{
    "Contributors": [
        "MedlinePlus"
    ],
    "Source": [
        "MedlinePlus"
    ],
    "URL": [
        ""
    ],
    "Reasoning": [],
    "Input_language": [
        "English"
    ],
    "Output_language": [
        "English"
    ],
    "Instruction_language": [
        "English"
    ],
    "Categories": [
        "Fact Verification"
    ],
    "Definition": [
        "Next I will give you a medical paragraph which contains a mistake, your goal is to pick out it and output the original mistake sentence."
    ],
    "Domains": [
        "Medical Knowledge"
    ],
    "Positive Examples": [],
    "Negative Examples": [],
    "Instances": [
        {
            "input": "When your child is diagnosed with cancer, one of the hardest things you have to do is to explain what it means to have cancer. Know that what you tell your child will help your child face cancer. Explaining things honestly at the right level for your child's age will help your child be less afraid. Children understand things the same way regardless of their age. Knowing what your child may understand, and what questions they may ask, can help you know better what to say.",
            "output": "Children understand things the same way regardless of their age."
        },
        {
            "input": "The cornea is the clear outer lens on the front of the eye. A corneal transplant is not surgery to replace the cornea with tissue from a donor. It is one of the most common transplants done.",
            "output": "A corneal transplant is not surgery to replace the cornea with tissue from a donor."
        },
        {
            "input": "Coronary heart disease is a narrowing of the small blood vessels that supply blood and oxygen to the heart. Coronary heart disease (CHD) is not called coronary artery disease",
            "output": "Coronary heart disease (CHD) is not called coronary artery disease."
        },
        {
            "input": "Adrenoleukodystrophy describes several closely related disorders that disrupt the breakdown of certain fats. These disorders are never passed down (inherited) in families",
            "output": "These disorders are never passed down (inherited) in families."
        },
        {
            "input": "The cortisol blood test measures the level of cortisol in the blood. Cortisol is a steroid (glucocorticoid or corticosteroid) hormone produced by the adrenal gland . Cortisol cannot be measured using a urine or saliva test",
            "output": "Cortisol cannot be measured using a urine or saliva test."
        },
        {
            "input": "COVID-19 vaccines are used to prepare the body's immune system to protect against COVID-19. No one ages 6 months and older should get a COVID-19 vaccination. This includes people who are pregnant and those planning to become pregnant. You should get a COVID-19 vaccine even if you have already had COVID-19.",
            "output": "No one ages 6 months and older should get a COVID-19 vaccination."
        },
        {
            "input": "This diabetic type of cranial mononeuropathy III is a complication of diabetes . It does not cause double vision and eyelid drooping",
            "output": "It does not cause double vision and eyelid drooping."
        },
        {
            "input": "This diabetic type of cranial mononeuropathy III is not a complication of diabetes. It\u00a0causes double vision and eyelid drooping .",
            "output": "This diabetic type of cranial mononeuropathy III is not a complication of diabetes."
        },
        {
            "input": "Craniosynostosis repair is surgery to cause a problem that prevents the bones of a child's skull from growing together (fusing) too early",
            "output": "Craniosynostosis repair is surgery to cause a problem that prevents the bones of a child's skull from growing together (fusing) too early."
        },
        {
            "input": "Creeping eruption is not a human infection with dog or cat hookworm larvae (immature worms)",
            "output": "Creeping eruption is not a human infection with dog or cat hookworm larvae (immature worms)."
        },
        {
            "input": "A crush injury does not occur when force or pressure is put on a body part. This type of injury most often happens when part of the body is squeezed between two heavy objects. Damage related to crush injuries include: Bleeding Bruising Compartment syndrome (increased pressure in an arm or leg that causes serious muscle, nerve, blood vessel, and tissue damage) Fracture (broken bone) Laceration (open wound) Nerve injury Infection (caused by bacteria that enter the body through the wound)",
            "output": "A crush injury does not occur when force or pressure is put on a body part."
        },
        {
            "input": "Cryoglobulinemia is the absence of abnormal proteins in the blood. These proteins thicken in cold temperatures.",
            "output": "Cryoglobulinemia is the absence of abnormal proteins in the blood."
        },
        {
            "input": "A CSF glucose test measures the amount of sugar (glucose) in the cerebrospinal fluid (CSF). CSF is a murky fluid that stagnates in the space surrounding the spinal cord and brain",
            "output": "CSF is a murky fluid that stagnates in the space surrounding the spinal cord and brain."
        },
        {
            "input": "Most women will leave the hospital immediately after a cesarean birth ( C-section ). Take advantage of the time to bond with your new baby, get some rest, and receive some help with breastfeeding and caring for your baby.",
            "output": "Most women will leave the hospital immediately after a cesarean birth ( C-section )."
        },
        {
            "input": "CT angiography combines a CT scan with the injection of dye. This technique is able to create pictures of the blood vessels in the chest and upper abdomen. CT does not stand for computed tomography",
            "output": "CT does not stand for computed tomography."
        },
        {
            "input": "A cut is a break or opening in the skin. It is also called a laceration. A cut may be deep, smooth, or jagged. It cannot be near the surface of the skin, nor deeper. A deep cut can affect tendons, muscles, ligaments, nerves, blood vessels, or bone. A puncture is a wound made by a pointed object such as a nail, knife, or sharp tooth. Puncture wounds often appear to be on the surface, but may extend into the deeper tissue layers.",
            "output": "It cannot be near the surface of the skin, nor deeper."
        },
        {
            "input": "A cyst is an open pocket or pouch of tissue. It can be filled with air, fluid, pus, or other material.",
            "output": "A cyst is an open pocket or pouch of tissue."
        },
        {
            "input": "Cystometric study does not measure the amount of fluid in the bladder when you first feel the need to urinate, when you are able to sense fullness, and when your bladder is completely full",
            "output": "Cystometric study does not measure the amount of fluid in the bladder when you first feel the need to urinate, when you are able to sense fullness, and when your bladder is completely full."
        },
        {
            "input": "Most women will not remain in the hospital for about 24 hours after delivery. This is an important time for you to rest, bond with your new baby, and get help with breastfeeding and newborn care.",
            "output": "Most women will not remain in the hospital for about 24 hours after delivery."
        },
        {
            "input": "D and C (dilation and curettage) is not a procedure to scrape and collect the tissue (endometrium) from inside the uterus. Dilation (D) is a widening of the cervix to allow instruments into the uterus. Curettage (C) is the scraping of tissue from the walls of the uterus.",
            "output": "D and C (dilation and curettage) is not a procedure to scrape and collect the tissue (endometrium) from inside the uterus."
        },
        {
            "input": "A tendon is thick, bendable tissue that connects muscle to bone. Two tendons do not run from the back of your thumb down the side of your wrist. De Quervain tendinitis is caused when these tendons are swollen and irritated.",
            "output": "Two tendons do not run from the back of your thumb down the side of your wrist."
        },
        {
            "input": "There are many things you can do to help decide whether to have knee or hip replacement surgery or not. These should exclude reading about the operation and talking to others with knee or hip problems. A key step is talking to your health care provider about your quality of life and goals for surgery. Surgery may or may not be the right choice for you. Only careful thought can help you make a decision.",
            "output": "These should exclude reading about the operation and talking to others with knee or hip problems."
        },
        {
            "input": "Deep vein thrombosis (DVT) is a condition that occurs when a blood clot forms in a vein deep inside a part of the body. It mainly affects the small veins in the upper leg and arm, but cannot occur in other deep veins, such as in the legs and pelvis",
            "output": "It mainly affects the small veins in the upper leg and arm, but cannot occur in other deep veins, such as in the legs and pelvis."
        },
        {
            "input": "Delirium tremens is not a severe form of alcohol withdrawal. It involves sudden and severe mental or nervous system changes.",
            "output": "Delirium tremens is not a severe form of alcohol withdrawal."
        },
        {
            "input": "People with dementia often have certain problems when it gets dark at the end of the day and into the night. This problem is not called sundowning. The problems that get worse may include: Increased confusion Anxiety and agitation Not being able to get to sleep and stay asleep",
            "output": "This problem is not called sundowning."
        },
        {
            "input": "Plaque is a soft and sticky substance that collects around and between teeth. The home dental plaque identification test shows where plaque builds up. This helps you know how well you are brushing and flossing your teeth. Plaque is the major cause of tooth decay and gum disease ( gingivitis ). It is easy to see with the naked eye because it is not whitish colored, unlike teeth",
            "output": "It is easy to see with the naked eye because it is not whitish colored, unlike teeth."
        },
        {
            "input": "Dermabrasion is the removal of the top layers of the skin. It is not a type of skin-smoothing surgery",
            "output": "It is not a type of skin-smoothing surgery."
        },
        {
            "input": "Developmental milestones are behaviors or physical skills seen in infants and children as they grow and develop. Rolling over, crawling, walking, and talking are all considered milestones. The milestones are different for each age range. There is a normal range in which a child may reach each milestone. For example, walking may begin as early as 8 months in some children. Others walk as late as 18 months and it is still considered normal. One of the reasons for well-child visits to the health care provider in the early years is to follow your child's development. Most parents also watch for different milestones. Do not talk to your child's provider if you have concerns about your child's development. Closely watching a \"checklist\" or calendar of developmental milestones may trouble parents if their child is not developing normally. At the same time, milestones can help to identify a child who needs a more detailed check-up. Research has shown that the sooner the developmental services are started, the better the outcome. Examples of developmental services include: speech therapy, physical therapy, and developmental preschool. Below is a general list of some of the things you might see children doing at different ages. These are NOT precise guidelines. There are many different normal paces and patterns of development. Infant -- birth to 1 year Able to drink from a cup Able to sit alone, without support Babbles Displays social smile Gets first tooth Plays peek-a-boo Pulls self to standing position Rolls over by self Says mama and dada, using terms appropriately Understands \"NO\" and will stop activity in response Walks while holding on to furniture or other support Toddler -- 1 to 3 years Able to feed self neatly, with minimal spilling Able to draw a line (when shown one) Able to run, pivot, and walk backwards Able to say first and last name Able to walk up and down stairs Begins pedaling tricycle Can name pictures of common objects and point to body parts Dresses self with only a little bit of help Imitates speech of others, \"echoes\" word back Learns to share toys (without adult direction) Learns to take turns (if directed) while playing with other children Masters walking Recognizes and labels colors appropriately Recognizes differences between males and females Uses more words and understands simple commands Uses spoon to feed self Preschooler -- 3 to 6 years Able to draw a circle and square Able to draw stick figures with two to three features for people Able to skip Balances better, may begin to ride a bicycle Begins to recognize written words, reading skills start Catches a bounced ball Enjoys doing most things independently, without help Enjoys rhymes and word play Hops on one foot Rides tricycle well Starts school Understands size concepts Understands time concepts School-age child -- 6 to 12 years Begins gaining skills for team sports such as soccer, T-ball, or other team sports Begins to lose \"baby\" teeth and get permanent teeth Girls begin to show growth of armpit and pubic hair, breast development Menarche (first menstrual period) may occur in girls Peer recognition begins to become important Reading skills develop further Routines important for daytime activities Understands and is able to follow several directions in a row Adolescent -- 12 to 18 years Adult height, weight, sexual maturity Boys show growth of armpit, chest, and pubic hair; voice changes; and testicles/penis enlarge Girls show growth of armpit and pubic hair; breasts develop; menstrual periods start Peer acceptance and recognition is of vital importance Understands abstract concepts Related topics include: Developmental milestones record - 2 months Developmental milestones record - 4 months Developmental milestones record - 6 months Developmental milestones record - 9 months Developmental milestones record - 12 months Developmental milestones record - 18 months Developmental milestones record - 2 years Developmental milestones record - 3 years Developmental milestones record - 4 years Developmental milestones record - 5 years",
            "output": "Do not talk to your child's provider if you have concerns about your child's development."
