I'm in this country without family (except for my husband and toddler) and sometimes it honestly gets really lonely so having even the tiniest bit of online support meant the world to me. I even want to thank the user who posted anti-semitic comments because your comment specifically helped this hella Jewish woman connect with other Jewish women on this forum who offered hands-on support, validation, and rescoures.I had a meeting with the specialists in the termination committee today and they diagnosed the pregnancy with cystic hygroma in addition to other serious physical (nasal, respiratory, heart) malformations that would make the fetus 100% incompatible with life. They made it pretty dang clear that I could basically miscarry at any moment, which sounds about right to me as a layman given all this info. We asked about genetic testing/probability of this happening again and they said it's very unlikely, the occurrence of this situation is less than one percent overall. So I've decided to forgo any additional testing like CVS or amniocentesis as a chromosomal defect would just be another issue on the list and not a defining factor in my choice.So unless nature takes it course, I'm scheduled for an inpatient termination this coming Monday. I can't really find anything online about inpatient terminations, but they gave me the choice and explained that the outpatient procedure would be started with dilation by osmotic dilators and move quickly while the inpatient procedure would use slow, supervised dilation with less trauma over 48 hours. I'm not 100% sure if they meant physical trauma or emotional trauma, as they mentioned some people find it very uncomfortable and impeding (especially with childcare) to do the outpatient dilation and return to the hospital for the procedure. I'd read about osmotic dilation earlier and it really freaked me out so I was super happy to have this previously unknown option offered.I'm feeling a lot more secure after hearing from everyone in this community, my doctor, and today's specialists. I never in a million years thought I'd be terminating a wanted pregnancy for any reason but I still have thousands and thousands of chances to have another baby just waiting in my ovaries so I'm going to focus on that and also on my toddler who is already my whole world. And I'm thankful in that I've experienced this and can hopefully help women who are in this situation in the future. Thanks everybody!*Edit just to add that all the doctors and social workers on the committee and at the hospital we went to spoke near perfect English which was a great relief for me and we did not have to spend money we don't have on an interpreter.*Later edit to update that the genetic blood test came back early and indicated 1:5 for down syndrome and trisomy 18.

Output: I'm glad you got the answers you needed.Regarding the inpatient termination if you are wanting clarification I think it would be which route are you going:will you receive osmotic and/or chemical dilators and then go on to have an evacuation procedure?will you receive osmotic and/or chemical dilators and then go on to have an induced delivery? Just an fyi with this, people not infrequently require manual removal of the placenta, so they end up having the 'evacuation' portion anyhow (but it would just be the placenta).Both are safe. Some "feel better" about the second option because they feel like they are just inducing labor rather than actually "terminating". Fetuses in general, but especially a compromised one, have high rates of passing before delivery anyhow though.Also, you could choose to have genetic testing of any remains (and not do CVS or amniocentesis). But it is one of those things where it's optional and it may not truly change anything for you. This being said, many people like having a more solid answer.Good luck with everything. You have very good odds of having normal babies in the future.

Below is an instruction that describes a task. Write a response that appropriately completes the request. ### Instruction: UPDATE: [26F] recommended for termination of pregnancy in a country where I don't speak the languageOriginal post here: https://www.reddit.com/r/AskDocs/comments/ici7ez/26f_recommended_for_termination_of_pregnancy_in_a/First of all I want to say thank you, thank you, thank you not only to the physicians who responded but also to everyone who upvoted and comment-bumped me for visibility. Obviously the physician responses helped on the medical end, but the simple comment bumps helped so much emotionally. I'm in this country without family (except for my husband and toddler) and sometimes it honestly gets really lonely so having even the tiniest bit of online support meant the world to me. I even want to thank the user who posted anti-semitic comments because your comment specifically helped this hella Jewish woman connect with other Jewish women on this forum who offered hands-on support, validation, and rescoures.I had a meeting with the specialists in the termination committee today and they diagnosed the pregnancy with cystic hygroma in addition to other serious physical (nasal, respiratory, heart) malformations that would make the fetus 100% incompatible with life. They made it pretty dang clear that I could basically miscarry at any moment, which sounds about right to me as a layman given all this info. We asked about genetic testing/probability of this happening again and they said it's very unlikely, the occurrence of this situation is less than one percent overall. So I've decided to forgo any additional testing like CVS or amniocentesis as a chromosomal defect would just be another issue on the list and not a defining factor in my choice.So unless nature takes it course, I'm scheduled for an inpatient termination this coming Monday. I can't really find anything online about inpatient terminations, but they gave me the choice and explained that the outpatient procedure would be started with dilation by osmotic dilators and move quickly while the inpatient procedure would use slow, supervised dilation with less trauma over 48 hours. I'm not 100% sure if they meant physical trauma or emotional trauma, as they mentioned some people find it very uncomfortable and impeding (especially with childcare) to do the outpatient dilation and return to the hospital for the procedure. I'd read about osmotic dilation earlier and it really freaked me out so I was super happy to have this previously unknown option offered.I'm feeling a lot more secure after hearing from everyone in this community, my doctor, and today's specialists. I never in a million years thought I'd be terminating a wanted pregnancy for any reason but I still have thousands and thousands of chances to have another baby just waiting in my ovaries so I'm going to focus on that and also on my toddler who is already my whole world. And I'm thankful in that I've experienced this and can hopefully help women who are in this situation in the future. Thanks everybody!*Edit just to add that all the doctors and social workers on the committee and at the hospital we went to spoke near perfect English which was a great relief for me and we did not have to spend money we don't have on an interpreter.*Later edit to update that the genetic blood test came back early and indicated 1:5 for down syndrome and trisomy 18.. ### Response: I'm glad you got the answers you needed.Regarding the inpatient termination if you are wanting clarification I think it would be which route are you going:will you receive osmotic and/or chemical dilators and then go on to have an evacuation procedure?will you receive osmotic and/or chemical dilators and then go on to have an induced delivery? Just an fyi with this, people not infrequently require manual removal of the placenta, so they end up having the 'evacuation' portion anyhow (but it would just be the placenta).Both are safe. Some "feel better" about the second option because they feel like they are just inducing labor rather than actually "terminating". Fetuses in general, but especially a compromised one, have high rates of passing before delivery anyhow though.Also, you could choose to have genetic testing of any remains (and not do CVS or amniocentesis). But it is one of those things where it's optional and it may not truly change anything for you. This being said, many people like having a more solid answer.Good luck with everything. You have very good odds of having normal babies in the future..


Instruction: From what I understand, I'd be going route 1 with chemical dilators and then the evac. The chemical dilators seems to be their reason for inpatient treatment though and honestly I'm fine with 1 or 2 in that case. Something about the osmotic course just innately makes me uncomfortable. Buuuut if I'm being super duper honest, I'm fine with anything inpatient because I just want the time and space to decompress about it all without the stress of toddler, chores, work, etc. But yes we asked about genetic testing of the remains too but the specialists said they'd only show "academic" results and nothing impactful after the fact or for the future. My husband and I are both just really onwards and upwards kind of people so if the doctors don't need it after the fact and say everything's okay, then it's okay for us. I wish I had the rescoures to gild your posts for the rest of forever, you really deserve it! I'm so truly thankful for all of your responses you have no idea.*Edit to add that I did however have the basic chromosomal blood test done that goes hand in hand with the nuchal translucency, so if anything comes back abnormal with that I will of course satisfy any curiosity with an update here!

Output: I did however have the basic chromosomal blood test doneThat test is pretty accurate so that should likely give you the information you need. Good luck with everything.

Below is an instruction that describes a task. Write a response that appropriately completes the request. ### Instruction: From what I understand, I'd be going route 1 with chemical dilators and then the evac. The chemical dilators seems to be their reason for inpatient treatment though and honestly I'm fine with 1 or 2 in that case. Something about the osmotic course just innately makes me uncomfortable. Buuuut if I'm being super duper honest, I'm fine with anything inpatient because I just want the time and space to decompress about it all without the stress of toddler, chores, work, etc. But yes we asked about genetic testing of the remains too but the specialists said they'd only show "academic" results and nothing impactful after the fact or for the future. My husband and I are both just really onwards and upwards kind of people so if the doctors don't need it after the fact and say everything's okay, then it's okay for us. I wish I had the rescoures to gild your posts for the rest of forever, you really deserve it! I'm so truly thankful for all of your responses you have no idea.*Edit to add that I did however have the basic chromosomal blood test done that goes hand in hand with the nuchal translucency, so if anything comes back abnormal with that I will of course satisfy any curiosity with an update here!. ### Response: I did however have the basic chromosomal blood test doneThat test is pretty accurate so that should likely give you the information you need. Good luck with everything..


