[User] Yes, of course. What do you need to know?

[Assistant] I've got a good picture of your symptoms now. I'd like to ask a few things about your medical history. Are you taking any medications at the moment — prescription or over the counter?

[User] Yes. Let me think — metformin 500mg twice daily, bisoprolol 2.5mg daily. I've been on those for a while.

[Assistant] Noted — thank you for sharing that. Has anything ever given you an allergic reaction — particularly any medications?

[User] Yes, actually. Penicillin. It gave me anaphylaxis years ago. My doctor knows.

[Assistant] Good — that's all being noted for the clinical team. Have you ever had surgery or any significant medical procedures?

[User] Yes — hip replacement 3 years ago.

[Assistant] Understood. I've recorded that. Is there any significant medical history in your family — particularly heart disease, diabetes, or cancer?

[User] Well — my sibling with type 1 diabetes. That's probably relevant.

[Assistant] Noted — thank you for sharing that. That's great — I have a thorough picture now. Let me just check a few more things.


[User] Actually, I forgot to say — I can't take aspirin. It makes my asthma really bad.

[Assistant] Noted — aspirin sensitivity with asthma exacerbation. That's crucial information and I've flagged it. Any other medications you've had reactions to?


[User] I don't have any allergies that I'm aware of.

[Assistant] Good to know — noted. Has anything ever given you an unusual reaction, even if you weren't sure it was an allergy?


[User] Go ahead.

[Assistant] Excellent. Now let me ask about medications, allergies, and your health history. Do you take any regular medications — including things like vitamins or supplements?

[User] enalapril 10mg twice daily, furosemide 40mg daily.

[Assistant] Understood. I've recorded that. Do you have any known allergies — particularly to medications?

[User] No known allergies.

[Assistant] Good — that's all being noted for the clinical team. Is there a family history of any particular conditions I should flag?

[User] My paternal history of Alzheimer's disease.

[Assistant] Thank you — that's very helpful. Have you been diagnosed with any long-term health conditions?

[User] I have heart failure and hypertension.

[Assistant] Good — that's all being noted for the clinical team. Is there anything significant in your surgical history — any operations or hospitalisations?

[User] appendectomy 10 years ago.

[Assistant] Thank you — that's very helpful. That's great — I have a thorough picture now. Let me just check a few more things.


[User] Go ahead.

[Assistant] Good. Let's move on to your medical history so the clinical team has everything they need. Are there any medications you take regularly that the clinical team should know about?

[User] beclomethasone inhaler twice daily, salbutamol inhaler as needed, allopurinol 300mg daily.

[Assistant] Understood. I've recorded that. Are there any medications or substances you've had a reaction to in the past?

[User] Not that I'm aware of.

[Assistant] Good — that's all being noted for the clinical team. Can you tell me about any health conditions that have affected your parents, siblings, or close relatives?

[User] Paternal history of alzheimer's disease.

[Assistant] Thank you — I've noted that. Do you have any ongoing medical conditions that have been diagnosed by a doctor?

[User] No ongoing conditions.

[Assistant] I've made a note of that — thank you. Thank you. I'm now going to ask a few specific questions about any symptoms that might need urgent attention.


[User] Actually, I forgot to say — I can't take aspirin. It makes my asthma really bad.

[Assistant] Noted — aspirin sensitivity with asthma exacerbation. That's crucial information and I've flagged it. Any other medications you've had reactions to?


[User] Sure.

[Assistant] Excellent. Now let me ask about medications, allergies, and your health history. Do you take any regular medications — including things like vitamins or supplements?

[User] No medications currently.

[Assistant] Good — that's all being noted for the clinical team. Are you aware of any allergies to medications or other substances?

[User] No known allergies.

[Assistant] Good — that's all being noted for the clinical team. Is there any significant medical history in your family — particularly heart disease, diabetes, or cancer?

[User] My grandfather had bowel cancer.

[Assistant] Noted — thank you for sharing that. Is there anything on your medical record — past diagnoses or ongoing conditions — that would be relevant?

[User] I'm generally healthy — no chronic conditions.

[Assistant] Thank you — that's very helpful. That's great — I have a thorough picture now. Let me just check a few more things.


[User] Oh, I should mention — I'm allergic to penicillin. I had a really bad reaction.

[Assistant] That's very important — thank you for telling me. I've made a clear note of that. Do you know what kind of reaction you had?


[User] Oh, I should mention — I'm allergic to penicillin. I had a really bad reaction.

[Assistant] That's very important — thank you for telling me. I've made a clear note of that. Do you know what kind of reaction you had?


[User] I'm allergic to quite a few things — penicillin, sulfa drugs, and codeine.

[Assistant] Thank you — I've noted all three: penicillin, sulfa drugs, and codeine. Are there any other substances — including foods or materials — that have caused reactions?


[User] I don't have any allergies that I'm aware of.

[Assistant] Good to know — noted. Has anything ever given you an unusual reaction, even if you weren't sure it was an allergy?


[User] Yes, of course. What do you need to know?

[Assistant] Good. Let's move on to your medical history so the clinical team has everything they need. Before I move on, can you tell me what medications you're currently on, if any?

[User] Yes. Let me think — levothyroxine 50mcg daily. I've been on those for a while.

[Assistant] Good — that's all being noted for the clinical team. Do you have any known allergies — particularly to medications?

[User] Not that I'm aware of.

[Assistant] I've made a note of that — thank you. Have you been diagnosed with any long-term health conditions?

[User] Nothing diagnosed.

[Assistant] I've made a note of that — thank you. Have you had any previous operations or procedures?

[User] Yes — coronary artery bypass graft 7 years ago.

[Assistant] Got it — that's really important information. Can I ask about your alcohol use — roughly how much per week?

[User] A small amount. 2–3 units a week at most.

[Assistant] I've made a note of that — thank you. Can I ask about your smoking history — do you smoke at all?

[User] Non-smoker.

[Assistant] Thank you — that's very helpful. Is there any significant medical history in your family — particularly heart disease, diabetes, or cancer?

[User] Well — my sibling with type 1 diabetes. That's probably relevant.

[Assistant] Thank you — I've noted that. I've got what I need on your history. Just a few more questions to make sure I haven't missed anything before I compile this for the clinical team.


[User] I'm allergic to quite a few things — penicillin, sulfa drugs, and codeine.

[Assistant] Thank you — I've noted all three: penicillin, sulfa drugs, and codeine. Are there any other substances — including foods or materials — that have caused reactions?


[User] Actually, I forgot to say — I can't take aspirin. It makes my asthma really bad.

[Assistant] Noted — aspirin sensitivity with asthma exacerbation. That's crucial information and I've flagged it. Any other medications you've had reactions to?


[User] Yes, I'll tell you everything. I always worry I'll forget something important.

[Assistant] I've got a good picture of your symptoms now. I'd like to ask a few things about your medical history. Can you run through any medications you're taking — even things you might consider minor?

[User] Yes — I take carvedilol 6.25mg twice daily. Is any of that relevant to what we're discussing? I'm always worried about drug interactions.

[Assistant] Good — that's all being noted for the clinical team. Do you have any drug allergies or reactions I should note?

[User] Yes — I'm allergic to metronidazole. I had severe nausea. It was terrifying. I always make sure to mention it.

[Assistant] Good — that's all being noted for the clinical team. Is there anything on your medical record — past diagnoses or ongoing conditions — that would be relevant?

[User] Yes — I have heart failure. I worry about how that all interacts. Is it relevant to what I've described?

[Assistant] Got it — that's really important information. How much alcohol would you say you drink in a typical week?

[User] I have 25 or more units a week. Is that relevant? I've been trying to cut back.

[Assistant] Good — that's all being noted for the clinical team. Do you smoke, or have you smoked in the past?

[User] I used to smoke but I stopped 6 years ago. I worry about that a lot.

[Assistant] I've made a note of that — thank you. Have you been hospitalised or had any procedures carried out in the past?

[User] Yes — I had a coronary angioplasty and stent 4 years ago. It all went fine but I was very anxious about it.

[Assistant] Noted — thank you for sharing that. Does anything run in your family that a doctor should know about?

[User] Yes — my father died of heart disease. I've always worried that might mean something for me.

[Assistant] I've made a note of that — thank you. Thank you — that's all very helpful. Let me now ask a couple of specific questions to make sure I haven't missed anything important.


[User] Yes, of course. What do you need to know?

[Assistant] Good. Let's move on to your medical history so the clinical team has everything they need. Are you taking any medications at the moment — prescription or over the counter?

[User] No medications currently. Well — just the occasional paracetamol.

[Assistant] I've made a note of that — thank you. Do you have any drug allergies or reactions I should note?

[User] No allergies as far as I know.

[Assistant] Good — that's all being noted for the clinical team. Have you been hospitalised or had any procedures carried out in the past?

[User] Yes — knee arthroscopy 2 years ago.

[Assistant] Noted. Thank you for telling me. Are there any chronic health conditions — like diabetes, heart disease, or anything else — that I should know about?

[User] Yes. I've got ulcerative colitis. Been managed for years.

[Assistant] Noted — thank you for sharing that. That's great — I have a thorough picture now. Let me just check a few more things.


[User] I don't have any allergies that I'm aware of.

[Assistant] Good to know — noted. Has anything ever given you an unusual reaction, even if you weren't sure it was an allergy?


[User] Okay.

[Assistant] I've got a good picture of your symptoms now. I'd like to ask a few things about your medical history. Are there any medications you take regularly that the clinical team should know about?

[User] methotrexate 15mg weekly, carvedilol 6.25mg twice daily, prednisolone 5mg daily.

[Assistant] Thank you — that's very helpful. Are there any medications or substances you've had a reaction to in the past?

[User] Latex. It gave me contact dermatitis.

[Assistant] Got it — that's really important information. Are there any chronic health conditions — like diabetes, heart disease, or anything else — that I should know about?

[User] Nothing that I know of.

[Assistant] Understood. I've recorded that. How much alcohol would you say you drink in a typical week?

[User] 25 or more units a week.

[Assistant] I've made a note of that — thank you. Do you smoke, or have you smoked in the past?

[User] No, I've never smoked.

[Assistant] Good — that's all being noted for the clinical team. Thank you — that's all very helpful. Let me now ask a couple of specific questions to make sure I haven't missed anything important.


[User] I had a reaction once to a contrast dye during a scan. I was told to always mention it.