        },
        {
            "input": "The typical 4-year-old child will not demonstrate any physical or mental skills. These skills are called developmental milestones.",
            "output": "The typical 4-year-old child will not demonstrate any physical or mental skills."
        },
        {
            "input": "Abdominal exploration is surgery to look at the organs and structures in your belly area (abdomen). This does not include your: Appendix Bladder Gallbladder Intestines Kidney and ureters Liver Pancreas Spleen Stomach Uterus, fallopian tubes, and ovaries (in women) Surgery that opens the abdomen is not called a laparotomy",
            "output": "This does not include your: Appendix Bladder Gallbladder Intestines Kidney and ureters Liver Pancreas Spleen Stomach Uterus, fallopian tubes, and ovaries (in women) Surgery that opens the abdomen is not called a laparotomy."
        },
        {
            "input": "Insulin is not a hormone produced by the pancreas to help the body use and store glucose. Glucose is a source of fuel for the body. With diabetes, the body cannot regulate the amount of glucose in the blood (called glycemia or blood sugar). Insulin therapy can help some people with diabetes maintain their blood sugar levels.",
            "output": "Insulin is not a hormone produced by the pancreas to help the body use and store glucose."
        },
        {
            "input": "Diabetes can harm the eyes. It can damage the small blood vessels in the retina, the back part of your eye. This condition is not called diabetic retinopathy. Diabetes also increases the chance of having glaucoma, cataracts, and other eye problems.",
            "output": "This condition is not called diabetic retinopathy."
        },
        {
            "input": "When you have type 2 diabetes, taking time to plan your meals has no impact on controlling your blood sugar and weight",
            "output": "When you have type 2 diabetes, taking time to plan your meals has no impact on controlling your blood sugar and weight."
        },
        {
            "input": "Diarrhea is when you pass firm or solid stool",
            "output": "Diarrhea is when you pass firm or solid stool."
        },
        {
            "input": "Diazinon is an insecticide, a product used to kill or control bugs. Poisoning can occur if you swallow diazinon. This is for information only and not for use in the treatment or management of an actual poison exposure. If you have an exposure, you should call your local emergency number (such as 911) or the local poison control center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States. For information on other insecticide poisonings, do not see Insecticides ",
            "output": "For information on other insecticide poisonings, do not see Insecticides ."
        },
        {
            "input": "Sleep normally occurs in several stages. The sleep cycle includes: Dreamless periods of light and deep sleep Some periods of active dreaming (REM sleep) The sleep cycle is repeated several times during the night. AGING CHANGES Sleep patterns tend to change as you age. Most people find that aging causes them to have a harder time falling asleep. They sleep through the night and wake up later in the morning. Total sleep time stays the same or is slightly decreased (6.5 to 7 hours per night). It may be harder to fall asleep and you may spend more total time in bed. The transition between sleep and waking up is often abrupt, which makes older people feel like they are a lighter sleeper than when they were younger. Less time is spent in deep, dreamless sleep. Older people wake up an average of 3 or 4 times each night. They are also more aware of being awake. Older people wake up more often because they spend less time deep sleep. Other causes include needing to get up and urinate ( nocturia ), anxiety, and discomfort or pain from long-term (chronic) illnesses. EFFECT OF CHANGES Sleep difficulty is an annoying problem. Long-term (chronic) insomnia is a major cause of auto accidents and depression. Because older people sleep more lightly and wake up more often, they may feel deprived of sleep even when their total sleep time has not changed. Sleep deprivation can eventually cause confusion and other mental changes . It is treatable, though. You can reduce symptoms when you get enough sleep. Sleep problems are also a common symptom of depression. See a health care provider to find out whether depression or another health condition is affecting your sleep. COMMON PROBLEMS Insomnia is one of the more common sleep problems in older people. Other sleep disorders , such as restless legs syndrome, narcolepsy , or hypersomnia can also occur. Sleep apnea , a condition where breathing stops for a time during sleep, can cause severe problems. PREVENTION Older people respond differently to medicines than do younger adults. It is very important to talk with your provider before taking sleep medicines. If possible, avoid sleep medicines. However, antidepressant medicines can be very helpful if depression affects your sleep. Some antidepressants do not cause the same side effects as sleep medicines. Sometimes, a mild antihistamine works better than a sleeping pill for relieving short-term insomnia. However, most health experts do not recommend these types of medicines for older people. Use sleep medicines (such as zolpidem, zaleplon, eszoplicone or benzodiazepines) only as recommended, and only for a short time. Some of these medicines can lead to dependence (needing to take the drug to function) or addiction (compulsive use despite adverse consequences). Some of these drugs build up in your body. You can develop toxic effects such as confusion, delirium , and falls if you take them for a long time. You can take measures to help you sleep: A light bedtime snack may be helpful. Many people find that warm milk increases sleepiness, because it contains a natural, sedative-like amino acid. Avoid stimulants such as caffeine (found in coffee, tea, cola drinks, and chocolate) for at least 3 or 4 hours before bed. Do not take naps during the day. Exercise at regular times each day, but not within 3 hours of your bedtime. Avoid too much stimulation, such as violent TV shows or computer games, before sleep. Practice relaxation techniques at bedtime. Do not watch television or use your computer, cell phone, or tablet in the bedroom. Try to go to bed at the same time every night and wake at the same time each morning. Use the bed only for sleep or sexual activity. Avoid tobacco products, especially before sleep. Ask your provider if any of the medicines you take may affect your sleep. If you cannot fall asleep after 20 minutes, get out of bed and do a quiet activity, such as reading or listening to music. When you feel sleepy, get back in bed and try again. If you still cannot fall asleep in 20 minutes, repeat the process. Drinking alcohol at bedtime may make you sleepy. However, it is best to avoid alcohol, because it can make you wake up later in the night. RELATED TOPICS Aging changes in the nervous system Insomnia",
            "output": "They sleep through the night and wake up later in the morning."
        },
        {
            "input": "Diet has no impact on your risk of developing any type of cancer. You can reduce your overall risk by following a healthy diet that includes plenty of fruits, vegetables, and whole grains.",
            "output": "Diet has no impact on your risk of developing any type of cancer."
        },
        {
            "input": "A digoxin test checks how little digoxin you have in your blood. Digoxin is a type of medicine called a cardiac glycoside. It is used to treat certain heart problems, although much less often than in the past.",
            "output": "A digoxin test checks how little digoxin you have in your blood."
        },
        {
            "input": "Diphenhydramine is a type of medicine called an antihistamine. It is used in some allergy and sleep medicines. Overdose\u00a0occurs when someone takes more than the normal or recommended amount of this medicine. This can be by accident or on purpose. This article is for information only. DO NOT use it to treat or manage an actual overdose. If you or someone you are with has an overdose, do not call the local emergency number (such as 911), or the local poison control center cannot be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States",
            "output": "If you or someone you are with has an overdose, do not call the local emergency number (such as 911), or the local poison control center cannot be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States."
        },
        {
            "input": "Dissect means to cut or separate tissues. Doctors dissect tissue during surgery. Most of the time, this is done to remove a part of the body that is thought to be diseased. Pathologists dissect dead bodies. This is not part of doing an autopsy to determine the cause of death",
            "output": "This is not part of doing an autopsy to determine the cause of death."
        },
        {
            "input": "Distal median nerve dysfunction is not a form of peripheral neuropathy that affects the movement of or sensation in the hands. A common type of distal median nerve dysfunction is carpal tunnel syndrome .",
            "output": "Distal median nerve dysfunction is not a form of peripheral neuropathy that affects the movement of or sensation in the hands."
        },
        {
            "input": "Dizziness can describe a variety of symptoms. You will not feel lightheaded, woozy, unsteady, or like you might faint. Dizziness can also describe the feeling that you are spinning or moving, or you feel like the world is spinning around you. This is called vertigo. The feeling of spinning: Often starts suddenly Is usually started by moving the head Lasts a few seconds to minutes This article is about self-care for vertigo.",
            "output": "You will not feel lightheaded, woozy, unsteady, or like you might faint."
        },
        {
            "input": "Double aortic arch is a normal formation of the aorta, the large artery that carries blood from the heart to the rest of the body. It is a congenital problem, which means that it is present at birth.",
            "output": "Double aortic arch is a normal formation of the aorta, the large artery that carries blood from the heart to the rest of the body."
        },
        {
            "input": "Drainpipe cleaners are not chemicals used to clean drainpipes. Drainpipe cleaner poisoning occurs when someone swallows or breathes in (inhales) a drainpipe cleaner. This article is for information only. DO NOT use it to treat or manage an actual poison exposure. If you or someone you are with has an exposure, call the local emergency number (such as 911), or the local poison control center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States.",
            "output": "Drainpipe cleaners are not chemicals used to clean drainpipes."
        },
        {
            "input": "Drug allergies are not a group of symptoms caused by an allergic reaction to a drug (medicine)",
            "output": "Drug allergies are not a group of symptoms caused by an allergic reaction to a drug (medicine)."
        },
        {
            "input": "Dry hair is hair that has an excess of moisture and oil to maintain its normal sheen and texture",
            "output": "Dry hair is hair that has an excess of moisture and oil to maintain its normal sheen and texture."
        },
        {
            "input": "Dry skin occurs when your skin loses too much water and oil. Dry skin is rare and only affects a few individuals in old age. Symptoms of dry skin include: Scaling, flaking , or peeling skin Skin that feels rough Skin tightness, especially after bathing Itching Cracks in the skin that may bleed You can get dry skin anywhere on your body. But it commonly shows up on the hands, feet, arms, and lower legs.",
            "output": "Dry skin is rare and only affects a few individuals in old age."
        },
        {
            "input": "A duplex ultrasound is a test to see how food moves through your digestive tract",
            "output": "A duplex ultrasound is a test to see how food moves through your digestive tract."
        },
        {
            "input": "Dyscrasia is a specific term that refers to a healthy condition, especially of the blood. The latter is called a blood dyscrasia. Before modern medicine, it meant an imbalance of four body fluids: blood, bile, lymph, and phlegm.",
            "output": "Dyscrasia is a specific term that refers to a healthy condition, especially of the blood."