Instruction: NAD, but a nurse and in general was worried for you! Glad to see your update! Im sorry you are feeling so isolated, but glad you found resources! Hang in there.

Output: I'm locking your thread since you don't seem to have additional questions. Thank you for the update though, and we wish you all the best.

Below is an instruction that describes a task. Write a response that appropriately completes the request. ### Instruction: NAD, but a nurse and in general was worried for you! Glad to see your update! Im sorry you are feeling so isolated, but glad you found resources! Hang in there.. ### Response: I'm locking your thread since you don't seem to have additional questions. Thank you for the update though, and we wish you all the best..


Instruction: 30F, 55kg, 160cm, Asian, Singapore, upper respiratory tract infectionLong story short, somebody i know was diagnosed with upper respiratory tract infection bu a licensed doctor, 2 night ago. Her symptoms were cough, fever (38 degrees), headache and muscle aches. No runny nose. She refused all the medication provided by the doctor. The doctor gave her 1 day sick leave.Last night, about 24hrs after the initial diagnosis, she claimed that she has been hospitalised for her illness. Is this possible? Isn't "upper respiratory infection" just a fancy term for a common cold?

Output: We will not be able to tell you if your acquaintance was hospitalized, as that seems to be your question.

Below is an instruction that describes a task. Write a response that appropriately completes the request. ### Instruction: 30F, 55kg, 160cm, Asian, Singapore, upper respiratory tract infectionLong story short, somebody i know was diagnosed with upper respiratory tract infection bu a licensed doctor, 2 night ago. Her symptoms were cough, fever (38 degrees), headache and muscle aches. No runny nose. She refused all the medication provided by the doctor. The doctor gave her 1 day sick leave.Last night, about 24hrs after the initial diagnosis, she claimed that she has been hospitalised for her illness. Is this possible? Isn't "upper respiratory infection" just a fancy term for a common cold?. ### Response: We will not be able to tell you if your acquaintance was hospitalized, as that seems to be your question..


Instruction: Alkaline "medicine water" healing reflux, colitis and upper respiratory infections.In my country (Hungary) we have this medicine water called Salvus which is drawn from a thermal bath. It has bold claim such as healing GERD, colitis, upper respiratory infections while also treating diabetes and peptic ulcers.I 31M have GERD and my doctor switched me off of PPI's to Salvus water and a low dose of famotidine. Since then I have pretty much non-stop diarrhea and my heartburn got much worse.My question, based on the ingredients, is this medicine water bullshit?Ingredients (mg/l):- Sodium: 5800- Lithium: 2.0- Chlorid: 2020- Bromide: 13.9- Iodide: 2.08- Fluoride: 3.0- Hydrogen-carbonate: 12810

Output: Surprised a doctor is scamming you. Is it a real doctor? Alkaline water is a scam. Go back on the PPI.

Below is an instruction that describes a task. Write a response that appropriately completes the request. ### Instruction: Alkaline "medicine water" healing reflux, colitis and upper respiratory infections.In my country (Hungary) we have this medicine water called Salvus which is drawn from a thermal bath. It has bold claim such as healing GERD, colitis, upper respiratory infections while also treating diabetes and peptic ulcers.I 31M have GERD and my doctor switched me off of PPI's to Salvus water and a low dose of famotidine. Since then I have pretty much non-stop diarrhea and my heartburn got much worse.My question, based on the ingredients, is this medicine water bullshit?Ingredients (mg/l):- Sodium: 5800- Lithium: 2.0- Chlorid: 2020- Bromide: 13.9- Iodide: 2.08- Fluoride: 3.0- Hydrogen-carbonate: 12810. ### Response: Surprised a doctor is scamming you. Is it a real doctor? Alkaline water is a scam. Go back on the PPI..


Instruction: Heart rate increases every time I inhale. Respiratory sinus arrhythmia.Male, 27. 70kg. Relatively healthy, I do running and hit the gym.Is it normal? Does everyone have this?

Output: Very normal. Nothing to worry about.

Below is an instruction that describes a task. Write a response that appropriately completes the request. ### Instruction: Heart rate increases every time I inhale. Respiratory sinus arrhythmia.Male, 27. 70kg. Relatively healthy, I do running and hit the gym.Is it normal? Does everyone have this?. ### Response: Very normal. Nothing to worry about..


Instruction: Respiratory restrictive pattern, unknown cause please help.I am 21 years old male.I have started having bad shortness of breath the past 4 months. I have seen so many doctors and this is the results so far.The originally test to prove there is something going on is the respiratory function test, I cant interpret all the results but the pulmologist said my breathing shows a restrictive pattern with 65% of expected lung capacity and velocity. This test has been repeated every month with similar results. Gas transfer was 95-100% not indicating lung disease.Got a ct scan of chest with dye to rule out lung disease or to see if anything else is on my lungs but it came back clear other than enlarged thymus gland.They thought it might be respritory muscle weakness although the neurologist said unlikely as when I am lying down the respiratory test shows similar results as to standing.Cardiac possibilities cleared by cardiologist.The cardiologist, pulmologist and neurologist are at a loss and have determined to just hope it doesnt get worse. Please help.

Output: Restrictive pattern on PFTs essentially fall into three categories, unfortunately you've had them all investigated. It can be the lungs themselves (i.e. fibrosis, or stiff lungs), chest wall noncompliance (think of terrible scoliosis, severe obesity, etc), or neuromuscular disease. The first two are typically pretty easy to diagnose, neuromuscular disease can be very difficult. There is no gold standard for how to determine if restriction is related to neuromuscular disease, but the sitting/supine spirometry is often done as one piece of data (as it appears you have done).Have you done a MIP/MEP (maximal inspiratory pressure and maximal expiratory pressure)? A low MIP tends to indicate diaphragmatic problems, and a low MEP indicates problems with chest wall strength. Like the sitting/supine spirometry, these must be interpreted with caution, as they are not truly gold standard for anything.If all else fails, there is always the Cardiopulmonary Exercise Test (CPET). It's basically a test that measures your heart and lung function through maximal exercise to determine where exercise intolerance may be coming from. It's not always available in all places and can be very difficult to interpret.All in all, with your story I would put my money on a neuromuscular issue. I think the neurologist ruling it out based on the positional spirometry alone is premature. Bring up the MIP/MEP and CPET to your pulmonologist and see what he/she thinks.Mind if I ask where you are being evaluated? You would likely benefit from going to a tertiary care center, such as affiliated with an academic or university medical center. Depending on where you are located I could suggest some places to find docs who'd be interested in you.

Below is an instruction that describes a task. Write a response that appropriately completes the request. ### Instruction: Respiratory restrictive pattern, unknown cause please help.I am 21 years old male.I have started having bad shortness of breath the past 4 months. I have seen so many doctors and this is the results so far.The originally test to prove there is something going on is the respiratory function test, I cant interpret all the results but the pulmologist said my breathing shows a restrictive pattern with 65% of expected lung capacity and velocity. This test has been repeated every month with similar results. Gas transfer was 95-100% not indicating lung disease.Got a ct scan of chest with dye to rule out lung disease or to see if anything else is on my lungs but it came back clear other than enlarged thymus gland.They thought it might be respritory muscle weakness although the neurologist said unlikely as when I am lying down the respiratory test shows similar results as to standing.Cardiac possibilities cleared by cardiologist.The cardiologist, pulmologist and neurologist are at a loss and have determined to just hope it doesnt get worse. Please help.. ### Response: Restrictive pattern on PFTs essentially fall into three categories, unfortunately you've had them all investigated. It can be the lungs themselves (i.e. fibrosis, or stiff lungs), chest wall noncompliance (think of terrible scoliosis, severe obesity, etc), or neuromuscular disease. The first two are typically pretty easy to diagnose, neuromuscular disease can be very difficult. There is no gold standard for how to determine if restriction is related to neuromuscular disease, but the sitting/supine spirometry is often done as one piece of data (as it appears you have done).Have you done a MIP/MEP (maximal inspiratory pressure and maximal expiratory pressure)? A low MIP tends to indicate diaphragmatic problems, and a low MEP indicates problems with chest wall strength. Like the sitting/supine spirometry, these must be interpreted with caution, as they are not truly gold standard for anything.If all else fails, there is always the Cardiopulmonary Exercise Test (CPET). It's basically a test that measures your heart and lung function through maximal exercise to determine where exercise intolerance may be coming from. It's not always available in all places and can be very difficult to interpret.All in all, with your story I would put my money on a neuromuscular issue. I think the neurologist ruling it out based on the positional spirometry alone is premature. Bring up the MIP/MEP and CPET to your pulmonologist and see what he/she thinks.Mind if I ask where you are being evaluated? You would likely benefit from going to a tertiary care center, such as affiliated with an academic or university medical center. Depending on where you are located I could suggest some places to find docs who'd be interested in you..


