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[ "patient: can the coronavirus leave lung scarring? i thought i heard something about it.", "doctor: in brief: yes like most lung infections there will be changes in the lung structure, probably microscopically and may not be seen on x-rays, would you like to video or text chat with me?" ]

[ "patient: are patients with diabetes, less likely to survive this awful virus?", "doctor: not at all. if you are a well controlled diabetic then you will be fine. you will have an equal risk of getting it. if you are poorly controlled then you are more at risk of it complicating. but boost your immunity and stay at home. get online shopping. keep bags outside and sterilize everything coming into your home - entire item. keep using this forum for questions. :)" ]

[ "patient: displaying mild symptoms: slightly sore chest dry throat intermittent dry cough slight headache that comes and goes quickly out of breath temperature is between 37.1-37.5 at bed time the past couple of days don't feel really sick just slightly off?", "doctor: in brief: test your shortness of breath is concerning. you may have an underlying condition and should also be screened for coronavirus. stay home, rest and drink fluids until you are seen by your physician. a chest image may be performed at the visit. would you like to video or text chat with me?" ]

[ "patient: my 80 year old wife is home recovering from pneumonia (double) twice in august. her blood pressure has dropped to 82/44. how dangerous and how can i increase the level. hospital sent her home with oral antibiotics the first time, no antibiotics the second time. she has been treated for this disease 4 times in past 12 months.", "doctor: low blood pressure can be a serious and life-threatening problem. is her blood pressure normally a lot higher than this? if so, then i would suggest urgent evaluation by a physician. infections can lead to a response called sepsis, and part of this may include a drop in blood pressure, which can be dangerous to her organs. ensuring adequate hydration is important, as dehydration can cause low blood pressure as well. if she is acting confused, fatigued, or more tired than usual then i would suggest urgent medical evaluation. i hope she feels better." ]

[ "patient: hello iam have a very painfull pain in my through since this morning?", "doctor: in brief: common flu hello.during the coronavirus outbreak the best thing you can do for yourself, your family and your comunity is to stay home. don't go to school or work, stay at home and isolate yourself specially from the elders.do whatever you do when you have the common cold.drink a lot of fluids, take tylenol for the sore throat and please don't go to the doctor unless you're feeling shortness of breath would you like to video or text chat with me?" ]

[ "patient: i was recently diagnosed with pneumonia. i had pneumonia when i was a baby but never since. i was shocked when i heard the diagnosis. the symptoms became apparent on march 28. i began taking doxycycline monohydrate on monday april 3 and must take them for seven days. i am mega healthy and have not been sick in years. i can t even remember the last time i was sick. this has really knocked me out. i have zero energy and very little appetite. how does pneumonia manifest in the lung and how does bacteria get in there? how long will it be until i recover? i am really having a hard time with this. help!", "doctor: respected user , hithanks for using healthcaremagic.comi have evaluated your query thoroughly .* mechanism of pneumonia follows as - susceptible pathogens in form of bacteria enters the respiratory tract via nose or throat ( air borne ) , settles there in respective lung tissues through aleveoli and bronchi - start manifestations in form of various symptoms of bronchitis , effusion or others .* treatment guidelines - maintain hydration with plenty of liquids . - balanced nutritious diet . - regular antibiotics , anti inflammatory , decongestants as per advise by your doctor . - regular walking , exercises ( deep breathing ) , yoga . - avoid smoking , alcohol . - have patience , recovery time depends upon the causative organism , host response factors and type of treatment ( it may take days to weeks ) .hope this clears your query .welcome for any further assistance .regards ." ]

[ "patient: i was diagnosed with a very large pneumonia about a month ago in my left upper lobe, i have been on 3 different kinds of antibiotics. i just received a phone call from my doctor with the results from my follow up chest xray and find out that the pneumonia has not gone away and is still about the same size. what should be our next step? she wants to put me on another type of anibiotic.", "doctor: thanks for your question on healthcare magic.i can understand your concern.you are having persistent lung opacity despite of antibiotic treatment.so possibility of these is very high. 1. drug resistant infection2. malignancyso better to first diagnose and then start appropriate treatment.bronchoscopy and ct scan of thorax are advised in your case.bronchoscopy will isolate the causative organism and guide about specific antibiotic therapy.ct scan will tell you if there is mass lesion present or not.hope i have solved your query. i will be happy to help you further. wish you good health. thanks." ]

[ "patient: my directors have asked me to take a covid-19 test. but i am not sure if i just have a common cold or if i really need the test. i am monitoring my temperature which has been stable at around 37.3 or so. i need some advice please?", "doctor: in brief: if you meet criteria you should test if you meet the criteria for testing, which currently states that you should have symptoms (cough/fever/shortness of breath/sore throat) plus contact with a confirmed or suspected case of covid-19. if you do not have a contact, then best would be to isolate yourself (which you will be doing on lockdown anyway). would you like to video or text chat with me?" ]

[ "patient: hi, my name is xxxx. my grandfather is suffering from pneumonia right now and refuses to go to the doctor because of the price needed to obtain a patented medicine. in indonesia, it is not hard to find these kinds of doctors that don t want to help people in need. what medicine can you guys recommend for a home treatment?", "doctor: hello, as you explain the situation, unfortunately, there is no home treatment for pneumonia. i strongly recommend you to go to the hospital as an emergency which is free mostly. hope i have answered your query. let me know if i can assist you further. regards, dr. jnikolla, pulmonologist" ]

[ "patient: have recently been diagnosed with fibromyalgia and a mannose-binding lectin deficiency (low range). how likely am i to have a life threatening complications should i contract covid19?", "doctor: not stablished. all caution measures should be applied, including social distancing, sanitizer, and protection mask when crowded places are inevitable. although mbl deficiency causes increased susceptibility to infections, mostly in people with chronic diseases, covid-19 outbreak is so recent that a specific relationship with this disease has not been stablished. anyway, have extreme caution and use protection." ]

[ "patient: can taking extra vitamin c every day help prevent you from catching the coronavirus or the flu? if so, how much vitamin c is recommended?", "doctor: in brief: vitamin c while getting enough vitamin c in your diet is highly recommended, it has no special ability to prevent coronavirus or flu virus. best preventative measures for these are frequent handwashing and avoiding people with sneezing/coughing/cold symptoms and fevers." ]