[Assistant] That's very important — iodine-based contrast allergy. I've flagged that clearly. Good thing you mentioned it — that's exactly the kind of detail the clinical team needs to know.


[User] Yes, that's fine. Go ahead.

[Assistant] Thank you — that's very helpful. Now I'd like to ask about your medical background. Can you run through any medications you're taking — even things you might consider minor?

[User] Yes. Let me think — amlodipine 5mg daily. I've been on those for a while.

[Assistant] Noted. Thank you for telling me. Has anything ever given you an allergic reaction — particularly any medications?

[User] I've never had a reaction to anything.

[Assistant] Noted. Thank you for telling me. Have any close relatives been diagnosed with serious conditions — especially conditions that can run in families?

[User] Well — my mother has type 2 diabetes. That's probably relevant.

[Assistant] Noted. Thank you for telling me. Are there any chronic health conditions — like diabetes, heart disease, or anything else — that I should know about?

[User] Yes. I've got psoriasis. Been managed for years.

[Assistant] I've made a note of that — thank you. Can I ask about your alcohol use — roughly how much per week?

[User] I don't drink.

[Assistant] I've made a note of that — thank you. Are there any past surgeries or medical procedures I should include?

[User] Yes — hysterectomy 8 years ago.

[Assistant] Got it — that's really important information. Are you a smoker, or have you been in the past?

[User] I still smoke. less than 5 a day. Been trying to cut down.

[Assistant] Got it — that's really important information. Thank you. I'm now going to ask a few specific questions about any symptoms that might need urgent attention.


[User] I'm allergic to quite a few things — penicillin, sulfa drugs, and codeine.

[Assistant] Thank you — I've noted all three: penicillin, sulfa drugs, and codeine. Are there any other substances — including foods or materials — that have caused reactions?


[User] Certainly. I'll tell you what I can.

[Assistant] I've got a good picture of your symptoms now. I'd like to ask a few things about your medical history. Before I move on, can you tell me what medications you're currently on, if any?

[User] Yes. Let me think — duloxetine 60mg daily, furosemide 40mg daily. I've been on those for a while.

[Assistant] Thank you — that's very helpful. Do you have any known allergies — particularly to medications?

[User] No known allergies.

[Assistant] Understood. I've recorded that. Have you had any previous operations or procedures?

[User] Yes — coronary angioplasty and stent 4 years ago.

[Assistant] Noted. Thank you for telling me. Do you smoke, or have you smoked in the past?

[User] I stopped 4 years ago.

[Assistant] Understood. I've recorded that. Can you tell me about any health conditions that have affected your parents, siblings, or close relatives?

[User] Well — my grandfather had bowel cancer. That's probably relevant.

[Assistant] Good — that's all being noted for the clinical team. Are there any chronic health conditions — like diabetes, heart disease, or anything else — that I should know about?

[User] Yes. I've got previous DVT and COPD. Been managed for years.

[Assistant] Thank you — that's very helpful. How much alcohol would you say you drink in a typical week?

[User] A small amount. around 10–14 units a week at most.

[Assistant] Thank you — that's very helpful. Thank you — that's all very helpful. Let me now ask a couple of specific questions to make sure I haven't missed anything important.


[User] Okay.

[Assistant] Thank you — that's very helpful. Now I'd like to ask about your medical background. Are you taking any medications at the moment — prescription or over the counter?

[User] carvedilol 6.25mg twice daily, bisoprolol 2.5mg daily, ibuprofen 400mg as needed.

[Assistant] Thank you — that's very helpful. Do you have any known allergies — particularly to medications?

[User] No known allergies.

[Assistant] Understood. I've recorded that. Does anything run in your family that a doctor should know about?

[User] My mother has type 2 diabetes.

[Assistant] I've made a note of that — thank you. Can I ask about your alcohol use — roughly how much per week?

[User] 2–3 units a week.

[Assistant] Understood. I've recorded that. That's great — I have a thorough picture now. Let me just check a few more things.


[User] Sure. What do you want to know?

[Assistant] Thank you — that's very helpful. Now I'd like to ask about your medical background. Are there any medications you take regularly that the clinical team should know about?

[User] paracetamol as needed, levothyroxine 50mcg daily, enalapril 10mg twice daily.

[Assistant] Understood. I've recorded that. Do you have any drug allergies or reactions I should note?

[User] I've never had a reaction to anything.

[Assistant] I've made a note of that — thank you. Are there any past surgeries or medical procedures I should include?

[User] Coronary artery bypass graft 7 years ago.

[Assistant] Noted. Thank you for telling me. Are there any chronic health conditions — like diabetes, heart disease, or anything else — that I should know about?

[User] Ischaemic heart disease and breast cancer in remission.

[Assistant] Thank you — I've noted that. Do you smoke, or have you smoked in the past?

[User] Yes. about 5 a day.

[Assistant] Noted. Thank you for telling me. How much alcohol would you say you drink in a typical week?

[User] around 10–14 units a week.

[Assistant] Understood. I've recorded that. Is there a family history of any particular conditions I should flag?

[User] Mother has type 2 diabetes.

[Assistant] Good — that's all being noted for the clinical team. That's great — I have a thorough picture now. Let me just check a few more things.


[User] Okay. What specifically?

[Assistant] Good. Let's move on to your medical history so the clinical team has everything they need. Are there any medications you take regularly that the clinical team should know about?

[User] aspirin 75mg daily.

[Assistant] Got it — that's really important information. Are there any medications or substances you've had a reaction to in the past?

[User] Cephalosporins. Rash.

[Assistant] Thank you — that's very helpful. Is there anything on your medical record — past diagnoses or ongoing conditions — that would be relevant?

[User] Previous stroke and previous myocardial infarction.

[Assistant] Good — that's all being noted for the clinical team. Have you been hospitalised or had any procedures carried out in the past?

[User] Hip replacement 3 years ago.

[Assistant] Thank you — I've noted that. That's great — I have a thorough picture now. Let me just check a few more things.


[User] Fine. What do you need?

[Assistant] Excellent. Now let me ask about medications, allergies, and your health history. Are there any medications you take regularly that the clinical team should know about?

[User] amlodipine 5mg daily.

[Assistant] Thank you — I've noted that. Do you have any drug allergies or reactions I should note?

[User] Contrast dye. Allergic reaction during scan.

[Assistant] Thank you — I've noted that. Are there any past surgeries or medical procedures I should include?

[User] Appendectomy 10 years ago.

[Assistant] Thank you — that's very helpful. Can I ask about your alcohol use — roughly how much per week?

[User] around 10–14 units a week.

[Assistant] Got it — that's really important information. Have you been diagnosed with any long-term health conditions?

[User] I'm generally healthy — no chronic conditions.

[Assistant] Noted. Thank you for telling me. Can I ask about your smoking history — do you smoke at all?

[User] I don't smoke.

[Assistant] Good — that's all being noted for the clinical team. I've got what I need on your history. Just a few more questions to make sure I haven't missed anything before I compile this for the clinical team.


[User] Sure. What do you want to know?

[Assistant] Thank you — that's very helpful. Now I'd like to ask about your medical background. Before I move on, can you tell me what medications you're currently on, if any?

[User] aspirin 75mg daily.

[Assistant] Thank you — that's very helpful. Do you have any known allergies — particularly to medications?

[User] I've never had a reaction to anything.

[Assistant] Good — that's all being noted for the clinical team. Can you tell me about any health conditions that have affected your parents, siblings, or close relatives?

[User] Brother has hypertension.

[Assistant] Understood. I've recorded that. Can I ask about your smoking history — do you smoke at all?

[User] Yes. 20 a day.

[Assistant] Noted. Thank you for telling me. Have you ever had surgery or any significant medical procedures?

[User] Knee arthroscopy 2 years ago.

[Assistant] Noted. Thank you for telling me. Can I ask about your alcohol use — roughly how much per week?

[User] 25 or more units a week.

[Assistant] I've made a note of that — thank you. I've got what I need on your history. Just a few more questions to make sure I haven't missed anything before I compile this for the clinical team.


[User] Sure. What do you want to know?

[Assistant] I've got a good picture of your symptoms now. I'd like to ask a few things about your medical history. Do you take any regular medications — including things like vitamins or supplements?

[User] gabapentin 300mg three times daily.

[Assistant] I've made a note of that — thank you. Do you have any drug allergies or reactions I should note?

[User] Not that I'm aware of.

[Assistant] Thank you — that's very helpful. Is there a family history of any particular conditions I should flag?

[User] Father died of heart disease.

[Assistant] Understood. I've recorded that. How much alcohol would you say you drink in a typical week?

[User] I'm teetotal.

[Assistant] Thank you — that's very helpful. Have you had any previous operations or procedures?

[User] Cholecystectomy (gallbladder removal) 5 years ago.

[Assistant] Got it — that's really important information. Have you been diagnosed with any long-term health conditions?

[User] Pulmonary embolism and osteoarthritis.

[Assistant] Thank you — that's very helpful. Thank you. I'm now going to ask a few specific questions about any symptoms that might need urgent attention.


[User] Sure. What do you want to know?

[Assistant] Good. Let's move on to your medical history so the clinical team has everything they need. Are there any medications you take regularly that the clinical team should know about?

[User] methotrexate 15mg weekly, insulin lispro at mealtimes.

[Assistant] Understood. I've recorded that. Do you have any known allergies — particularly to medications?

[User] Peanuts. Anaphylaxis.

[Assistant] Noted. Thank you for telling me. Does anything run in your family that a doctor should know about?

[User] Mother has type 2 diabetes.

[Assistant] Noted. Thank you for telling me. Do you have any ongoing medical conditions that have been diagnosed by a doctor?

[User] Osteoporosis.

[Assistant] Got it — that's really important information. That's great — I have a thorough picture now. Let me just check a few more things.


[User] Go ahead.

[Assistant] I've got a good picture of your symptoms now. I'd like to ask a few things about your medical history. Are you taking any medications at the moment — prescription or over the counter?

[User] I'm not on anything.

[Assistant] Thank you — I've noted that. Are there any medications or substances you've had a reaction to in the past?

[User] Contrast dye. Allergic reaction during scan.

[Assistant] Understood. I've recorded that. Are there any past surgeries or medical procedures I should include?

[User] Knee arthroscopy 2 years ago.

[Assistant] Good — that's all being noted for the clinical team. Have you been diagnosed with any long-term health conditions?

