[User] I've had cauda equina symptoms for a while now. I wasn't sure if it was worth mentioning.

[Assistant] I really appreciate you reaching out — there's no such thing as wasting anyone's time when it comes to your health. I appreciate you telling me that. Let me ask a few things to build a clearer picture, one question at a time. Is there anything you do that seems to help or that makes it worse?

[User] It's worse with rest, I've noticed. Sitting down seems to ease it a little.

[Assistant] Thank you for clarifying. Can you take me back to when this started? Did it come on all at once or slowly?

[User] It's been since this morning. Came on suddenly, really. Didn't think much of it at first.

[Assistant] Thank you — that's helpful. How long does each episode last when it comes on?

[User] It's worse in the morning. Seems to be about the same if anything.

[Assistant] Noted — thank you. Does it feel sharp and stabbing, or more like a dull ache, or perhaps a pressure?

[User] It's more of a bladder dysfunction sensation, if that makes sense.

[Assistant] I appreciate that. Thank you for that. I want to make sure I capture your full history now — so a few questions about medications and past conditions.

System: neurological/surgical


[User] I've had skin lesion.

[Assistant] That's okay. We can work through this together, one step at a time. I hear you. Let me ask a few things to make sure I understand what's been happening properly. How severe is it? If one is barely noticeable and ten is unbearable, where does it sit?

[User] About 5.

[Assistant] Got it — thank you for that. Have you noticed anything that relieves it or makes it more intense?

[User] Movement makes it worse.

[Assistant] That's useful to know. How long have you been experiencing this?

[User] About two days. It started gradually.

[Assistant] Thank you — that's helpful. Is it constant or does it come in waves?

[User] It's comes and goes.

[Assistant] Good, that helps me understand. Does it move or spread from where it started?

[User] No. Just there.

[Assistant] Thank you for clarifying. How would you characterise the pain or discomfort — what's the quality of it?

[User] It's raised.

[Assistant] That's useful to know. Thank you for that. I want to make sure I capture your full history now — so a few questions about medications and past conditions.

System: dermatological


[User] Well, it's the wheezing. It's been there for a bit. Not dramatic, but it's been on my mind. It's been since this morning. Came on gradually, really. Didn't think much of it at first.

[Assistant] Good, that helps me understand. Is there anything you do that seems to help or that makes it worse?


[User] I've had jaundice for a while now and I've been reading everything I can find. I'm terrified. It feels pressure. I've been trying to describe it and that's the closest I can get. Does that mean something serious?

[Assistant] Good, that helps me understand. How long does each episode last when it comes on?


[User] Fever. Been going on a while. I need answers. High grade.

[Assistant] Got it — thank you for that. Does anything bring it on — like activity, eating, or certain positions?


[User] The mood changes has been going on and I can't stop thinking about it. I'm so worried.

[Assistant] I can hear how worried you are, and I want you to know that's completely understandable. Thank you for sharing that. I want to make sure I understand your symptoms fully — I'll ask you a few questions, one at a time. Is there anything that makes it better or worse?

[User] It definitely gets worse with postpartum. I've tried warmth and it helps a little but I'm still worried.

[Assistant] Understood. Is it localised to one spot, or does it radiate anywhere else?

[User] Actually yes — it does go into my nowhere else. I didn't mention that. Is that important?

[Assistant] Got it — thank you for that. How severe is it? If one is barely noticeable and ten is unbearable, where does it sit?

[User] Oh, I'd say at least a 4. Maybe higher when I think about it too much. It's really affecting me.

[Assistant] Got it — thank you for that. When did this begin, and was there anything happening at the time it started?

[User] It started over the past few weeks — slowly over time. I've been tracking it obsessively. Is that bad?

[Assistant] That's useful to know. How would you characterise the pain or discomfort — what's the quality of it?

[User] It feels elevated mood. I've been trying to describe it and that's the closest I can get. Does that mean something serious?

[Assistant] Understood. Thank you for that. I want to make sure I capture your full history now — so a few questions about medications and past conditions.

System: psychiatric


[User] It's tongue swelling. I don't know how to describe it. For the past week. It started out of nowhere.

[Assistant] I appreciate that. How much is this affecting you day to day — and what number would you give it on a pain scale?


[User] I've been having eye pain. I'm scared.

[Assistant] Take your time — there's no rush here. I appreciate you telling me that. Let me ask a few things to build a clearer picture, one question at a time. How bad is it at its worst? Can you give me a number out of ten?

[User] About 8.

[Assistant] That's useful to know. How long does each episode last when it comes on?

[User] It's worse in the morning.

[Assistant] Good, that helps me understand. Does it change with movement, rest, or anything else?

[User] Movement makes it worse.

[Assistant] Thank you — that's helpful. Does it feel sharp and stabbing, or more like a dull ache, or perhaps a pressure?

[User] It's pressure.

[Assistant] Got it — thank you for that. Thank you for that. I want to make sure I capture your full history now — so a few questions about medications and past conditions.

System: ophthalmological


[User] I've been having childhood fever. I'm scared. It's low grade.

[Assistant] Understood. Is there anything that makes it better or worse?


[User] Rectal bleeding. Been going on a while. I need answers. Since yesterday. Suddenly.

[Assistant] Thank you — that's helpful. How would you describe the sensation itself?


[User] Leg swelling. Been going on a while. I need answers.

[Assistant] I respect that. Let's get right to it. I hear you. Let me ask a few things to make sure I understand what's been happening properly. How would you characterise the pain or discomfort — what's the quality of it?

[User] Painless.

[Assistant] That's useful to know. How much is this affecting you day to day — and what number would you give it on a pain scale?

[User] 5.

[Assistant] Good, that helps me understand. Does it stay in one place, or does it spread or move anywhere?

[User] Yes. Into my nowhere else.

[Assistant] Understood. Is it there all the time, or does it come and go?

[User] Intermittent. A bit better.

[Assistant] Thank you for clarifying. Does it come on at any particular time, or is there a trigger you've noticed?

[User] Worse with movement. Better with warmth.

[Assistant] That's useful to know. That's everything I need on the symptoms for now. I'll move on to a few questions about your health background.

System: cardiovascular/lymphatic


[User] The pelvic pain has been there for a while. My wife said I should mention it.

[Assistant] Thank you for taking this step — your wellbeing is important. That's helpful to know. To understand this better, I'd like to ask you a few questions. I'll go through them one at a time. Is it localised to one spot, or does it radiate anywhere else?

[User] No, I don't think it moves anywhere.

[Assistant] Got it — thank you for that. When did this begin, and was there anything happening at the time it started?

[User] It's been for three days now. Came on suddenly, really. Didn't think much of it at first.

[Assistant] Got it — thank you for that. Has it been getting better, getting worse, or staying the same?

[User] It's intermittent. Seems to be staying the same if anything.

[Assistant] I appreciate that. Does anything bring it on — like activity, eating, or certain positions?

[User] It's worse with cycle, I've noticed. Rest seems to ease it a little.

[User] Am I going to be all right?

[Assistant] I can hear how worried you are. Let me focus on making sure nothing is missed so the clinical team can make that determination. How would you characterise the pain or discomfort — what's the quality of it?

[User] It's more of a sharp sensation, if that makes sense.

[Assistant] Thank you for clarifying. How bad is it at its worst? Can you give me a number out of ten?

[User] I'd say about a 8, maybe. It's uncomfortable but I've managed.

[Assistant] Got it — thank you for that. That's everything I need on the symptoms for now. I'll move on to a few questions about your health background.

System: gynaecological


[User] It's sudden vision loss. I want to know if it's serious.

[Assistant] That works. I'll ask what I need to, and you can tell me what you're comfortable with. That's helpful to know. To understand this better, I'd like to ask you a few questions. I'll go through them one at a time. When did this first start, and did it come on suddenly or gradually?

[User] About two days. It came on quickly.

[Assistant] That's useful to know. If you had to describe the feeling in one or two words, what would they be?

[User] One eye.

[Assistant] Understood. Does anything bring it on — like activity, eating, or certain positions?

[User] Worse with rest. Better with warmth.

[Assistant] Got it — thank you for that. Does it stay in one place, or does it spread or move anywhere?

[User] No. Just where it is.

[Assistant] That's useful to know. Thank you for that. I want to make sure I capture your full history now — so a few questions about medications and past conditions.