[ "patient: i started a cough in 2009 that was diagnosed as severe bronchitis and then a couple years i had pneumonia twice and now i ve got combination of bronchitis and pneumonia bad cough. i just had a second ct scan one was august 22nd and the other one was october 23rd and i ve never been told a diagnosis before but i happened to see it on my chart what: hospital outpatient visit with lks ct 1 when: monday october 23, 2017 7:30 am (30 minutes) where: lakeside hospital cat scan (lakeside)diagnosis: interstitial lung disease.i am going november 27th to discuss this diagnosis i hope i was just told i don t have copd and then i get this lung disease which i ve never heard of and it doesn t have a very good survival rate i m 63 female.", "doctor: hello,ct scan is diagnostic for interstitial lung disease (ild). it can develop after the age of 60 years especially if the patient is having bronchitis and recurrent pneumonia.yes, you are right about survival. it is not having a good prognosis.but, now day’s newer treatments like pirfenidone and n acetylcysteine (nac) drugs are available. so consult pulmonologist and discuss these newer treatments.hope i have answered your query. let me know if i can assist you further.regards,dr. kaushal bhavsar" ]

[ "patient: good day, my son, who is 4 yrs old, has been diagnosed with lobar pneumonia and is now hospitalised. this is about his 6th or 7th infection. he had a double aortic arch that led to the entrance of his right lung and his trachea and esophagus being squeezed. he is now diagnosed with asthma. can the pneumonia deplete his lung function over time? what, if anything, can i do to reduce the number of infections?", "doctor: thanks for your question on healthcare magic.i can understand your concern.yes, recurrent lung infections can directly diminish lung functions.recurrent infections can also cause asthma, bronchitis and further deteriorate lung functions.best way to prevent respiratory tract infection is vaccines.give him pneumococcal and influenza vaccines.these vaccines will provide 80% protection. give him fruits, multivitamin tablets and protein powder for high immunity.hope i have solved your query. i will be happy to help you further. wishing good health to your son. thanks." ]

[ "patient: my daughter of 10 has a high fever 39-40 degrees., sore throat and body aches. i have elderly parents living with us and i am concerned about covid 19. please advise.", "doctor: in brief: isolate sick people throat pain can be from a strep throat (antibiotics needed), a cold or influenza, or from some other cause such as allergies or irritants. usually, a person sees the doctor (call first) if the sore throat is bothersome, recurrent, or doesn't go away quickly. the flu or covid-19 usually have cough, fever, body aches; whereas strep is mainly sore throat. can call doctor by video or phone. (3/25/20) would you like to video or text chat with me?" ]

[ "patient: what should i do if i feel sick, but am not sure if it's coronavirus?", "doctor: symptoms. first, symptomatic treatment at home, plenty fluids and rest. also apply all the preventive measures of social distancing. but if you are aware of any possible contact with an infected person, it is difficult to breath, fever does not low with bath or paracetamol, you are diabetic or with another chronic disease like hypertension, clinical attention should be asked for as soon as possible." ]

[ "patient: my 68 yrs old mom still waiting for corona virus test results. she’s had 101-102 fever for a week ct showed pneumonia she is at the hospital now . does the fact that her fever is not getting better means that her pneumonia isn’t getting better?", "doctor: in brief: one sign on treatment for bacterial pneumonia, fever will usually decline within 2 days. a follow up chest image may be indicated. if you would like to upload her ct and clinical information to an inbox consultation with ht, we can provide an opinion. sometimes there is slow resolution of a pneumonia, particularly with underlying medical conditions. the test results should be back soon. would you like to video or text chat with me?" ]

[ "patient: low grade fevers 99.8, constant trigger points that are tender to touch in trapezius muscles and muscles feel warm to touch, pointer finger, and middle finger on right hand are very sore, sore to open and close hand in those fingers, whats wrong?", "doctor: in brief: systemic infection fever and muscle pains could indicate systemic infection, likely viral, deoendiing on your travel history. right hand joint pains, if previously injured or arthritic, could be flared up by systemic infection.call your local nurse or doctor to get screened telephonically for influenza & corona viruses & malaria.colchicine and panado may help if gouty joint pains. would you like to video or text chat with me?" ]

[ "patient: i believe i might have covid 19 symtoms. it's possible to get testing done at home to confirm? currently i have soar throat, started last night around 19:30", "doctor: no. it is currently not possible but hopefully house to house testing coming according to cyril ramaphosa last night. you can get tested at some clinics, safest right now is to stay at home unless you are imminently unwell. if safe and in as much isolation as possible you can be tested at lancet and ampath, due to capacity stretching they are now only testing people who fit the criteria. ." ]

[ "patient: are children with a respiratory pathology at greater risk for covid-19 (since there are so little cases of children getting the virus, but still their natural history could be an issue)?", "doctor: be very cautious . there is not a lot of information on children with covid-19 but definitely would try to protect this child especially and consult the doctor asap if child develops fever and shortness of breath." ]

[ "patient: hi i have a runny nose difficulty breathing even with an asthma pump my head is pounding body aches and chills ?", "doctor: in brief: symptoms if you are not having troubles breathing best to self-isolate. follow the following guidelines: https://www.healthtap.com/blog/covid-19-care-guidelines/preventing-covid-19probably worthwhile to first isolate yourself: guidelines as follow: https://www.healthtap.com/blog/covid-19-care-guidelines/self-quarantine-guideif you are not having significant sob covid should be mild for you. would you like to video or text chat with me?" ]

[ "patient: hi my husband has been puking since this morning, has serious vertigo + is off balance. im suspecting food poisoning but want to be sure. i gave him a pill for nausea, which is working. do i still take him to a doctor to check that its nothing else?", "doctor: in brief: no if food poisoning he will either recover or need a drip to replace fluids don't go into public spaces now, if food poisoning do what you can, if he needs a drip go to a non corona hospital try everything to stay home, rehydrat onto ice chips, maxalon over the counter would you like to video or text chat with me?" ]

[ "patient: i have been sick for five weeks, i had pneumonia or bronchitis my doctor said. three weeks later i wasn't better so i went to doctor and had spatum test and she said i had significant ammounts of strep in my spatum. i have chest pains and burning in my lungs, dizziness, caughing and a lot of mucus. i don't really understand what strep is and if this is serious", "doctor: step short form for streptococcus pneumonia. it is a microorganism which causes pneumonia or infection. with antibiotics it should get treated. it can be serious if not treated." ]