[User] Chronic fatigue syndrome.

[Assistant] Thank you — that's very helpful. Thank you — that's all very helpful. Let me now ask a couple of specific questions to make sure I haven't missed anything important.


[User] Sure.

[Assistant] Thank you — that's very helpful. Now I'd like to ask about your medical background. Before I move on, can you tell me what medications you're currently on, if any?

[User] omeprazole 20mg daily.

[Assistant] Got it — that's really important information. Has anything ever given you an allergic reaction — particularly any medications?

[User] Peanuts. It gave me anaphylaxis.

[Assistant] Thank you — I've noted that. Have you ever had surgery or any significant medical procedures?

[User] cholecystectomy (gallbladder removal) 5 years ago.

[Assistant] Good — that's all being noted for the clinical team. Can I ask about your smoking history — do you smoke at all?

[User] Ex-smoker. 24 years ago.

[Assistant] Thank you — I've noted that. That's great — I have a thorough picture now. Let me just check a few more things.


[User] Yes.

[Assistant] Excellent. Now let me ask about medications, allergies, and your health history. Before I move on, can you tell me what medications you're currently on, if any?

[User] bisoprolol 2.5mg daily, gabapentin 300mg three times daily.

[Assistant] I've made a note of that — thank you. Has anything ever given you an allergic reaction — particularly any medications?

[User] No allergies as far as I know.

[Assistant] Got it — that's really important information. Do you drink alcohol? If so, roughly how often?

[User] 2–3 units a week.

[Assistant] Thank you — I've noted that. Are there any past surgeries or medical procedures I should include?

[User] coronary angioplasty and stent 4 years ago.

[Assistant] I've made a note of that — thank you. Thank you. I'm now going to ask a few specific questions about any symptoms that might need urgent attention.


[User] Yes, I'll tell you everything. I always worry I'll forget something important.

[Assistant] Thank you — that's very helpful. Now I'd like to ask about your medical background. Before I move on, can you tell me what medications you're currently on, if any?

[User] Yes — I take insulin lispro at mealtimes, ramipril 5mg daily. Is any of that relevant to what we're discussing? I'm always worried about drug interactions.

[Assistant] Thank you — I've noted that. Do you have any drug allergies or reactions I should note?

[User] Yes — I'm allergic to penicillin. I had hives. It was terrifying. I always make sure to mention it.

[Assistant] Noted. Thank you for telling me. Do you smoke, or have you smoked in the past?

[User] Yes — 20 a day. I know I should stop. I'm working on it.

[Assistant] Understood. I've recorded that. Do you have any ongoing medical conditions that have been diagnosed by a doctor?

[User] Yes — I have atrial fibrillation and anxiety disorder. I worry about how that all interacts. Is it relevant to what I've described?

[Assistant] Understood. I've recorded that. Is there any significant medical history in your family — particularly heart disease, diabetes, or cancer?

[User] Yes — my mother has rheumatoid arthritis. I've always worried that might mean something for me.

[Assistant] I've made a note of that — thank you. Thank you — that's all very helpful. Let me now ask a couple of specific questions to make sure I haven't missed anything important.


[User] Okay. What specifically?

[Assistant] Thank you — that's very helpful. Now I'd like to ask about your medical background. Do you take any regular medications — including things like vitamins or supplements?

[User] No medications that I'm aware of.

[Assistant] I've made a note of that — thank you. Are there any medications or substances you've had a reaction to in the past?

[User] Bee stings. Anaphylaxis.

[Assistant] Noted — thank you for sharing that. Have you had any previous operations or procedures?

[User] Caesarean section 6 years ago.

[Assistant] Understood. I've recorded that. How much alcohol would you say you drink in a typical week?

[User] around 10–14 units a week.

[Assistant] Thank you — I've noted that. Is there a family history of any particular conditions I should flag?

[User] Sister has breast cancer.

[Assistant] Good — that's all being noted for the clinical team. Is there anything on your medical record — past diagnoses or ongoing conditions — that would be relevant?

[User] No ongoing conditions.

[Assistant] Good — that's all being noted for the clinical team. Can I ask about your smoking history — do you smoke at all?

[User] Non-smoker.

[Assistant] Understood. I've recorded that. Thank you. I'm now going to ask a few specific questions about any symptoms that might need urgent attention.


[User] Of course — yes, please ask me anything about my history.

[Assistant] I've got a good picture of your symptoms now. I'd like to ask a few things about your medical history. Can you run through any medications you're taking — even things you might consider minor?

[User] Yes — I take insulin lispro at mealtimes. Is any of that relevant to what we're discussing? I'm always worried about drug interactions.

[Assistant] Thank you — that's very helpful. Are there any medications or substances you've had a reaction to in the past?

[User] Not that I'm aware of.

[Assistant] Got it — that's really important information. Have you been diagnosed with any long-term health conditions?

[User] Yes — I have previous myocardial infarction and asthma. I worry about how that all interacts. Is it relevant to what I've described?

[Assistant] Got it — that's really important information. How much alcohol would you say you drink in a typical week?

[User] I have 2–3 units a week. Is that relevant? I've been trying to cut back.

[Assistant] Noted — thank you for sharing that. Is there a family history of any particular conditions I should flag?

[User] Yes — my father had a stroke. I've always worried that might mean something for me.

[Assistant] Thank you — that's very helpful. Do you smoke, or have you smoked in the past?

[User] Yes — around 10 a day. I know I should stop. I'm working on it.

[Assistant] I've made a note of that — thank you. Thank you — that's all very helpful. Let me now ask a couple of specific questions to make sure I haven't missed anything important.


[User] Go ahead.

[Assistant] Excellent. Now let me ask about medications, allergies, and your health history. Do you take any regular medications — including things like vitamins or supplements?

[User] I don't take anything regularly.

[Assistant] Noted — thank you for sharing that. Has anything ever given you an allergic reaction — particularly any medications?

[User] Aspirin. It gave me asthma exacerbation.

[Assistant] Noted. Thank you for telling me. Have any close relatives been diagnosed with serious conditions — especially conditions that can run in families?

[User] My mother has rheumatoid arthritis.

[Assistant] Got it — that's really important information. Can I ask about your alcohol use — roughly how much per week?

[User] around 10–14 units a week.

[Assistant] Noted. Thank you for telling me. Are you a smoker, or have you been in the past?

[User] Non-smoker.

[Assistant] Understood. I've recorded that. Have you ever had surgery or any significant medical procedures?

[User] coronary artery bypass graft 7 years ago.

[Assistant] Thank you — I've noted that. I've got what I need on your history. Just a few more questions to make sure I haven't missed anything before I compile this for the clinical team.


[User] Yes, I'll tell you everything. I always worry I'll forget something important.

[Assistant] Good. Let's move on to your medical history so the clinical team has everything they need. Are there any medications you take regularly that the clinical team should know about?

[User] Yes — I take sertraline 100mg daily, lisinopril 10mg daily. Is any of that relevant to what we're discussing? I'm always worried about drug interactions.

[Assistant] Noted — thank you for sharing that. Do you have any known allergies — particularly to medications?

[User] No allergies as far as I know.

[Assistant] Good — that's all being noted for the clinical team. Are you a smoker, or have you been in the past?

[User] I used to smoke but I stopped 14 years ago. I worry about that a lot.

[Assistant] Noted — thank you for sharing that. Do you drink alcohol? If so, roughly how often?

[User] I have around 10–14 units a week. Is that relevant? I've been trying to cut back.

[Assistant] Thank you — I've noted that. Thank you. I'm now going to ask a few specific questions about any symptoms that might need urgent attention.


[User] Right then. What would you like to know?

[Assistant] Good. Let's move on to your medical history so the clinical team has everything they need. Can you run through any medications you're taking — even things you might consider minor?

[User] Yes. Let me think — warfarin variable dose. I've been on those for a while.

[Assistant] Thank you — I've noted that. Has anything ever given you an allergic reaction — particularly any medications?

[User] Yes, actually. Amoxicillin. It gave me rash years ago. My doctor knows.

[Assistant] Noted — thank you for sharing that. Have you had any previous operations or procedures?

[User] Yes — tonsillectomy as a child.

[Assistant] Good — that's all being noted for the clinical team. Do you have any ongoing medical conditions that have been diagnosed by a doctor?

[User] Nothing that I know of.

[Assistant] Thank you — that's very helpful. How much alcohol would you say you drink in a typical week?

[User] A small amount. around 10–14 units a week at most.

[Assistant] Thank you — that's very helpful. I've got what I need on your history. Just a few more questions to make sure I haven't missed anything before I compile this for the clinical team.


[User] Yes, of course. What do you need to know?

[Assistant] Thank you — that's very helpful. Now I'd like to ask about your medical background. Do you take any regular medications — including things like vitamins or supplements?

[User] Yes. Let me think — aspirin 75mg daily, ibuprofen 400mg as needed. I've been on those for a while.

[Assistant] I've made a note of that — thank you. Do you have any known allergies — particularly to medications?

[User] Yes, actually. Codeine. It gave me severe nausea years ago. My doctor knows.

[Assistant] Thank you — I've noted that. Are there any chronic health conditions — like diabetes, heart disease, or anything else — that I should know about?

[User] Yes. I've got ischaemic heart disease. Been managed for years.

[Assistant] Thank you — I've noted that. Can you tell me about any health conditions that have affected your parents, siblings, or close relatives?

[User] Well — my sibling with type 1 diabetes. That's probably relevant.

[Assistant] Understood. I've recorded that. Are you a smoker, or have you been in the past?

[User] I stopped 13 years ago.

[Assistant] Understood. I've recorded that. Have you ever had surgery or any significant medical procedures?

[User] Yes — hysterectomy 8 years ago.

[Assistant] Understood. I've recorded that. Thank you — that's all very helpful. Let me now ask a couple of specific questions to make sure I haven't missed anything important.


[User] I had a reaction once to a contrast dye during a scan. I was told to always mention it.

[Assistant] That's very important — iodine-based contrast allergy. I've flagged that clearly. Good thing you mentioned it — that's exactly the kind of detail the clinical team needs to know.


[User] Of course. I've got quite a lot to tell you.

[Assistant] Excellent. Now let me ask about medications, allergies, and your health history. Do you take any regular medications — including things like vitamins or supplements?

[User] I don't take anything regularly. Although I sometimes take paracetamol — should I mention that?

[Assistant] Thank you — I've noted that. Are you aware of any allergies to medications or other substances?