Instruction: Can visual processing issues stem from 1) respiratory infection or 2) stress and anxiety?I am 30F, relatively active lifestyle, diagnosed with ADHD and treating it using Vyvanse and regular therapy.I am on the tail end of a two-week cold. Still have a bit of congestion and fatigue but no sore throat or cough etc.Something I've noticed over the past couple weeks/in the past is that I feel like I have difficulty processing visual information. E.g. if I'm walking in a forest, the amount of visual information seems overwhelming. I can't really "see" what's in front of my unless I really stop and focus on one thing at a time.My last eye tests showed I had 20/20 vision and I have no issues reading on screens or seeing things far away, it's just that when I'm presented with a lot of visual information, I have issues processing it all.I've also notice this happen in the past when I've had depressive episodes. Does this sound like an actual issue with my eyes, or could it be linked to my mental state?

Output: Simple answer is yes. Fatigue and illness affect sensory processing and cognition, usually transiently. That's a good thing, since it forces you to rest, slow down, let your body recover. The more complicated question is whether there's something different about your experiences as compared to people without neurodivergent states.Your description suggests that you might have visual snow, though maybe you are just overwhelmed with information during higher stress?

Below is an instruction that describes a task. Write a response that appropriately completes the request. ### Instruction: Can visual processing issues stem from 1) respiratory infection or 2) stress and anxiety?I am 30F, relatively active lifestyle, diagnosed with ADHD and treating it using Vyvanse and regular therapy.I am on the tail end of a two-week cold. Still have a bit of congestion and fatigue but no sore throat or cough etc.Something I've noticed over the past couple weeks/in the past is that I feel like I have difficulty processing visual information. E.g. if I'm walking in a forest, the amount of visual information seems overwhelming. I can't really "see" what's in front of my unless I really stop and focus on one thing at a time.My last eye tests showed I had 20/20 vision and I have no issues reading on screens or seeing things far away, it's just that when I'm presented with a lot of visual information, I have issues processing it all.I've also notice this happen in the past when I've had depressive episodes. Does this sound like an actual issue with my eyes, or could it be linked to my mental state?. ### Response: Simple answer is yes. Fatigue and illness affect sensory processing and cognition, usually transiently. That's a good thing, since it forces you to rest, slow down, let your body recover. The more complicated question is whether there's something different about your experiences as compared to people without neurodivergent states.Your description suggests that you might have visual snow, though maybe you are just overwhelmed with information during higher stress?.


Instruction: Muscle, Respiratory, Heart, and Mobility problems: Is this just obesity or something more?I am 29 y/o , 6ft even, and probably 400lbs easy, probably more, i can't afford a scale so idk.For about a year up until March when my job shut down for 7 weeks, i was very capable of doing the physically demanding work at the Auto Plant i worked at.. I was not fit, but it was doable for me. During shutdown from Covid, I started to notice that moving became harder and harder. My lower back would struggle to stay up and that caused breathing to get harder, which caused the heart rate to skyrocket. It eventually progressed to the point of complete muscle failure after about 50 feet of walking.When I got back to my job, I collapsed in front of my supervisor and his boss. Everybody freaked out and I was forced to go home and get tested for Covid 19. It was negative. Even when coming back after a few days out, however, I still could not walk more than 50 feet without sitting and gasping for air with the muscles in my back completely giving out causing collapse.Now I cannot even mow my lawn completely without resting 3 times. It is a tiny lawn that my roommate mows in about 10 minutes. It takes me 30-40 minutes with resting.I cannot walk 50 feet without gasping for air, I have regular heart palpitations, there are huge numb patches in my legs (oval shaped, upper thigh above the knee on the front of the leg), I cannot sleep more than 40 minutes to an hour at a time, and when walking I feel like I ran a marathon when it is only trivial distances. (heart rate, breathing troubles, back and leg muscle failure)Lastly, this morning at 4:30 am up until about 8:00am, I had these horrible feelings of doom, despair, anxiety, and panic, all wrapped up into one horrific attack for those many hours. Along with this, my heart rate was so high I literally almost called 911 many times.In the opinion of the people in this thread, are my issues likely 100% obesity related, or could there be something neurological going on in my back and legs as well? I dont know when the numb patches in each leg started.I'm scared of death, so I'm making what life changes I can (eating better, cutting caffeine down to reasonable levels of moderation, etc) but this is preventing me from functioning as a human being. I do not have insurance so I dont know what to do. I probably need to see a cardiologist, neurologist, or some sort of skilled orthopedic person. Please help, reddit. I dont want to die. I have dreams of owning my own I.T. business for security consulting.If more information would help, please please please ask and I will be 100% open about everything. I'm trying to change my life and contribute to society. I'm hoping to not have to go on disability or anything like that. My father was upper executive branch of a major telecommunications company so I hope to do something that would make him proud as he watches me from the heavens.

Output: Do you smoke?Obesity can cause a great deal of damage. Think how much more your heart has to pump. Think of your belly compressing your lungs decreasing how much they expand making it difficult to breath. Think of the extra weight your back has to carry. These are just a few things. I know this sounds tough and maybe harsh but Im saying it because Im confident you can make changes. Youre young and if you put in the work, you can definitely make changes. There are many free resources online.From the sounds of it, you might be having some heart failure symptoms. Do you have any swelling in your legs? I say find a PCP. Get worked up and get the studies you need. Maybe start off with an EKG and some labs and go from there. You might need an ultrasound of your heart if your PCP recommends it.Biggest recommendation I can make is lose weight by changing your diet. Preferably something you can live with whether its intermittent fasting or the Mediterranean diet or whatever.You got this

Below is an instruction that describes a task. Write a response that appropriately completes the request. ### Instruction: Muscle, Respiratory, Heart, and Mobility problems: Is this just obesity or something more?I am 29 y/o , 6ft even, and probably 400lbs easy, probably more, i can't afford a scale so idk.For about a year up until March when my job shut down for 7 weeks, i was very capable of doing the physically demanding work at the Auto Plant i worked at.. I was not fit, but it was doable for me. During shutdown from Covid, I started to notice that moving became harder and harder. My lower back would struggle to stay up and that caused breathing to get harder, which caused the heart rate to skyrocket. It eventually progressed to the point of complete muscle failure after about 50 feet of walking.When I got back to my job, I collapsed in front of my supervisor and his boss. Everybody freaked out and I was forced to go home and get tested for Covid 19. It was negative. Even when coming back after a few days out, however, I still could not walk more than 50 feet without sitting and gasping for air with the muscles in my back completely giving out causing collapse.Now I cannot even mow my lawn completely without resting 3 times. It is a tiny lawn that my roommate mows in about 10 minutes. It takes me 30-40 minutes with resting.I cannot walk 50 feet without gasping for air, I have regular heart palpitations, there are huge numb patches in my legs (oval shaped, upper thigh above the knee on the front of the leg), I cannot sleep more than 40 minutes to an hour at a time, and when walking I feel like I ran a marathon when it is only trivial distances. (heart rate, breathing troubles, back and leg muscle failure)Lastly, this morning at 4:30 am up until about 8:00am, I had these horrible feelings of doom, despair, anxiety, and panic, all wrapped up into one horrific attack for those many hours. Along with this, my heart rate was so high I literally almost called 911 many times.In the opinion of the people in this thread, are my issues likely 100% obesity related, or could there be something neurological going on in my back and legs as well? I dont know when the numb patches in each leg started.I'm scared of death, so I'm making what life changes I can (eating better, cutting caffeine down to reasonable levels of moderation, etc) but this is preventing me from functioning as a human being. I do not have insurance so I dont know what to do. I probably need to see a cardiologist, neurologist, or some sort of skilled orthopedic person. Please help, reddit. I dont want to die. I have dreams of owning my own I.T. business for security consulting.If more information would help, please please please ask and I will be 100% open about everything. I'm trying to change my life and contribute to society. I'm hoping to not have to go on disability or anything like that. My father was upper executive branch of a major telecommunications company so I hope to do something that would make him proud as he watches me from the heavens.. ### Response: Do you smoke?Obesity can cause a great deal of damage. Think how much more your heart has to pump. Think of your belly compressing your lungs decreasing how much they expand making it difficult to breath. Think of the extra weight your back has to carry. These are just a few things. I know this sounds tough and maybe harsh but Im saying it because Im confident you can make changes. Youre young and if you put in the work, you can definitely make changes. There are many free resources online.From the sounds of it, you might be having some heart failure symptoms. Do you have any swelling in your legs? I say find a PCP. Get worked up and get the studies you need. Maybe start off with an EKG and some labs and go from there. You might need an ultrasound of your heart if your PCP recommends it.Biggest recommendation I can make is lose weight by changing your diet. Preferably something you can live with whether its intermittent fasting or the Mediterranean diet or whatever.You got this.