[ "patient: can animal byproducts spread coronavirus? do i have to worry about milk, eggs, or fruits?", "doctor: in brief: no we have no evidence of any concern with such spread. it may be worth wiping all packages that come i nto the house with lysol wipes would you like to video or text chat with me?" ]

[ "patient: my daughter has had a high temperature (around 37 degrees), sore throat and headaches for 2 days. she is responding to medication. should i have her tested for covid19?", "doctor: maybe. do video w/" ]

[ "patient: what else besides a mask can i wear to protect myself from catching corona from others?", "doctor: in brief: distance staying separated by 6 feet can make a difference! the following guideline should help!https://www. healthtap.com/blog/covid-19-care-guidelines/preventing-covid-19 would you like to video or text chat with me?" ]

[ "patient: i have tonsillitis long time ago and every year i feel allergic problem in my thort. about 7 days i feel same allergic problem in my thort and tongue i have 1 canker sore. i take just anti histamine. but ago i treat this with prednisone. does it covid 19?", "doctor: can call dr on video. throat pain can be from a strep throat infection (antibiotics needed), a cold or influenza, eb virus, or from some other cause such as allergies, irritants, or acid reflux. usually, a person sees the doctor (call first) if the sore throat is bothersome, recurrent, or doesn't go away quickly. covid-19 infections tend to have cough, whereas strep usually lacks cough but has more throat pain." ]

[ "patient: sore throat, ear ache, headache and a light cough. do i need to worry?", "doctor: in brief: symptoms sore throat less associated with covid. possibilities include strep, flu, covid or other virus. the following guide should help:https://www.healthtap.com/blog/covid-19-care-guidelines/preventing-covid-19 would you like to video or text chat with me?" ]

[ "patient: hello, on friday, i was diagnosed with pneumonia and the chest x-ray states minimal linear subsegmental atelectasis in the left lower lobe. i have been taking an antibiotic since friday. i am still feeling tired and drained. is this to be expected with minimal linear subsegmental atelectasis in the left lower lobe?", "doctor: hey,minimal linear atelectasis doesn't mean pneumonia of lung, but still if you are diagnosed as pneumonia then it's ok.and yes tiredness is expected for 4-5 days at least." ]

[ "patient: can covid19 cause shortness of breath without a cough?", "doctor: yes. there are many causes of shortness of breath. covid-19 may be one cause and is not necessarily associated with cough. fever is one prominent symptom, but the absence of fever does not rule out the infection. ." ]

[ "patient: re covid 19 i understand the incubation period of covid 19 is up to 14 days. but how long is the contagious period? i have read one is contagious 2 days before showing symptoms. is that true? are you still contagious until symptom free?", "doctor: covid. for most people the infection can last up to two weeks. in people who get particularly ill the infection last 4 to 6 weeks. ." ]

[ "patient: about the ibuprofen and covid 19 should i quit taking it? it’s got me paranoid. the way the media’s been talking about it. i take it everyday for my neck pain and back pain. i can’t take pain pills because they make me nauseas. any insight please", "doctor: uncertain data. hello.the data available about the coronavirus and ibuprofen are inconclusive.nevertheless you should visit a pain specialist doctor for the manage of your pain. it's been established that ibuprofen and other nsaid's taken in large doses or long periods cause kidney damage." ]

[ "patient: i know hand washing (20+ seconds) is best to kill coronavirus, and that if not available use sanitizer of 60%+ alcohol. i thought my sanitizer was but realized it's only 57.6%. been using lots for weeks. i've stopped using it. should i be worried?", "doctor: in brief: life is not exact in pandemic times, supplies are short. life is not that exact. that means 57.6% is fine, and if a person catches the coronavirus, it won't be because she was missing 2% on her hand sanitizer. remember that the virus goes from person to person. if there are no people close by, and if the high-touch surfaces like table tops, keyboards, or doorknobs are clean, then one is a lot safer. (mar. 2020) would you like to video or text chat with me?" ]

[ "patient: some doctors think that the combination of hydroxychloroquine and azithromycin may be effective against covid19. they believe this the only option we have until a vaccine becomes available. at least it is worth trying. do you agree?", "doctor: hard to say. in the absence of treatment i guess we grasp at things. this is definitely doing the rounds but as yet unproven. most people recover from covid. so very very hard to trial. most important right now is not to spread it. so stay home. wash hands." ]

[ "patient: can covid-19 be transmitted sexually? can any coronavirus be transmitted sexually?", "doctor: in brief: sort of if you are having sex with someone who has covid-19 you are quite at risk of getting it. high likelihood if kissing and having intercourse but it may not be transmitted through intercourse but the closeness in an intimate situation like that with someone who is infected gives a high likelihood of transmission." ]

[ "patient: a friend of mine has been treated for an, as yet unidentified, intestinal parasite with the antibiotic levofloxacin. he was also diagnosed with a right lower lobe pneumonia discovered on ct scan. his physician told him that the antibiotic would take of both the pneumonia and the parasite. as a np, i am familiar with levaquin s use to combat pneumonia but the only antibiotics i can find for use as an antiparasitic are tetracyline and emycin if metronidazole cannot be tolerated. is levofloxacin now also being used the way emycin might be used in the absence of flagyl?", "doctor: respected user , hiwarm welcome to healthcaremagic.comi have gone through your concern in depth .* levofloxacin is best effective molecule for pneumonia and many intestine bugs .* metronidazole may be kept reserved on waiting for certain test reports or clinically physician may not need to add to the drug cart according to the evaluation and clinical experience .hope this clears your doubt .regards ." ]

[ "patient: hi i asked a specific question to a dr 2 days ago and haven’t heard anything back. i basically need a referral letter to get a covid test done. it’s that simple. i travelled to cape town but attended an event with over 400 people from all over?", "doctor: see your physician. your personal physician can give you this letter. this forum is for answering general medical/dental questions." ]

[ "patient: i try to control my blood sugars as best i can, but it’s so difficult at times. i’m so scared that because of this, i will die or be seriously ill if i get the virus. i am simply terrified. please help.", "doctor: in brief: anxiety your anxiety is overall justified, given massive social tension mounted by the pandemic. depending on local resources and through your doc's office, you may benefit from counseling from a clinical psychologist via telemedicine in order to avoid exposure during lockdown. use this time to connect to your loved ones remotely ( skype, phone, etc) and talk about your worries. would you like to video or text chat with me?" ]