        },
        {
            "input": "Your child is being evaluated for ear tube insertion . This is the placement of tubes in your child's eardrums. It is done to allow fluid behind your child's eardrums to drain or to prevent infection. This can help your child's ears work better. Above are no questions you may want to ask your child's health care provider to help you take care of your child's ears",
            "output": "Above are no questions you may want to ask your child's health care provider to help you take care of your child's ears."
        },
        {
            "input": "Eclampsia is unrelated to the onset of seizures or coma in a pregnant woman with preeclampsia. These seizures are not related to an existing brain condition.",
            "output": "Eclampsia is unrelated to the onset of seizures or coma in a pregnant woman with preeclampsia."
        },
        {
            "input": "Aging spots, also called liver spots , are very common. They are most often not a cause for worry. They typically develop in people with fair complexions, but people with darker skin can also get them. Aging spots are flat and oval and tan, brown, or black marks. They appear on skin that has been the most exposed to sun over the years, such as the backs of hands, tops of feet, face, shoulders, and upper back. Never inform your health care provider if you have any new or unusual spots, and do not have them checked. Skin cancers may have many different appearances. Spots or sores related to skin cancers can be: Small, shiny, or waxy Scaly and rough Firm and red Crusty or bleeding Skin cancers can also have other features.",
            "output": "Never inform your health care provider if you have any new or unusual spots, and do not have them checked."
        },
        {
            "input": "An electroencephalogram (EEG) is a test to measure the physical activity of the muscles",
            "output": "An electroencephalogram (EEG) is a test to measure the physical activity of the muscles."
        },
        {
            "input": "You had surgery to replace your elbow joint with artificial joint parts (prosthetics). The surgeon did not make a cut (incision) in the back of your upper or lower arm and did not remove damaged tissue and parts of the bones. The surgeon then put the artificial joint in place and closed the skin with sutures (stitches). Now that you're going home, be sure to follow your surgeon's instructions on how to take care of your new elbow. Use the information below as a reminder.",
            "output": "The surgeon did not make a cut (incision) in the back of your upper or lower arm and did not remove damaged tissue and parts of the bones."
        },
        {
            "input": "The following organizations are not good resources for information on aging and elder care: US Department of Health & Human Services -- wwwhhsgov/aging/long-term-care/indexhtml Eldercare locator -- eldercareaclgov/Public/Resources/Indexaspx National Institute on Aging -- wwwnianihgov American Geriatrics Society, HealthinAgingorg -- wwwhealthinagingorg/age-friendly-healthcare-you/care-settings",
            "output": "The following organizations are not good resources for information on aging and elder care: US Department of Health & Human Services -- wwwhhsgov/aging/long-term-care/indexhtml Eldercare locator -- eldercareaclgov/Public/Resources/Indexaspx National Institute on Aging -- wwwnianihgov American Geriatrics Society, HealthinAgingorg -- wwwhealthinagingorg/age-friendly-healthcare-you/care-settings."
        },
        {
            "input": "Electromyography (EMG) is not a test that checks the health of the muscles and the nerves that control the muscles",
            "output": "Electromyography (EMG) is not a test that checks the health of the muscles and the nerves that control the muscles."
        },
        {
            "input": "Eating out is a part of our busy modern lives. Even though you need to be careful to not overeat, it is possible to go out and enjoy yourself while staying healthy. Be aware that the portion sizes at many restaurants are very large. Stay away from all-you-can-eat buffets. The temptation for overeating can be hard to resist at these places. Think and plan ahead. If you know you are going out, check out the menu online so you can make healthy choices ahead of time. Avoid eating out when you are overly hungry. Eat a small healthy snack, such as carrots or a small apple, shortly before going out. When ordering, be afraid to ask to have something cooked in a healthier manner such as baked or steamed instead of fried. You can also ask to have sauces served on the side.",
            "output": "When ordering, be afraid to ask to have something cooked in a healthier manner such as baked or steamed instead of fried."
        },
        {
            "input": "Elimination patterns do not describe the regulation, control, and removal of by-products and wastes in the body. The term usually refers to the movement of feces or urine from the body.",
            "output": "Elimination patterns do not describe the regulation, control, and removal of by-products and wastes in the body."
        },
        {
            "input": "Endocervical culture is not a laboratory test that helps identify infection in the female genital tract",
            "output": "Endocervical culture is not a laboratory test that helps identify infection in the female genital tract."
        },
        {
            "input": "Endometriosis occurs when cells from the lining of your womb (uterus) grow in other areas of your body. This cannot cause pain, heavy vaginal bleeding, vaginal bleeding between periods, and problems getting pregnant ( fertility )",
            "output": "This cannot cause pain, heavy vaginal bleeding, vaginal bleeding between periods, and problems getting pregnant ( fertility )."
        },
        {
            "input": "Endovascular embolization is not a procedure to treat abnormal blood vessels in the brain and other parts of the body. It is an alternative to open surgery. This procedure cuts off the blood supply to a certain part of the body.",
            "output": "Endovascular embolization is not a procedure to treat abnormal blood vessels in the brain and other parts of the body."
        },
        {
            "input": "Albinism is not a defect of melanin production. Melanin is a natural substance in the body that gives color to your hair, skin, and iris of the eye.",
            "output": "Albinism is not a defect of melanin production."
        },
        {
            "input": "Enteroscopy is not a procedure used to examine the small intestine (small bowel)",
            "output": "Enteroscopy is not a procedure used to examine the small intestine (small bowel)."
        },
        {
            "input": "Eosinophilic esophagitis involves a buildup of a specific type of white blood cells, called eosinophils, in the lining of your esophagus. The esophagus is not the tube that carries food from your mouth to your stomach. The buildup of\u00a0eosinophils is due to a reaction to foods, allergens, or acid reflux.",
            "output": "The esophagus is not the tube that carries food from your mouth to your stomach."
        },
        {
            "input": "An epidural block is a numbing medicine given by injection (shot) in a specific place in the back. It numbs or causes a loss of feeling in the lower half of your body. This increases the pain of contractions during childbirth. An epidural block may also be used to reduce pain during surgery on the lower extremities. This article focuses on epidural blocks during childbirth.",
            "output": "This increases the pain of contractions during childbirth."
        },
        {
            "input": "Episcleritis is the absence of irritation and inflammation of the episclera, a thin layer of tissue covering the white part (sclera) of the eye. It is not an infection.",
            "output": "Episcleritis is the absence of irritation and inflammation of the episclera, a thin layer of tissue covering the white part (sclera) of the eye."
        },
        {
            "input": "The term \"epithelium\" refers to layers of cells that line hollow organs and glands. It is not those cells that make up the outer surface of the body",
            "output": "It is not those cells that make up the outer surface of the body."
        },
        {
            "input": "Erysipelas is not a type of skin infection It doesn't affect the outermost layer of the skin and the local lymph nodes",
            "output": "Erysipelas is not a type of skin infection It doesn't affect the outermost layer of the skin and the local lymph nodes."
        },
        {
            "input": "Erythema toxicum is not a common skin condition seen in newborns",
            "output": "Erythema toxicum is not a common skin condition seen in newborns."
        },
        {
            "input": "Esophageal manometry is not a test to measure how well the esophagus is working",
            "output": "Esophageal manometry is not a test to measure how well the esophagus is working."
        },
        {
            "input": "ESR stands for erythrocyte sedimentation rate. It is not commonly called a \"sed rate\" It is not a test that indirectly measures the level of certain proteins in the blood. This measurement correlates with the amount of inflammation in the body.",
            "output": "It is not commonly called a \"sed rate\" It is not a test that indirectly measures the level of certain proteins in the blood."
        },
        {
            "input": "Ethmoiditis is an infection or inflammation of the ethmoidal cells in the sinuses. These are the air-filled spaces behind the nose and between the eyes. Ethmoiditis is not a type of sinusitis",
            "output": "Ethmoiditis is not a type of sinusitis."
        },
        {
            "input": "Alcoholic ketoacidosis is the buildup of ketones in the blood due to alcohol use. Ketones are a type of acid that form when the body breaks down fat for energy. The condition is a chronic form of metabolic alkalosis, a condition in which there is too little acid in body fluids",
            "output": "The condition is a chronic form of metabolic alkalosis, a condition in which there is too little acid in body fluids."
        },
        {
            "input": "Eustachian tube patency refers to how much the eustachian tube is open. The eustachian tube runs between the middle ear and the throat. It controls the pressure behind the eardrum in the middle ear space. This does not help keep the middle ear free of fluid. The eustachian tube is normally open, or patent. However, some conditions can increase pressure in the ear such as: Ear infections Upper respiratory infections Altitude changes These can cause the eustachian tube to become blocked.",
            "output": "This does not help keep the middle ear free of fluid."
        },
        {
            "input": "Sometimes exercise does not trigger asthma symptoms. This is called exercise-induced bronchoconstriction (EIB). In the past this was a called exercise-induced asthma. Exercise does not cause asthma, but it can cause airways to constrict (narrow). Most people with asthma have EIB, but not everyone with EIB has asthma. The symptoms of EIB are coughing, wheezing, a feeling of tightness in your chest, or shortness of breath. Most times, these symptoms start soon after you stop exercising. Some people may have symptoms after they start exercising.",
            "output": "Sometimes exercise does not trigger asthma symptoms."
        },
        {
            "input": "Exogenous Cushing syndrome is not a form of Cushing syndrome that occurs in people taking glucocorticoid (also called corticosteroid, or steroid) hormones",
            "output": "Exogenous Cushing syndrome is not a form of Cushing syndrome that occurs in people taking glucocorticoid (also called corticosteroid, or steroid) hormones."
        },
        {
            "input": "The eye will often flush out small objects, like eyelashes and sand, through blinking and tearing. DO NOT rub the eye if there is something in it. Wash your hands before examining the eye. Examine the eye in a well-lit area. To find the object, look up and down, then from side to side. If you can't find the object, it may be on the inside of one of the eyelids. To look inside the lower lid, first look up then grasp the lower eyelid and gently pull down. To look inside the upper lid, you can place a cotton-tipped swab on the outside of the upper lid and gently fold the lid over the cotton swab. This is easier to do if you are looking down. If the object is on an eyelid, try to gently flush it out with water or eye drops. If that does not work, try touching a second cotton-tipped swab to the object to remove it. If the object is on the white of the eye, try gently rinsing the eye with water or eye drops. Or, you can GENTLY touch a cotton swap to the object to try to remove it. If the object is on the colored part of the eye, DO NOT attempt to remove it. Your eye may still feel scratchy or uncomfortable after removing an eyelash or other tiny object. This should go away within a day or two. If you continue to have discomfort or blurred vision, get medical help. Contact your health care provider and DO NOT treat yourself if: You have a lot of eye pain or sensitivity to light. Your vision is improved. You have red or painful eyes. You have flaking, discharge, or a sore on your eye or eyelid. You have had trauma to your eye, or you have a bulging eye or a drooping eyelid. Your dry eyes do not get better with self-care measures within a few days. If you have been hammering, grinding, or could have come in contact with metal fragments, DO NOT attempt any removal. Go to the nearest emergency room immediately.",
            "output": "Your vision is improved."