Instruction: I do not smoke, and actually had an EKG at the Emergency Room today which came back normal. Could a normal EKG mean heart failure is off the table? Your positive words mean the world to me, friend.

Output: Well, heart failure is a clinical diagnosis. An EKG may help but doesnt give you the answer. For example the EKG can tell you there might have been a heart attack or signs of decreased oxygen or clue you in that one side of the heart is enlarged but thats about it.We usually use a combination of symptoms and labs to say someone has heart failure. Again, your PCP will be able to help. Again there are a few diet threads on here were guys your size have dropped a bit of weight.

Below is an instruction that describes a task. Write a response that appropriately completes the request. ### Instruction: I do not smoke, and actually had an EKG at the Emergency Room today which came back normal. Could a normal EKG mean heart failure is off the table? Your positive words mean the world to me, friend.. ### Response: Well, heart failure is a clinical diagnosis. An EKG may help but doesnt give you the answer. For example the EKG can tell you there might have been a heart attack or signs of decreased oxygen or clue you in that one side of the heart is enlarged but thats about it.We usually use a combination of symptoms and labs to say someone has heart failure. Again, your PCP will be able to help. Again there are a few diet threads on here were guys your size have dropped a bit of weight..


Instruction: Here is an image of what they actually did test wise https://i.imgur.com/7fMucgv.png. I have covered all identifying information as well as the weight because I am embarrassed. They checked my blood for Diabetes i guess and said that while my pancreas is compensating and I'm not even pre-diabetic, I do need to stick to the positive life changes I've implemented. If you have time to look at that image, would any of those tests have revealed the existence of Heart Failure?

Output: No. A proBNP would be helpful and if youve had recent leg swelling that would also be helpful. Otherwise seems like everything looks good from this numbers

Below is an instruction that describes a task. Write a response that appropriately completes the request. ### Instruction: Here is an image of what they actually did test wise https://i.imgur.com/7fMucgv.png. I have covered all identifying information as well as the weight because I am embarrassed. They checked my blood for Diabetes i guess and said that while my pancreas is compensating and I'm not even pre-diabetic, I do need to stick to the positive life changes I've implemented. If you have time to look at that image, would any of those tests have revealed the existence of Heart Failure?. ### Response: No. A proBNP would be helpful and if youve had recent leg swelling that would also be helpful. Otherwise seems like everything looks good from this numbers.


Instruction: 51F (pulmonary) under what circumstances should I take mom to the ER? She has chronic respiratory failure - hypoxia of unknown origin being worked up - but over past 3 days she's gotten worse51F, 59, very thin, getting thinner fast, white, USA. non-smoker, non-drinker; no prescriptions. On supplemental oxygen for chronic respiratory failure - hypoxia. Undergoing workup to figure out whats wrong but its taking taking forever. (This is for my mom.) (x-post)Very long story short: formerly vibrantly healthy moms been deteriorating since January. Shes lost over 25lbs since then, has been having daily oxygen desaturations down to as low as 80 whenever she started walking for months and is now on supplemental oxygen. Exhaustive pulmonary testing (including RHC and shunt studies) and cardiac testing (echo with bubble study) all inexplicably normal. The doctors are puzzled, as you can imagine. She looks awful. She does have a few "good" hours in the morning, but it slowly diminished til afternoons she crashed. As of now, "good" morning hours aren't lasting as long and she's crashing earlier in the day when she hits a wall, becomes totally sapped of energy, becomes very weak.At first her oxygen only went down when she was up and about and moving, down as low as 80, thats when she got the order for supplemental oxygen. But past 3 days, it's going down much more often, even at rest. (But it IS intermittent, not constant.)Heres why Im here today seeking advice: What would be a scenario that would mean we should take her to the ER? As of the past 3 days shes feeling worse, now has oxygen desats at rest, and it also is dipping down more and more often than ever before, and something very new - her heart rate keeps dipping a few times a day down into the 50s and occasional 40s (not necessarily when her oxygen is low - sometimes yes thats the case, sometimes when shes on oxygen it happens too. In the past few evenings shes been having severe shortness of breath even when her oxygen is at 100. Although shes been ill for months w/no answers yet, these worsening signs and symptoms have only been happening for about 3 days.Blessed to live in a city with a nationally known excellent medical center. The head of one of the lung hospital lung centers shes been seeing wants her to come back in to see him again for further investigation since the last study (shunt) was normal and they still dont know whats wrong (what the hell else can they test for???), but that conversation with him was last Thursday, before things suddenly got even worse on Friday til now - and who knows when that appt will happen. He's in high demand of course.In the meantime were in a holding pattern, so please can someone give advice on if there are certain signs or symptoms that would trigger us to take her to the ER?

Output: The desaturations at rest are concerning, it would be reasonable to take her into the emergency room now. Given your post it seems that she would have very poor reserves, so if things worsen even a little bit she may have profound effects.Another option is to get ahold of her pulmonologist or the person whom is on call for the clinic. He/she would be able to give a more informed opinion based on her unique situation.

Below is an instruction that describes a task. Write a response that appropriately completes the request. ### Instruction: 51F (pulmonary) under what circumstances should I take mom to the ER? She has chronic respiratory failure - hypoxia of unknown origin being worked up - but over past 3 days she's gotten worse51F, 59, very thin, getting thinner fast, white, USA. non-smoker, non-drinker; no prescriptions. On supplemental oxygen for chronic respiratory failure - hypoxia. Undergoing workup to figure out whats wrong but its taking taking forever. (This is for my mom.) (x-post)Very long story short: formerly vibrantly healthy moms been deteriorating since January. Shes lost over 25lbs since then, has been having daily oxygen desaturations down to as low as 80 whenever she started walking for months and is now on supplemental oxygen. Exhaustive pulmonary testing (including RHC and shunt studies) and cardiac testing (echo with bubble study) all inexplicably normal. The doctors are puzzled, as you can imagine. She looks awful. She does have a few "good" hours in the morning, but it slowly diminished til afternoons she crashed. As of now, "good" morning hours aren't lasting as long and she's crashing earlier in the day when she hits a wall, becomes totally sapped of energy, becomes very weak.At first her oxygen only went down when she was up and about and moving, down as low as 80, thats when she got the order for supplemental oxygen. But past 3 days, it's going down much more often, even at rest. (But it IS intermittent, not constant.)Heres why Im here today seeking advice: What would be a scenario that would mean we should take her to the ER? As of the past 3 days shes feeling worse, now has oxygen desats at rest, and it also is dipping down more and more often than ever before, and something very new - her heart rate keeps dipping a few times a day down into the 50s and occasional 40s (not necessarily when her oxygen is low - sometimes yes thats the case, sometimes when shes on oxygen it happens too. In the past few evenings shes been having severe shortness of breath even when her oxygen is at 100. Although shes been ill for months w/no answers yet, these worsening signs and symptoms have only been happening for about 3 days.Blessed to live in a city with a nationally known excellent medical center. The head of one of the lung hospital lung centers shes been seeing wants her to come back in to see him again for further investigation since the last study (shunt) was normal and they still dont know whats wrong (what the hell else can they test for???), but that conversation with him was last Thursday, before things suddenly got even worse on Friday til now - and who knows when that appt will happen. He's in high demand of course.In the meantime were in a holding pattern, so please can someone give advice on if there are certain signs or symptoms that would trigger us to take her to the ER?. ### Response: The desaturations at rest are concerning, it would be reasonable to take her into the emergency room now. Given your post it seems that she would have very poor reserves, so if things worsen even a little bit she may have profound effects.Another option is to get ahold of her pulmonologist or the person whom is on call for the clinic. He/she would be able to give a more informed opinion based on her unique situation..


Instruction: Thank you so much. I begged her to let me take her to the ER last night, it was pretty bad - but she refused - she said she'd "feel stupid" since her oxygen/heart rate go back up to normal in between the bad episodes and she "doesn't want to waste their time." With your advice I think she will listen (she appreciates my asking things here).With her permission I reached out to her regular long-time pulmonologist via her patient portal to ask if she should come in to see him soon. I did mention the low heart rate in that message. Hopefully will hear back soon. If her heart rate goes down that low again I'll remind her of an actual physician's advice (thank you thank you!) and she will listen.