[ "patient: i have a wet cough. stuffy nose and sometimes get a headache. i took my temperature and it is normal but my cough is starting to get worse. painful. someone sneezed right next to me on 14 march.?", "doctor: symptoms. so you are worried that you might have covid-19. you may also have common cold or influenza. call hour general physician. report your symptoms. they will direct you to proper care." ]

[ "patient: i was swimming in a pool on 2/15 and i slipped and went under the water unexpectedly and i wound up choking quite badly on some water. i couldn't catch my breath and i felt like i had water in my lung that i couldn't expel with coughing. yesterday i began having a hacking cough and a sore throat (fells like my throats on fire). today i feel even worse, my cough is worse and sounds more \"cruddy\" and my throat still hurts, my head is pounding and my body is starting to ache. could i be developing aspiration pneumonia?", "doctor: helloif the situation has been very short under the water i do not think it might be aspiration pneumonia.regardsdr.jolanda" ]

[ "patient: hi, i have come into contact with someone that tested positive for the virus, what do i need to do? i have been isolating for a week now and developed a sore throat yesterday", "doctor: in brief: continue to self isolate. get rest, drink lots of liquids, tylenol as needed, if get severely sick seek care. would you like to video or text chat with me?" ]

[ "patient: does a virus cause lesions dry and oily nose", "doctor: in brief: usually not more likely to cause runny nose increase moist discharge would you like to video or text chat with me?" ]

[ "patient: hi i am 39 years old and have flu like symptoms as of yesterday. runny nose, sore throat. no fever yet. i returned from germany 19 days ago. should i get tested for cov19?", "doctor: if you get fever yes. but from what we know it may bee a little late to get the chines virus after so many days. monitor tempreture." ]

[ "patient: state officials put temp ban on all group activities & shut down nonessential businesses to curb covid-19 spread. in light of that, would you say hosting a group yoga class in school parking lot is unwise? neighbor is doing that & i'm concerned.", "doctor: delay/virtual . virtual get togethers should be considered. keep a distance of at least 6 feet between persons who are not in your household. ." ]

[ "patient: how will i know if i need to get tested for covid 19?", "doctor: virtual consult. best to do a virtual consult, you can through this platform. testing is the only way to know. self isolation is very important right now unless you need urgent medical care. ." ]

[ "patient: i have covid 19 symptoms?", "doctor: without any details it's impossible to say." ]

[ "patient: my hba1c isn’t within target, but i try so hard. does that mean that i am likely to end up in hospital, or die, from coronavirus?", "doctor: in brief: not necessarily you need to consult an endocrinologist for advice about diet, weight control, and medication for controlling a1c. it is not feasible to provide more useful suggestions without talking to you, performing physical examination and may be some test.wish you good health! would you like to video or text chat with me?" ]

[ "patient: hi, i have a friend who is a female, age 16 and has complaints of light-headedness, migraines, blurry vision, can t breathe in deep without coughing, complains of body aches, chills, and a fever. she is going to the er tomorrow because they are unable to go today due to being snowed in. it sounds like pneumonia but not sure.thank you for your help", "doctor: hiyes it might be but not completely.to be sure she should consult her doctor for further follow up.wishes dr.jolanda" ]

[ "patient: daughter turned 1 yr on 20 march. fever above 38 deg celsius in the last couple months we alternated between 5ml nurofen and 125mg empaped (paracetamol) suppository every 4 hours till temp broke. is nurofen safe now regarding ibuprofen and covid19?", "doctor: in brief: basics fever is a normal body response when ill that increases circulation & oxygen supply to the tissues so natural healing comes faster.i would never treat minor fevers around 38 nor would i alternate fever meds. one or the other would be all i use when needed. new data supports avoiding all ibuprofen products when corona virus may be present. would you like to video or text chat with me?" ]

[ "patient: i am experiencing sore throat and lightheaded (unaffected by: prolonged standing, exercise, anxiety, dehydration (fluid loss)). i am not experiencing vomiting, nausea, slow or irregular breathing, abdominal discomfort, rapid heart rate, confusion, convuls", "doctor: in brief: usually an infection new throat symptoms can be from strep throat infection, a cold or the flu, or from another cause such as allergies, irritants, or coronavirus. usually, a person sees the doctor if symptoms is bothersome, recurrent, or don't go improve in a few days. covid-19 infections tend to have chest cough, whereas strep usually lacks cough but has more throat pain. can call dr. on video or phone. (mar. 2020) would you like to video or text chat with me?" ]

[ "patient: what symptoms should i look out for in the novel coronavirus pandemic?", "doctor: in brief: symptoms the symptom of covid-19 begins with mild flu-like symptoms such as fatigue, sore throat and sneeze, followed by fever, dry cough. in severe cases, the cough can progress to productive cough, persistent and followed by shortness of breath. some patients may also experience gi symptoms such as nausea vomiting and diarrhea. would you like to video or text chat with me?" ]

[ "patient: is corno virus 19 can stay on metal and plastic what about the soles of shoes ? would it be nessasary or good idea to take shoes off at door at home and spray with lysol ?", "doctor: in brief: great question not sure if you need to worry about your shoes, but it won't hurt. in my house, we take off shoes and outside clothes at the door after we enter. the clothes go immediately into the laundry, we wash our hands with soap and water, then put on \"house clothes\". different from \"public\" clothes. we try to prevent the potential introduction of the virus into out home. once inside, everything is clean. would you like to video or text chat with me?" ]

[ "patient: hi, i would like to know is the coronavirus one virus or mixed with other viruses as i been told by someone?", "doctor: no. coronavirus is the name of a family of viruses, but each one can cause disease.coronavirus covid-19 is one specific virus linked to the present pandemic, not a mixture of viruses." ]

[ "patient: does my keycare plan cover a flu vaccine shot? and is it necessary to get a shot to help boost my immune system to fight covid-19?", "doctor: keycare flu vaccine. hiplease contact your medical aid to see if meet the qualifying criteria to be covered by a flu vaccine on your plan. usually keycare only covers in patients that are high risk, like asthmatics, diabetes, emphysema, cardiac patients etc.the current flu vaccine does not protect you against covid19 and will not influence you ability to respond to this infection." ]

[ "patient: hi there. my 3 years old daughter had diarrhea for a couple of days and she has a fever without a cough now. can it be covid-19?", "doctor: it could. only way to know is to test, self isolate :)" ]