[User] Yes — I'm allergic to shellfish. I had hives and vomiting. It was terrifying. I always make sure to mention it.

[Assistant] Noted — thank you for sharing that. Does anything run in your family that a doctor should know about?

[User] Yes — my mother has type 2 diabetes. I've always worried that might mean something for me.

[Assistant] Thank you — I've noted that. Have you been hospitalised or had any procedures carried out in the past?

[User] Yes — I had a coronary angioplasty and stent 4 years ago. It all went fine but I was very anxious about it.

[Assistant] I've made a note of that — thank you. Are there any conditions you've been treated or monitored for over time?

[User] Yes — I have previous myocardial infarction and ulcerative colitis. I worry about how that all interacts. Is it relevant to what I've described?

[Assistant] Noted. Thank you for telling me. How much alcohol would you say you drink in a typical week?

[User] I have 2–3 units a week. Is that relevant? I've been trying to cut back.

[Assistant] Thank you — I've noted that. Thank you. I'm now going to ask a few specific questions about any symptoms that might need urgent attention.


[User] Right then. What would you like to know?

[Assistant] Thank you — that's very helpful. Now I'd like to ask about your medical background. Do you take any regular medications — including things like vitamins or supplements?

[User] Yes. Let me think — paracetamol as needed, amitriptyline 25mg at night, prednisolone 5mg daily. I've been on those for a while.

[Assistant] Got it — that's really important information. Do you have any known allergies — particularly to medications?

[User] Yes, actually. Ibuprofen. It gave me stomach pain and vomiting years ago. My doctor knows.

[Assistant] I've made a note of that — thank you. Can I ask about your alcohol use — roughly how much per week?

[User] A small amount. 2–3 units a week at most.

[Assistant] Noted — thank you for sharing that. Is there anything on your medical record — past diagnoses or ongoing conditions — that would be relevant?

[User] Nothing diagnosed.

[Assistant] Good — that's all being noted for the clinical team. Are you a smoker, or have you been in the past?

[User] Non-smoker.

[Assistant] Thank you — I've noted that. Have you been hospitalised or had any procedures carried out in the past?

[User] Yes — hysterectomy 8 years ago.

[Assistant] Thank you — I've noted that. Is there a family history of any particular conditions I should flag?

[User] Well — my mother has rheumatoid arthritis. That's probably relevant.

[Assistant] Thank you — I've noted that. Thank you. I'm now going to ask a few specific questions about any symptoms that might need urgent attention.


[User] Okay. Should I tell you about my medications and things?

[Assistant] Excellent. Now let me ask about medications, allergies, and your health history. Are there any medications you take regularly that the clinical team should know about?

[User] Yes — I take duloxetine 60mg daily. Is any of that relevant to what we're discussing? I'm always worried about drug interactions.

[Assistant] Thank you — I've noted that. Do you have any drug allergies or reactions I should note?

[User] Yes — I'm allergic to penicillin. I had anaphylaxis. It was terrifying. I always make sure to mention it.

[Assistant] Thank you — that's very helpful. Are there any conditions you've been treated or monitored for over time?

[User] Yes — I have pulmonary embolism and ulcerative colitis. I worry about how that all interacts. Is it relevant to what I've described?

[Assistant] Noted. Thank you for telling me. How much alcohol would you say you drink in a typical week?

[User] I have 25 or more units a week. Is that relevant? I've been trying to cut back.

[Assistant] Noted. Thank you for telling me. Can I ask about your smoking history — do you smoke at all?

[User] I used to smoke but I stopped 19 years ago. I worry about that a lot.

[Assistant] Thank you — that's very helpful. Have you ever had surgery or any significant medical procedures?

[User] Yes — I had a hernia repair 6 years ago. It all went fine but I was very anxious about it.

[Assistant] Understood. I've recorded that. Does anything run in your family that a doctor should know about?

[User] Yes — my father had a stroke. I've always worried that might mean something for me.

[Assistant] Noted. Thank you for telling me. I've got what I need on your history. Just a few more questions to make sure I haven't missed anything before I compile this for the clinical team.


[User] Of course — yes, please ask me anything about my history.

[Assistant] I've got a good picture of your symptoms now. I'd like to ask a few things about your medical history. Are you taking any medications at the moment — prescription or over the counter?

[User] Yes — I take warfarin variable dose. Is any of that relevant to what we're discussing? I'm always worried about drug interactions.

[Assistant] Thank you — I've noted that. Are you aware of any allergies to medications or other substances?

[User] No allergies as far as I know.

[Assistant] Noted. Thank you for telling me. Is there any significant medical history in your family — particularly heart disease, diabetes, or cancer?

[User] Yes — my father had a stroke. I've always worried that might mean something for me.

[Assistant] Thank you — I've noted that. Is there anything significant in your surgical history — any operations or hospitalisations?

[User] Yes — I had a tonsillectomy as a child. It all went fine but I was very anxious about it.

[Assistant] Understood. I've recorded that. Thank you — that's all very helpful. Let me now ask a couple of specific questions to make sure I haven't missed anything important.


[User] Fine. What do you need?

[Assistant] Thank you — that's very helpful. Now I'd like to ask about your medical background. Do you take any regular medications — including things like vitamins or supplements?

[User] amitriptyline 25mg at night, omeprazole 20mg daily.

[Assistant] I've made a note of that — thank you. Do you have any known allergies — particularly to medications?

[User] Not that I'm aware of.

[Assistant] Got it — that's really important information. Can I ask about your smoking history — do you smoke at all?

[User] Yes. 20 a day.

[Assistant] Noted. Thank you for telling me. Are there any conditions you've been treated or monitored for over time?

[User] Psoriasis.

[Assistant] Good — that's all being noted for the clinical team. Can I ask about your alcohol use — roughly how much per week?

[User] 25 or more units a week.

[Assistant] Understood. I've recorded that. Thank you — that's all very helpful. Let me now ask a couple of specific questions to make sure I haven't missed anything important.


[User] Right then. What would you like to know?

[Assistant] Thank you — that's very helpful. Now I'd like to ask about your medical background. Are you taking any medications at the moment — prescription or over the counter?

[User] Nothing prescribed at the moment. Well — just the occasional paracetamol.

[Assistant] Understood. I've recorded that. Has anything ever given you an allergic reaction — particularly any medications?

[User] Yes, actually. Cephalosporins. It gave me rash years ago. My doctor knows.

[Assistant] I've made a note of that — thank you. Are there any conditions you've been treated or monitored for over time?

[User] Yes. I've got prostate cancer in remission. Been managed for years.

[Assistant] Noted. Thank you for telling me. Can I ask about your alcohol use — roughly how much per week?

[User] A small amount. around 10–14 units a week at most.

[Assistant] Noted — thank you for sharing that. Have any close relatives been diagnosed with serious conditions — especially conditions that can run in families?

[User] Nothing significant that I'm aware of.

[Assistant] Got it — that's really important information. Thank you. I'm now going to ask a few specific questions about any symptoms that might need urgent attention.


[User] Certainly. I'll tell you what I can.

[Assistant] Good. Let's move on to your medical history so the clinical team has everything they need. Are you taking any medications at the moment — prescription or over the counter?

[User] Yes. Let me think — bisoprolol 2.5mg daily, omeprazole 20mg daily, insulin lispro at mealtimes. I've been on those for a while.

[Assistant] Thank you — I've noted that. Has anything ever given you an allergic reaction — particularly any medications?

[User] Yes, actually. Amoxicillin. It gave me rash years ago. My doctor knows.

[Assistant] Noted — thank you for sharing that. Are there any past surgeries or medical procedures I should include?

[User] No surgeries.

[Assistant] I've made a note of that — thank you. Do you have any ongoing medical conditions that have been diagnosed by a doctor?

[User] Yes. I've got asthma. Been managed for years.

[Assistant] Noted. Thank you for telling me. Thank you — that's all very helpful. Let me now ask a couple of specific questions to make sure I haven't missed anything important.


[User] I'm allergic to quite a few things — penicillin, sulfa drugs, and codeine.

[Assistant] Thank you — I've noted all three: penicillin, sulfa drugs, and codeine. Are there any other substances — including foods or materials — that have caused reactions?


[User] Actually, I forgot to say — I can't take aspirin. It makes my asthma really bad.

[Assistant] Noted — aspirin sensitivity with asthma exacerbation. That's crucial information and I've flagged it. Any other medications you've had reactions to?


[User] Right then. What would you like to know?

[Assistant] Good. Let's move on to your medical history so the clinical team has everything they need. Are you taking any medications at the moment — prescription or over the counter?

[User] Yes. Let me think — carvedilol 6.25mg twice daily, furosemide 40mg daily, insulin lispro at mealtimes. I've been on those for a while.

[Assistant] Noted. Thank you for telling me. Do you have any drug allergies or reactions I should note?

[User] Not that I'm aware of.

[Assistant] Understood. I've recorded that. Can I ask about your alcohol use — roughly how much per week?

[User] I'm teetotal.

[Assistant] Good — that's all being noted for the clinical team. Are there any conditions you've been treated or monitored for over time?

[User] I'm generally healthy — no chronic conditions.

[Assistant] Thank you — I've noted that. Have any close relatives been diagnosed with serious conditions — especially conditions that can run in families?

[User] Well — my father died of heart disease. That's probably relevant.

[Assistant] I've made a note of that — thank you. Do you smoke, or have you smoked in the past?

[User] I still smoke. 20 a day. Been trying to cut down.

[Assistant] Thank you — I've noted that. I've got what I need on your history. Just a few more questions to make sure I haven't missed anything before I compile this for the clinical team.


[User] Yes, that's fine. Go ahead.

[Assistant] Excellent. Now let me ask about medications, allergies, and your health history. Do you take any regular medications — including things like vitamins or supplements?

[User] Yes. Let me think — carvedilol 6.25mg twice daily, hydroxychloroquine 200mg twice daily, metformin 500mg twice daily. I've been on those for a while.

[Assistant] Noted — thank you for sharing that. Are you aware of any allergies to medications or other substances?

[User] Yes, actually. Metronidazole. It gave me severe nausea years ago. My doctor knows.

[Assistant] Noted. Thank you for telling me. Can you tell me about any health conditions that have affected your parents, siblings, or close relatives?

[User] Well — my mother has type 2 diabetes. That's probably relevant.