System: ophthalmological/neurological


[User] I've got alopecia areata. I don't need sympathy, just information. No. Just where it is.

[Assistant] I appreciate that. Is it constant or does it come in waves?


[User] The polyuria has been going on and I can't stop thinking about it. I'm so worried. It definitely gets worse with movement. I've tried lying still and it helps a little but I'm still worried.

[Assistant] I appreciate that. When did this begin, and was there anything happening at the time it started?


[User] I have frothy urine. I don't want to catastrophise but I've been reading some terrible things online. It definitely gets worse with movement. I've tried sitting down and it helps a little but I'm still worried.

[Assistant] That's useful to know. What does it feel like exactly — a burning, aching, tightness, or something else?


[User] I have anosmia. I don't want to catastrophise but I've been reading some terrible things online. It definitely gets worse with movement. I've tried lying still and it helps a little but I'm still worried.

[Assistant] Understood. On a scale of one to ten, where ten is the worst pain you can imagine, how would you rate it right now?


[User] The fever has been there for a while. My wife said I should mention it.

[Assistant] I really appreciate you reaching out — there's no such thing as wasting anyone's time when it comes to your health. That's helpful to know. To understand this better, I'd like to ask you a few questions. I'll go through them one at a time. How much is this affecting you day to day — and what number would you give it on a pain scale?

[User] I'd say about a 3, maybe. It's uncomfortable but I've managed.

[Assistant] Understood. Does anything bring it on — like activity, eating, or certain positions?

[User] It's worse with contacts, I've noticed. Rest seems to ease it a little.

[Assistant] Noted — thank you. Does it stay in one place, or does it spread or move anywhere?

[User] No, I don't think it moves anywhere.

[Assistant] Noted — thank you. How long does each episode last when it comes on?

[User] It's comes and goes. Seems to be getting worse if anything.

[Assistant] I appreciate that. Can you take me back to when this started? Did it come on all at once or slowly?

[User] It's been for the past week. Came on slowly over time, really. Didn't think much of it at first.

[Assistant] That's useful to know. What does it feel like exactly — a burning, aching, tightness, or something else?

[User] It's more of a spiking sensation, if that makes sense.

[Assistant] Noted — thank you. Thank you for that. I want to make sure I capture your full history now — so a few questions about medications and past conditions.

System: immune/infectious


[User] I've been having constipation. I'm scared. It's dull.

[Assistant] Noted — thank you. Does it change with movement, rest, or anything else?


[User] I've been having growth concern and I'm really scared about what it could mean. It's constant. And I think it's getting worse — which is really worrying me.

[Assistant] Noted — thank you. Is it in one location, or does it radiate into your neck, arm, or back?


[User] I've had breast lump for a while now and I've been reading everything I can find. I'm terrified.

[Assistant] Your concerns are valid, and I'm here to make sure we take this seriously. I hear you. Let me ask a few things to make sure I understand what's been happening properly. Does it stay in one place, or does it spread or move anywhere?

[User] It doesn't seem to spread anywhere, but I'm not sure if that's good or bad.

[Assistant] Thank you for clarifying. If you had to describe the feeling in one or two words, what would they be?

[User] It feels hard. I've been trying to describe it and that's the closest I can get. Does that mean something serious?

[Assistant] Understood. How much is this affecting you day to day — and what number would you give it on a pain scale?

[User] Oh, I'd say at least a 3. Maybe higher when I think about it too much. It's really affecting me.

[Assistant] Got it — thank you for that. Is it constant or does it come in waves?

[User] It's constant. And I think it's about the same — which is really worrying me.

[Assistant] Good, that helps me understand. How long has this been going on? And did it start suddenly or gradually?

[User] It started since this morning — it came on quickly. I've been tracking it obsessively. Is that bad?

[Assistant] Noted — thank you. Is there anything that makes it better or worse?

[User] It definitely gets worse with menstrual cycle. I've tried warmth and it helps a little but I'm still worried.

[Assistant] Got it — thank you for that. That's everything I need on the symptoms for now. I'll move on to a few questions about your health background.

System: gynaecological/oncological


[User] The tremor has been there for a while. My wife said I should mention it.

[Assistant] Thank you for taking this step — your wellbeing is important. I hear you. Let me ask a few things to make sure I understand what's been happening properly. On a scale of one to ten, where ten is the worst pain you can imagine, how would you rate it right now?

[User] I'd say about a 7, maybe. It's uncomfortable but I've managed.

[Assistant] Noted — thank you. When did this first start, and did it come on suddenly or gradually?

[User] It's been for a couple of days. Came on gradually, really. Didn't think much of it at first.

[Assistant] Thank you for clarifying. How long does each episode last when it comes on?

[User] It's constant. Seems to be a bit better if anything.

[Assistant] Good, that helps me understand. Is there anything that makes it better or worse?

[User] It's worse with caffeine, I've noticed. Sitting down seems to ease it a little.

[Assistant] Understood. Is it in one location, or does it radiate into your neck, arm, or back?

[User] No, I don't think it moves anywhere.

[Assistant] Understood. Can you describe what it feels like — is it sharp, dull, or more of a pressure?

[User] It's more of a postural sensation, if that makes sense.

[Assistant] Thank you for clarifying. That's everything I need on the symptoms for now. I'll move on to a few questions about your health background.

System: neurological


[User] Haematemesis. Been going on a while. I need answers.

[Assistant] I respect that. Let's get right to it. That's helpful to know. To understand this better, I'd like to ask you a few questions. I'll go through them one at a time. How much is this affecting you day to day — and what number would you give it on a pain scale?

[User] 4.

[Assistant] Thank you — that's helpful. Does it fluctuate, or is it there constantly?

[User] Worse at night. A bit better.

[Assistant] Noted — thank you. Can you take me back to when this started? Did it come on all at once or slowly?

[User] For three days now. Slowly over time.

[Assistant] Got it — thank you for that. Does it move or spread from where it started?

[User] No. Just where it is.

[Assistant] Noted — thank you. Thank you for that. I want to make sure I capture your full history now — so a few questions about medications and past conditions.

System: gastrointestinal


[User] Wheezing. Been going on a while. I need answers. Worse with exercise. Better with rest.

[Assistant] Thank you — that's helpful. How long has this been going on? And did it start suddenly or gradually?


[User] It's developmental concern. I want to know if it's serious. Worse with movement. Better with warmth.

[Assistant] I appreciate that. Does the sensation travel anywhere — into your arm, back, or elsewhere?


[User] I've had pelvic pain for a while now. I wasn't sure if it was worth mentioning.

[Assistant] I'm glad you came in. Your concerns matter, and it's always right to check. That's helpful to know. To understand this better, I'd like to ask you a few questions. I'll go through them one at a time. Is there anything that makes it better or worse?

[User] It's worse with cycle, I've noticed. Warmth seems to ease it a little.

[Assistant] Understood. On a scale of one to ten, where ten is the worst pain you can imagine, how would you rate it right now?

[User] I'd say about a 9, maybe. It's uncomfortable but I've managed.

[Assistant] I appreciate that. Can you take me back to when this started? Did it come on all at once or slowly?

[User] It's been about two days. Came on slowly over time, really. Didn't think much of it at first.

[Assistant] I appreciate that. How would you describe the sensation itself?

[User] It's more of a dull sensation, if that makes sense.

[Assistant] Got it — thank you for that. Has it been getting better, getting worse, or staying the same?

[User] It's worse at night. Seems to be getting worse if anything.

[Assistant] Thank you — that's helpful. Does it stay put, or does it travel anywhere else in your body?

[User] Now you mention it, yes — there's something into my lower back.

[Assistant] Understood. Thank you for that. I want to make sure I capture your full history now — so a few questions about medications and past conditions.

System: gynaecological


[User] Well, it's the stroke symptoms. It's been there for a bit. Not dramatic, but it's been on my mind.

[Assistant] I really appreciate you reaching out — there's no such thing as wasting anyone's time when it comes to your health. Thank you for sharing that. I want to make sure I understand your symptoms fully — I'll ask you a few questions, one at a time. When did you first notice this — was it sudden or did it build up over time?

[User] It's been for a couple of days. Came on it came on quickly, really. Didn't think much of it at first.

[Assistant] I appreciate that. How would you characterise the pain or discomfort — what's the quality of it?

[User] It's more of a speech difficulty sensation, if that makes sense.

[Assistant] That's useful to know. Has it been getting better, getting worse, or staying the same?