[ "patient: i have a flu that is getting worse and i have returned from the uk at the end of feb and i have been in direct contact with british and brazilian tourists in sa since then. should i get tested for covid-19 or just remain home with my family?", "doctor: in brief: overseas and covid yes,direct contact with anyone from europe and travel history must get tested. there are drive in facilities in johannesburg.check the net for testing places in ct would you like to video or text chat with me?" ]

[ "patient: what must i do if i have been in contact with a covid19 positive person?", "doctor: if real contact... self-quarantine helps: stay at home, except for going to get medical care. do not go to work, school, church, playgrounds, or other public areas. for medical care questions about your covid-19 symptoms or other health issues, get advice from your doctor by video or phone. see the full guide at: https://www.healthtap.com/blog/post/covid19-coronavirus-self-quarantine-guide." ]

[ "patient: i'm currently have a semi emerging wisdom tooth that is sharp and growing against my inner cheek causing slight discomfort. what can i do to ease the discomfort at home since i can't have the surgery to remove the tooth now due to covid lockdown?", "doctor: nsaids. otc nsaids can help with pain and inflammation. please try calling a local oral surgeon. most medical offices are open for emergencies only, and this probably falls into that category." ]

[ "patient: hi my throat is sore, and very scratchy, i have also have a cough to accompany this, well the cough started about a week ago, i have no fever. just want to know if this is anyway related to covid 19 my voice is also very hoarse?", "doctor: in brief: unlikely it could be, however going out right now is dangerous to you and others. if you don't have it yet going out risks getting it. if you have it you can spread it. try to access a thorough consult on the phone or virtually. keep chatting we are here for you. would you like to video or text chat with me?" ]

[ "patient: swollen tonsils, cough, and feeling slightly feverish.", "doctor: coronavirus possible. seek care right away if difficulty breathing, other severe symptoms.seek testing if sick, plus known covid-19 contact, or travel to high risk country, or been in facility treating people with covid-19, or severe pneumonia of unknown cause.call 0800 029 999 for test. if sick or possibly exposed (not both), stay home.seek consultation if sick.if known exposure & not sick, self-isolate 14 days." ]

[ "patient: i ve had symptoms of cough, headache, stuffy nose, fatigue, and sore throat for 4 days. i know these are typical of common cold. however, once before (18 months ago), when i just tried to ride it out, i developed pneumonia and was in hospital for several days. are there any precautions i can take now to prevent this from getting complicated? thanks.", "doctor: hello and welcome to ‘ask a doctor’ service. i have reviewed your query and here is my advice. yes, you are right. if you don't pay attention in common cold, it can complicate as pneumonia. so follow these steps for better symptomatic relief in common cold. 1. drink plenty of fluids orally and keep yourself hydrated. 2. do warm water gargles and steam inhalation 4-5 times a day. 3. avoid cold foods like ice cream, cold drinks etc. 4. take treatment for common cold regularly. 5. watch for persistent fever, chest pain, yellowish green expectoration, breathing difficulty etc. if any of these symptom appears then immediately get done chest x ray. 6. avoid smoking and alcohol if you have these habits. hope i have answered your query. let me know if i can assist you further." ]

[ "patient: i have pain/discomfort in my lungs. i don't experience simultaneous on both lungs and it not always at the hame position. i don't have a head nor do i have high temperature. i sneeze and cough maybe once a day. do i have corona, should i get tested?", "doctor: exam needed. you are assuming that the discomfort is coming from both lungs, but pain of pleurisy or pneumonia wouldn't come and go in different sites. i doubt your symptoms are lung related, but fever, chills, sweats, worse cough, shortness of breath, wheezing, warrant testing.. if you've been exposed to someone with covid, or if you or someone you were exposed to travelled to an affected region, get tested." ]

[ "patient: i am on my last repeat for my chronic meds. do i have to come in for a dr appointment on can this be done remotely given the covid-19 lockdown?", "doctor: yes. yes you should come but it will not be a consultation depending the treatment you taking. if it is for hiv you will need to go to the lab for for bloods and if it is for hormone replacement there is no need for consultation but either way you have to call the practice reception to check f dr is available." ]

[ "patient: i have a sour throat. i travelled to joburg on 8 march and sat next to a passenger with a face mask and had a running stomach. i now suspect corona infection?", "doctor: ? test. do you have access to testing? if so perhaps do a telephonic consult ? and get tested and self isolate ? usually anosmia - loss of smell is an early warning sign but close contact to someone who is positive it's highly contagious." ]

[ "patient: i would like to enquire is my symptoms are related to covid 19 before going to a testing centre.?", "doctor: shout . what are your symptoms? there are short supply of tests and only if you absolutely need a test at this stage. stay at home, disinfect everything especially any shopping coming from outside your home. ask questions on this forum. stay at home right now." ]

[ "patient: hi, my fiancé has got a case of pneumonia. she was admitted into wellstar douglas hospital in douglasville, ga. last tuesday. she was moved to icu saturday and they still can t seem to get it under control. i am very desperate and need a 2nd professional opinion.", "doctor: thanks for your question on healthcare magic. i can understand your concern. best treatment of pneumonia is identification of causative pathogen and start appropriate antibiotics. so get done sputum culture and sensitivity report. culture report will isolate the causative organism and sensitivity report will guide about effective antibiotic treatment. so consult pulmonologist and discuss all these. hope i have solved your query. i will be happy to help you further. wish you good health. thanks." ]

[ "patient: my directors have asked me to take a covid-19 test. but i am not sure if i just have a common cold or if i really need the test. i am monitoring my temperature which has been stable at around 37.3 or so. i need some advice please?", "doctor: in brief: if you meet criteria you should test if you meet the criteria for testing, which currently states that you should have symptoms (cough/fever/shortness of breath/sore throat) plus contact with a confirmed or suspected case of covid-19. if you do not have a contact, then best would be to isolate yourself (which you will be doing on lockdown anyway). would you like to video or text chat with me?" ]

[ "patient: i have ms should i get tested for coronavirus? i have a soar throat for a week off and on", "doctor: hi there . hi there, if there’s any other symptom like fever, shortness of breath you should get tested and seek medical atention however you should call your local emergency line for covid and stay away from hospitals, and follow oms guidelines please ." ]

[ "patient: i have mild asthma which is well controlled if i were to contract covid 19 would i experience any difficulties as can’t seem to find much information on asthma patients who have had the coronavirus many thanks ?", "doctor: in brief: covid-19 and asthma great question. yes asthma is a chronic lung disease which carries some increased risk with covid-19. good asthma control along with good handwashwng, social distancing avoiding unnecessary travel along with your young age should keep your risk of complications low. smoking, hypertension, diabetes, obesity or compromised immune system are also risk factors to be considered." ]