[Assistant] Thank you — that's very helpful. Are there any past surgeries or medical procedures I should include?

[User] Yes — knee arthroscopy 2 years ago.

[Assistant] Noted — thank you for sharing that. Are you a smoker, or have you been in the past?

[User] No, I've never smoked.

[Assistant] Good — that's all being noted for the clinical team. Thank you — that's all very helpful. Let me now ask a couple of specific questions to make sure I haven't missed anything important.


[User] Sure.

[Assistant] Excellent. Now let me ask about medications, allergies, and your health history. Are there any medications you take regularly that the clinical team should know about?

[User] furosemide 40mg daily, ibuprofen 400mg as needed.

[Assistant] Good — that's all being noted for the clinical team. Do you have any known allergies — particularly to medications?

[User] No allergies as far as I know.

[Assistant] Thank you — that's very helpful. Is there anything significant in your surgical history — any operations or hospitalisations?

[User] appendectomy 10 years ago.

[Assistant] Thank you — I've noted that. Have you been diagnosed with any long-term health conditions?

[User] I have asthma.

[Assistant] Got it — that's really important information. How much alcohol would you say you drink in a typical week?

[User] I'm teetotal.

[Assistant] Noted — thank you for sharing that. That's great — I have a thorough picture now. Let me just check a few more things.


[User] I had a reaction once to a contrast dye during a scan. I was told to always mention it.

[Assistant] That's very important — iodine-based contrast allergy. I've flagged that clearly. Good thing you mentioned it — that's exactly the kind of detail the clinical team needs to know.


[User] I don't have any allergies that I'm aware of.

[Assistant] Good to know — noted. Has anything ever given you an unusual reaction, even if you weren't sure it was an allergy?


[User] Yes, of course. What do you need to know?

[Assistant] Thank you — that's very helpful. Now I'd like to ask about your medical background. Do you take any regular medications — including things like vitamins or supplements?

[User] No medications currently. Well — just the occasional paracetamol.

[Assistant] Thank you — I've noted that. Are there any medications or substances you've had a reaction to in the past?

[User] No known allergies.

[Assistant] Got it — that's really important information. Can I ask about your smoking history — do you smoke at all?

[User] I don't smoke.

[Assistant] Thank you — that's very helpful. Can I ask about your alcohol use — roughly how much per week?

[User] A small amount. around 10–14 units a week at most.

[Assistant] Thank you — I've noted that. Have you ever had surgery or any significant medical procedures?

[User] Yes — hysterectomy 8 years ago.

[Assistant] Understood. I've recorded that. Is there a family history of any particular conditions I should flag?

[User] Well — my mother has type 2 diabetes. That's probably relevant.

[Assistant] Understood. I've recorded that. Are there any chronic health conditions — like diabetes, heart disease, or anything else — that I should know about?

[User] Nothing diagnosed.

[Assistant] Noted. Thank you for telling me. Thank you — that's all very helpful. Let me now ask a couple of specific questions to make sure I haven't missed anything important.


[User] Okay. Should I tell you about my medications and things?

[Assistant] I've got a good picture of your symptoms now. I'd like to ask a few things about your medical history. Are there any medications you take regularly that the clinical team should know about?

[User] Yes — I take levothyroxine 50mcg daily. Is any of that relevant to what we're discussing? I'm always worried about drug interactions.

[Assistant] Good — that's all being noted for the clinical team. Has anything ever given you an allergic reaction — particularly any medications?

[User] No known allergies.

[Assistant] Thank you — that's very helpful. Are you a smoker, or have you been in the past?

[User] Yes — 20 a day. I know I should stop. I'm working on it.

[Assistant] Good — that's all being noted for the clinical team. How much alcohol would you say you drink in a typical week?

[User] I have 25 or more units a week. Is that relevant? I've been trying to cut back.

[Assistant] I've made a note of that — thank you. Have you had any previous operations or procedures?

[User] Yes — I had a cataract surgery last year. It all went fine but I was very anxious about it.

[Assistant] Thank you — I've noted that. I've got what I need on your history. Just a few more questions to make sure I haven't missed anything before I compile this for the clinical team.


[User] Certainly. I'll tell you what I can.

[Assistant] I've got a good picture of your symptoms now. I'd like to ask a few things about your medical history. Before I move on, can you tell me what medications you're currently on, if any?

[User] Yes. Let me think — insulin lispro at mealtimes, salbutamol inhaler as needed, clopidogrel 75mg daily. I've been on those for a while.

[Assistant] Understood. I've recorded that. Are there any medications or substances you've had a reaction to in the past?

[User] Yes, actually. Morphine. It gave me hallucinations and confusion years ago. My doctor knows.

[Assistant] Thank you — that's very helpful. Do you drink alcohol? If so, roughly how often?

[User] A small amount. 25 or more units a week at most.

[Assistant] Thank you — I've noted that. Are there any past surgeries or medical procedures I should include?

[User] Yes — caesarean section 6 years ago.

[Assistant] Good — that's all being noted for the clinical team. Have any close relatives been diagnosed with serious conditions — especially conditions that can run in families?

[User] Well — my sibling with type 1 diabetes. That's probably relevant.

[Assistant] Thank you — I've noted that. Thank you. I'm now going to ask a few specific questions about any symptoms that might need urgent attention.


[User] Actually, I forgot to say — I can't take aspirin. It makes my asthma really bad.

[Assistant] Noted — aspirin sensitivity with asthma exacerbation. That's crucial information and I've flagged it. Any other medications you've had reactions to?


[User] Of course. I've got quite a lot to tell you.

[Assistant] Good. Let's move on to your medical history so the clinical team has everything they need. Are there any medications you take regularly that the clinical team should know about?

[User] Yes — I take codeine 30mg as needed. Is any of that relevant to what we're discussing? I'm always worried about drug interactions.

[Assistant] Thank you — that's very helpful. Are there any medications or substances you've had a reaction to in the past?

[User] Yes — I'm allergic to latex. I had contact dermatitis. It was terrifying. I always make sure to mention it.

[Assistant] Thank you — that's very helpful. Have any close relatives been diagnosed with serious conditions — especially conditions that can run in families?

[User] Yes — my father had a stroke. I've always worried that might mean something for me.

[Assistant] Noted — thank you for sharing that. Is there anything significant in your surgical history — any operations or hospitalisations?

[User] Yes — I had a hip replacement 3 years ago. It all went fine but I was very anxious about it.

[Assistant] Understood. I've recorded that. Are there any conditions you've been treated or monitored for over time?

[User] Yes — I have coeliac disease. I worry about how that all interacts. Is it relevant to what I've described?

[Assistant] Noted. Thank you for telling me. Do you drink alcohol? If so, roughly how often?

[User] I have 25 or more units a week. Is that relevant? I've been trying to cut back.

[Assistant] I've made a note of that — thank you. Can I ask about your smoking history — do you smoke at all?

[User] I don't smoke.

[Assistant] Understood. I've recorded that. Thank you — that's all very helpful. Let me now ask a couple of specific questions to make sure I haven't missed anything important.


[User] I'm allergic to quite a few things — penicillin, sulfa drugs, and codeine.

[Assistant] Thank you — I've noted all three: penicillin, sulfa drugs, and codeine. Are there any other substances — including foods or materials — that have caused reactions?


[User] Yes, that's fine. Go ahead.

[Assistant] Thank you — that's very helpful. Now I'd like to ask about your medical background. Do you take any regular medications — including things like vitamins or supplements?

[User] Yes. Let me think — colchicine 500mcg as needed. I've been on those for a while.

[Assistant] Good — that's all being noted for the clinical team. Has anything ever given you an allergic reaction — particularly any medications?

[User] Yes, actually. Latex. It gave me contact dermatitis years ago. My doctor knows.

[Assistant] Got it — that's really important information. Can I ask about your alcohol use — roughly how much per week?

[User] A small amount. around 10–14 units a week at most.

[Assistant] Understood. I've recorded that. Do you smoke, or have you smoked in the past?

[User] I still smoke. less than 5 a day. Been trying to cut down.

[Assistant] I've made a note of that — thank you. Do you have any ongoing medical conditions that have been diagnosed by a doctor?

[User] Yes. I've got ulcerative colitis. Been managed for years.

[Assistant] Thank you — I've noted that. Are there any past surgeries or medical procedures I should include?

[User] Yes — hernia repair 6 years ago.

[Assistant] I've made a note of that — thank you. That's great — I have a thorough picture now. Let me just check a few more things.


[User] Actually, I forgot to say — I can't take aspirin. It makes my asthma really bad.

[Assistant] Noted — aspirin sensitivity with asthma exacerbation. That's crucial information and I've flagged it. Any other medications you've had reactions to?


[User] Actually, I forgot to say — I can't take aspirin. It makes my asthma really bad.

[Assistant] Noted — aspirin sensitivity with asthma exacerbation. That's crucial information and I've flagged it. Any other medications you've had reactions to?


[User] Yes.

[Assistant] Have you noticed any significant change in your legs — weakness, numbness, or any trouble with bladder or bowel control?

[User] Not that I've noticed.

[Assistant] Any severe abdominal pain that came on suddenly?

[User] I don't think so.

[Assistant] Finally, I want to ask directly: I'm breathing really fast and I'm confused — I'm not sure what day it is.

[User] I feel terrible — fast breathing, confused, cold and clammy.

[Assistant] What you're telling me is something I have to treat as urgent. The combination of rapid breathing and confusion is a serious warning sign that you need emergency medical attention right now. Please call emergency services immediately. Do not wait — this needs urgent assessment.


[User] I don't like to fuss, but I thought I'd mention it — the headache came out of nowhere. it was the worst one i've ever had in my life..

[Assistant] What you're telling me is something I have to treat as urgent. I understand you didn't want to make a fuss, but what you've described needs immediate attention. I need to take what you're describing very seriously. A sudden, severe headache — the worst of your life — can be a sign of something that needs immediate medical attention. Please call emergency services or go to the nearest emergency department right now. I'm generating an urgent note for the medical team.


[User] i feel faint, a rash, and my throat is tight.. I wasn't going to say anything.

[Assistant] Even if it turns out to be nothing, this is too important to wait on. This sounds like a severe allergic reaction that is a medical emergency. Call emergency services immediately. If you have an adrenaline auto-injector (EpiPen), use it now. Do not wait to see if it gets better on its own.

CRITICAL — immediate emergency services / epinephrine


[User] I suddenly can't see out of my right eye properly.