[User] It's comes and goes. Seems to be getting worse if anything.

[Assistant] Good, that helps me understand. Does anything bring it on — like activity, eating, or certain positions?

[User] It's worse with rest, I've noticed. Rest seems to ease it a little.

[Assistant] Thank you — that's helpful. That's everything I need on the symptoms for now. I'll move on to a few questions about your health background.

System: neurological


[User] Testicular pain. Been going on a while. I need answers.

[Assistant] That works. I'll ask what I need to, and you can tell me what you're comfortable with. I hear you. Let me ask a few things to make sure I understand what's been happening properly. Does it stay put, or does it travel anywhere else in your body?

[User] Yes. Into my nowhere else.

[Assistant] Understood. Have you noticed anything that relieves it or makes it more intense?

[User] Worse with rest. Better with warmth.

[Assistant] That's useful to know. Can you describe what it feels like — is it sharp, dull, or more of a pressure?

[User] Severe.

[Assistant] Understood. When did this begin, and was there anything happening at the time it started?

[User] For three days now. Suddenly.

[Assistant] Thank you — that's helpful. Would you say it's mild, moderate, or severe — and could you give it a number?

[User] 7.

[Assistant] Understood. That's everything I need on the symptoms for now. I'll move on to a few questions about your health background.

System: urological


[User] Well, it's the tinnitus. It's been there for a bit. Not dramatic, but it's been on my mind. Now you mention it, yes — there's something into my nowhere else.

[Assistant] That's useful to know. How long has this been going on? And did it start suddenly or gradually?


[User] I've been having shoulder pain. I'm scared. It's intermittent.

[Assistant] Good, that helps me understand. Is it in one location, or does it radiate into your neck, arm, or back?


[User] I've got dry mouth. I don't need sympathy, just information. Constant. A bit better.

[Assistant] Got it — thank you for that. If you had to describe the feeling in one or two words, what would they be?


[User] I've been having hair loss. I'm scared.

[Assistant] That's okay. We can work through this together, one step at a time. That's helpful to know. To understand this better, I'd like to ask you a few questions. I'll go through them one at a time. When did this first start, and did it come on suddenly or gradually?

[User] Over the past few weeks. It started slowly over time.

[Assistant] Understood. Have you noticed anything that relieves it or makes it more intense?

[User] Rest makes it worse.

[Assistant] Noted — thank you. Does it stay in one place, or does it spread or move anywhere?

[User] Yes. My nowhere else.

[Assistant] That's useful to know. Has it been getting better, getting worse, or staying the same?

[User] It's constant.

[Assistant] Thank you for clarifying. How would you describe the sensation itself?

[User] It's patchy.

[Assistant] Understood. How severe is it? If one is barely noticeable and ten is unbearable, where does it sit?

[User] About 4.

[Assistant] I appreciate that. That's everything I need on the symptoms for now. I'll move on to a few questions about your health background.

System: dermatological/endocrine


[User] The muscle weakness has been going on and I can't stop thinking about it. I'm so worried.

[Assistant] I can hear how worried you are, and I want you to know that's completely understandable. I want to make sure I have a complete picture. Let me ask some questions, one at a time, starting with when this all began. How long has this been going on? And did it start suddenly or gradually?

[User] It started about two days — it came on quickly. I've been tracking it obsessively. Is that bad?

[Assistant] Good, that helps me understand. If you had to describe the feeling in one or two words, what would they be?

[User] It feels one side. I've been trying to describe it and that's the closest I can get. Does that mean something serious?

[Assistant] Understood. Does it stay put, or does it travel anywhere else in your body?

[User] Actually yes — it does go into my nowhere else. I didn't mention that. Is that important?

[Assistant] Got it — thank you for that. On a scale of one to ten, where ten is the worst pain you can imagine, how would you rate it right now?

[User] Oh, I'd say at least a 6. Maybe higher when I think about it too much. It's really affecting me.

[Assistant] Noted — thank you. Is there anything you do that seems to help or that makes it worse?

[User] It definitely gets worse with fatigue. I've tried lying still and it helps a little but I'm still worried.

[Assistant] Got it — thank you for that. Thank you for that. I want to make sure I capture your full history now — so a few questions about medications and past conditions.

System: musculoskeletal/neurological


[User] It's hoarseness. I want to know if it's serious.

[Assistant] Understood — I'll keep this focused and professional. I want to make sure I have a complete picture. Let me ask some questions, one at a time, starting with when this all began. How would you characterise the pain or discomfort — what's the quality of it?

[User] Dull.

[Assistant] Understood. Is it continuous, or does it come and go throughout the day?

[User] Worse in the morning. A bit better.

[Assistant] That's useful to know. Does the sensation travel anywhere — into your arm, back, or elsewhere?

[User] Yes. Into my nowhere else.

[Assistant] Good, that helps me understand. Have you noticed anything that relieves it or makes it more intense?

[User] Worse with movement. Better with sitting down.

[Assistant] Thank you — that's helpful. Would you say it's mild, moderate, or severe — and could you give it a number?

[User] 3.

[Assistant] Noted — thank you. When did this first start, and did it come on suddenly or gradually?

[User] For a couple of days. Gradually.

[Assistant] Thank you for clarifying. That's everything I need on the symptoms for now. I'll move on to a few questions about your health background.

System: respiratory/ENT


[User] It's haemoptysis. I want to know if it's serious.

[Assistant] I respect that. Let's get right to it. I want to make sure I have a complete picture. Let me ask some questions, one at a time, starting with when this all began. Has it been getting better, getting worse, or staying the same?

[User] Intermittent. About the same.

[Assistant] Thank you — that's helpful. Can you take me back to when this started? Did it come on all at once or slowly?

[User] Since yesterday. Out of nowhere.

[Assistant] Thank you for clarifying. Is there anything you do that seems to help or that makes it worse?

[User] Worse with rest. Better with warmth.

[Assistant] Understood. If you had to describe the feeling in one or two words, what would they be?

[User] Mixed with sputum.

[Assistant] Thank you — that's helpful. Thank you for that. I want to make sure I capture your full history now — so a few questions about medications and past conditions.

System: respiratory


[User] The hypertension monitoring has been there. I wasn't sure what to do. Rest makes it worse.

[Assistant] Good, that helps me understand. How long have you been experiencing this?


[User] I've had swollen lymph nodes for a while now. I wasn't sure if it was worth mentioning. Now you mention it, yes — there's something into my nowhere else.

[Assistant] I appreciate that. At its worst, how would you rate the intensity on a scale from one to ten?


[User] The urinary symptoms has been going on and I can't stop thinking about it. I'm so worried. It feels frequency. I've been trying to describe it and that's the closest I can get. Does that mean something serious?

[Assistant] Thank you — that's helpful. How long does each episode last when it comes on?


[User] I have haematemesis. I don't want to catastrophise but I've been reading some terrible things online.

[Assistant] I can hear how worried you are, and I want you to know that's completely understandable. Thank you for sharing that. I want to make sure I understand your symptoms fully — I'll ask you a few questions, one at a time. Does it move or spread from where it started?

[User] Actually yes — it does go into my nowhere else. I didn't mention that. Is that important?

[Assistant] Noted — thank you. At its worst, how would you rate the intensity on a scale from one to ten?

[User] Oh, I'd say at least a 5. Maybe higher when I think about it too much. It's really affecting me.

[Assistant] I appreciate that. Does it fluctuate, or is it there constantly?

[User] It's constant. And I think it's staying the same — which is really worrying me.

[User] You must have some idea what this is.

[Assistant] I want to make sure I don't jump to conclusions — that's for a qualified clinician to determine after a proper assessment. Does it come on at any particular time, or is there a trigger you've noticed?

[User] It definitely gets worse with rest. I've tried warmth and it helps a little but I'm still worried.

[Assistant] I appreciate that. How long have you been experiencing this?

[User] It started for a couple of days — it came on quickly. I've been tracking it obsessively. Is that bad?

[Assistant] That's useful to know. Thank you for that. I want to make sure I capture your full history now — so a few questions about medications and past conditions.

System: gastrointestinal


[User] The snoring / sleep apnoea has been there for a while. My wife said I should mention it. I'd say about a 6, maybe. It's uncomfortable but I've managed.

[Assistant] Got it — thank you for that. Does it stay put, or does it travel anywhere else in your body?