[ "patient: i am a pregnant pharmacist working in a government hospital. i am in my third trimester. should i take leave until my maternity leave starts due to the coronavirus pandemic? government has not made any recommendations for pregnant healthcare workers", "doctor: not a bad idea. many pharmacists also are trying to work from home whenever possible. your best reference going forward will be your obs-gyn doc and based on your institution's flexibility and further government regulations either work from home, if possible, or go in maternity leave." ]

[ "patient: hi. my children and husband were at the doctor yesterday and he has now informed us he has tested positive for covid19 . he has come home to my 2 babies and mom. how long before we can go for a test?", "doctor: in brief: incubation period 2-14 days(time from exposure to time of getting illness). i am unclear if the doctor is positive or your husband is?you should isolate yourselves at home for 14 days.if your husband is positive,he should be in his own room and own bathroom,if possible.testing only recommended if there are symptoms(fever or cough or shortness of breath)and then you should be tested.good hand washing/no touching face would you like to video or text chat with me?" ]

[ "patient: what are my chances of becoming seriously ill or dying from the virus, as i have diabetes? so scared.", "doctor: death. at your age the risk of death is the following: 0.1–0.2. if your diabetes is controlled your risk should not be markedly worse. make sure you follow appropriate gudelines. neve a guarantee, but your risk of serious problem is still pretty low. ." ]

[ "patient: what’s worse with the coronavirus, type 1 or type 2 diabetes?", "doctor: diabetes. my answer would be controlled or not. type 1 or 2 if managed well and treated can still maintain good immunity. if either are out of control then infections of any type more likely. ." ]

[ "patient: good morning i have all the symptoms for the coronavirus except a high fewer. i have been in contact with someone (who now also are displaying these symptoms) who are staying with a person who visited india in the last few weeks. should i be worried?", "doctor: in brief: symptoms glad you are not ignoring your symptoms. follow the following guidelines: https://www.healthtap.com/blog/covid-19-care-guidelines/self-quarantine-guide. keep in mind that the virus will very likely be of lesser course in someone your age. best to isolate and do the things you would normally do to treat the flu- rest, fluids and antipyretics if needed. if you would get particularly sob be seen. would you like to video or text chat with me?" ]

[ "patient: pharmacy times, in an article from 2017, states that singulair could help prevent viral pneumonia with influenza and could prevent the infection of alveolar cells deep in the lrt. would this hold true with coronavirus? thank you and god bless!", "doctor: in brief: no. it is not... yet that new is based in a paper (https://journals. plos.org/plospathogens/article?" ]

[ "patient: hi i am a health worker and a chronic asthmatic, is it easier for me to contract corona? will i survive it with my comorbidity? should i ask for special leave during this time? i already feel my sinus blocked, very minor sore throat, seldom dry cough", "doctor: in brief: check with pcp. data emerging from preliminary studies in france suggest a decades old medicine, chloroquine may be useful as a preventative drug. it has been used to prevent malaria for decades & manufactures in the us have announced they are increasing production to meet an expected demand. your status & what they are doing in your country should be answered by your doc. would you like to video or text chat with me?" ]

[ "patient: i have a dry cough and a sore throat. i do not have a fever and a slight headache (could be i need more water) i am 4 months pregnant and not sure if i should be tested for corona?", "doctor: socially isolate. get pleanty of fluids and rest and avoid others call dr if fever or difficulty breathing." ]

[ "patient: can an ingrown toenail make your whole foot numb? and if so what can be done at home to stop this from happening? i know a ingrown toenail isn’t a reason to visit a hospital atm with the coronavirus going around.", "doctor: in brief: ingrown toenail an ingrown toenail can make your foot numb. i do er and it is a procedure i will do. however, many primary providers will do the procedure and podiatrists are a good choice. i do not recommend digging into it at home. however, to prevent future toenail problems do not wear pointed shoes, and let toenails grow to tip of toe and keep at that length. would you like to video or text chat with me?" ]

[ "patient: i’ve entered my symptoms into the system & the return i got was that i have either the flu, covid 19, or a cold. should i seek physical medical advice?", "doctor: risk. high risk would be smoker, 60 or older and with medical conditions- heart, lung, kidney. if you are not having significant sob self isolation best to do and treat for flu symtpoms-rest, fluids, tylenol or ibuprofen if needed. https://www.healthtap.com/blog/covid-19-care-guidelines/self-quarantine-guide. tests are being reserved for those with significant symptoms. ." ]

[ "patient: i am unaware of being in contact with anyone showing covid-19 symptoms. i've only been to the shops yesterday. i've been stressing about the whole pandemic and will seldom go to sleep after 11 each night. could it be lack of sleep or anxiety at play?", "doctor: yes. could well be and that is very normal. see how you go, you do have some worrying symptoms. try to do a telephonic consult and if you have access get tested. in the interim self isolate and listen to cyril's advice. be calm, we are here." ]

[ "patient: i was recently released from hospital, i had pneumonia. after 1 week, i have finished the oral antibiotics. 2 days later, the sweats have returned (no temperature) and i am feeling generally unwell. i saw my doctor y day and i had another x-ray. my doctor rang to say there is no change but didn t recommend i do anything different. i have continued my physiotherapy to bring up whatever is in my lungs. the cramping i am now experiencing is excruciatingly painful. i just don t know what to do next. i live in a remote area and accessing a doctor or hospital is difficult. please help.", "doctor: respected user, hi i evaluated your query thoroughly.* what is meant by '' there is no change'' in x-ray ? mean to convey that the pneumonia is as it is in x-ray as before treatment ? then in that case it is non-responsive treatment.* in addition to that your symptoms also show that you are not alright to much extent .* chest pain & cramps are in relation with underlying pneumonia, you are telling that treatment is over but no it is not finished.@ recommend to consult with all details of scanned reports , treatment taken till now , so that we can study the case in detail & make guidelines for further perfect recovery .hope this helps you.welcome for any further assistance.thanks for using healthcaremagic.com & reviewing my answer thoroughly.wishing you fine recovery from the same.regards dear take care." ]