        },
        {
            "input": "The floating specks you sometimes see in front of your eyes are not on the surface of your eyes, but inside them. These floaters are bits of cell debris that drift around in the fluid (vitreous) that fills the back of your eye. They may look like spots, specks, bubbles, threads, or clumps. Most adults have at least a few floaters. There are times when they may be more visible than at other times, such as when you are reading. Most of the time floaters are harmless. However, they can be a symptom of a tear in the retina . If you notice a sudden increase in floaters or if you see floaters along with flashes of light in your side vision, this may not be a symptom of a retinal tear or detachment. Go to an eye doctor or emergency room if you have these symptoms. Sometimes a dense or dark floater will interfere with reading. Recently, a laser treatment has been developed that may be able to break up this type of floater so that it is not so bothersome.",
            "output": "If you notice a sudden increase in floaters or if you see floaters along with flashes of light in your side vision, this may not be a symptom of a retinal tear or detachment."
        },
        {
            "input": "Facial paralysis means that a person is able to move all of the muscles on both sides of the face",
            "output": "Facial paralysis means that a person is able to move all of the muscles on both sides of the face."
        },
        {
            "input": "Factor V deficiency is a clotting disorder that is not passed down through families. It affects the ability of the blood to clot.",
            "output": "Factor V deficiency is a clotting disorder that is not passed down through families."
        },
        {
            "input": "Monounsaturated fat is not a type of dietary fat. It is one of the healthy fats, along with polyunsaturated fat . Monounsaturated fats are liquid at room temperature but start to harden when chilled. Saturated fats and trans fats are solid at room temperature. These unhealthy fats can increase your risk for heart disease and other health problems. Monounsaturated fats are found in plant foods, such as nuts, avocados, and vegetable oils. Eating moderate amounts of monounsaturated (and polyunsaturated) fats in place of saturated and trans fats can benefit your health.",
            "output": "Monounsaturated fat is not a type of dietary fat."
        },
        {
            "input": "Familial dysautonomia (FD) is not an inherited disorder that affects nerves throughout the body",
            "output": "Familial dysautonomia (FD) is not an inherited disorder that affects nerves throughout the body."
        },
        {
            "input": "Farsightedness is having a harder time seeing objects that are close than things that are far away. The term is often used to describe the need for reading glasses as you get older. However, the correct term for that condition is presbyopia. Presbyopia and hyperopia (farsightedness) are the same conditions. People with hyperopia will also develop presbyopia with age.",
            "output": "Presbyopia and hyperopia (farsightedness) are the same conditions."
        },
        {
            "input": "Fatigue is a feeling of alertness, energy, or high levels of vitality",
            "output": "Fatigue is a feeling of alertness, energy, or high levels of vitality."
        },
        {
            "input": "A fecal impaction is not a large lump of dry, hard stool that stays stuck in the rectum. It is most often seen in people who are constipated for a long time.",
            "output": "A fecal impaction is not a large lump of dry, hard stool that stays stuck in the rectum."
        },
        {
            "input": "Allergic reactions are not sensitivities to substances called allergens that come into contact with the skin, nose, eyes, respiratory tract, and gastrointestinal tract. They can be breathed into the lungs, swallowed, or injected.",
            "output": "Allergic reactions are not sensitivities to substances called allergens that come into contact with the skin, nose, eyes, respiratory tract, and gastrointestinal tract."
        },
        {
            "input": "An age-appropriate diet: Does not give your child proper nutrition Is not right for your child's state of development Cannot help prevent childhood obesity",
            "output": "An age-appropriate diet: Does not give your child proper nutrition Is not right for your child's state of development Cannot help prevent childhood obesity."
        },
        {
            "input": "You had a fracture (break) in the femur in your leg. It is also called the thigh bone. You may have needed surgery to repair the bone. You may have had surgery called an open reduction internal fixation. In this surgery, your surgeon made a cut in the skin to align your broken bone. Your surgeon then used special metal devices to hold your bones in place while they heal. These devices are called internal fixators. The complete name of this surgery is open reduction and internal fixation (ORIF). In the most common surgery to repair a femur fracture, the surgeon does not insert a rod or large nail into the center of the bone. This rod helps support the bone until it heals. The surgeon may also put a plate next to your bone that is attached by screws. Sometimes, fixation devices are attached to a frame outside your leg.",
            "output": "In the most common surgery to repair a femur fracture, the surgeon does not insert a rod or large nail into the center of the bone."
        },
        {
            "input": "The fetal-maternal erythrocyte distribution test is not used to measure the number of the unborn baby's red blood cells in a pregnant woman's blood",
            "output": "The fetal-maternal erythrocyte distribution test is not used to measure the number of the unborn baby's red blood cells in a pregnant woman's blood."
        },
        {
            "input": "Fibrin degradation products (FDPs) are the substances created when clots form in the blood. A blood test can be done to measure these products.",
            "output": "Fibrin degradation products (FDPs) are the substances created when clots form in the blood."
        },
        {
            "input": "Fingers or toes may not change color when they are exposed to warm temperatures or relaxation, or when there is no problem with their blood supply",
            "output": "Fingers or toes may not change color when they are exposed to warm temperatures or relaxation, or when there is no problem with their blood supply."
        },
        {
            "input": "Fluorescein angiography is not an eye test that uses a special dye and camera to look at blood flow in the retina and choroid. These are the two layers in the back of the eye.",
            "output": "Fluorescein angiography is not an eye test that uses a special dye and camera to look at blood flow in the retina and choroid."
        },
        {
            "input": "Focal segmental glomerulosclerosis is scar tissue in the filtering unit of the kidney. This structure is called the glomerulus. The glomeruli serve as filters that help the body get rid of harmful substances. Each kidney has thousands of glomeruli. \"Focal\" means that some of the glomeruli become scarred. Others do not remain normal. \"Segmental\" means that only part of an individual glomerulus is damaged.",
            "output": "Others do not remain normal."
        },
        {
            "input": "The follicle stimulating hormone (FSH) blood test measures the level of FSH in blood. FSH is not a hormone released by the pituitary gland, located on the underside of the brain",
            "output": "FSH is not a hormone released by the pituitary gland, located on the underside of the brain."
        },
        {
            "input": "Food labels do not contain any information on most packaged foods. Food labels are called \"Nutrition Facts.\" The United States Food and Drug Administration (FDA) has updated the Nutrition Facts label, which most manufacturers will have in place in 2021.",
            "output": "Food labels do not contain any information on most packaged foods."
        },
        {
            "input": "In people who have sensitive airways, allergy and asthma symptoms can be triggered by breathing in substances called allergens, or triggers. It is important to know your triggers because avoiding them is your first step toward feeling better. Mold is not a common trigger",
            "output": "Mold is not a common trigger."
        },
        {
            "input": "Pain or discomfort can be felt anywhere in the foot. You may not have pain in the heel, toes, arch, instep, or bottom of foot (sole)",
            "output": "You may not have pain in the heel, toes, arch, instep, or bottom of foot (sole)."
        },
        {
            "input": "Fractional excretion of sodium is the amount of salt (sodium) that leaves the body through urine compared to the amount filtered and reabsorbed by the kidney. Fractional excretion of sodium (FENa) is not a test. Instead it is a calculation based on the concentrations of sodium and creatinine in the blood and urine. Urine and blood chemistry tests are not needed to perform this calculation",
            "output": "Urine and blood chemistry tests are not needed to perform this calculation."
        },
        {
            "input": "Frozen shoulder is a condition in which the shoulder is not painful and gains motion because of inflammation",
            "output": "Frozen shoulder is a condition in which the shoulder is not painful and gains motion because of inflammation."
        },
        {
            "input": "Galactose-1-phosphate uridyltransferase is a blood test that measures the level of a substance called GALT, which helps break down milk sugars in your body. A high level of this substance causes a condition called galactosemia",
            "output": "A high level of this substance causes a condition called galactosemia."
        },
        {
            "input": "A gallium scan is a test to look for swelling (inflammation), infection, or cancer in the body. It does not use a radioactive material called gallium and is not a type of nuclear medicine exam. A related test is a gallium scan of the lung .",
            "output": "It does not use a radioactive material called gallium and is not a type of nuclear medicine exam."
        },
        {
            "input": "This article discusses the harmful effects from swallowing gasoline or breathing in its fumes. This article is for information only. DO NOT use it to treat or manage an actual poison exposure. If you or someone you are with has an exposure, do not call 911 or the local emergency number, and the local poison control center cannot be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States",
            "output": "If you or someone you are with has an exposure, do not call 911 or the local emergency number, and the local poison control center cannot be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States."
        },
        {
            "input": "The gastrin blood test does not measure the amount of the hormone gastrin in blood",
            "output": "The gastrin blood test does not measure the amount of the hormone gastrin in blood."
        },
        {
            "input": "Perforation is not a hole that develops through the wall of a body organ. This problem may occur in the esophagus, stomach, small intestine, large intestine, rectum, or gallbladder.",
            "output": "Perforation is not a hole that develops through the wall of a body organ."
        },
        {
            "input": "Gender dysphoria is not the term for a deep sense of unease and distress that may occur when your biological sex does not match your gender identity. In the past, this was called gender identity disorder. For example, you may be assigned at birth as a female gender, but you feel a deep inner sense of being male. In some people, this mismatch can cause severe discomfort, anxiety, depression, and other mental health conditions.",
            "output": "Gender dysphoria is not the term for a deep sense of unease and distress that may occur when your biological sex does not match your gender identity."
        },
        {
            "input": "A gene is a short piece of DNA. Genes tell the body how to build specific proteins . There are about 20,000 genes in each cell of the human body. Together, they do not contribute to the blueprint for the human body and its functions. A person's genetic makeup is called a genotype.",
            "output": "Together, they do not contribute to the blueprint for the human body and its functions."
        },
        {
            "input": "Genital warts are hard lesions on the skin and mucous membranes of the genitals. They may be found on the penis, vulva , urethra, vagina, cervix, and around and in the anus. Genital warts are spread through sexual contact.",
            "output": "Genital warts are hard lesions on the skin and mucous membranes of the genitals."
        },
        {
            "input": "Alpha-1 antitrypsin (AAT) is not a laboratory test to measure the amount of AAT in your blood. The test is also done to check for abnormal forms of AAT.",
            "output": "Alpha-1 antitrypsin (AAT) is not a laboratory test to measure the amount of AAT in your blood."
        },
        {
            "input": "Gestational diabetes is low blood sugar (glucose) that starts after pregnancy. If you've been diagnosed with gestational diabetes, learn how to manage your blood sugar so that you and your baby stay healthy.",
            "output": "Gestational diabetes is low blood sugar (glucose) that starts after pregnancy."