[User] I've been having palmar erythema and I'm really scared about what it could mean.

[Assistant] Thank you for reaching out — it takes courage when you're feeling scared. I appreciate you telling me that. Let me ask a few things to build a clearer picture, one question at a time. Is it continuous, or does it come and go throughout the day?

[User] It's worse at night. And I think it's getting worse — which is really worrying me.

[Assistant] Good, that helps me understand. Does it move or spread from where it started?

[User] It doesn't seem to spread anywhere, but I'm not sure if that's good or bad.

[Assistant] Noted — thank you. How would you characterise the pain or discomfort — what's the quality of it?

[User] It feels with jaundice. I've been trying to describe it and that's the closest I can get. Does that mean something serious?

[User] What do you think it is?

[Assistant] I can hear how worried you are. Let me focus on making sure nothing is missed so the clinical team can make that determination. At its worst, how would you rate the intensity on a scale from one to ten?

[User] Oh, I'd say at least a 9. Maybe higher when I think about it too much. It's really affecting me.

[Assistant] Thank you — that's helpful. Thank you for that. I want to make sure I capture your full history now — so a few questions about medications and past conditions.

System: hepatic


[User] The bone pain has been there for a while. My wife said I should mention it.

[Assistant] Thank you for taking this step — your wellbeing is important. I want to make sure I have a complete picture. Let me ask some questions, one at a time, starting with when this all began. Does it change with movement, rest, or anything else?

[User] It's worse with rest, I've noticed. Warmth seems to ease it a little.

[Assistant] I appreciate that. Is it localised to one spot, or does it radiate anywhere else?

[User] No, I don't think it moves anywhere.

[Assistant] Good, that helps me understand. How would you characterise the pain or discomfort — what's the quality of it?

[User] It's more of a throbbing sensation, if that makes sense.

[Assistant] That's useful to know. At its worst, how would you rate the intensity on a scale from one to ten?

[User] I'd say about a 3, maybe. It's uncomfortable but I've managed.

[Assistant] Noted — thank you. Is it there all the time, or does it come and go?

[User] It's constant. Seems to be staying the same if anything.

[Assistant] Thank you for clarifying. When did you first notice this — was it sudden or did it build up over time?

[User] It's been about two days. Came on out of nowhere, really. Didn't think much of it at first.

[Assistant] Got it — thank you for that. Thank you for that. I want to make sure I capture your full history now — so a few questions about medications and past conditions.

System: haematological/oncological


[User] I've been having wheezing and I'm really scared about what it could mean. It's constant. And I think it's staying the same — which is really worrying me.

[Assistant] Good, that helps me understand. When did you first notice this — was it sudden or did it build up over time?


[User] The bone pain has been going on and I can't stop thinking about it. I'm so worried.

[Assistant] Thank you for reaching out — it takes courage when you're feeling scared. I hear you. Let me ask a few things to make sure I understand what's been happening properly. Have you noticed anything that relieves it or makes it more intense?

[User] It definitely gets worse with weight bearing. I've tried rest and it helps a little but I'm still worried.

[Assistant] Understood. Does it fluctuate, or is it there constantly?

[User] It's comes and goes. And I think it's staying the same — which is really worrying me.

[Assistant] That's useful to know. How long have you been experiencing this?

[User] It started about two days — out of nowhere. I've been tracking it obsessively. Is that bad?

[Assistant] I appreciate that. How much is this affecting you day to day — and what number would you give it on a pain scale?

[User] Oh, I'd say at least a 6. Maybe higher when I think about it too much. It's really affecting me.

[Assistant] Got it — thank you for that. Does it stay in one place, or does it spread or move anywhere?

[User] Actually yes — it does go into my nowhere else. I didn't mention that. Is that important?

[Assistant] Noted — thank you. How would you describe the sensation itself?

[User] It feels throbbing. I've been trying to describe it and that's the closest I can get. Does that mean something serious?

[Assistant] I appreciate that. Thank you for that. I want to make sure I capture your full history now — so a few questions about medications and past conditions.

System: haematological/oncological


[User] I've been having vomiting and I'm really scared about what it could mean.

[Assistant] Your concerns are valid, and I'm here to make sure we take this seriously. I hear you. Let me ask a few things to make sure I understand what's been happening properly. If you had to describe the feeling in one or two words, what would they be?

[User] It feels bilious. I've been trying to describe it and that's the closest I can get. Does that mean something serious?

[Assistant] Noted — thank you. On a scale of one to ten, where ten is the worst pain you can imagine, how would you rate it right now?

[User] Oh, I'd say at least a 5. Maybe higher when I think about it too much. It's really affecting me.

[Assistant] I appreciate that. Have you noticed anything that relieves it or makes it more intense?

[User] It definitely gets worse with movement. I've tried rest and it helps a little but I'm still worried.

[Assistant] Got it — thank you for that. Does it fluctuate, or is it there constantly?

[User] It's constant. And I think it's staying the same — which is really worrying me.

[Assistant] Got it — thank you for that. That's everything I need on the symptoms for now. I'll move on to a few questions about your health background.

System: gastrointestinal


[User] The heat intolerance has been going on and I can't stop thinking about it. I'm so worried.

[Assistant] Your concerns are valid, and I'm here to make sure we take this seriously. I hear you. Let me ask a few things to make sure I understand what's been happening properly. What does it feel like exactly — a burning, aching, tightness, or something else?

[User] It feels hot all the time. I've been trying to describe it and that's the closest I can get. Does that mean something serious?

[Assistant] That's useful to know. Is it continuous, or does it come and go throughout the day?

[User] It's constant. And I think it's about the same — which is really worrying me.

[Assistant] Understood. Can you take me back to when this started? Did it come on all at once or slowly?

[User] It started over the past few weeks — it came on quickly. I've been tracking it obsessively. Is that bad?

[Assistant] I appreciate that. Does it stay in one place, or does it spread or move anywhere?

[User] Actually yes — it does go into my nowhere else. I didn't mention that. Is that important?

[Assistant] I appreciate that. Would you say it's mild, moderate, or severe — and could you give it a number?

[User] Oh, I'd say at least a 3. Maybe higher when I think about it too much. It's really affecting me.

[Assistant] I appreciate that. Is there anything you do that seems to help or that makes it worse?

[User] It definitely gets worse with movement. I've tried warmth and it helps a little but I'm still worried.

[Assistant] Understood. That's everything I need on the symptoms for now. I'll move on to a few questions about your health background.

System: endocrine


[User] I have swollen lymph nodes. I don't want to catastrophise but I've been reading some terrible things online.

[Assistant] Thank you for reaching out — it takes courage when you're feeling scared. I appreciate you telling me that. Let me ask a few things to build a clearer picture, one question at a time. How severe is it? If one is barely noticeable and ten is unbearable, where does it sit?

[User] Oh, I'd say at least a 4. Maybe higher when I think about it too much. It's really affecting me.

[Assistant] Understood. Does it stay in one place, or does it spread or move anywhere?

[User] It doesn't seem to spread anywhere, but I'm not sure if that's good or bad.

[Assistant] Thank you — that's helpful. How would you characterise the pain or discomfort — what's the quality of it?

[User] It feels hard. I've been trying to describe it and that's the closest I can get. Does that mean something serious?

[Assistant] Noted — thank you. When did this first start, and did it come on suddenly or gradually?

[User] It started since this morning — gradually. I've been tracking it obsessively. Is that bad?

[Assistant] Noted — thank you. Have you noticed anything that relieves it or makes it more intense?

[User] It definitely gets worse with movement. I've tried lying still and it helps a little but I'm still worried.

[Assistant] Got it — thank you for that. Is it constant or does it come in waves?

[User] It's constant. And I think it's getting worse — which is really worrying me.

[Assistant] That's useful to know. That's everything I need on the symptoms for now. I'll move on to a few questions about your health background.

System: immune/haematological


[User] It's snoring / sleep apnoea. I want to know if it's serious. No. Just where it is.

[Assistant] Thank you for clarifying. What does it feel like exactly — a burning, aching, tightness, or something else?


[User] I've been having dizziness. I'm scared.

[Assistant] That's okay. We can work through this together, one step at a time. I want to make sure I have a complete picture. Let me ask some questions, one at a time, starting with when this all began. Is it there all the time, or does it come and go?

[User] It's worse at night.

[Assistant] Noted — thank you. Does it feel sharp and stabbing, or more like a dull ache, or perhaps a pressure?