Output: Assure your mother that she's not wasting anyone's time! Also, it's not her job to know if something is an emergency, s it's okay to go the ER and find out everything is fine.

Below is an instruction that describes a task. Write a response that appropriately completes the request. ### Instruction: Thank you so much. I begged her to let me take her to the ER last night, it was pretty bad - but she refused - she said she'd "feel stupid" since her oxygen/heart rate go back up to normal in between the bad episodes and she "doesn't want to waste their time." With your advice I think she will listen (she appreciates my asking things here).With her permission I reached out to her regular long-time pulmonologist via her patient portal to ask if she should come in to see him soon. I did mention the low heart rate in that message. Hopefully will hear back soon. If her heart rate goes down that low again I'll remind her of an actual physician's advice (thank you thank you!) and she will listen.. ### Response: Assure your mother that she's not wasting anyone's time! Also, it's not her job to know if something is an emergency, s it's okay to go the ER and find out everything is fine..


Instruction: I have an upper respiratory infection. Been to the doctor for it. When will it end? It's been 8 days now.25f, 120lb, white, asthmaticI was tested twice for COVID and both came back negative. When it got worse the doctor gave me 4 days of steroids to take, cough medicine, and mucinex.Day 1-3: bad congestion, fatigue, sore throat, voice loss Day 4-7: began coughing. Had to increase use of my rescue inhaler Day 8: began to cough up disgusting green phlegm.Does the green phlegm mean I'm near the end? Or that I should go back in?

Output: Probably just a viral cold that needs to run its course which is usually 10 days - 2 weeks. I would add some Sudafed/flonase for your congestion. Hopefully you start feeling better soon.

Below is an instruction that describes a task. Write a response that appropriately completes the request. ### Instruction: I have an upper respiratory infection. Been to the doctor for it. When will it end? It's been 8 days now.25f, 120lb, white, asthmaticI was tested twice for COVID and both came back negative. When it got worse the doctor gave me 4 days of steroids to take, cough medicine, and mucinex.Day 1-3: bad congestion, fatigue, sore throat, voice loss Day 4-7: began coughing. Had to increase use of my rescue inhaler Day 8: began to cough up disgusting green phlegm.Does the green phlegm mean I'm near the end? Or that I should go back in?. ### Response: Probably just a viral cold that needs to run its course which is usually 10 days - 2 weeks. I would add some Sudafed/flonase for your congestion. Hopefully you start feeling better soon..


Instruction: 38 yr old femaleHistory of bronchitis/pneumoniaI was recently babysitting my nephews who were unknowingly sick with an upper respiratory infection both have been tested for coronavirus several times coming back negative. However, in the meantime I got the upper respiratory infection also. Unfortunately, I have a very long, bad history of bronchitis/pneumonia with a hospital stay of two weeks in 2019 with double pneumonia and only an inch of air flow. So my question is how long does congestion last before I should be concerned? I've had this cold since last weekend. I'm on amoxicillin, my inhaler, Albuterol, nose spray etc. But still congested and wheezing but no fever or chest tightness. The congestion however has not improved should I be concerned?

Output: Assume you've got tested?Most URTIs are viral so I'm not surprised if its not improving quickly with antibiotics, likely they will do nothing.

Below is an instruction that describes a task. Write a response that appropriately completes the request. ### Instruction: 38 yr old femaleHistory of bronchitis/pneumoniaI was recently babysitting my nephews who were unknowingly sick with an upper respiratory infection both have been tested for coronavirus several times coming back negative. However, in the meantime I got the upper respiratory infection also. Unfortunately, I have a very long, bad history of bronchitis/pneumonia with a hospital stay of two weeks in 2019 with double pneumonia and only an inch of air flow. So my question is how long does congestion last before I should be concerned? I've had this cold since last weekend. I'm on amoxicillin, my inhaler, Albuterol, nose spray etc. But still congested and wheezing but no fever or chest tightness. The congestion however has not improved should I be concerned?. ### Response: Assume you've got tested?Most URTIs are viral so I'm not surprised if its not improving quickly with antibiotics, likely they will do nothing..


Instruction: I haven't been tested because my nephews came back negative and they were the only people I've seen. Also, if I'm not improving on antibiotics what do you suggest? Er visit PCP visit? Just wait it out? My chest congestion and wheeze is bad but I'm not running a fever, no chest tightness, I'm not getting worse but at the same time I'm not improving.

Output: You need to isolate and test regardless.No, congestion is normal with a viral URTI and doesn't usually need a doctors visit, you can self manage at home. If it is not improving over time or worsening yes definitely.

Below is an instruction that describes a task. Write a response that appropriately completes the request. ### Instruction: I haven't been tested because my nephews came back negative and they were the only people I've seen. Also, if I'm not improving on antibiotics what do you suggest? Er visit PCP visit? Just wait it out? My chest congestion and wheeze is bad but I'm not running a fever, no chest tightness, I'm not getting worse but at the same time I'm not improving.. ### Response: You need to isolate and test regardless.No, congestion is normal with a viral URTI and doesn't usually need a doctors visit, you can self manage at home. If it is not improving over time or worsening yes definitely..


Instruction: what is wrong with me? respiratory problems and oedema doctors baffled need ideashi I know this is a long shot and I'm not looking for a replacement for a diagnosis by a "real life" doctor - I have been having a long series of tests and scans etc etc and been in and out of hospital for months. It's just a matter of curiosity really.I became ill with what I thought was asthma in roughly june last year. It started with terrible chest pain that I woke up with and called an ambulance when I was no better after 4 hours. The pain was roughly central and felt like I'd been kicked by a horse and I was very short of breath. In hospital my O2 was measured at 71% which they blamed on my smoking habit. I had an x ray and ecg and everything seemed fine.I went home and continued to have terrible breathing problems which I thought was asthma for about a month before I was referred to minor injuries by my GP. They did an x ray and freaked out and got all the students to listen to them tapping my chest because one side was almost completely full of fluid. I got rushed to hospital in an ambulance and admitted. I had a chest drain put in and then had to go to a specialist hospital to have a heart drain put in as I had fluid on both lungs and around my heart. After a couple of weeks I was allowed to go home.Unfortunately the problem has persisted and I've been in hospital 3 times now, with my chest no better. I also had a.broken rib which I think was the result of coughing after I caught a cold at christmas. That's healed up now but I still have swollen legs and a swollen tummy and trouble breathing that has me gasping after a few steps. I'm on a diuretic for the swelling and it's been increased twice.I've had all sorts of scans, x rays, blood tests, ecgs, and most recently had a broncoscopy with a fine needle aspiration biopsy of swollen lymph nodes in my lungs. None of the tests have shown anything and the consultant says he is baffled and they are going to have a meeting about me. I have to go back in to hospital soon for a few days to have my chest drained and a thoracoscopy (?) - camera between my ribs and a biopsy.I've given up smoking but it hasn't helped. My O2 isn't as bad as it was in june/july though - tends to be high 80s or low 90s. I also hit menopause at the exact same time that my health took a nosedive and haven't had a period since june '22. I was also diagnosed with diabetes type 2 and high cholesterol when I was hospitalised in august and have been taking medication for that.So far tests have been negative for cancer but he says it can't be entirely ruled out.Does anyone have any insight at all or any ideas as to what might be wrong with me?age 51sex femalerace whiteweight 230lbslocation ukdiagnoses: schizoaffective, type 2 diabetes, asthma, high cholesterol, bilateral pleural effusion and cardiac effusionmeds: furosemide (? diuretic tablets), statin, a tablet for diabetes that is supposed to increase insulin after meals, folic acid, salbutamol inhaler. Supposed to be taking metformin but it makes me have an upset tummy and I found that difficult as I am living in a hotel at the moment and don't want to have an accident so I haven't been taking it. Up until august last year I was on paliperidone injections 75mg (invega) for schizoaffective disorder but they stopped those in case it was making me ill.

Output: I would have a CT scan of the chest and abdomen to get a more detailed image of the fluid collections and any other abnormalities. I would get a culture of the fluid obtained during the thoracoscopy procedure to determine if there is an underlying infection, and then a biopsy of the pleural and pericardial tissues to determine the cause of the effusions.Shortness of breath, swelling, and fluid accumulation can be symptoms of congestive heart failure. Your history of high cholesterol and type 2 diabetes increase your risk for this condition.