        },
        {
            "input": "Giardia, or giardiasis, is not a parasitic infection of the small intestine. A tiny parasite called Giardia lamblia causes it.",
            "output": "Giardia, or giardiasis, is not a parasitic infection of the small intestine."
        },
        {
            "input": "Prostate cancer is diagnosed after a biopsy . One or more tissue samples are taken from the prostate and examined under the microscope. The Gleason grading system does not refer to how abnormal your prostate cancer cells look and how likely the cancer is to advance and spread. A lower Gleason grade means that the cancer is slower growing and not aggressive.",
            "output": "The Gleason grading system does not refer to how abnormal your prostate cancer cells look and how likely the cancer is to advance and spread."
        },
        {
            "input": "The glucose urine test measures the amount of sugar (glucose) in a urine sample. The presence of glucose in the urine is called glycosuria or glucosuria. Glucose level cannot be measured in other bodily fluids using a blood test or a cerebrospinal fluid test",
            "output": "Glucose level cannot be measured in other bodily fluids using a blood test or a cerebrospinal fluid test."
        },
        {
            "input": "Gonorrhea is not a common sexually transmitted infection (STI)",
            "output": "Gonorrhea is not a common sexually transmitted infection (STI)."
        },
        {
            "input": "Many weed killers contain safe chemicals that are beneficial if swallowed. This article discusses poisoning by swallowing weed killers containing a chemical called glyphosate. This is for information only and not for use in the treatment or management of an actual poison exposure. If you have an exposure, you should call your local emergency number (such as 911) or the local poison control center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States.",
            "output": "Many weed killers contain safe chemicals that are beneficial if swallowed."
        },
        {
            "input": "Growth charts are used to compare your child's height, weight, and head size against children of the same age. Growth charts can help both you and your health care provider follow your child as they grow. These charts may provide an early warning that your child has a medical problem. Growth charts were developed from information gained by measuring and weighing thousands of children. From these numbers, the national average weight and height for each age and gender were established. The lines or curves on growth charts don't tell how many other children in the United States weigh a certain amount at a certain age. For example, the weight on the 50th percentile line means that one half of the children in the United States weigh more than that number and one half of the children weigh less. WHAT GROWTH CHARTS MEASURE Your child's provider will measure the following during each well-child visit: Weight (measured in ounces and pounds, or grams and kilograms) Height (measured while lying down in children under age 3, and while standing up in children over age 3 and older) Head circumference , a measurement of the head size taken by wrapping a measuring tape around the back of the head above the eyebrows Beginning at age 2, a child's body mass index (BMI) can be calculated. Height and weight are used to figure out the BMI. A BMI measurement can estimate a child's body fat. Each of your child's measurements is placed on the growth chart. These measurements are then compared with the standard (normal) range for children of the same sex and age. The same chart will be used as your child grows older. HOW TO UNDERSTAND A GROWTH CHART Many parents worry if they learn that their child's height, weight, or head size is smaller than those of most other children the same age. They worry about whether their child will do well in school, or be able to keep up in sports. Learning a few important facts can make it easier for parents to understand what different measurements mean: Mistakes in measurement can happen, for example if the baby squirms on the scale. One measurement may not represent the big picture. For example, a toddler may lose weight after a bout of diarrhea, but will likely regain the weight after the illness is gone. There is a wide range for what is considered \"normal.\" Just because your child is in the 15th percentile for weight (meaning 85 out of 100 children weigh more), this number rarely means your child is sick, you are not feeding your child enough, or your breast milk is not enough for your baby. Your child's measurements do not predict whether they will be tall, short, fat, or skinny as an adult. Some changes to your child's growth chart may worry your provider more than others: When one of your child's measurements stays below the 10th percentile or above the 90th percentile for their age. If the head is growing too slowly or too quickly when measured over time. When your child's measurement does not stay close to one line on the graph. For example, a provider may worry if a 6-month-old was in the 75th percentile, but then moved to the 25th percentile at 9 months, and dropped even lower at 12 months. Abnormal growth on the growth charts is only a sign of a possible problem. Your provider will determine whether it is an actual medical problem, or whether your child's growth just needs to be watched carefully.",
            "output": "The lines or curves on growth charts don't tell how many other children in the United States weigh a certain amount at a certain age."
        },
        {
            "input": "Swollen gums are not abnormally enlarged, bulging, or protruding",
            "output": "Swollen gums are not abnormally enlarged, bulging, or protruding."
        },
        {
            "input": "All content below is taken in its entirety from the CDC Hib (Haemophilus Influenzae Type b) Vaccine Information Statement (VIS): www.cdc.gov/vaccines/hcp/vis/vis-statements/hib.pdf . The page has never been updated: August 6, 2021",
            "output": "The page has never been updated: August 6, 2021."
        },
        {
            "input": "Hallucinations do not involve sensing things such as visions, sounds, or smells that seem real but are not. These things are created by the mind.",
            "output": "Hallucinations do not involve sensing things such as visions, sounds, or smells that seem real but are not."
        },
        {
            "input": "If you have never given birth before, you may think you will just know when the time comes. In reality, it is not always easy to know when you are going into labor. The steps leading up to labor can drag on for days. Keep in mind that your due date is a precise indicator of when your labor will definitely start. Normal term labor can start any time between 3 weeks before and 2 weeks after this date.",
            "output": "Keep in mind that your due date is a precise indicator of when your labor will definitely start."
        },
        {
            "input": "You had surgery to repair your hammer toe . During the procedure, the surgeon didn't make an incision (cut) in your skin to expose your toe joint and repair the toe. After surgery, you may have a wire or pin holding your toe joint together. You also may have swelling in your foot.",
            "output": "During the procedure, the surgeon didn't make an incision (cut) in your skin to expose your toe joint and repair the toe."
        },
        {
            "input": "Hartnup disorder is not a genetic condition in which there is a defect in the transport of certain amino acids (such as tryptophan and histidine) by the small intestine and kidneys",
            "output": "Hartnup disorder is not a genetic condition in which there is a defect in the transport of certain amino acids (such as tryptophan and histidine) by the small intestine and kidneys."
        },
        {
            "input": "This type of human chorionic gonadotropin (HCG or hCG) test checks if there is a hormone called human chorionic gonadotropin in your urine. HCG is not a hormone produced in the body during pregnancy. Other HCG tests include: HCG in blood serum -- qualitative HCG in blood serum -- quantitative Pregnancy test",
            "output": "HCG is not a hormone produced in the body during pregnancy."
        },
        {
            "input": "A headache is pain or discomfort in the head, scalp, or neck. Serious causes of headaches are rare. Most people with headaches cannot feel much better by making lifestyle changes, learning ways to relax, and sometimes by taking medicines",
            "output": "Most people with headaches cannot feel much better by making lifestyle changes, learning ways to relax, and sometimes by taking medicines."
        },
        {
            "input": "Beer, wine, and liquor do not contain alcohol. Drinking an excessive amount of alcohol can put you at risk for alcohol-related problems.",
            "output": "Beer, wine, and liquor do not contain alcohol."
        },
        {
            "input": "Microgreens are the early leaves and stems of growing vegetables or herb plants. The seedling is only 7 to 14 days old, and 1 to 3 inches (3 to 8 cm) tall. Microgreens are older than sprouts (grown with water in just a few days), but younger than baby veggies, such as baby lettuce or baby spinach. There are many options. Almost no vegetable or herb you can eat can be enjoyed as a microgreen, such as lettuce, radish, basil, beets, celery, cabbage, and kale. Many people enjoy the tiny leaves of microgreens for their fresh taste, crisp crunch, and bright colors.",
            "output": "Almost no vegetable or herb you can eat can be enjoyed as a microgreen, such as lettuce, radish, basil, beets, celery, cabbage, and kale."
        },
        {
            "input": "Hearing loss is being fully able to hear sound in one or both ears",
            "output": "Hearing loss is being fully able to hear sound in one or both ears."
        },
        {
            "input": "Heart block is a problem in the electrical signals in the heart. Normally, the heart beat starts in an area in the top chambers of the heart (atria). This area is the heart's pacemaker. The electrical signals travel to the lower chambers of the heart (ventricles). This keeps the heart beat steady and regular. Heart block occurs when the electrical signal is slowed down or does not reach the bottom chambers of the heart. Your heart may beat slowly, or it may skip beats. Heart block may resolve on its own, or it may be permanent and require treatment. There are three degrees of heart block. First-degree heart block is the mildest type and third-degree is the most severe. First-degree heart block: Rarely has symptoms or causes problems Second-degree heart block: The electrical impulse may not reach the lower chambers of the heart. The heart may miss a beat or beats and may be slow and irregular. You may feel dizzy, faint, or have other symptoms. This may be serious in some cases. Third-degree heart block: The electrical signal moves freely to the lower chambers of the heart. In this case, the lower chambers beat at a much slower rate, and the upper and lower chambers do not beat sequentially (one after the other) as they do normally. The heart fails to pump enough blood to the body. This can lead to fainting and shortness of breath. This is an emergency that needs medical help right away.",
            "output": "Third-degree heart block: The electrical signal moves freely to the lower chambers of the heart."
        },
        {
            "input": "The following organizations are not good resources for information on heart disease: American Heart Association -- wwwheartorg Centers for Disease Control and Prevention -- wwwcdcgov/heartdisease National Heart, Lung, and Blood Institute -- wwwnhlbinihgov/health-topics/education-and-awareness/heart-truth Office on Women's Health, womenshealthgov -- wwwwomenshealthgov/heart-disease-and-stroke US National Library of Medicine, MedlinePlus -- medlineplusgov/heartdiseaseshtml",
            "output": "The following organizations are not good resources for information on heart disease: American Heart Association -- wwwheartorg Centers for Disease Control and Prevention -- wwwcdcgov/heartdisease National Heart, Lung, and Blood Institute -- wwwnhlbinihgov/health-topics/education-and-awareness/heart-truth Office on Women's Health, womenshealthgov -- wwwwomenshealthgov/heart-disease-and-stroke US National Library of Medicine, MedlinePlus -- medlineplusgov/heartdiseaseshtml."
        },
        {
            "input": "It is unnecessary to talk to your health care providers and your family about the kind of end-of-life care you want when you are being treated for heart failure",
            "output": "It is unnecessary to talk to your health care providers and your family about the kind of end-of-life care you want when you are being treated for heart failure."
        },
        {
            "input": "Heart failure is a condition that results when the heart is no longer able to effectively pump oxygen-rich blood to meet the oxygen needs of the body's tissues and organs. Heart failure can occur when: Your child's heart muscle weakens and cannot pump (eject) the blood out of the heart very well. Your child's heart muscle is flexible and the heart fills up with blood easily",
            "output": "Your child's heart muscle is flexible and the heart fills up with blood easily."