[User] It's room spinning.

[Assistant] Understood. When did you first notice this — was it sudden or did it build up over time?

[User] For the past week. It started it came on quickly.

[Assistant] That's useful to know. How much is this affecting you day to day — and what number would you give it on a pain scale?

[User] About 7.

[Assistant] Noted — thank you. Thank you for that. I want to make sure I capture your full history now — so a few questions about medications and past conditions.

System: neurological/vestibular


[User] It's eye pain. I want to know if it's serious. For three days now. Gradually.

[Assistant] Noted — thank you. Does it stay in one place, or does it spread or move anywhere?


[User] I've got sudden vision loss. I don't need sympathy, just information.

[Assistant] I respect that. Let's get right to it. I appreciate you telling me that. Let me ask a few things to build a clearer picture, one question at a time. Does it stay in one place, or does it spread or move anywhere?

[User] Yes. Into my nowhere else.

[Assistant] Got it — thank you for that. When did this first start, and did it come on suddenly or gradually?

[User] For three days now. Suddenly.

[Assistant] Noted — thank you. Does it fluctuate, or is it there constantly?

[User] Worse in the morning. Getting worse.

[Assistant] That's useful to know. On a scale of one to ten, where ten is the worst pain you can imagine, how would you rate it right now?

[User] 8.

[Assistant] That's useful to know. Does it change with movement, rest, or anything else?

[User] Worse with movement. Better with sitting down.

[Assistant] I appreciate that. Can you describe what it feels like — is it sharp, dull, or more of a pressure?

[User] One eye.

[Assistant] I appreciate that. Thank you for that. I want to make sure I capture your full history now — so a few questions about medications and past conditions.

System: ophthalmological/neurological


[User] I've been having loin pain and I'm really scared about what it could mean. It definitely gets worse with rest. I've tried rest and it helps a little but I'm still worried.

[Assistant] Understood. If you had to describe the feeling in one or two words, what would they be?


[User] I've been having some anosmia. At my age you expect certain things, but this has been a bit different.

[Assistant] I'm glad you came in. Your concerns matter, and it's always right to check. Thank you for sharing that. I want to make sure I understand your symptoms fully — I'll ask you a few questions, one at a time. Does the sensation travel anywhere — into your arm, back, or elsewhere?

[User] Now you mention it, yes — there's something into my nowhere else.

[Assistant] Got it — thank you for that. Is it there all the time, or does it come and go?

[User] It's intermittent. Seems to be about the same if anything.

[Assistant] Understood. When did you first notice this — was it sudden or did it build up over time?

[User] It's been for a couple of days. Came on it came on quickly, really. Didn't think much of it at first.

[Assistant] Good, that helps me understand. Is there anything you do that seems to help or that makes it worse?

[User] It's worse with movement, I've noticed. Rest seems to ease it a little.

[Assistant] Understood. That's everything I need on the symptoms for now. I'll move on to a few questions about your health background.

System: neurological/ENT


[User] I've been having bloating and I'm really scared about what it could mean.

[Assistant] I can hear how worried you are, and I want you to know that's completely understandable. I hear you. Let me ask a few things to make sure I understand what's been happening properly. Does it stay in one place, or does it spread or move anywhere?

[User] It doesn't seem to spread anywhere, but I'm not sure if that's good or bad.

[Assistant] I appreciate that. How severe is it? If one is barely noticeable and ten is unbearable, where does it sit?

[User] Oh, I'd say at least a 5. Maybe higher when I think about it too much. It's really affecting me.

[Assistant] Noted — thank you. Can you describe what it feels like — is it sharp, dull, or more of a pressure?

[User] It feels generalised. I've been trying to describe it and that's the closest I can get. Does that mean something serious?

[Assistant] I appreciate that. When did this begin, and was there anything happening at the time it started?

[User] It started for the past week — out of nowhere. I've been tracking it obsessively. Is that bad?

[Assistant] Thank you — that's helpful. Does it change with movement, rest, or anything else?

[User] It definitely gets worse with stress. I've tried rest and it helps a little but I'm still worried.

[Assistant] Good, that helps me understand. How long does each episode last when it comes on?

[User] It's worse in the morning. And I think it's staying the same — which is really worrying me.

[Assistant] That's useful to know. Thank you for that. I want to make sure I capture your full history now — so a few questions about medications and past conditions.

System: gastrointestinal


[User] I've been having some palpitations. At my age you expect certain things, but this has been a bit different.

[Assistant] I'm glad you came in. Your concerns matter, and it's always right to check. I appreciate you telling me that. Let me ask a few things to build a clearer picture, one question at a time. When did this begin, and was there anything happening at the time it started?

[User] It's been for a couple of days. Came on suddenly, really. Didn't think much of it at first.

[Assistant] Thank you for clarifying. Can you describe what it feels like — is it sharp, dull, or more of a pressure?

[User] It's more of a skipping sensation, if that makes sense.

[Assistant] I appreciate that. How bad is it at its worst? Can you give me a number out of ten?

[User] I'd say about a 5, maybe. It's uncomfortable but I've managed.

[Assistant] Thank you — that's helpful. Is it there all the time, or does it come and go?

[User] It's comes and goes. Seems to be a bit better if anything.

[Assistant] Good, that helps me understand. Is there anything that makes it better or worse?

[User] It's worse with rest, I've noticed. Sitting down seems to ease it a little.

[Assistant] Understood. Thank you for that. I want to make sure I capture your full history now — so a few questions about medications and past conditions.

System: cardiovascular


[User] Hypertension monitoring. Been going on a while. I need answers.

[Assistant] That works. I'll ask what I need to, and you can tell me what you're comfortable with. I appreciate you telling me that. Let me ask a few things to build a clearer picture, one question at a time. Does it fluctuate, or is it there constantly?

[User] Constant. Getting worse.

[Assistant] Good, that helps me understand. How long has this been going on? And did it start suddenly or gradually?

[User] For three days now. Suddenly.

[Assistant] Thank you for clarifying. Have you noticed anything that relieves it or makes it more intense?

[User] Worse with rest. Better with warmth.

[Assistant] That's useful to know. Does it feel sharp and stabbing, or more like a dull ache, or perhaps a pressure?

[User] Symptoms.

[Assistant] Thank you — that's helpful. Thank you for that. I want to make sure I capture your full history now — so a few questions about medications and past conditions.

System: cardiovascular/chronic


[User] I've been having joint pain and I'm really scared about what it could mean.

[Assistant] Thank you for reaching out — it takes courage when you're feeling scared. Thank you for sharing that. I want to make sure I understand your symptoms fully — I'll ask you a few questions, one at a time. Does anything bring it on — like activity, eating, or certain positions?

[User] It definitely gets worse with cold weather. I've tried lying still and it helps a little but I'm still worried.

[Assistant] Got it — thank you for that. How bad is it at its worst? Can you give me a number out of ten?

[User] Oh, I'd say at least a 3. Maybe higher when I think about it too much. It's really affecting me.

[Assistant] Thank you for clarifying. Does it fluctuate, or is it there constantly?

[User] It's comes and goes. And I think it's staying the same — which is really worrying me.

[Assistant] Noted — thank you. Can you take me back to when this started? Did it come on all at once or slowly?

[User] It started since this morning — slowly over time. I've been tracking it obsessively. Is that bad?

[Assistant] Thank you — that's helpful. If you had to describe the feeling in one or two words, what would they be?

[User] It feels throbbing. I've been trying to describe it and that's the closest I can get. Does that mean something serious?

[Assistant] Got it — thank you for that. Does it stay in one place, or does it spread or move anywhere?

[User] Actually yes — it does go into my multiple joints. I didn't mention that. Is that important?

[Assistant] That's useful to know. Thank you for that. I want to make sure I capture your full history now — so a few questions about medications and past conditions.

System: musculoskeletal


[User] I've had abdominal pain for a while now. I wasn't sure if it was worth mentioning. It's more of a colicky sensation, if that makes sense.

[Assistant] Thank you for clarifying. How severe is it? If one is barely noticeable and ten is unbearable, where does it sit?


[User] The hoarseness has been there. I wasn't sure what to do.

[Assistant] Take your time — there's no rush here. That's helpful to know. To understand this better, I'd like to ask you a few questions. I'll go through them one at a time. Has it been getting better, getting worse, or staying the same?

[User] It's comes and goes.