Below is an instruction that describes a task. Write a response that appropriately completes the request. ### Instruction: what is wrong with me? respiratory problems and oedema doctors baffled need ideashi I know this is a long shot and I'm not looking for a replacement for a diagnosis by a "real life" doctor - I have been having a long series of tests and scans etc etc and been in and out of hospital for months. It's just a matter of curiosity really.I became ill with what I thought was asthma in roughly june last year. It started with terrible chest pain that I woke up with and called an ambulance when I was no better after 4 hours. The pain was roughly central and felt like I'd been kicked by a horse and I was very short of breath. In hospital my O2 was measured at 71% which they blamed on my smoking habit. I had an x ray and ecg and everything seemed fine.I went home and continued to have terrible breathing problems which I thought was asthma for about a month before I was referred to minor injuries by my GP. They did an x ray and freaked out and got all the students to listen to them tapping my chest because one side was almost completely full of fluid. I got rushed to hospital in an ambulance and admitted. I had a chest drain put in and then had to go to a specialist hospital to have a heart drain put in as I had fluid on both lungs and around my heart. After a couple of weeks I was allowed to go home.Unfortunately the problem has persisted and I've been in hospital 3 times now, with my chest no better. I also had a.broken rib which I think was the result of coughing after I caught a cold at christmas. That's healed up now but I still have swollen legs and a swollen tummy and trouble breathing that has me gasping after a few steps. I'm on a diuretic for the swelling and it's been increased twice.I've had all sorts of scans, x rays, blood tests, ecgs, and most recently had a broncoscopy with a fine needle aspiration biopsy of swollen lymph nodes in my lungs. None of the tests have shown anything and the consultant says he is baffled and they are going to have a meeting about me. I have to go back in to hospital soon for a few days to have my chest drained and a thoracoscopy (?) - camera between my ribs and a biopsy.I've given up smoking but it hasn't helped. My O2 isn't as bad as it was in june/july though - tends to be high 80s or low 90s. I also hit menopause at the exact same time that my health took a nosedive and haven't had a period since june '22. I was also diagnosed with diabetes type 2 and high cholesterol when I was hospitalised in august and have been taking medication for that.So far tests have been negative for cancer but he says it can't be entirely ruled out.Does anyone have any insight at all or any ideas as to what might be wrong with me?age 51sex femalerace whiteweight 230lbslocation ukdiagnoses: schizoaffective, type 2 diabetes, asthma, high cholesterol, bilateral pleural effusion and cardiac effusionmeds: furosemide (? diuretic tablets), statin, a tablet for diabetes that is supposed to increase insulin after meals, folic acid, salbutamol inhaler. Supposed to be taking metformin but it makes me have an upset tummy and I found that difficult as I am living in a hotel at the moment and don't want to have an accident so I haven't been taking it. Up until august last year I was on paliperidone injections 75mg (invega) for schizoaffective disorder but they stopped those in case it was making me ill.. ### Response: I would have a CT scan of the chest and abdomen to get a more detailed image of the fluid collections and any other abnormalities. I would get a culture of the fluid obtained during the thoracoscopy procedure to determine if there is an underlying infection, and then a biopsy of the pleural and pericardial tissues to determine the cause of the effusions.Shortness of breath, swelling, and fluid accumulation can be symptoms of congestive heart failure. Your history of high cholesterol and type 2 diabetes increase your risk for this condition..


Instruction: Can I fly on a plane with weakness of respiratory muscles?(neuromuscular disease)Male, 24 years old. Live in Canada. 100kg, 200 Cm tall.I have an unknown neuromuscular disease that weakens my diaphragm, throat and skeletal muscles, and affects my cognition. I also have Ehlers-Danlos Syndrome.I want to know if my daytime oxygen is normal, and my Co2 levels are normal, is it safe to fly in a pressurized cabin on a plane? It's quite hard to breathe at times but I had a sleep study a couple weeks ago and it was fine.

Output: Can't answer that over the internet with the limited information. Would recommend talking to your doctor about a test called a High Altitude Simulation Test (HAST), where they used oxygen blenders to simulate a lower pressure with a lower partial pressure of oxygen. A lot of airline companies require it for people with lung disease to fly.

Below is an instruction that describes a task. Write a response that appropriately completes the request. ### Instruction: Can I fly on a plane with weakness of respiratory muscles?(neuromuscular disease)Male, 24 years old. Live in Canada. 100kg, 200 Cm tall.I have an unknown neuromuscular disease that weakens my diaphragm, throat and skeletal muscles, and affects my cognition. I also have Ehlers-Danlos Syndrome.I want to know if my daytime oxygen is normal, and my Co2 levels are normal, is it safe to fly in a pressurized cabin on a plane? It's quite hard to breathe at times but I had a sleep study a couple weeks ago and it was fine.. ### Response: Can't answer that over the internet with the limited information. Would recommend talking to your doctor about a test called a High Altitude Simulation Test (HAST), where they used oxygen blenders to simulate a lower pressure with a lower partial pressure of oxygen. A lot of airline companies require it for people with lung disease to fly..


Instruction: Is a low respiratory rate a problem? (Bradypnea)Is a resting respiratory rate of 5-6 breaths per minute indicative of a problem? Online it seems there are some sites (non medical...) which think a low breath rate is healthy. But on medical sites I find references to the medical problem of bradypnea.40M, caucasian, 178cm, 90kg, drink alcohol. Resting heart rate of approx 55-60BPM. Blood pressure normal to slightly elevated.Existing conditions: anemia - taking iron supplement. Possible IBS. Have done little exercise over the past 12-18 months due to fatigue caused by anemia.

Output: low RR with self measurement without other symptoms is not a problem.

Below is an instruction that describes a task. Write a response that appropriately completes the request. ### Instruction: Is a low respiratory rate a problem? (Bradypnea)Is a resting respiratory rate of 5-6 breaths per minute indicative of a problem? Online it seems there are some sites (non medical...) which think a low breath rate is healthy. But on medical sites I find references to the medical problem of bradypnea.40M, caucasian, 178cm, 90kg, drink alcohol. Resting heart rate of approx 55-60BPM. Blood pressure normal to slightly elevated.Existing conditions: anemia - taking iron supplement. Possible IBS. Have done little exercise over the past 12-18 months due to fatigue caused by anemia.. ### Response: low RR with self measurement without other symptoms is not a problem..


Instruction: COVID-19 FAQ #2Updated 6th AprilThe below comes from multiple sources as well as the direct experiences of myself and my colleagues.If you would like more information I highly recommend this free e-book written by two German physicians, it is available in multiple languages and is very up to date: https://covidreference.comIs it really as bad as they say?Yes. This is the most serious public health crisis of the last hundred years. By the time this is over many thousands will have died before their time. Do not underestimate the effect this will have on global societyThese are my symptoms, do I have COVID-19?Right now (assuming you live in an endemic country) any infective symptoms are COVID-19 until proven otherwise. Such symptoms may include any or all of:FeverCough (productive or dry)FatigueMuscle aches (particularly chest pain)Sore throatSwollen glandsLoss of sense of taste or smellDiarrhoeaThis is not an exhaustive list. Take home message: if youre not sure assume you have it and quarantine appropriately.When should I seek medical attention?Any breathing difficulties should be discussed with a doctor. This may be breathlessness at rest or on exertion, such as climbing the stairs. If youre struggling to do the things you normally do then seek assessment.You should have a low threshold for seeking assessment if you are at high risk of exposure, for example if youre a healthcare worker.I have no symptoms, should I stay at home?Yes.At this moment you must stay at home. You must only go to work if your job is essential for the running of the country or your local health service (although I accept not every country has introduced income support for those who have to stay at home.Dont see anyone socially unless you live together.If you do go out for work or supplies then stay at least 2m away from other people. Do not touch each other. Wash your hands religiously.What treatments are there?So far nothing.Either you get it and your recover, or you develop ARDS, in which case you will need to be admitted to ICU and ventilated.Chloroquine/hydroxychloroqine inhibits the ACE2 receptor in your cells, this is the path the virus takes you infect you. There is, to my knowledge, no published data at this time suggesting that it makes any difference.There are multiple trials into antiviral medications but again nothing has been published to my knowledge (please correct me if Im wrong).Am I high risk?The majority of people who get C-19 will have a mild disease. A minority will develop severe disease that requires ventilation and may lead to death.The biggest risk factor for developing severe C-19 is age. Below the age of 50 the disease is rarely severe. In children it is almost always mild. The groups most at risk are the over 70s and over 80s.As mentioned earlier there is some suggestion that higher viral exposure (such as experienced by healthcare workers) may lead to a more severe disease course.In terms of other medical problems some people should take extra precautions. Those receiving cancer treatment or taking immunosuppressants are at greater risk. Asthma seems to convey greater risk but mainly among those with more severe disease (such as those on biologic treatments, daily prednisone or those who have previously been admitted to intensive care).Men seem to be at higher risk of severe disease. We dont know why.Other conditions may have implications. If you are curious about your personal risk due to a comorbidity there is lots of useful information on patients charity websites, for example asthma UK.I have elderly relatives, what should I do?Everything you can do to facilitate them staying at home away from others. If you live with them avoid them as much as possible.Talk to them now about what they would want if they got COVID and got sick with it. Would they want an ventilator? Would they want ICU? Over here hospital inpatients arent being allowed visitors. Admission may mean dying alone, on an intensive care unit with no one allowed to see you. Its a hard discussion but better that everyone knows what everyone wants now.What is it?COVID-19 means coronavirus disease 19 (as it was first reported to the WHO on NYE in 2019). It is caused by the SARS-CoV-2 virus (severe acute respiratory syndrome coronavirus 2).Why is it spreading so fast?COVID-19 is very contagious. Current data suggests an R0 (that is the number of people an infected person will go onto infect) of 2.5-3. By comparison your average seasonal flu with have an R0 of about 1.3. To put this into perspective, if you start with 10 people infected with seasonal flu, over ten infection cycles youll end up with about 138 infected people. With COVID-19 over the same ten cycles youll end up with tens of thousands to hundreds of thousands of infected people. Bear in mind this is not what is going to happen, only what could happen if the a disease was left to spread without effort to slow it. Public health measures to contain it can massively reduce the actual transmission rate.Can I find out if Ive had it already?Right now no. There is a test in development.What can I do to minimise my risk?Wash your hands. Regularly. Avoid large gatherings. Follow local rules and guidance. If you have symptoms then stay away from other people.To my knowledge there is no evidence that wearing a surgical mask in public will be of any benefit.Should I stop taking my medication?There have been media reports that people taking certain types of mediation, specifically ACE inhibitors/A2RBs (eg ramipril/losartan) or NSAIDs (eg ibuprofen) are at higher risk of catching or complications of COVID. To my knowledge there is no good data to support this. You should continue to take your medication as normal unless instructed otherwise by your doctor.Is tickle in throat same as a dry cough? Two days ago I woke up with chills, diarrhea and pounding headache. Headache is gone but now have tickle in throat that makes me want to cough. Could that be corona virus??