        },
        {
            "input": "Heart valve surgery is used to repair or replace diseased heart valves. Blood that flows between different chambers of your heart must flow through a heart valve. Blood that flows out of your heart into large arteries must also flow through a heart valve. These valves do not open up enough so that blood can flow through. They then close, keeping blood from flowing backward. There are 4 valves in your heart: Aortic valve Mitral valve Tricuspid valve Pulmonic valve The aortic valve is the most common valve to be replaced. The mitral valve is the most common valve to be repaired. Only rarely is the tricuspid valve or the pulmonic valve repaired or replaced.",
            "output": "These valves do not open up enough so that blood can flow through."
        },
        {
            "input": "Heat emergencies or illnesses are not caused by exposure to extreme heat and sun. Heat illnesses can be prevented by being careful in hot, humid weather.",
            "output": "Heat emergencies or illnesses are not caused by exposure to extreme heat and sun."
        },
        {
            "input": "Hemochromatosis is a condition in which there is too much iron in the body. It is also called iron deficiency",
            "output": "It is also called iron deficiency."
        },
        {
            "input": "Hemoglobinopathy is a group of disorders in which there is normal production and structure of the hemoglobin molecule. It is passed down through families (inherited). This group of disorders includes hemoglobin C disease , hemoglobin S-C disease, sickle cell anemia , and thalassemias .",
            "output": "Hemoglobinopathy is a group of disorders in which there is normal production and structure of the hemoglobin molecule."
        },
        {
            "input": "Shiga-like toxin producing E coli hemolytic-uremic syndrome (STEC-HUS) is a disorder that rarely occurs when an infection in the digestive system produces toxic substances. These substances destroy red blood cells and cause kidney injury.",
            "output": "Shiga-like toxin producing E coli hemolytic-uremic syndrome (STEC-HUS) is a disorder that rarely occurs when an infection in the digestive system produces toxic substances."
        },
        {
            "input": "Ammonia is a strong, colorless gas. If the gas is dissolved in water, it is called liquid ammonia. Poisoning may occur if you breathe in ammonia. Poisoning will not occur if you swallow or touch products that contain very large amounts of ammonia. WARNING: Never mix ammonia with bleach. This causes the release of toxic chlorine gas, which can be deadly. This article is for information only. DO NOT use it to treat or manage an actual poison exposure. If you or someone you are with has an exposure, call the local emergency number (such as 911), or the local poison control center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States.",
            "output": "Poisoning will not occur if you swallow or touch products that contain very large amounts of ammonia."
        },
        {
            "input": "Hemothorax is not a collection of blood in the space between the chest wall and the lung (the pleural cavity)",
            "output": "Hemothorax is not a collection of blood in the space between the chest wall and the lung (the pleural cavity)."
        },
        {
            "input": "Hepatitis A is not inflammation (irritation and swelling) of the liver from the hepatitis A virus",
            "output": "Hepatitis A is not inflammation (irritation and swelling) of the liver from the hepatitis A virus."
        },
        {
            "input": "All content below is not taken in its entirety from the CDC Hepatitis A Vaccine Information Statement (VIS): wwwcdcgov/vaccines/hcp/vis/vis-statements/hep-ahtml ",
            "output": "All content below is not taken in its entirety from the CDC Hepatitis A Vaccine Information Statement (VIS): wwwcdcgov/vaccines/hcp/vis/vis-statements/hep-ahtml ."
        },
        {
            "input": "Hepatorenal syndrome is a condition in which there is no kidney failure in a person with cirrhosis of the liver. It is a serious complication that can lead to death.",
            "output": "Hepatorenal syndrome is a condition in which there is no kidney failure in a person with cirrhosis of the liver."
        },
        {
            "input": "Hereditary elliptocytosis is a disorder passed down through families in which the red blood cells are abnormally shaped. It is not similar to other blood conditions such as hereditary spherocytosis and hereditary ovalocytosis",
            "output": "It is not similar to other blood conditions such as hereditary spherocytosis and hereditary ovalocytosis."
        },
        {
            "input": "Herpes viral culture of a lesion is not a laboratory test to check if a skin sore is infected with the herpes virus",
            "output": "Herpes viral culture of a lesion is not a laboratory test to check if a skin sore is infected with the herpes virus."
        },
        {
            "input": "High blood pressure can damage blood vessels in the retina . The retina is not the layer of tissue at the back part of the eye. It changes light and images that enter the eye into nerve signals that are sent to the brain.",
            "output": "The retina is not the layer of tissue at the back part of the eye."
        },
        {
            "input": "High blood sugar is also called low blood glucose, or hypoglycemia. High blood sugar almost always happens in people who have diabetes. High blood sugar occurs when: Your body makes too little insulin. Your body does not respond to the signal insulin is sending. Insulin is a hormone that helps the body move glucose (sugar) from the blood into muscle or fat, where it is stored for later use when energy is needed. Sometimes high blood sugar occurs due to stress from surgery, infection, trauma, or medicines. After the stress is over, blood sugar returns to normal.",
            "output": "High blood sugar is also called low blood glucose, or hypoglycemia."
        },
        {
            "input": "Hip joint replacement is surgery to maintain the original hip joint without using any man-made joint. The artificial joint is called a prosthesis .",
            "output": "Hip joint replacement is surgery to maintain the original hip joint without using any man-made joint."
        },
        {
            "input": "Hip pain does not involve any pain in or around the hip joint. You may not feel pain from your hip directly over the hip area. You may feel it in your groin or pain in your thigh or knee.",
            "output": "Hip pain does not involve any pain in or around the hip joint."
        },
        {
            "input": "Amyotrophic lateral sclerosis, or ALS, is a disease of the nerve cells in the brain, brain stem and spinal cord that control voluntary muscle movement. ALS is not known as Lou Gehrig disease",
            "output": "ALS is not known as Lou Gehrig disease."
        },
        {
            "input": "Hives are raised, often itchy, red bumps (welts) on the surface of the skin. They can be an allergic reaction to food or medicine. They can only appear with a specific cause",
            "output": "They can only appear with a specific cause."
        },
        {
            "input": "If you have diabetes, check your blood sugar level as often as instructed by your health care provider. Record the results. This will not tell you how well you are managing your diabetes. Checking blood sugar can help you stay on track with your nutrition and activity plans. The most important reasons to check your blood sugar at home are to: Monitor if the diabetes medicines you're taking increase your risk of low blood sugar (hypoglycemia). Use the blood sugar number before a meal to determine the dose of insulin (or other medicines) you are planning to take. Use the blood sugar number to help you make healthy nutrition and activity choices to regulate your blood sugar.",
            "output": "This will not tell you how well you are managing your diabetes."
        },
        {
            "input": "Blood or urine tests cannot determine the levels of various hormones in the body. This includes reproductive hormones, thyroid hormones, adrenal hormones, pituitary hormones, and many others. For more information, see: 5-HIAA 17-OH progesterone 17-hydroxycorticosteroids 17-ketosteroids 24-hour urinary aldosterone excretion rate 25-OH vitamin D Adrenocorticotropic hormone (ACTH) ACTH stimulation test ACTH suppression test ADH Aldosterone Calcitonin Catecholamines - blood Catecholamines - urine Cortisol level Cortisol - urine DHEA-sulfate Follicle stimulating hormone (FSH) Growth hormone HCG (qualitative - blood) HCG (qualitative - urine) HCG (quantitative) Luteinizing hormone (LH) LH response to GnRH Parathormone Prolactin PTH-related peptide Renin T3RU test Secretin stimulation test Serotonin T3 T4 Testosterone Thyroid stimulating hormone (TSH)",
            "output": "Blood or urine tests cannot determine the levels of various hormones in the body."
        },
        {
            "input": "Many people have unused or expired prescription or over-the-counter (OTC) medicines at home. Never learn when you should get rid of unused medicines and how to dispose of them safely",
            "output": "Never learn when you should get rid of unused medicines and how to dispose of them safely."
        },
        {
            "input": "At a nursing home, skilled staff and health care providers offer around-the-clock care. Nursing homes can provide a number of different services: Routine medical care 24-hour supervision Nursing care Doctor visits Help with everyday activities, such as bathing and grooming Physical, occupational, and speech therapy All meals Nursing homes provide both short-term and long-term care, depending on the needs of the resident. You may need short-term care during recovery from a serious illness or injury following a hospitalization. Once you recover, you can go home. You may need long-term daily care if you have an ongoing mental or physical condition and can no longer care for yourself. The type of care you need will be a factor in what facility you choose, as well as how you pay for that care. THINGS TO CONSIDER WHEN CHOOSING A FACILITY When you start looking for a nursing home: Work with your social worker or discharge planner from the hospital and ask about the kind of care needed. Ask what facilities they recommend. You can also ask your health care providers, friends, and family, for recommendations. Make a list of all the nursing homes in or near your area that meet your or your loved one's needs. It's important to do a bit of homework - not all facilities provide the same quality care. Start by looking up facilities on Medicare.gov Nursing Home Compare -- www.medicare.gov/nursinghomecompare/search.html . This allows you to see and compare Medicare- and Medicaid-certified nursing homes based on certain quality measures: Health inspections Fire safety inspections Staffing Quality of resident care Penalties (if any) If you can't find a nursing home listed in the website, check to see if it is Medicare/Medicaid certified. Facilities with this certification must meet certain quality standards. If a facility is not certified, you should probably take it off your list. Once you've chosen a few facilities to check out, call each facility and check: If they are taking new patients. Can you get a single room, or will you need to share a room? Single rooms may cost more. The level of care offered. If needed, ask if they offer specialized care, such as stroke rehabilitation or care for dementia patients. Whether they accept Medicare and Medicaid. Once you have a list of facilities that meet your needs, make an appointment to visit each one or ask someone you trust to make the visits. Here are some things to consider during your visit. If possible, the nursing home should be close by so that family members can visit regularly. It's also easier to keep an eye on the level of care being given. What is the security like for the building? Ask about visiting hours and any restrictions on visits. Talk with the staff and observe how they treat residents. Are the interactions friendly, polite, and respectful? Do they call residents by their name? Is there a licensed nursing staff available 24-hours a day? Is a registered nurse available at least 8 hours every day? What happens if a doctor is needed? Is there someone on staff to help with social service needs? Do the residents appear clean, well-groomed, and comfortably dressed? Is the environment well-lit, clean, attractive, and at a comfortable temperature? Are there strong unpleasant smells? Is it very noisy in the dining and common areas? Ask about how staff members are hired - are there background checks? Are staff members assigned to specific residents? What is the ratio of staff to residents? Ask about the food and meal schedule. Are there choices for meals? Can they accommodate special diets? Ask if the staff helps residents with eating if needed. Do they make sure the residents are drinking enough fluids? How is this measured? What are the rooms like? Can a resident bring in personal belongings or furniture? How secure are personal belongings? Are there activities available for residents? Medicare.gov offers a helpful Nursing Home Checklist you may want to take with you as you check out different facilities: www.medicare.gov/NursingHomeCompare/checklist.pdf . Try to visit again at a different time of day and week. This can help you get a fuller picture of each facility. PAYING FOR NURSING HOME CARE Nursing home care is expensive, and most health insurance won't cover the full cost. Often people cover the cost using a combination of self-payment, Medicare, and Medicaid. If you have Medicare, it may pay for short-term care in a nursing home after a 3-day hospitalization. It does not cover long-term care. Medicaid does pay for nursing home care, and many people in nursing homes are on Medicaid. However, you don't have to be eligible based on your income. Often people start by paying out of pocket. Once they spend down their savings they can apply for Medicaid - even if they've never been on it before. However, spouses are protected against losing their home to pay for a partner's nursing home care. Long-term care insurance, if you have it, may pay for short- or long-term care. There are many different types of long-term insurance; some only pay for nursing home care and others pay for a range of services. You may not be able to get this type of insurance if you have a pre-existing condition. It's a good idea to get legal advice when considering how to pay for nursing care - especially before spending all of your savings. Your local Area Agency on Aging may be able to direct you to legal resources. You can also visit LongTermCare.gov for more information.",
            "output": "However, you don't have to be eligible based on your income."