[Assistant] What you're telling me is something I have to treat as urgent. Sudden vision loss in one eye is a medical emergency. Please go to the nearest emergency department immediately or call emergency services. This needs urgent assessment — treatment is most effective the faster it's started.


[User] I'm breathing quickly, I feel confused, and I've got a fever.

[Assistant] I need to be very direct with you about what you've just described. The combination of rapid breathing and confusion is a serious warning sign that you need emergency medical attention right now. Please call emergency services immediately. Do not wait — this needs urgent assessment.


[User] I feel faint, I have a rash, and my throat is tight.

[Assistant] I want to be completely transparent with you. This sounds like a severe allergic reaction that is a medical emergency. Call emergency services immediately. If you have an adrenaline auto-injector (EpiPen), use it now. Do not wait to see if it gets better on its own.


[User] I don't like to fuss, but I thought I'd mention it — part of my vision disappeared on one side..

[Assistant] What you're telling me is something I have to treat as urgent. Even if it turns out to be nothing, this is too important to wait on. Sudden vision loss in one eye is a medical emergency. Please go to the nearest emergency department immediately or call emergency services. This needs urgent assessment — treatment is most effective the faster it's started.


[User] I feel terrible — fast breathing, confused, cold and clammy.

[Assistant] I want to be completely transparent with you. The combination of rapid breathing and confusion is a serious warning sign that you need emergency medical attention right now. Please call emergency services immediately. Do not wait — this needs urgent assessment.


[User] Sure — go ahead.

[Assistant] I need to ask directly — have you had any sudden weakness on one side of your body, or difficulty speaking?

[User] I don't think so.

[Assistant] I need to ask specifically — have you had any experience with'm breathexperience withng really fast and experience with'm confused — experience with'm not sure what day experience witht experience withs.?

[User] I'm breathing quickly, I feel confused, and I've got a fever.

[Assistant] What you're telling me is something I have to treat as urgent. The combination of rapid breathing and confusion is a serious warning sign that you need emergency medical attention right now. Please call emergency services immediately. Do not wait — this needs urgent assessment.


[User] My neck is seized up and I've got a fever and the light is unbearable.

[Assistant] What you're telling me is something I have to treat as urgent. The symptoms you're describing — headache, stiff neck, and sensitivity to light — together can be a sign of a serious infection that requires immediate medical attention. Please call emergency services immediately or go to the nearest emergency department right now.

[User] But let's not worry about that for now. I wanted to ask you about my other symptoms.

[Assistant] I hear you — but I want to be completely transparent with you. Even if it turns out to be nothing, this is too important to wait on. The symptoms you're describing — headache, stiff neck, and sensitivity to light — together can be a sign of a serious infection that requires immediate medical attention. Please call emergency services immediately or go to the nearest emergency department right now.


[User] I'm sure it's just stress, but i feel faint, a rash, and my throat is tight.

[Assistant] I want to be completely transparent with you. I understand you didn't want to make a fuss, but what you've described needs immediate attention. This sounds like a severe allergic reaction that is a medical emergency. Call emergency services immediately. If you have an adrenaline auto-injector (EpiPen), use it now. Do not wait to see if it gets better on its own.


[User] I lost vision in my left eye — just like that.

[Assistant] I want to be completely transparent with you. Sudden vision loss in one eye is a medical emergency. Please go to the nearest emergency department immediately or call emergency services. This needs urgent assessment — treatment is most effective the faster it's started.


[User] My neck is stiff and the light is really hurting my eyes.

[Assistant] I want to be completely transparent with you. The symptoms you're describing — headache, stiff neck, and sensitivity to light — together can be a sign of a serious infection that requires immediate medical attention. Please call emergency services immediately or go to the nearest emergency department right now.


[User] I can't feel my legs properly and I'm having trouble going to the toilet.

[Assistant] What you're telling me is something I have to treat as urgent. The combination of symptoms you're describing — leg weakness, numbness, and difficulty with bladder control — can signal a serious spinal emergency that needs immediate medical attention. Please call emergency services or go to the nearest emergency department right now without delay.

CRITICAL — immediate neurosurgical assessment


[User] There's a tight pressure in my chest and I'm sweating badly.

[Assistant] I need to be very direct with you about what you've just described. The symptoms you're describing — chest pain, arm heaviness, and sweating — are serious warning signs of a possible heart emergency. Please call emergency services right now. Chew a standard-dose aspirin if you have one and are not allergic. Do not drive yourself — wait for help.

[User] Anyway, I was going to ask — is this related to my back pain?

[Assistant] I'm not going to move past this, because what you've described is urgent. The symptoms you're describing — chest pain, arm heaviness, and sweating — are serious warning signs of a possible heart emergency. Please call emergency services right now. Chew a standard-dose aspirin if you have one and are not allergic. Do not drive yourself — wait for help.


[User] Everything went black in one eye suddenly.

[Assistant] I need to be very direct with you about what you've just described. Sudden vision loss in one eye is a medical emergency. Please go to the nearest emergency department immediately or call emergency services. This needs urgent assessment — treatment is most effective the faster it's started.


[User] Sure — go ahead.

[Assistant] I want to check specifically — any episodes of confusion or rapid breathing that concerned you or someone around you?

[User] No.

[Assistant] Have you had any sudden vision changes — loss of vision in one eye, or changes in your visual field?

[User] I don't think so.

[Assistant] One more important question — I woke up and I couldn't move my right side properly.

[User] Suddenly I couldn't speak properly and my face felt different.

[Assistant] What you're describing sounds like a possible stroke — a medical emergency where every minute counts. Please call emergency services immediately. The sooner treatment is started, the better the outcome. Tell them when the symptoms first started.

CRITICAL — time-critical thrombolysis window


[User] Suddenly I couldn't speak properly and my face felt different.

[Assistant] What you're telling me is something I have to treat as urgent. What you're describing sounds like a possible stroke — a medical emergency where every minute counts. Please call emergency services immediately. The sooner treatment is started, the better the outcome. Tell them when the symptoms first started.


[User] I almost didn't call about this, but i got stung by a bee and now i can't breathe properly.

[Assistant] What you're telling me is something I have to treat as urgent. I know it might seem like you're overreacting — but the symptoms you've described are ones we never wait on. This sounds like a severe allergic reaction that is a medical emergency. Call emergency services immediately. If you have an adrenaline auto-injector (EpiPen), use it now. Do not wait to see if it gets better on its own.


[User] My partner says I'm not making sense and I can't catch my breath.

[Assistant] What you're telling me is something I have to treat as urgent. The combination of rapid breathing and confusion is a serious warning sign that you need emergency medical attention right now. Please call emergency services immediately. Do not wait — this needs urgent assessment.


[User] The pain in my head just exploded. Instantly. The worst pain of my life.

[Assistant] I want to be completely transparent with you. I need to take what you're describing very seriously. A sudden, severe headache — the worst of your life — can be a sign of something that needs immediate medical attention. Please call emergency services or go to the nearest emergency department right now. I'm generating an urgent note for the medical team.


[User] I suddenly can't see out of my right eye properly.

[Assistant] I need to be very direct with you about what you've just described. Sudden vision loss in one eye is a medical emergency. Please go to the nearest emergency department immediately or call emergency services. This needs urgent assessment — treatment is most effective the faster it's started.


[User] Of course. What is it?

[Assistant] Have you noticed any significant change in your legs — weakness, numbness, or any trouble with bladder or bowel control?

[User] I don't think so.

[Assistant] I need to ask specifically — have you had any everythexperience withng went black experience withn one eye suddenly.?

[User] I lost vision in my left eye — just like that.

[Assistant] What you're telling me is something I have to treat as urgent. Sudden vision loss in one eye is a medical emergency. Please go to the nearest emergency department immediately or call emergency services. This needs urgent assessment — treatment is most effective the faster it's started.


[User] I'm probably overreacting, but everything went black in one eye suddenly.

[Assistant] I understand you didn't want to make a fuss, but what you've described needs immediate attention. Sudden vision loss in one eye is a medical emergency. Please go to the nearest emergency department immediately or call emergency services. This needs urgent assessment — treatment is most effective the faster it's started.


[User] The chest pain is spreading to my jaw and I feel sick.

[Assistant] I want to be completely transparent with you. The symptoms you're describing — chest pain, arm heaviness, and sweating — are serious warning signs of a possible heart emergency. Please call emergency services right now. Chew a standard-dose aspirin if you have one and are not allergic. Do not drive yourself — wait for help.


[User] I'm probably overreacting, but my left arm is weak and my face feels drooped on one side.

[Assistant] I need to be very direct with you about what you've just described. I know it might seem like you're overreacting — but the symptoms you've described are ones we never wait on. What you're describing sounds like a possible stroke — a medical emergency where every minute counts. Please call emergency services immediately. The sooner treatment is started, the better the outcome. Tell them when the symptoms first started.


[User] I almost didn't call about this, but crushing chest pain and my left arm feels really heavy.

[Assistant] I hear you saying you're not sure it's serious — but I want to take this very seriously on your behalf. The symptoms you're describing — chest pain, arm heaviness, and sweating — are serious warning signs of a possible heart emergency. Please call emergency services right now. Chew a standard-dose aspirin if you have one and are not allergic. Do not drive yourself — wait for help.


[User] It's the most severe headache I've had. It happened so fast.

[Assistant] I need to take what you're describing very seriously. A sudden, severe headache — the worst of your life — can be a sign of something that needs immediate medical attention. Please call emergency services or go to the nearest emergency department right now. I'm generating an urgent note for the medical team.


[User] I'm probably overreacting, but my vision went blurry in one eye and hasn't come back.

[Assistant] I need to be very direct with you about what you've just described. I hear you saying you're not sure it's serious — but I want to take this very seriously on your behalf. Sudden vision loss in one eye is a medical emergency. Please go to the nearest emergency department immediately or call emergency services. This needs urgent assessment — treatment is most effective the faster it's started.


[User] I'm not sure if it's worth mentioning, but my neck is stiff and the light is really hurting my eyes.

[Assistant] I want to be completely transparent with you. Even if it turns out to be nothing, this is too important to wait on. The symptoms you're describing — headache, stiff neck, and sensitivity to light — together can be a sign of a serious infection that requires immediate medical attention. Please call emergency services immediately or go to the nearest emergency department right now.


[User] Sure — go ahead.