Output: If you aren't coughing, you don't have a cough, do you? You could still have the coronavirus, infections can have very variable symptoms.

Below is an instruction that describes a task. Write a response that appropriately completes the request. ### Instruction: COVID-19 FAQ #2Updated 6th AprilThe below comes from multiple sources as well as the direct experiences of myself and my colleagues.If you would like more information I highly recommend this free e-book written by two German physicians, it is available in multiple languages and is very up to date: https://covidreference.comIs it really as bad as they say?Yes. This is the most serious public health crisis of the last hundred years. By the time this is over many thousands will have died before their time. Do not underestimate the effect this will have on global societyThese are my symptoms, do I have COVID-19?Right now (assuming you live in an endemic country) any infective symptoms are COVID-19 until proven otherwise. Such symptoms may include any or all of:FeverCough (productive or dry)FatigueMuscle aches (particularly chest pain)Sore throatSwollen glandsLoss of sense of taste or smellDiarrhoeaThis is not an exhaustive list. Take home message: if youre not sure assume you have it and quarantine appropriately.When should I seek medical attention?Any breathing difficulties should be discussed with a doctor. This may be breathlessness at rest or on exertion, such as climbing the stairs. If youre struggling to do the things you normally do then seek assessment.You should have a low threshold for seeking assessment if you are at high risk of exposure, for example if youre a healthcare worker.I have no symptoms, should I stay at home?Yes.At this moment you must stay at home. You must only go to work if your job is essential for the running of the country or your local health service (although I accept not every country has introduced income support for those who have to stay at home.Dont see anyone socially unless you live together.If you do go out for work or supplies then stay at least 2m away from other people. Do not touch each other. Wash your hands religiously.What treatments are there?So far nothing.Either you get it and your recover, or you develop ARDS, in which case you will need to be admitted to ICU and ventilated.Chloroquine/hydroxychloroqine inhibits the ACE2 receptor in your cells, this is the path the virus takes you infect you. There is, to my knowledge, no published data at this time suggesting that it makes any difference.There are multiple trials into antiviral medications but again nothing has been published to my knowledge (please correct me if Im wrong).Am I high risk?The majority of people who get C-19 will have a mild disease. A minority will develop severe disease that requires ventilation and may lead to death.The biggest risk factor for developing severe C-19 is age. Below the age of 50 the disease is rarely severe. In children it is almost always mild. The groups most at risk are the over 70s and over 80s.As mentioned earlier there is some suggestion that higher viral exposure (such as experienced by healthcare workers) may lead to a more severe disease course.In terms of other medical problems some people should take extra precautions. Those receiving cancer treatment or taking immunosuppressants are at greater risk. Asthma seems to convey greater risk but mainly among those with more severe disease (such as those on biologic treatments, daily prednisone or those who have previously been admitted to intensive care).Men seem to be at higher risk of severe disease. We dont know why.Other conditions may have implications. If you are curious about your personal risk due to a comorbidity there is lots of useful information on patients charity websites, for example asthma UK.I have elderly relatives, what should I do?Everything you can do to facilitate them staying at home away from others. If you live with them avoid them as much as possible.Talk to them now about what they would want if they got COVID and got sick with it. Would they want an ventilator? Would they want ICU? Over here hospital inpatients arent being allowed visitors. Admission may mean dying alone, on an intensive care unit with no one allowed to see you. Its a hard discussion but better that everyone knows what everyone wants now.What is it?COVID-19 means coronavirus disease 19 (as it was first reported to the WHO on NYE in 2019). It is caused by the SARS-CoV-2 virus (severe acute respiratory syndrome coronavirus 2).Why is it spreading so fast?COVID-19 is very contagious. Current data suggests an R0 (that is the number of people an infected person will go onto infect) of 2.5-3. By comparison your average seasonal flu with have an R0 of about 1.3. To put this into perspective, if you start with 10 people infected with seasonal flu, over ten infection cycles youll end up with about 138 infected people. With COVID-19 over the same ten cycles youll end up with tens of thousands to hundreds of thousands of infected people. Bear in mind this is not what is going to happen, only what could happen if the a disease was left to spread without effort to slow it. Public health measures to contain it can massively reduce the actual transmission rate.Can I find out if Ive had it already?Right now no. There is a test in development.What can I do to minimise my risk?Wash your hands. Regularly. Avoid large gatherings. Follow local rules and guidance. If you have symptoms then stay away from other people.To my knowledge there is no evidence that wearing a surgical mask in public will be of any benefit.Should I stop taking my medication?There have been media reports that people taking certain types of mediation, specifically ACE inhibitors/A2RBs (eg ramipril/losartan) or NSAIDs (eg ibuprofen) are at higher risk of catching or complications of COVID. To my knowledge there is no good data to support this. You should continue to take your medication as normal unless instructed otherwise by your doctor.Is tickle in throat same as a dry cough? Two days ago I woke up with chills, diarrhea and pounding headache. Headache is gone but now have tickle in throat that makes me want to cough. Could that be corona virus??. ### Response: If you aren't coughing, you don't have a cough, do you? You could still have the coronavirus, infections can have very variable symptoms..


Instruction: Are you no longer contagious when your symptoms disappear?Ive tried reading through the comments but couldnt find any direct answer. A friend of mine was in contact with someone who tested positive and Im worried. He said his symptoms were gone after two weeks of being sick but he got tested the week they hung out and got the results two days after the handout.

Output: Not thought to be, but not confirmed.We are recommending you wait until at least 72 hours after your symptoms have resolved to end self-isolation (and symptoms resolving while you're still having tylenol around the clock doesn't count)

Below is an instruction that describes a task. Write a response that appropriately completes the request. ### Instruction: Are you no longer contagious when your symptoms disappear?Ive tried reading through the comments but couldnt find any direct answer. A friend of mine was in contact with someone who tested positive and Im worried. He said his symptoms were gone after two weeks of being sick but he got tested the week they hung out and got the results two days after the handout.. ### Response: Not thought to be, but not confirmed.We are recommending you wait until at least 72 hours after your symptoms have resolved to end self-isolation (and symptoms resolving while you're still having tylenol around the clock doesn't count).


Instruction: NYC, immuno-compromised. Delay medical appt's? Better or worse?

Output: Depends if time critical or routine

Below is an instruction that describes a task. Write a response that appropriately completes the request. ### Instruction: NYC, immuno-compromised. Delay medical appt's? Better or worse?. ### Response: Depends if time critical or routine.