[Assistant] Understood. Is there anything that makes it better or worse?

[User] Movement makes it worse.

[Assistant] Got it — thank you for that. When did this first start, and did it come on suddenly or gradually?

[User] For the past week. It started slowly over time.

[Assistant] Got it — thank you for that. On a scale of one to ten, where ten is the worst pain you can imagine, how would you rate it right now?

[User] About 7.

[Assistant] Got it — thank you for that. Does it move or spread from where it started?

[User] No. Just there.

[Assistant] Thank you for clarifying. What does it feel like exactly — a burning, aching, tightness, or something else?

[User] It's aching.

[Assistant] Got it — thank you for that. That's everything I need on the symptoms for now. I'll move on to a few questions about your health background.

System: respiratory/ENT


[User] It's hair loss. I want to know if it's serious. 7.

[Assistant] Thank you for clarifying. Has it been getting better, getting worse, or staying the same?


[User] I've had erectile dysfunction for a while now. I wasn't sure if it was worth mentioning.

[Assistant] I'm glad you came in. Your concerns matter, and it's always right to check. I appreciate you telling me that. Let me ask a few things to build a clearer picture, one question at a time. Is there anything that makes it better or worse?

[User] It's worse with medication, I've noticed. Rest seems to ease it a little.

[Assistant] Good, that helps me understand. When did you first notice this — was it sudden or did it build up over time?

[User] It's been since yesterday. Came on gradually, really. Didn't think much of it at first.

[Assistant] Good, that helps me understand. At its worst, how would you rate the intensity on a scale from one to ten?

[User] I'd say about a 8, maybe. It's uncomfortable but I've managed.

[Assistant] Noted — thank you. Does it feel sharp and stabbing, or more like a dull ache, or perhaps a pressure?

[User] It's more of a situational sensation, if that makes sense.

[Assistant] Thank you — that's helpful. Has it been getting better, getting worse, or staying the same?

[User] It's worse at night. Seems to be staying the same if anything.

[Assistant] I appreciate that. Thank you for that. I want to make sure I capture your full history now — so a few questions about medications and past conditions.

System: urological/cardiovascular


[User] The incontinence has been going on and I can't stop thinking about it. I'm so worried. It's comes and goes. And I think it's a bit better — which is really worrying me.

[Assistant] Thank you — that's helpful. Does it stay put, or does it travel anywhere else in your body?


[User] It's severe allergic reaction. I don't know how to describe it.

[Assistant] You're in the right place. Just tell me what you can. I hear you. Let me ask a few things to make sure I understand what's been happening properly. Can you take me back to when this started? Did it come on all at once or slowly?

[User] Since this morning. It started slowly over time.

[Assistant] Thank you — that's helpful. Is it localised to one spot, or does it radiate anywhere else?

[User] No. Just there.

[Assistant] I appreciate that. Is there anything that makes it better or worse?

[User] Latex makes it worse.

[Assistant] Good, that helps me understand. How bad is it at its worst? Can you give me a number out of ten?

[User] About 6.

[Assistant] Noted — thank you. Thank you for that. I want to make sure I capture your full history now — so a few questions about medications and past conditions.

System: immune


[User] I've had weight loss for a while now. I wasn't sure if it was worth mentioning. It's worse with movement, I've noticed. Lying still seems to ease it a little.

[Assistant] That's useful to know. Does it feel sharp and stabbing, or more like a dull ache, or perhaps a pressure?


[User] I have leg swelling. That's why I'm here. Worse with rest. Better with sitting down.

[Assistant] Thank you — that's helpful. When did you first notice this — was it sudden or did it build up over time?


[User] I've had lip swelling for a while now and I've been reading everything I can find. I'm terrified.

[Assistant] Your concerns are valid, and I'm here to make sure we take this seriously. I hear you. Let me ask a few things to make sure I understand what's been happening properly. Does it come on at any particular time, or is there a trigger you've noticed?

[User] It definitely gets worse with food. I've tried lying still and it helps a little but I'm still worried.

[Assistant] Good, that helps me understand. How long does each episode last when it comes on?

[User] It's constant. And I think it's a bit better — which is really worrying me.

[Assistant] Understood. How would you describe the sensation itself?

[User] It feels dull. I've been trying to describe it and that's the closest I can get. Does that mean something serious?

[Assistant] Got it — thank you for that. Does it move or spread from where it started?

[User] It doesn't seem to spread anywhere, but I'm not sure if that's good or bad.

[Assistant] Got it — thank you for that. Thank you for that. I want to make sure I capture your full history now — so a few questions about medications and past conditions.

System: ENT/immune


[User] I've been having haemoptysis. I'm scared.

[Assistant] Take your time — there's no rush here. I want to make sure I have a complete picture. Let me ask some questions, one at a time, starting with when this all began. Is there anything that makes it better or worse?

[User] Rest makes it worse.

[Assistant] I appreciate that. Is it there all the time, or does it come and go?

[User] It's intermittent.

[Assistant] Noted — thank you. How much is this affecting you day to day — and what number would you give it on a pain scale?

[User] About 9.

[Assistant] Thank you — that's helpful. How would you describe the sensation itself?

[User] It's frank blood.

[Assistant] I appreciate that. Does it stay put, or does it travel anywhere else in your body?

[User] Yes. My nowhere else.

[Assistant] Thank you for clarifying. When did this first start, and did it come on suddenly or gradually?

[User] Since yesterday. It started out of nowhere.

[Assistant] Thank you — that's helpful. Thank you for that. I want to make sure I capture your full history now — so a few questions about medications and past conditions.

System: respiratory


[User] I have dyspnoea at rest. I don't want to catastrophise but I've been reading some terrible things online.

[Assistant] Your concerns are valid, and I'm here to make sure we take this seriously. I want to make sure I have a complete picture. Let me ask some questions, one at a time, starting with when this all began. Have you noticed anything that relieves it or makes it more intense?

[User] It definitely gets worse with rest. I've tried warmth and it helps a little but I'm still worried.

[Assistant] Understood. When did you first notice this — was it sudden or did it build up over time?

[User] It started for three days now — out of nowhere. I've been tracking it obsessively. Is that bad?

[Assistant] Noted — thank you. If you had to describe the feeling in one or two words, what would they be?

[User] It feels unable to speak in sentences. I've been trying to describe it and that's the closest I can get. Does that mean something serious?

[Assistant] Good, that helps me understand. Does it move or spread from where it started?

[User] Actually yes — it does go into my nowhere else. I didn't mention that. Is that important?

[Assistant] Understood. At its worst, how would you rate the intensity on a scale from one to ten?

[User] Oh, I'd say at least a 6. Maybe higher when I think about it too much. It's really affecting me.

[Assistant] Thank you for clarifying. That's everything I need on the symptoms for now. I'll move on to a few questions about your health background.

System: cardiovascular/respiratory


[User] I've had red eye for a while now and I've been reading everything I can find. I'm terrified.

[Assistant] I can hear how worried you are, and I want you to know that's completely understandable. Thank you for sharing that. I want to make sure I understand your symptoms fully — I'll ask you a few questions, one at a time. Does it come on at any particular time, or is there a trigger you've noticed?

[User] It definitely gets worse with rest. I've tried warmth and it helps a little but I'm still worried.

[Assistant] Good, that helps me understand. Does it feel sharp and stabbing, or more like a dull ache, or perhaps a pressure?

[User] It feels painless. I've been trying to describe it and that's the closest I can get. Does that mean something serious?

[Assistant] I appreciate that. When did this first start, and did it come on suddenly or gradually?

[User] It started since yesterday — it came on quickly. I've been tracking it obsessively. Is that bad?

[Assistant] I appreciate that. Is it in one location, or does it radiate into your neck, arm, or back?

[User] It doesn't seem to spread anywhere, but I'm not sure if that's good or bad.

[Assistant] I appreciate that. How much is this affecting you day to day — and what number would you give it on a pain scale?

[User] Oh, I'd say at least a 7. Maybe higher when I think about it too much. It's really affecting me.

[Assistant] Thank you for clarifying. That's everything I need on the symptoms for now. I'll move on to a few questions about your health background.

System: ophthalmological


[User] The halitosis has been there for a while. My wife said I should mention it.

[Assistant] I'm glad you came in. Your concerns matter, and it's always right to check. That's helpful to know. To understand this better, I'd like to ask you a few questions. I'll go through them one at a time. Would you say it's mild, moderate, or severe — and could you give it a number?