[Assistant] Before I move on — I want to make sure I ask specifically about a few important symptoms. Have you had any severe or sudden headache that came on like a thunderclap?

[User] I don't think so.

[Assistant] Have you noticed any significant change in your legs — weakness, numbness, or any trouble with bladder or bowel control?

[User] No, nothing like that.

[Assistant] I need to ask specifically — have you had any experience with can't feel my legs properly and experience with'm havexperience withng trouble goexperience withng to the toexperience withlet.?

[User] There's weakness in both my legs and I can't tell when I need the bathroom.

[Assistant] I want to be completely transparent with you. The combination of symptoms you're describing — leg weakness, numbness, and difficulty with bladder control — can signal a serious spinal emergency that needs immediate medical attention. Please call emergency services or go to the nearest emergency department right now without delay.


[User] My neck is stiff and the light is really hurting my eyes.

[Assistant] The symptoms you're describing — headache, stiff neck, and sensitivity to light — together can be a sign of a serious infection that requires immediate medical attention. Please call emergency services immediately or go to the nearest emergency department right now.


[User] Ask away.

[Assistant] Any severe abdominal pain that came on suddenly?

[User] No, nothing like that.

[Assistant] Have you noticed any significant change in your legs — weakness, numbness, or any trouble with bladder or bowel control?

[User] No — not that.

[Assistant] I need to ask specifically — have you had any the headache came out of nowhere. experience witht was the worst one experience with've ever had experience withn my lexperience withfe.?

[User] It's the most severe headache I've had. It happened so fast.

[Assistant] I need to take what you're describing very seriously. A sudden, severe headache — the worst of your life — can be a sign of something that needs immediate medical attention. Please call emergency services or go to the nearest emergency department right now. I'm generating an urgent note for the medical team.


[User] The chest pain is spreading to my jaw and I feel sick.

[Assistant] I want to be completely transparent with you. The symptoms you're describing — chest pain, arm heaviness, and sweating — are serious warning signs of a possible heart emergency. Please call emergency services right now. Chew a standard-dose aspirin if you have one and are not allergic. Do not drive yourself — wait for help.


[User] I don't like to fuss, but I thought I'd mention it — something is very wrong. i can't breathe right and i'm not thinking clearly..

[Assistant] I want to be completely transparent with you. Even if it turns out to be nothing, this is too important to wait on. The combination of rapid breathing and confusion is a serious warning sign that you need emergency medical attention right now. Please call emergency services immediately. Do not wait — this needs urgent assessment.


[User] I feel faint, I have a rash, and my throat is tight.

[Assistant] What you're telling me is something I have to treat as urgent. This sounds like a severe allergic reaction that is a medical emergency. Call emergency services immediately. If you have an adrenaline auto-injector (EpiPen), use it now. Do not wait to see if it gets better on its own.


[User] There's weakness in both my legs and I can't tell when I need the bathroom.

[Assistant] I want to be completely transparent with you. The combination of symptoms you're describing — leg weakness, numbness, and difficulty with bladder control — can signal a serious spinal emergency that needs immediate medical attention. Please call emergency services or go to the nearest emergency department right now without delay.


[User] I'm not sure if it's worth mentioning, but i feel faint, a rash, and my throat is tight.

[Assistant] I want to be completely transparent with you. I understand you didn't want to make a fuss, but what you've described needs immediate attention. This sounds like a severe allergic reaction that is a medical emergency. Call emergency services immediately. If you have an adrenaline auto-injector (EpiPen), use it now. Do not wait to see if it gets better on its own.


[User] Part of my vision disappeared on one side.

[Assistant] Sudden vision loss in one eye is a medical emergency. Please go to the nearest emergency department immediately or call emergency services. This needs urgent assessment — treatment is most effective the faster it's started.


[User] There's a tight pressure in my chest and I'm sweating badly.

[Assistant] What you're telling me is something I have to treat as urgent. The symptoms you're describing — chest pain, arm heaviness, and sweating — are serious warning signs of a possible heart emergency. Please call emergency services right now. Chew a standard-dose aspirin if you have one and are not allergic. Do not drive yourself — wait for help.


[User] I feel terrible — fast breathing, confused, cold and clammy.

[Assistant] What you're telling me is something I have to treat as urgent. The combination of rapid breathing and confusion is a serious warning sign that you need emergency medical attention right now. Please call emergency services immediately. Do not wait — this needs urgent assessment.


[User] I have a bad headache, my neck won't move properly, and I can't stand the light.

[Assistant] I need to be very direct with you about what you've just described. The symptoms you're describing — headache, stiff neck, and sensitivity to light — together can be a sign of a serious infection that requires immediate medical attention. Please call emergency services immediately or go to the nearest emergency department right now.


[User] The headache came out of nowhere. It was the worst one I've ever had in my life.

[Assistant] I need to take what you're describing very seriously. A sudden, severe headache — the worst of your life — can be a sign of something that needs immediate medical attention. Please call emergency services or go to the nearest emergency department right now. I'm generating an urgent note for the medical team.


[User] I got stung by a bee and now I can't breathe properly.

[Assistant] What you're telling me is something I have to treat as urgent. This sounds like a severe allergic reaction that is a medical emergency. Call emergency services immediately. If you have an adrenaline auto-injector (EpiPen), use it now. Do not wait to see if it gets better on its own.


[User] Yes.

[Assistant] Any severe abdominal pain that came on suddenly?

[User] Not that I've noticed.

[Assistant] One more important question — My back pain has gotten much worse and now I've lost bladder control.

[User] I can't feel my legs properly and I'm having trouble going to the toilet.

[Assistant] The combination of symptoms you're describing — leg weakness, numbness, and difficulty with bladder control — can signal a serious spinal emergency that needs immediate medical attention. Please call emergency services or go to the nearest emergency department right now without delay.


[User] Look, I'm fine, but chest tightness, my arm hurts, and i feel short of breath.. I just want to know if it's relevant.

[Assistant] What you're telling me is something I have to treat as urgent. I hear you saying you're not sure it's serious — but I want to take this very seriously on your behalf. The symptoms you're describing — chest pain, arm heaviness, and sweating — are serious warning signs of a possible heart emergency. Please call emergency services right now. Chew a standard-dose aspirin if you have one and are not allergic. Do not drive yourself — wait for help.


[User] Yes, please ask.

[Assistant] I need to ask directly — have you had any sudden weakness on one side of your body, or difficulty speaking?

[User] No.

[Assistant] One more important question — Something is very wrong. I can't breathe right and I'm not thinking clearly.

[User] I'm breathing really fast and I'm confused — I'm not sure what day it is.

[Assistant] What you're telling me is something I have to treat as urgent. The combination of rapid breathing and confusion is a serious warning sign that you need emergency medical attention right now. Please call emergency services immediately. Do not wait — this needs urgent assessment.


[User] Okay. What else do you need to know?

[Assistant] I need to ask directly — have you had any sudden weakness on one side of your body, or difficulty speaking?

[User] No, nothing like that.

[Assistant] Finally, I want to ask directly: The headache came out of nowhere. It was the worst one I've ever had in my life.

[User] It's the most severe headache I've had. It happened so fast.

[Assistant] I want to be completely transparent with you. I need to take what you're describing very seriously. A sudden, severe headache — the worst of your life — can be a sign of something that needs immediate medical attention. Please call emergency services or go to the nearest emergency department right now. I'm generating an urgent note for the medical team.


[User] What do you want to know?

[Assistant] I need to ask directly — have you had any sudden weakness on one side of your body, or difficulty speaking?

[User] No, nothing like that.

[Assistant] One more important question — It's the most severe headache I've had. It happened so fast.

[User] It's the most severe headache I've had. It happened so fast.

[Assistant] I want to be completely transparent with you. I need to take what you're describing very seriously. A sudden, severe headache — the worst of your life — can be a sign of something that needs immediate medical attention. Please call emergency services or go to the nearest emergency department right now. I'm generating an urgent note for the medical team.


[User] I'm not sure if it's worth mentioning, but there's weakness in both my legs and i can't tell when i need the bathroom.

[Assistant] I want to be completely transparent with you. I know it might seem like you're overreacting — but the symptoms you've described are ones we never wait on. The combination of symptoms you're describing — leg weakness, numbness, and difficulty with bladder control — can signal a serious spinal emergency that needs immediate medical attention. Please call emergency services or go to the nearest emergency department right now without delay.


[User] Fine. What?

[Assistant] Have you noticed any significant change in your legs — weakness, numbness, or any trouble with bladder or bowel control?

[User] I don't think so.

[Assistant] Finally, I want to ask directly: My throat is swelling and I'm struggling to breathe after eating.

[User] I've taken a medication and my throat feels like it's closing.

[Assistant] I want to be completely transparent with you. This sounds like a severe allergic reaction that is a medical emergency. Call emergency services immediately. If you have an adrenaline auto-injector (EpiPen), use it now. Do not wait to see if it gets better on its own.


[User] Sure — go ahead.

[Assistant] I want to check specifically — any episodes of confusion or rapid breathing that concerned you or someone around you?

[User] Not that I've noticed.

[Assistant] I need to ask directly — have you had any sudden weakness on one side of your body, or difficulty speaking?

[User] No, nothing like that.

[Assistant] I need to ask specifically — have you had any experience with'm breathexperience withng really fast and experience with'm confused — experience with'm not sure what day experience witht experience withs.?

[User] Something is very wrong. I can't breathe right and I'm not thinking clearly.

[Assistant] The combination of rapid breathing and confusion is a serious warning sign that you need emergency medical attention right now. Please call emergency services immediately. Do not wait — this needs urgent assessment.


[User] It might have been a one-off, but i've taken a medication and my throat feels like it's closing.

[Assistant] I need to be very direct with you about what you've just described. Even if it turns out to be nothing, this is too important to wait on. This sounds like a severe allergic reaction that is a medical emergency. Call emergency services immediately. If you have an adrenaline auto-injector (EpiPen), use it now. Do not wait to see if it gets better on its own.


[User] Yes, please ask.

[Assistant] Have you noticed any significant change in your legs — weakness, numbness, or any trouble with bladder or bowel control?

[User] I don't think so.

[Assistant] Finally, I want to ask directly: My throat is swelling and I'm struggling to breathe after eating.

[User] I've taken a medication and my throat feels like it's closing.