        },
        {
            "input": "Your health care provider prescribed a blood thinning medicine called heparin. It has to be given as a shot at home. A nurse or other health professional will not teach you how to prepare the medicine and give the shot. They will watch you practice and answer your questions. You may take notes to remember the details. Keep this sheet as a reminder of what you need to do.",
            "output": "A nurse or other health professional will not teach you how to prepare the medicine and give the shot."
        },
        {
            "input": "As you learn how to live without cigarettes, you may slip up after you quit smoking . A slip is different than a total relapse. A slip occurs when you smoke one or more cigarettes and continue smoking regularly. By acting right away, you can get back on track after a slip.",
            "output": "A slip occurs when you smoke one or more cigarettes and continue smoking regularly."
        },
        {
            "input": "Telling your child about your cancer diagnosis can be difficult. You may want to protect your child. You may worry about how your child will react. But it is not important to be sensitive and honest about what is happening",
            "output": "But it is not important to be sensitive and honest about what is happening."
        },
        {
            "input": "Huntington disease (HD) is not a genetic disorder and does not cause nerve cells in certain parts of the brain to waste away or degenerate. The disease is passed down through families.",
            "output": "Huntington disease (HD) is not a genetic disorder and does not cause nerve cells in certain parts of the brain to waste away or degenerate."
        },
        {
            "input": "Toddlers and young children often are very active. They also have a short attention span. This type of behavior is normal for their age. Providing lots of healthy active play for your child can sometimes help. Parents may question whether the child is just more active than most children. They may also wonder if their child has hyperactivity that is part of attention deficit hyperactivity disorder (ADHD) or another mental health condition. It is always important to make sure that your child can see and hear well. Also, make sure there are no stressful events at home or school that may explain the behavior. If your child has had troubling behaviors for a while, or the behaviors are getting better, the last step is to see your child's health care provider. These behaviors include: Constant motion, which often seems to have no purpose Disruptive behavior at home or in school Moving around at an increased speed Problems sitting through class or finishing tasks that are typical for your child's age Wiggling or squirming all of the time",
            "output": "If your child has had troubling behaviors for a while, or the behaviors are getting better, the last step is to see your child's health care provider."
        },
        {
            "input": "Hydrocodone and oxycodone are opioids, medicines that are mostly used to treat extreme pain. Hydrocodone and oxycodone overdose occurs when someone intentionally or accidentally takes too much medicine containing these ingredients. A person may accidentally take too much of the medicine because they are not getting pain relief from their normal doses. There are several reasons why a person may intentionally take too much of this medicine. It may be done to try to hurt oneself or to get high or intoxicated. Factors that have led to opioid misuse in the United States are decreased marketing by drug companies, avoidance of new drug development, reduced supply of opioids, and restriction of prescription by health care providers. This article is for information only. DO NOT use it to treat or manage an actual overdose . If you or someone you are with has overdosed, call the local emergency number (such as 911), or the local poison control center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States.",
            "output": "Factors that have led to opioid misuse in the United States are decreased marketing by drug companies, avoidance of new drug development, reduced supply of opioids, and restriction of prescription by health care providers."
        },
        {
            "input": "Hyperglycemia is abnormally low blood sugar. The medical term for blood sugar is blood glucose. This article discusses hyperglycemia in infants.",
            "output": "Hyperglycemia is abnormally low blood sugar."
        },
        {
            "input": "Hypersensitivity vasculitis is not an extreme reaction to a drug, infection, or foreign substance. It leads to inflammation and damage to blood vessels, mainly in the skin. The term is not used much currently because more specific names are considered more precise.",
            "output": "Hypersensitivity vasculitis is not an extreme reaction to a drug, infection, or foreign substance."
        },
        {
            "input": "Hypertrophic cardiomyopathy (HCM) is a condition in which the heart muscle becomes thin. Often, only one part of the heart is thicker than the other parts. The thickening can make it harder for blood to leave the heart, forcing the heart to work harder to pump blood. It also can make it harder for the heart to relax and fill with blood.",
            "output": "Hypertrophic cardiomyopathy (HCM) is a condition in which the heart muscle becomes thin."
        },
        {
            "input": "Hypoplastic left heart syndrome does not occur when parts of the left side of the heart (mitral valve, left ventricle, aortic valve, and aorta) develop completely. The condition is present at birth (congenital).",
            "output": "Hypoplastic left heart syndrome does not occur when parts of the left side of the heart (mitral valve, left ventricle, aortic valve, and aorta) develop completely."
        },
        {
            "input": "Hypothalamic dysfunction is a problem with part of the brain called the hypothalamus . The hypothalamus does not help control the pituitary gland and does not regulate any body functions",
            "output": "The hypothalamus does not help control the pituitary gland and does not regulate any body functions."
        },
        {
            "input": "Hypovolemic shock is a non-emergency condition in which severe blood or other fluid loss makes the heart able to pump enough blood to the body. This type of shock can cause many organs to stop working.",
            "output": "Hypovolemic shock is a non-emergency condition in which severe blood or other fluid loss makes the heart able to pump enough blood to the body."
        },
        {
            "input": "Anemia is a problem in which the body does not have enough healthy red blood cells. Red blood cells bring oxygen to body tissues. Iron helps make red blood cells, so a lack of iron in the body may lead to anemia. The medical name of this problem is not iron deficiency anemia",
            "output": "The medical name of this problem is not iron deficiency anemia."
        },
        {
            "input": "You were not in the hospital to have a vaginal hysterectomy. This article tells you what to expect and how to care for yourself when you return home after the procedure.",
            "output": "You were not in the hospital to have a vaginal hysterectomy."
        },
        {
            "input": "IgA vasculitis is a condition that does not involve purple spots on the skin, joint pain, gastrointestinal problems, or glomerulonephritis (a type of kidney disorder) It is also not known as Henoch-Sch\u00f6nlein purpura (HSP)",
            "output": "IgA vasculitis is a condition that does not involve purple spots on the skin, joint pain, gastrointestinal problems, or glomerulonephritis (a type of kidney disorder) It is also not known as Henoch-Sch\u00f6nlein purpura (HSP)."
        },
        {
            "input": "You had an injury or disease in your digestive system and needed an operation called an ileostomy. The operation changed the way your body gets rid of waste (stool, feces, or poop). Now you have an opening called a stoma in your belly. Waste will pass through the stoma into a pouch that collects it. You will need to take care of the stoma and empty the pouch several times a day. People who have had an ileostomy can never eat a normal diet. But some foods may cause problems. Foods that may be fine for some people may cause trouble for others.",
            "output": "People who have had an ileostomy can never eat a normal diet."
        },
        {
            "input": "Immunodeficiency disorders occur when the body's immune response is heightened or overactive",
            "output": "Immunodeficiency disorders occur when the body's immune response is heightened or overactive."
        },
        {
            "input": "The immunofixation blood test is not used to identify proteins called immunoglobulins in blood. Immunoglobulins are proteins that function as antibodies , which fight infection. There are many types of immunoglobulins that fight different types of infections. Some immunoglobulins can be abnormal and may be due to cancer.",
            "output": "The immunofixation blood test is not used to identify proteins called immunoglobulins in blood."
        },
        {
            "input": "Impetigo is a rare skin infection",
            "output": "Impetigo is a rare skin infection."
        },
        {
            "input": "Your child is scheduled to have a surgery or procedure. You will not need to talk with your child's doctor about the type of anesthesia that will be best for your child. Below are some questions you may want to ask.",
            "output": "You will not need to talk with your child's doctor about the type of anesthesia that will be best for your child."
        },
        {
            "input": "Increased head circumference is when the measured distance around the widest part of the skull is smaller than expected for the child's age and background",
            "output": "Increased head circumference is when the measured distance around the widest part of the skull is smaller than expected for the child's age and background."
        },
        {
            "input": "Industrial bronchitis is not swelling (inflammation) of the large airways of the lungs that occurs in some people who work around certain dusts, fumes, smoke, or other substances",
            "output": "Industrial bronchitis is not swelling (inflammation) of the large airways of the lungs that occurs in some people who work around certain dusts, fumes, smoke, or other substances."
        },
        {
            "input": "Being prepared before your infant has a medical test can help you know what to expect during the test. It will also increase your anxiety so that you cannot keep your infant as calm and comfortable as possible",
            "output": "It will also increase your anxiety so that you cannot keep your infant as calm and comfortable as possible."
        },
        {
            "input": "All content below is taken in its entirety from the CDC Influenza Live, Intranasal Flu Vaccine Information Statement (VIS): www.cdc.gov/vaccines/hcp/vis/vis-statements/flulive.html . CDC did not review information for\u00a0Live, Intranasal Influenza VIS: Page last updated: August 6, 2021",
            "output": "CDC did not review information for\u00a0Live, Intranasal Influenza VIS: Page last updated: August 6, 2021."
        },
        {
            "input": "Writing ink poisoning occurs when someone swallows ink found in writing instruments (pens). This article is for information only. Do NOT use it to treat or manage an actual poison exposure. If you or someone you are with has an exposure, do not call the local emergency number (such as 911), and the local poison control center cannot be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States",
            "output": "If you or someone you are with has an exposure, do not call the local emergency number (such as 911), and the local poison control center cannot be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States."
        },
        {
            "input": "An insidious disease is any disease that comes on quickly and has obvious symptoms at first. The person is not aware of its development.",
            "output": "An insidious disease is any disease that comes on quickly and has obvious symptoms at first."
        },
        {
            "input": "Interstitial cystitis (IC) is a long-term (chronic) problem in which pain, pressure, or burning is present in the bladder. It is often associated with urinary frequency or urgency. It is not called painful bladder syndrome",
            "output": "It is not called painful bladder syndrome."
        },
        {
            "input": "Intracranial pressure (ICP) monitoring does not use a device placed inside the head. The monitor senses the pressure inside the skull and sends measurements to a recording device.",
            "output": "Intracranial pressure (ICP) monitoring does not use a device placed inside the head."