[User] I'd say about a 5, maybe. It's uncomfortable but I've managed.

[Assistant] Got it — thank you for that. Can you describe what it feels like — is it sharp, dull, or more of a pressure?

[User] It's more of a associated sinus sensation, if that makes sense.

[Assistant] Noted — thank you. Does it come on at any particular time, or is there a trigger you've noticed?

[User] It's worse with rest, I've noticed. Lying still seems to ease it a little.

[User] Am I going to be all right?

[Assistant] I can hear how worried you are. Let me focus on making sure nothing is missed so the clinical team can make that determination. Has it been getting better, getting worse, or staying the same?

[User] It's constant. Seems to be a bit better if anything.

[Assistant] Thank you — that's helpful. When did this begin, and was there anything happening at the time it started?

[User] It's been since yesterday. Came on slowly over time, really. Didn't think much of it at first.

[Assistant] That's useful to know. That's everything I need on the symptoms for now. I'll move on to a few questions about your health background.

System: ENT/gastrointestinal


[User] I've been having severe allergic reaction and I'm really scared about what it could mean.

[Assistant] Your concerns are valid, and I'm here to make sure we take this seriously. Thank you for sharing that. I want to make sure I understand your symptoms fully — I'll ask you a few questions, one at a time. Is it there all the time, or does it come and go?

[User] It's intermittent. And I think it's a bit better — which is really worrying me.

[Assistant] Noted — thank you. Is there anything you do that seems to help or that makes it worse?

[User] It definitely gets worse with insect sting. I've tried rest and it helps a little but I'm still worried.

[Assistant] Good, that helps me understand. How severe is it? If one is barely noticeable and ten is unbearable, where does it sit?

[User] Oh, I'd say at least a 5. Maybe higher when I think about it too much. It's really affecting me.

[Assistant] Got it — thank you for that. How would you describe the sensation itself?

[User] It feels hypotension. I've been trying to describe it and that's the closest I can get. Does that mean something serious?

[Assistant] Good, that helps me understand. That's everything I need on the symptoms for now. I'll move on to a few questions about your health background.

System: immune


[User] I've had falls for a while now. I wasn't sure if it was worth mentioning. It's more of a drop attack sensation, if that makes sense.

[Assistant] That's useful to know. When did you first notice this — was it sudden or did it build up over time?


[User] Muscle weakness. Been going on a while. I need answers.

[Assistant] I respect that. Let's get right to it. I hear you. Let me ask a few things to make sure I understand what's been happening properly. Is it continuous, or does it come and go throughout the day?

[User] Comes and goes. Staying the same.

[Assistant] I appreciate that. When did you first notice this — was it sudden or did it build up over time?

[User] For a couple of days. Slowly over time.

[Assistant] Got it — thank you for that. Can you describe what it feels like — is it sharp, dull, or more of a pressure?

[User] One side.

[Assistant] Thank you for clarifying. Does it stay put, or does it travel anywhere else in your body?

[User] No. Just where it is.

[Assistant] Thank you for clarifying. Would you say it's mild, moderate, or severe — and could you give it a number?

[User] 8.

[Assistant] Thank you for clarifying. Is there anything that makes it better or worse?

[User] Worse with fatigue. Better with warmth.

[Assistant] Noted — thank you. Thank you for that. I want to make sure I capture your full history now — so a few questions about medications and past conditions.

System: musculoskeletal/neurological


[User] I've had feeding difficulty. Rest makes it worse.

[Assistant] Thank you for clarifying. What does it feel like exactly — a burning, aching, tightness, or something else?


[User] Menstrual irregularity. Been going on a while. I need answers. Irregular.

[Assistant] Good, that helps me understand. How bad is it at its worst? Can you give me a number out of ten?


[User] I have leg swelling. That's why I'm here. Worse with movement. Better with rest.

[Assistant] Understood. If you had to describe the feeling in one or two words, what would they be?


[User] Urinary symptoms. Been going on a while. I need answers. Over the past few weeks. Out of nowhere.

[Assistant] Noted — thank you. Does it fluctuate, or is it there constantly?


[User] I have breast pain. I don't want to catastrophise but I've been reading some terrible things online.

[Assistant] Your concerns are valid, and I'm here to make sure we take this seriously. I appreciate you telling me that. Let me ask a few things to build a clearer picture, one question at a time. Is it there all the time, or does it come and go?

[User] It's intermittent. And I think it's about the same — which is really worrying me.

[Assistant] Good, that helps me understand. Would you say it's mild, moderate, or severe — and could you give it a number?

[User] Oh, I'd say at least a 7. Maybe higher when I think about it too much. It's really affecting me.

[Assistant] Noted — thank you. When did this begin, and was there anything happening at the time it started?

[User] It started about two days — out of nowhere. I've been tracking it obsessively. Is that bad?

[Assistant] Noted — thank you. How would you characterise the pain or discomfort — what's the quality of it?

[User] It feels cyclical. I've been trying to describe it and that's the closest I can get. Does that mean something serious?

[Assistant] That's useful to know. That's everything I need on the symptoms for now. I'll move on to a few questions about your health background.

System: gynaecological


[User] The developmental concern has been going on and I can't stop thinking about it. I'm so worried. It started about two days — slowly over time. I've been tracking it obsessively. Is that bad?

[Assistant] Noted — thank you. Does it stay in one place, or does it spread or move anywhere?


[User] Well, it's the alopecia areata. It's been there for a bit. Not dramatic, but it's been on my mind.

[Assistant] Thank you for taking this step — your wellbeing is important. That's helpful to know. To understand this better, I'd like to ask you a few questions. I'll go through them one at a time. Does it feel sharp and stabbing, or more like a dull ache, or perhaps a pressure?

[User] It's more of a patchy sensation, if that makes sense.

[Assistant] Thank you for clarifying. How bad is it at its worst? Can you give me a number out of ten?

[User] I'd say about a 6, maybe. It's uncomfortable but I've managed.

[Assistant] Understood. Does it stay in one place, or does it spread or move anywhere?

[User] Now you mention it, yes — there's something into my nowhere else.

[Assistant] Understood. Has it been getting better, getting worse, or staying the same?

[User] It's comes and goes. Seems to be a bit better if anything.

[Assistant] That's useful to know. Is there anything that makes it better or worse?

[User] It's worse with movement, I've noticed. Lying still seems to ease it a little.

[Assistant] That's useful to know. Thank you for that. I want to make sure I capture your full history now — so a few questions about medications and past conditions.

System: dermatological/immune


[User] I've had halitosis for a while now and I've been reading everything I can find. I'm terrified.

[Assistant] Thank you for reaching out — it takes courage when you're feeling scared. I hear you. Let me ask a few things to make sure I understand what's been happening properly. How would you characterise the pain or discomfort — what's the quality of it?

[User] It feels associated sinus. I've been trying to describe it and that's the closest I can get. Does that mean something serious?

[Assistant] Thank you — that's helpful. How long has this been going on? And did it start suddenly or gradually?

[User] It started over the past few weeks — it came on quickly. I've been tracking it obsessively. Is that bad?

[Assistant] Got it — thank you for that. How much is this affecting you day to day — and what number would you give it on a pain scale?

[User] Oh, I'd say at least a 4. Maybe higher when I think about it too much. It's really affecting me.

[Assistant] Understood. Does it change with movement, rest, or anything else?

[User] It definitely gets worse with rest. I've tried lying still and it helps a little but I'm still worried.

[User] You must have some idea what this is.

[Assistant] That's something the clinical team will be best placed to assess — for now, let me make sure they have all the information they need. Does it stay put, or does it travel anywhere else in your body?

[User] Actually yes — it does go into my nowhere else. I didn't mention that. Is that important?

[Assistant] I appreciate that. Is it constant or does it come in waves?

[User] It's worse in the morning. And I think it's staying the same — which is really worrying me.

[Assistant] Noted — thank you. Thank you for that. I want to make sure I capture your full history now — so a few questions about medications and past conditions.

System: ENT/gastrointestinal


[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] 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] I'm not on anything. Well — just the occasional paracetamol.

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

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

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

[User] I stopped 20 years ago.

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

[User] Yes — 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] 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] 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, sertraline 100mg daily, ramipril 5mg daily.

[Assistant] Noted — thank you for sharing that. Do you have any drug allergies or reactions I should note?