[ "patient: my mom had pneumonia, bronchitis, the flu and a fungal infection in her lungs. when i brought her to a local hospital she was intubated and had to be ambulance two hours away to a hospital that had a bed for patients on a ventilator. she was on a ventilator for three days and they discovered the fungal infection at the hospital. she was there for a total of 15 days. when i brought her home she was given a home health physical therapist, home health occupational therapist, home health nurse to help me take care of her she is still having quite an issue with breathing she can do only so much and gets out of breath, does anyone have any ideals or respiratory rehabilitation or any help they can offer so that my mom can breathe easier to be able to walk and do what she did prior to this illness thank you so very much.", "doctor: hello and welcome to ‘ask a doctor’ service. i have reviewed your query and here is my advice. spirometry exercise would be better for her and anti-fungal treatment should be done with other bronchodilator medication and supportive rx. hope i have answered your query. let me know if i can assist you further." ]

[ "patient: if i live in close quarters with people who have recently traveled from europe, should i stay away from them in order to lower the risk of catching coronavirus?", "doctor: absolutely. good morningwithout being rude, you are quite right to stay well away. also be stringent about hand washing, sanitizing and avoiding contact with your face and other people. monitor any symptoms." ]

[ "patient: because i have type 1 diabetes, does that mean i can’t get the virus just mildly? am i likely to have severe complications? please help.", "doctor: diabetes + covid-19. because you are a type i diabetic it means that you are at greater risk for complications if you contract covid-19. if you have had a sore throat for a few days that gets worse every day, and if you have a fever over 100f, call your general physician. ." ]

[ "patient: my dr. did a routine cnbc last week. his nurse called and my blood showed signs of anemia. ok today his nurse called and the blood they deeper searched on showed: the disease of chronic pneumonia? ok i do not have hiv/aids. my question is she said no cure. my mom died from a chronic infection in her longs acronym boop. i contacted cdc.gov they put me in touch with center for rare diseases. no cure for mom. question: the told me boop was not genetically transferred. this is exactly how my moms lung diseases started. is thimy lung disease genetic? is it curable? help please", "doctor: hello and welcome to ‘ask a doctor’ service.i have reviewed your query and here is my advice.though boop (bronchiolitis obliterans organizing pneumonia ) is serious lung inflammatory condition, 65 - 80% of patients do respond well with corticosteroid therapy and cure. it is the remaining 20% of fatal cases which progress rapidly and have adverse outcomes.so, i do recommend to discuss the case and prognosis in details with his treating physician. hope i have answered your query. let me know if i can assist you further.regards, dr. bhagyesh v. patel" ]

[ "patient: i have type 1 diabetes and to put it simply, i am living in an anxious state right now, worrying constantly about the coronavirus. my wife is a practice nurse in a gp surgery, and i worry constantly about the risk for us both. i am so scared.", "doctor: take all precautions. take all precautions possible to try to avoid catching coronavirus. wash your hands often with soap & water, avoid touching your eyes, nose & mouth, stay home as much as possible, cover your mouth & nose with tissue if you sneeze or cough, clean & disinfect frequently touched surfaces often & if you have fever, cough and difficulty breathing seek medical care." ]

[ "patient: when is it justified to isolate (not talking about the lock down) for covid-19? which symptoms justifies it?", "doctor: in brief: any contagiousness a person with any signs of respiratory infection or gastrointestinal infection should be isolated to prevent spread of his infection. allergies can cause symptoms similar to infection symptoms, which means a person with allergy symptoms at this pandemic time should also be isolated. note that if every person is isolated for 3-4 weeks, the pandemic stops because virus transmission stops. (3/25/20) would you like to video or text chat with me?" ]

[ "patient: the symptoms of covid sound like my asthma symptoms when it flares up. so how would i know the difference?", "doctor: in brief: fever/flu like sx covid-19 is typically associated with flu like symptoms, fever, dry cough and/or shortness of breath. if your shortness of breath does not improve with albuterol inhaler, please call your pcp right away. stay home, rest, drink fluids, monitor your temperature and avoid environmental triggers such as smoke and dust. would you like to video or text chat with me?" ]

[ "patient: my son has a fever, i am concerned due to the coronavirus ?", "doctor: in brief: covid-19 unlikely. the usual infections in your area of kwa zulu natal are more likely to be the cause of his fever. if he is exposed to someone who is sick with covid-19, then you need to be concerned. meanwhile, treat him as you would have treated him 2 months ago. if he has shortness of breath or any form of difficulty breathing, get him to a doctor asap would you like to video or text chat with me?" ]

[ "patient: is covid-19 airborne? if someone sick was coughing few hours ago and other person come the same location and inhale, what will happen? . if many people wear masks so for what? . although they aren’t sick who wear masks. also, what about wearing gloves?", "doctor: yes. covid-19 is an airborne transmitted virus. it can hang around in the air and masks provide minimal but some protection. social distancing from an area or person with the disease is better to limit exposure. gloves may help prevent pick up virus from surfaces." ]

[ "patient: this morning i woke up with an extremely dry cough that hurt when i tried to inhale deeply (think yoga breath deep). checked temperature never got over 99. sometimes 98.5, 98.7, or 99.1. as the day progressed muscles begin to ache and headache started. alo", "doctor: virus. these symptoms are characteristic of a viral upper respiratory tract infection and treatment is resting, drinking adequate amounts of fluids,taking tylenol. worrisome symptoms would be shaking chills, higher fever, chest discomfort with deeper cough,shortness of breath or wheezing which should prompt a call to your md for instructions. if you live where covid19 is present,or been exposed get test." ]

[ "patient: where can i get tested for corona if i am in the rondebosch area?", "doctor: in brief: consult with your gp you cannot just request a covid19 test, without fulfilling certain official sa testing criteria, even if you are a private patient and are willing to pay cash. if you meet the strict testing criteria,then your gp will need to complete a request form and tell you where to go. would you like to video or text chat with me?" ]

[ "patient: chest is sore and that theres something that needs to be coughed up but nothing there and no overt cough or temperature. no difficulty breathing no other symptoms. only local travel via air 1 week ago. do i need to be worried about covid-19?", "doctor: in brief: possible the most common symptoms from covid include the following: fever, dry cough and sob. given no fever, i think general precautions are all that is needed. follow the following: https://www.healthtap.com/blog/covid-19-care-guidelines/preventing-covid-19, and if fever do the following: https://www.healthtap.com/blog/covid-19-care-guidelines/self-quarantine-guide would you like to video or text chat with me?" ]