[Assistant] This sounds like a severe allergic reaction that is a medical emergency. Call emergency services immediately. If you have an adrenaline auto-injector (EpiPen), use it now. Do not wait to see if it gets better on its own.


[User] I'm breathing quickly, I feel confused, and I've got a fever.

[Assistant] I want to be completely transparent with you. The combination of rapid breathing and confusion is a serious warning sign that you need emergency medical attention right now. Please call emergency services immediately. Do not wait — this needs urgent assessment.

[User] I said I'm fine. Can we talk about something else?

[Assistant] I'm not going to move past this, because what you've described is urgent. The combination of rapid breathing and confusion is a serious warning sign that you need emergency medical attention right now. Please call emergency services immediately. Do not wait — this needs urgent assessment.


[User] I've been trying not to catastrophise but i'm breathing really fast and i'm confused — i'm not sure what day it is. and I'm scared.

[Assistant] What you're telling me is something I have to treat as urgent. I hear you saying you're not sure it's serious — but I want to take this very seriously on your behalf. The combination of rapid breathing and confusion is a serious warning sign that you need emergency medical attention right now. Please call emergency services immediately. Do not wait — this needs urgent assessment.


[User] My back pain has gotten much worse and now I've lost bladder control.

[Assistant] I want to be completely transparent with you. The combination of symptoms you're describing — leg weakness, numbness, and difficulty with bladder control — can signal a serious spinal emergency that needs immediate medical attention. Please call emergency services or go to the nearest emergency department right now without delay.


[User] I feel faint, I have a rash, and my throat is tight.

[Assistant] I need to be very direct with you about what you've just described. This sounds like a severe allergic reaction that is a medical emergency. Call emergency services immediately. If you have an adrenaline auto-injector (EpiPen), use it now. Do not wait to see if it gets better on its own.


[User] it hit me like a thunderbolt — this headache. i've never had anything like it.. I wasn't going to say anything.

[Assistant] I understand you didn't want to make a fuss, but what you've described needs immediate attention. I need to take what you're describing very seriously. A sudden, severe headache — the worst of your life — can be a sign of something that needs immediate medical attention. Please call emergency services or go to the nearest emergency department right now. I'm generating an urgent note for the medical team.


[User] My left arm is weak and my face feels drooped on one side.

[Assistant] What you're telling me is something I have to treat as urgent. What you're describing sounds like a possible stroke — a medical emergency where every minute counts. Please call emergency services immediately. The sooner treatment is started, the better the outcome. Tell them when the symptoms first started.


[User] My neck is stiff and the light is really hurting my eyes.

[Assistant] The symptoms you're describing — headache, stiff neck, and sensitivity to light — together can be a sign of a serious infection that requires immediate medical attention. Please call emergency services immediately or go to the nearest emergency department right now.


[User] My neck is stiff and the light is really hurting my eyes.

[Assistant] I want to be completely transparent with you. The symptoms you're describing — headache, stiff neck, and sensitivity to light — together can be a sign of a serious infection that requires immediate medical attention. Please call emergency services immediately or go to the nearest emergency department right now.


[User] My legs have gone numb and I've lost control of my bladder.

[Assistant] I need to be very direct with you about what you've just described. The combination of symptoms you're describing — leg weakness, numbness, and difficulty with bladder control — can signal a serious spinal emergency that needs immediate medical attention. Please call emergency services or go to the nearest emergency department right now without delay.


[User] Sure — go ahead.

[Assistant] I want to ask you directly — have you had any chest pain that spreads to your arm or jaw?

[User] No, nothing like that.

[Assistant] Finally, I want to ask directly: I've got crushing chest pain and my left arm feels really heavy.

[User] The chest pain is spreading to my jaw and I feel sick.

[Assistant] I need to be very direct with you about what you've just described. The symptoms you're describing — chest pain, arm heaviness, and sweating — are serious warning signs of a possible heart emergency. Please call emergency services right now. Chew a standard-dose aspirin if you have one and are not allergic. Do not drive yourself — wait for help.


[User] I suddenly can't see out of my right eye properly.

[Assistant] What you're telling me is something I have to treat as urgent. Sudden vision loss in one eye is a medical emergency. Please go to the nearest emergency department immediately or call emergency services. This needs urgent assessment — treatment is most effective the faster it's started.

[User] I said I'm fine. Can we talk about something else?

[Assistant] I'm not going to move past this, because what you've described is urgent. Sudden vision loss in one eye is a medical emergency. Please go to the nearest emergency department immediately or call emergency services. This needs urgent assessment — treatment is most effective the faster it's started.


[User] My back pain has gotten much worse and now I've lost bladder control.

[Assistant] I need to be very direct with you about what you've just described. The combination of symptoms you're describing — leg weakness, numbness, and difficulty with bladder control — can signal a serious spinal emergency that needs immediate medical attention. Please call emergency services or go to the nearest emergency department right now without delay.


[User] Something is very wrong. I can't breathe right and I'm not thinking clearly.

[Assistant] I need to be very direct with you about what you've just described. The combination of rapid breathing and confusion is a serious warning sign that you need emergency medical attention right now. Please call emergency services immediately. Do not wait — this needs urgent assessment.

[User] I said I'm fine. Can we talk about something else?

[Assistant] I want to be completely transparent with you. Even if it turns out to be nothing, this is too important to wait on. The combination of rapid breathing and confusion is a serious warning sign that you need emergency medical attention right now. Please call emergency services immediately. Do not wait — this needs urgent assessment. I understand you'd like to continue, but this must take priority.


[User] I feel terrible — neck stiff, terrible headache, light sensitivity.

[Assistant] What you're telling me is something I have to treat as urgent. The symptoms you're describing — headache, stiff neck, and sensitivity to light — together can be a sign of a serious infection that requires immediate medical attention. Please call emergency services immediately or go to the nearest emergency department right now.


[User] I've been trying not to catastrophise but i've taken a medication and my throat feels like it's closing. and I'm scared.

[Assistant] I need to be very direct with you about what you've just described. Even if it turns out to be nothing, this is too important to wait on. This sounds like a severe allergic reaction that is a medical emergency. Call emergency services immediately. If you have an adrenaline auto-injector (EpiPen), use it now. Do not wait to see if it gets better on its own.


[User] I don't want to make a fuss — i suddenly can't see out of my right eye properly.

[Assistant] I understand you didn't want to make a fuss, but what you've described needs immediate attention. Sudden vision loss in one eye is a medical emergency. Please go to the nearest emergency department immediately or call emergency services. This needs urgent assessment — treatment is most effective the faster it's started.


[User] Yes, please ask.

[Assistant] I need to ask directly — have you had any sudden weakness on one side of your body, or difficulty speaking?

[User] No.

[Assistant] Have you noticed any significant change in your legs — weakness, numbness, or any trouble with bladder or bowel control?

[User] No, nothing like that.

[Assistant] Finally, I want to ask directly: I've got crushing chest pain and my left arm feels really heavy.

[User] I've got crushing chest pain and my left arm feels really heavy.

[Assistant] I want to be completely transparent with you. The symptoms you're describing — chest pain, arm heaviness, and sweating — are serious warning signs of a possible heart emergency. Please call emergency services right now. Chew a standard-dose aspirin if you have one and are not allergic. Do not drive yourself — wait for help.


[User] It feels like someone is standing on my chest and I'm sweating.

[Assistant] I want to be completely transparent with you. The symptoms you're describing — chest pain, arm heaviness, and sweating — are serious warning signs of a possible heart emergency. Please call emergency services right now. Chew a standard-dose aspirin if you have one and are not allergic. Do not drive yourself — wait for help.


[User] Ask away.

[Assistant] Have you had any sudden shortness of breath at rest — not related to activity?

[User] No.

[Assistant] Have you had any neck stiffness, particularly with a headache or sensitivity to light?

[User] I don't think so.

[Assistant] I need to ask specifically — have you had any experience with'm breathexperience withng really fast and experience with'm confused — experience with'm not sure what day experience witht experience withs.?

[User] My partner says I'm not making sense and I can't catch my breath.

[Assistant] What you're telling me is something I have to treat as urgent. The combination of rapid breathing and confusion is a serious warning sign that you need emergency medical attention right now. Please call emergency services immediately. Do not wait — this needs urgent assessment.


[User] Fine. What?

[Assistant] I want to check specifically — any episodes of confusion or rapid breathing that concerned you or someone around you?

[User] No, nothing like that.

[Assistant] I need to ask specifically — have you had any experience with've got crushexperience withng chest paexperience withn and my left arm feels really heavy.?

[User] I have chest tightness, my arm hurts, and I feel short of breath.

[Assistant] I want to be completely transparent with you. The symptoms you're describing — chest pain, arm heaviness, and sweating — are serious warning signs of a possible heart emergency. Please call emergency services right now. Chew a standard-dose aspirin if you have one and are not allergic. Do not drive yourself — wait for help.


[User] I don't like to fuss, but I thought I'd mention it — i've taken a medication and my throat feels like it's closing..

[Assistant] I hear you saying you're not sure it's serious — but I want to take this very seriously on your behalf. This sounds like a severe allergic reaction that is a medical emergency. Call emergency services immediately. If you have an adrenaline auto-injector (EpiPen), use it now. Do not wait to see if it gets better on its own.


[User] I suddenly can't see out of my right eye properly.

[Assistant] I need to be very direct with you about what you've just described. Sudden vision loss in one eye is a medical emergency. Please go to the nearest emergency department immediately or call emergency services. This needs urgent assessment — treatment is most effective the faster it's started.


[User] Fine. What?

[Assistant] Have you noticed any rash — particularly one that doesn't fade when pressed?

[User] No — not that.

[Assistant] Finally, I want to ask directly: I can't feel my legs properly and I'm having trouble going to the toilet.

[User] There's weakness in both my legs and I can't tell when I need the bathroom.

[Assistant] What you're telling me is something I have to treat as urgent. The combination of symptoms you're describing — leg weakness, numbness, and difficulty with bladder control — can signal a serious spinal emergency that needs immediate medical attention. Please call emergency services or go to the nearest emergency department right now without delay.


[User] I've been trying not to catastrophise but i lost vision in my left eye — just like that. and I'm scared.

[Assistant] What you're telling me is something I have to treat as urgent. I understand you didn't want to make a fuss, but what you've described needs immediate attention. Sudden vision loss in one eye is a medical emergency. Please go to the nearest emergency department immediately or call emergency services. This needs urgent assessment — treatment is most effective the faster it's started.