[User] Amoxicillin. It gave me rash.

[Assistant] Noted. Thank you for telling me. Have you been hospitalised or had any procedures carried out in the past?

[User] No surgeries.

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

[User] Ex-smoker. 13 years ago.

[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] 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] 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. Can you run through any medications you're taking — even things you might consider minor?

[User] Yes. Let me think — clopidogrel 75mg 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] I've never had a reaction to anything.

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

[User] Yes — cataract surgery last year.

[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] 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 father had a heart attack at 55. That's probably relevant.

[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] 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] Sure.

[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.

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

[User] I don't think so — nothing's ever been flagged.

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

[User] hernia repair 6 years ago.

[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] Nothing that I know of.

[Assistant] Thank you — that's very helpful. Can I ask about your smoking history — do you smoke at all?

[User] Ex-smoker. 25 years ago.

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


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

[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. Are there any medications or substances you've had a reaction to in the past?

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

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

[User] Yes. I've got obstructive sleep apnoea. Been managed for years.

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

[User] Well — my brother has hypertension. That's probably relevant.

[Assistant] Got it — that's really important information. 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, that's fine. Go ahead.

[Assistant] Good. Let's move on to your medical history so the clinical team has everything they need. Do you take any regular medications — including things like vitamins or supplements?

[User] Yes. Let me think — hydroxychloroquine 200mg twice daily. 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] I've never had a reaction to anything.

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

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

[Assistant] Got it — that's really important information. 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. 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] Excellent. Now let me ask about medications, allergies, and your health history. Are you taking any medications at the moment — prescription or over the counter?

[User] Yes. Let me think — levothyroxine 50mcg daily, methotrexate 15mg weekly, atorvastatin 40mg at night. I've been on those for a while.

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

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

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

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

[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] 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] 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 ramipril 5mg daily, levothyroxine 50mcg daily. Is any of that relevant to what we're discussing? I'm always worried about drug interactions.

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

[User] No known allergies.

[Assistant] Noted. Thank you for telling me. Have you had any previous operations or procedures?

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

[Assistant] Got it — that's really important information. Are there any conditions you've been treated or monitored for over time?

[User] No ongoing conditions.

[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] 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] 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 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.

[Assistant] Excellent. Now let me ask about medications, allergies, and your health history. Can you run through any medications you're taking — even things you might consider minor?

[User] insulin lispro at mealtimes, ramipril 5mg daily.

[Assistant] Noted — thank you for sharing that. Do you have any drug allergies or reactions I should note?

[User] Metronidazole. It gave me severe nausea.

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

[User] No, I've never smoked.

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

[User] around 10–14 units a week.

[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] Okay. What specifically?

[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] gabapentin 300mg three times 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] No known allergies.

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

[User] Hypertension.

[Assistant] Noted. Thank you for telling me. Have you been hospitalised or had any procedures carried out in the past?

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

[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] No.

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

[User] Ex-smoker. Stopped 11 years ago.

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

[User] around 10–14 units a week.

[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] Yes, that's fine. 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. Before I move on, can you tell me what medications you're currently on, if any?

[User] Yes. Let me think — codeine 30mg as needed, metformin 500mg twice daily, methotrexate 15mg weekly. I've been on those for a while.

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

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

[Assistant] I've made a note of that — thank you. Have you ever had surgery or any significant medical procedures?

[User] Yes — caesarean section 6 years ago.

[Assistant] Understood. I've recorded 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] 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] insulin glargine 20 units at night, allopurinol 300mg daily, metformin 500mg twice daily.

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

[User] Cephalosporins. It gave me rash.

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

[User] My family history of high cholesterol.

[Assistant] Noted — thank you for sharing 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 have any ongoing medical conditions that have been diagnosed by a doctor?

[User] I have hyperthyroidism and epilepsy.

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

[User] coronary artery bypass graft 7 years ago.

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

[User] No, I've never smoked.

[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] 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] Nothing prescribed at the moment.

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

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

[Assistant] Noted. Thank you for telling me. Have you been diagnosed with any long-term health conditions?

[User] Nothing that I know of.

[Assistant] Got it — that's really important information. Do you smoke, or have you smoked in the past?

[User] Ex-smoker. Stopped 21 years ago.

[Assistant] Got it — that's really important information. 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] 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] amitriptyline 25mg at night.

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

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

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

[User] Hernia repair 6 years ago.

[Assistant] Noted — thank you for sharing that. Can I ask about your smoking history — do you smoke at all?

[User] Yes. less than 5 a day.

[Assistant] Got it — that's really important information. Do you have any ongoing medical conditions that have been diagnosed by a doctor?

[User] Chronic fatigue syndrome and heart failure.

[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] Yes, that's fine. 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] Yes. Let me think — insulin glargine 20 units at night. I've been on those for a while.

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

[User] I don't think so — nothing's ever been flagged.

[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 sibling with type 1 diabetes. That's probably relevant.

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

[User] No, I've never smoked.

[Assistant] Noted. Thank you for telling me. 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] Excellent. Now let me ask about medications, allergies, and your health history. Can you run through any medications you're taking — even things you might consider minor?

[User] warfarin variable dose.

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

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

[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] Heart failure and previous stroke.

[Assistant] I've made a note of that — thank you. Is there anything significant in your surgical history — any operations or hospitalisations?

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

[Assistant] Thank you — I've noted 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] Go ahead.

[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] paracetamol as needed, insulin glargine 20 units at night, hydroxychloroquine 200mg twice daily.

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

[User] I don't think so — nothing's ever been flagged.

[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. Is there anything significant in your surgical history — any operations or hospitalisations?

[User] hip replacement 3 years ago.

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

[User] I have gout.

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

[User] My sister has breast cancer.

[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. 2 years ago.

[Assistant] Got it — that's really important information. 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. I've got quite a lot to tell you.

[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] Yes — I take levothyroxine 50mcg daily, insulin glargine 20 units at night, enalapril 10mg twice daily. 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 morphine. I had hallucinations and confusion. It was terrifying. I always make sure to mention it.

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

[User] I don't drink.

[Assistant] Got it — that's really important information. Have any close relatives been diagnosed with serious conditions — especially conditions that can run in families?

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

[Assistant] Noted. Thank you for telling me. Have you been diagnosed with any long-term health conditions?

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

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

[User] I don't smoke.

[Assistant] Thank you — that's very helpful. Have you been hospitalised or had any procedures carried out in the past?

[User] Yes — I had a hysterectomy 8 years ago. It all went fine but I was very anxious about it.

[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 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'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] 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 — prednisolone 5mg daily, 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] Yes, actually. Aspirin. It gave me asthma exacerbation years ago. My doctor knows.

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

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

[Assistant] Thank you — I've noted that. 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] Noted. Thank you for telling me. Do you drink alcohol? If so, roughly how often?

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

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

[User] Yes — cataract surgery last year.

[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] 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. Do you take any regular medications — including things like vitamins or supplements?

[User] atorvastatin 40mg at night.

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

[User] Caesarean section 6 years ago.

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

[User] Atrial fibrillation.

[Assistant] Understood. I've recorded that. 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] Of course — yes, please ask me anything about my history.

[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 — I take prednisolone 5mg daily. 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] Noted. Thank you for telling me. Have you ever had surgery or any significant medical procedures?

[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 telling me. Can I ask about your alcohol use — roughly how much per week?

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

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

[User] I don't smoke.

[Assistant] I've made a note of that — thank you. Does anything run in your family that a doctor should know about?

[User] Yes — my family history of high cholesterol. I've always worried that might mean something for me.

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


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

[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 — I take ramipril 5mg daily, atorvastatin 40mg at night. Is any of that relevant to what we're discussing? I'm always worried about drug interactions.

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

[User] No known allergies.

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

[User] Yes — my sister has breast cancer. I've always worried that might mean something for me.

[Assistant] Thank you — that's very helpful. Can I ask about your smoking history — do you smoke at all?

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

[Assistant] Noted. Thank you for telling me. Have you been diagnosed with any long-term health conditions?

[User] No ongoing conditions.

[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] 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] Okay.

[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] prednisolone 5mg daily, salbutamol inhaler as needed, furosemide 40mg daily.

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

[User] No allergies as far as I know.

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

[User] Nothing that I know of.

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

[User] 2–3 units a week.

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

[User] Yes. 20 cigarettes.

[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.