Instruction: Ive been sick with some Covid19-like symptoms for 25 days now and Im 90% better now. I cant get tested where I am but my GP and I have been assuming thats what it is so Ive been isolated and all that good stuff.My question is, if my respiratory infection was by some chance NOT Covid19, am I now at increased risk of complication if I do contract it now that Ive just experienced pneumonia or something like it?

Output: No

Below is an instruction that describes a task. Write a response that appropriately completes the request. ### Instruction: Ive been sick with some Covid19-like symptoms for 25 days now and Im 90% better now. I cant get tested where I am but my GP and I have been assuming thats what it is so Ive been isolated and all that good stuff.My question is, if my respiratory infection was by some chance NOT Covid19, am I now at increased risk of complication if I do contract it now that Ive just experienced pneumonia or something like it?. ### Response: No.


Instruction: Would a motorcycle helmet protect against virus? I know I'll look silly, but I don't want to buy face masks so that they are saved for the healthcare professionals.

Output: No

Below is an instruction that describes a task. Write a response that appropriately completes the request. ### Instruction: Would a motorcycle helmet protect against virus? I know I'll look silly, but I don't want to buy face masks so that they are saved for the healthcare professionals.. ### Response: No.


Instruction: If you have a cough, but no fever or fatigue, are you okay? Can allergies cause a sore/itchy throat AND a cough?

Output: Any cough right now is covid until proven otherwise.

Below is an instruction that describes a task. Write a response that appropriately completes the request. ### Instruction: If you have a cough, but no fever or fatigue, are you okay? Can allergies cause a sore/itchy throat AND a cough?. ### Response: Any cough right now is covid until proven otherwise..


Instruction: What should you do if you develop the symptoms? They're so generic, and the hospitals are being overwhelmed, plus it IS allergy season. Advice online seems to suggest you should only seek treatment if you have a pre-existing condition, or one of the more serious signs like shortness of breath. However, my whole city went under a 2-week quarantine starting a week ago after a woman had a coughing fit in a store in a neighboring county, and she did test positive! I don't know any other details of the case though. Right now I'm worried if someone even so much as clears their throat near me. I haven't gone out since the quarantine stated, but my mother (who I live with) has been going to work (she's only one of like 4 or 6 people who are, and she has to go to work because she can't take all her paperwork home with her, its just too much), and she claims the idiot locals are completely disregarding the quarantine even though we HAVE had at least four confirmed cases in this city alone! This has made me really paranoid. The local community isn't exactly known for being healthy, and the whole city seems to be overrun with Trump supporters too which doesn't bode well with him denying its a problem.

Output: If you develop symptoms you stay at home. If you develop breathing difficulties you seek medical assessment - follow local protocols.

Below is an instruction that describes a task. Write a response that appropriately completes the request. ### Instruction: What should you do if you develop the symptoms? They're so generic, and the hospitals are being overwhelmed, plus it IS allergy season. Advice online seems to suggest you should only seek treatment if you have a pre-existing condition, or one of the more serious signs like shortness of breath. However, my whole city went under a 2-week quarantine starting a week ago after a woman had a coughing fit in a store in a neighboring county, and she did test positive! I don't know any other details of the case though. Right now I'm worried if someone even so much as clears their throat near me. I haven't gone out since the quarantine stated, but my mother (who I live with) has been going to work (she's only one of like 4 or 6 people who are, and she has to go to work because she can't take all her paperwork home with her, its just too much), and she claims the idiot locals are completely disregarding the quarantine even though we HAVE had at least four confirmed cases in this city alone! This has made me really paranoid. The local community isn't exactly known for being healthy, and the whole city seems to be overrun with Trump supporters too which doesn't bode well with him denying its a problem.. ### Response: If you develop symptoms you stay at home. If you develop breathing difficulties you seek medical assessment - follow local protocols..


Instruction: Are swollen lymph nodes involved with the virus at all? I woke up today with VERY swollen and sore lymph nodes on my neck underneath my jaw, both sides.

Output: Not typically, but possible

Below is an instruction that describes a task. Write a response that appropriately completes the request. ### Instruction: Are swollen lymph nodes involved with the virus at all? I woke up today with VERY swollen and sore lymph nodes on my neck underneath my jaw, both sides.. ### Response: Not typically, but possible.


Instruction: Where are they at with antibody tests? Internet says they exist but are hard to get.

Output: Lots of companies are touting these but to my knowledge none have been proven to be reliable yet.

Below is an instruction that describes a task. Write a response that appropriately completes the request. ### Instruction: Where are they at with antibody tests? Internet says they exist but are hard to get.. ### Response: Lots of companies are touting these but to my knowledge none have been proven to be reliable yet..


Instruction: I have been experiencing fatigue lately: my RHR is higher (~55 instead of ~45-50); I get really tired when I try to run, even though I am a runner that does 50 mpw; I feel dizzy for a few seconds when I stand; etc. I have felt fatigued for the past 5-10 days and none of the other symptoms of COVID-19 have appeared. I think the fatigue is potentially from not being as hydrated as usual, the weather getting warmer, or my different eating habits with this whole quarantine situation.However, I am worried that it could be COVID-19. I am wondering what the actual chances of this being COVID-19 are; how many people actually only get fatigue without any of the other symptoms? I get the FAQ states any of the symptoms should be conservatively assumed to be COVID-19 but I am looking for a more statistical response. Thank you!

Output: Sorry I am unable to give a statistical response based on your vague set of symptoms.

Below is an instruction that describes a task. Write a response that appropriately completes the request. ### Instruction: I have been experiencing fatigue lately: my RHR is higher (~55 instead of ~45-50); I get really tired when I try to run, even though I am a runner that does 50 mpw; I feel dizzy for a few seconds when I stand; etc. I have felt fatigued for the past 5-10 days and none of the other symptoms of COVID-19 have appeared. I think the fatigue is potentially from not being as hydrated as usual, the weather getting warmer, or my different eating habits with this whole quarantine situation.However, I am worried that it could be COVID-19. I am wondering what the actual chances of this being COVID-19 are; how many people actually only get fatigue without any of the other symptoms? I get the FAQ states any of the symptoms should be conservatively assumed to be COVID-19 but I am looking for a more statistical response. Thank you!. ### Response: Sorry I am unable to give a statistical response based on your vague set of symptoms..


Instruction: Do the fevers fluctuate? I've been tested and will get my results with 24 hours. I've been exposed to a covid + person and have had fatigue, mild cough, body soreness (as if I worked out). My normal temperature is around 97.4 it raised to 99.8, 100.5, and the back to 98.5 .

Output: Yes. Sounds like possible covid.

Below is an instruction that describes a task. Write a response that appropriately completes the request. ### Instruction: Do the fevers fluctuate? I've been tested and will get my results with 24 hours. I've been exposed to a covid + person and have had fatigue, mild cough, body soreness (as if I worked out). My normal temperature is around 97.4 it raised to 99.8, 100.5, and the back to 98.5 .. ### Response: Yes. Sounds like possible covid..


Instruction: My wife tested positive for COVID-19 several weeks ago and has now had a fever for over a month, while I am asymptomatic. We have been quarantined for the entire month and have not left our house. Her doctor recently gave her antibiotics as she believes my wife has a secondary infection that is causing the fever to linger. Is it safe for me to see family (while maintaining 6 ft/mask/etc of course)?Edit: My family has also been self-quarantined, they are relocating to their vacation home which is close to me.

Output: We are still treating people as infectious if they have a fever so you should continue to quarantine. You cant prove that your wife isnt infectious or that you arent asymptomatically carrying it. Check your local guidance on whether you should be socialising with others regardless of your Coronavirus status.

Below is an instruction that describes a task. Write a response that appropriately completes the request. ### Instruction: My wife tested positive for COVID-19 several weeks ago and has now had a fever for over a month, while I am asymptomatic. We have been quarantined for the entire month and have not left our house. Her doctor recently gave her antibiotics as she believes my wife has a secondary infection that is causing the fever to linger. Is it safe for me to see family (while maintaining 6 ft/mask/etc of course)?Edit: My family has also been self-quarantined, they are relocating to their vacation home which is close to me.. ### Response: We are still treating people as infectious if they have a fever so you should continue to quarantine. You cant prove that your wife isnt infectious or that you arent asymptomatically carrying it. Check your local guidance on whether you should be socialising with others regardless of your Coronavirus status..


Instruction: There has been some mention of pinkeye being a possible symptom of the virus. Is there any potential truth to this or is that likely a symptom of something unrelated?

Output: Not to my knowledge

Below is an instruction that describes a task. Write a response that appropriately completes the request. ### Instruction: There has been some mention of pinkeye being a possible symptom of the virus. Is there any potential truth to this or is that likely a symptom of something unrelated?. ### Response: Not to my knowledge.