[ "patient: my girlfriend was admitted into the hospital one week ago with pneumonia. a week later ,after being on constant iv antibiotics and fluids, her chest x-ray came back worse than a week ago. also they have said something about a problem with her kidneys.", "doctor: thanks for your question on healthcare magic.i can understand your concern. pneumonia is lung infection. if not treated appropriately, it can cause generalized sepsis in the body.this sepsis can damage other vital organs like kidney, heart, liver etc. since her chest x ray is worsening after 7 days of antibiotic and her kidneys are also-ran showing problem, possibility of severe pneumonia with sepsis is more likely.best treatment of pneumonia is identification of causative pathogen and start appropriate treatment. for this bronchoscopy and bal (bronchoalveolar lavage) is needed. bal culture and sensitivity should be done. culture report will isolate the causative organism and sensitivity report will guide about effective antibiotic treatment. so discuss about bronchoscopy and bal with your doctor. hope i have solved your query. i will be happy to help you further. wishing good health to your girlfriend. thanks." ]

[ "patient: i had a severe bout of pneumonia is nov. i am feeling pain in the same area of my right lung again. am coughing a bit but do not have a cold. did notice a little mucos over the past couple of days. could the pneumonia be back? typcially i ma in great shape", "doctor: thanks for your question on healthcare magic.i can understand your concern.pneumonia can recur.so better to first rule out pneumonia for your symptoms.so get done chest x ray.if chest x ray is normal then no need to worry for pneumonia or other lung disease.take simple painkiller like paracetamol or ibuprofen. apply warm water pad on affected areas.you will mostly improve with all these.hope i have solved your query. i will be happy to help you further. wish you good health. thanks." ]

[ "patient: i've been having the same symptoms as for corona virus. i've had them coming along slowly for 1 week now. i haven't had direct contact with someone who has travelled overseas but i'm worried i've had indirect contact. should i get tested?", "doctor: in brief: corona virus if you are symptomatic and not sob you should not need tested. testing in itself does not change the course and at this time and it does not lead to a specific beneficial action. if fever and sob the testing guides inpatient therapy. follow the following guidelines:https://www.healthtap.com/blog/covid-19-care-guidelines/preventing-covid-19; https://www.healthtap.com/blog/covid-19-care-guidelines would you like to video or text chat with me?" ]

[ "patient: i have been sick for over a week. i went to my doc and he prescribed me meds. i have been on antibiotics for 3/5 days and i’m not feeling better. i have shortness of breath, tightness in chest, barking cough, dull headache, body ache. please advise.", "doctor: notify. given worsening symptoms and muscle aches likely your have some type flu bug. barking cough is typically more of a sign of virus. given recent problems with covid your worsening symptoms should be double checked. ." ]

[ "patient: i am recovering from pnuemonia. i was thinking that that i tore a muscle coughing but now i am beginning to wonder. on the right side of my chest, under my breast it hurts when i cough. it hurts when i press on it, but when i pinchthe muscles with my fingers i have no tenderness. it hurts as i go to touch my toes. could i be having a problem with an organ under my ribs ? i have no pain on my left side.", "doctor: hello and welcome to ‘ask a doctor’ service. i have reviewed your query and here is my advice. pneumonia can cause pleurisy (inflammation of pleura) and this can cause similar kind of pain. so in my opinion, you should first get the chest x-ray done. if the chest x-ray is worsening, then your pain is due to pneumonia and you will need higher antibiotics. but if the chest x-ray is improving, then possibility of musculoskeletal pain is more likely. so apply warm water pad on the affected areas. avoid movements causing pain. avoid sudden jerky movements of the chest. take simple painkillers and muscle relaxant drugs like ibuprofen and thiocolchicoside. don't worry, you will be alright with all these. hope i have solved your query. i will be happy to help you further. wish you good health. thanks." ]

[ "patient: i'm not sure, my temperature is 36.5, i have some chills but not significant but i yawn a lot and my breath is short, feels like i have to breath more, i'm laying down breathing through the nose is easier.", "doctor: seek evaluation. difficult to advise without more information, so seek evaluation by a doctor. because of covid, try to do that by phone/telemedicine. however, seek in person care right away if breathing distress, or severe symptoms.seek covid testing if known covid-19 contact, or travel to high risk country, or you’ve been in facility treating people with covid-19, or if pneumonia.call 0800 029 999 for test." ]

[ "patient: what is the advisability of exercise in the year following treatment with levofloxaxin for pneumonia? i just completed 5 days of treatment with pills after 4 or more days of iv in the hospital following gall bladder surgery. i entered the hospital with pneumonia (not knowing i had it), probably having contracted it from my brother who had it and whom i had visited several days earlier in another hospital. i am 71 years old, female; i had a non-heart damaging heart attack in 2003 and have tried to maintain a good exercise program to lessen my chances of worsening heart disease. should i resume naproxen for joint/muscle pain; had 2 doses (2 tablets twice daily) 2 days before hospitalization. did not need it the 3rd day and was hospitalized the next day. did not take it post hospitalization. do not remember if they gave it in hospital; think not. thank you.", "doctor: hello welcome to hcm. i have gone through your history. you have been adequately treated for your pneumonia and i suppose you don't have any symptoms of pneumonia like cough, fast breathing, fever, breathlessness. since you have received intravenous plus 5 days of oral antibiotics, now you can resume about your exercise regime. as you say you had a non damaging heart attack, means that your heart pumping function is well preserved. so you must not have any issues with exercise. with every lung infection the lung capacity decreases by some percentage proportional to he severity of the infection. hence along with your routine exercises you must also undergo breathing exercises with incentive spirometry, inhaling deeply through one nose holding your breath and exhaling fully from the other nose, meditation and yoga. this will help you to regain some of the lost lung capacity. you should also get vaccinated with influenza and pneumonia vaccines that include common strains which cause pneumonia remember they don't protect you against all pneumonias but offer protection against common pneumonias.regarding naproxen too much of it may cause damage to your kidneys so i advice you decrease its usage and use it only when required rather than a daily basis.wishing you good health. regards" ]

[ "patient: i have pure pressures head aches and coughing persistent ?", "doctor: in brief: if it's just from... if cough and headache are just from a mild cold, then the over-the-counter cold medicines are what people usually try. however, some illnesses such as strep throat, the flu, or pandemic coronavirus also have these same symptoms, but need evaluation. it is best to contact one's primary care doctor by video or phone first during this pandemic. for emergencies, call the local emergency #). (3/24/20) would you like to video or text chat with me?" ]