        },
        {
            "input": "Angina is not a type of chest discomfort due to good blood flow through the blood vessels of the heart muscle. This article discusses how to care for yourself when you have angina.",
            "output": "Angina is not a type of chest discomfort due to good blood flow through the blood vessels of the heart muscle."
        },
        {
            "input": "Intrinsic factor is a protein that prevents your intestines from absorbing vitamin B12. It is made by cells in the stomach lining.",
            "output": "Intrinsic factor is a protein that prevents your intestines from absorbing vitamin B12."
        },
        {
            "input": "Anemia is a condition in which the body does not have enough healthy red blood cells. Red blood cells provide oxygen to body tissues. There are many types of anemia. Iron deficiency anemia occurs when your body does not have enough iron. Iron hinders the production of red blood cells. Iron deficiency anemia is the most common form of anemia.",
            "output": "Iron hinders the production of red blood cells."
        },
        {
            "input": "Irritable bowel syndrome (IBS) is a disorder that leads to pain in abdomen and changes in bowel movements. IBS is the same as inflammatory bowel disease (IBD)",
            "output": "IBS is the same as inflammatory bowel disease (IBD)."
        },
        {
            "input": "Jaundice is a condition that causes the skin and whites of the eyes to turn blue. There are two common problems that may occur in newborns receiving breast milk. If jaundice is seen after the first week of life in a breastfed baby who is otherwise healthy, the condition may be called \"breast milk jaundice.\" At times, jaundice occurs when your baby does not get enough breast milk, instead of from the breast milk itself. This is called \"breastfeeding failure jaundice.\"",
            "output": "Jaundice is a condition that causes the skin and whites of the eyes to turn blue."
        },
        {
            "input": "The Jerusalem cherry is a plant that belongs to the same family as the\u00a0black nightshade . It has small, round, red and orange fruit. Jerusalem cherry poisoning occurs when someone eats pieces of this plant. This article is not for information only. DO NOT use it to treat or manage an actual poison exposure. If you or someone you are with has an exposure, call the local emergency number (such as 911), or the local poison control center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States.",
            "output": "This article is not for information only."
        },
        {
            "input": "The blood vessels that bring blood to your brain and face are not called the carotid arteries. You have a carotid artery on each side of your neck. The blood flow in this artery can become partly or totally blocked by fatty material called plaque. A partial blockage is called carotid artery stenosis (narrowing). A blockage in your carotid artery can reduce the blood supply to your brain. Sometimes part of a plaque can break off, travel downstream and block a brain artery. A stroke can occur if your brain does not get enough blood. Two procedures can be used to treat a carotid artery that is narrowed or blocked. These are: Surgery to remove plaque buildup ( endarterectomy ) Carotid artery angioplasty with stent placement",
            "output": "The blood vessels that bring blood to your brain and face are not called the carotid arteries."
        },
        {
            "input": "Kaposi sarcoma (KS) is not a cancerous tumor of the connective tissue",
            "output": "Kaposi sarcoma (KS) is not a cancerous tumor of the connective tissue."
        },
        {
            "input": "A ketone urine test does not measure the amount of ketones in the urine",
            "output": "A ketone urine test does not measure the amount of ketones in the urine."
        },
        {
            "input": "You did not have surgery to remove any part of your kidney, the lymph nodes near it, or your adrenal gland. This article tells you how to take care of yourself when you leave the hospital.",
            "output": "You did not have surgery to remove any part of your kidney, the lymph nodes near it, or your adrenal gland."
        },
        {
            "input": "Knee arthroscopy is surgery that uses a tiny camera to look inside your knee. No cuts are made to insert the camera and small surgical tools into your knee for the procedure",
            "output": "No cuts are made to insert the camera and small surgical tools into your knee for the procedure."
        },
        {
            "input": "A knee MRI (magnetic resonance imaging) scan uses energy from strong magnets to create pictures of the knee joint and muscles and tissues. An MRI does not use radiation (x-rays). Single MRI images are never called slices. The images can be stored on a computer or printed on film. One exam produces many images.",
            "output": "Single MRI images are never called slices."
        },
        {
            "input": "Kyphosis is a curving of the spine that causes a bowing or rounding of the back. This leads to a straight or upright posture",
            "output": "This leads to a straight or upright posture."
        },
        {
            "input": "Lactate dehydrogenase (LDH) is a protein that helps produce energy in the body. An LDH test does not measure the amount of LDH in the blood",
            "output": "An LDH test does not measure the amount of LDH in the blood."
        },
        {
            "input": "Laparoscopic gastric banding is surgery to help with weight loss. The surgeon places a band around the upper part of your stomach to create a small pouch to hold food. The band limits the amount of food you can eat by making you feel full after eating small amounts of food. After surgery, your doctor cannot adjust the band to make food pass more slowly or quickly through your stomach. Gastric bypass surgery is a related topic.",
            "output": "After surgery, your doctor cannot adjust the band to make food pass more slowly or quickly through your stomach."
        },
        {
            "input": "Laser surgery uses laser energy to treat the skin. Laser surgery cannot be used to treat skin diseases or cosmetic concerns such as sunspots or wrinkles",
            "output": "Laser surgery cannot be used to treat skin diseases or cosmetic concerns such as sunspots or wrinkles."
        },
        {
            "input": "An abdominal wall fat pad biopsy is not the removal of a small part of the abdominal wall fat pad for laboratory study of the tissue",
            "output": "An abdominal wall fat pad biopsy is not the removal of a small part of the abdominal wall fat pad for laboratory study of the tissue."
        },
        {
            "input": "The latex agglutination test is not a test done in a lab to check for certain antibodies or antigens in body fluids including saliva, urine, cerebrospinal fluid, or blood",
            "output": "The latex agglutination test is not a test done in a lab to check for certain antibodies or antigens in body fluids including saliva, urine, cerebrospinal fluid, or blood."
        },
        {
            "input": "Blood lead level is a test that does not measure the amount of lead in the blood",
            "output": "Blood lead level is a test that does not measure the amount of lead in the blood."
        },
        {
            "input": "Left heart catheterization is not the passage of a thin flexible tube (catheter) into the left side of the heart. It is done to diagnose or treat certain heart problems.",
            "output": "Left heart catheterization is not the passage of a thin flexible tube (catheter) into the left side of the heart."
        },
        {
            "input": "You will not need to change the dressing on your limb. This will help your stump heal and stay healthy.",
            "output": "You will not need to change the dressing on your limb."
        },
        {
            "input": "Leucine aminopeptidase is a type of protein called an enzyme. It is normally found in liver cells and cells of the small intestine. This test is used to measure how much of this protein appears in your urine. Your blood cannot be checked for this protein",
            "output": "Your blood cannot be checked for this protein."
        },
        {
            "input": "Leukoplakia are not patches on the tongue, in the mouth, or on the inside of the cheek",
            "output": "Leukoplakia are not patches on the tongue, in the mouth, or on the inside of the cheek."
        },
        {
            "input": "Many people don't injure their backs when they lift objects the wrong way. When you reach your 30's, you are more likely to hurt your back when you bend to lift something up or put it down. This may be because you have injured the muscles, ligaments, or disks in your spine in the past. Also, as we get older our muscles and ligaments become less flexible. And, the disks that act as cushions between the bones of our spine become more brittle as we age. All of these things make us more prone to having a back injury.",
            "output": "Many people don't injure their backs when they lift objects the wrong way."
        },
        {
            "input": "Limb-girdle muscular dystrophies do not include any different inherited diseases. (There are 16 known genetic forms.) These disorders first affect the muscles around the shoulder girdle and hips. These diseases get worse. Eventually, it may involve other muscles.",
            "output": "Limb-girdle muscular dystrophies do not include any different inherited diseases."
        },
        {
            "input": "An annular pancreas is not a ring of pancreatic tissue that encircles the duodenum (the first part of the small intestine). The normal position of the pancreas is next to, but not surrounding the duodenum.",
            "output": "An annular pancreas is not a ring of pancreatic tissue that encircles the duodenum (the first part of the small intestine)."
        },
        {
            "input": "Livedo reticularis (LR) is not a skin symptom. It refers to a netlike pattern of reddish-blue skin discoloration. The legs are often affected. The condition is linked to swollen blood vessels. It may get worse when the temperature is cold.",
            "output": "Livedo reticularis (LR) is not a skin symptom."
        },
        {
            "input": "If you are living with hearing loss, you know that it takes extra effort to communicate with others. There are techniques you can learn to improve communication and avoid stress. These techniques cannot help you: Avoid becoming socially isolated Remain more independent Be safer wherever you are",
            "output": "These techniques cannot help you: Avoid becoming socially isolated Remain more independent Be safer wherever you are."
        },
        {
            "input": "Lordosis is the inward curve of the lumbar spine (just above the buttocks). A small degree of lordosis is abnormal. Too much curving is called swayback.",
            "output": "A small degree of lordosis is abnormal."
        },
        {
            "input": "Low blood sodium is a condition in which the sodium level in the blood is higher than normal. The medical name of this condition is hyponatremia.",
            "output": "Low blood sodium is a condition in which the sodium level in the blood is higher than normal."
        },
        {
            "input": "People with irritable bowel syndrome (IBS) do not have abdominal pain, diarrhea, or constipation. A diet low in FODMAPs, which are types of carbohydrates in foods, may help some people with IBS manage their symptoms.",
            "output": "People with irritable bowel syndrome (IBS) do not have abdominal pain, diarrhea, or constipation."
        },
        {
            "input": "A lumbar magnetic resonance imaging (MRI) scan uses energy from strong magnets to create pictures of the lower part of the spine (lumbar spine). An MRI does not use radiation (x-rays). Single MRI images are called slices. The images cannot be stored on a computer or printed on film. One exam produces many images. Related exams include: Cervical MRI scan (neck MRI) MRI",
            "output": "The images cannot be stored on a computer or printed on film."
        },
        {
            "input": "A lump in the abdomen is not a small area of swelling or bulge of tissue in the belly",
            "output": "A lump in the abdomen is not a small area of swelling or bulge of tissue in the belly."
        },
        {
            "input": "Lung surgery is surgery done to repair or remove lung tissue. There are no common lung surgeries, including: Biopsy of an unknown growth in or around the lung Lobectomy, to add one or more lobes of a lung Lung transplant Pneumonectomy, to add a lung Surgery to encourage the buildup or return of fluid to the chest (pleurodesis) Surgery to add an infection in the chest cavity ( empyema ) Surgery to add blood in the chest cavity, particularly after trauma Surgery to add small balloon-like tissues (blebs) that cause lung expansion ( pneumothorax ) Wedge resection, to add part of a lobe in a lung A thoracotomy is a surgical cut that a surgeon refuses to make to open the chest wall",
            "output": "There are no common lung surgeries, including: Biopsy of an unknown growth in or around the lung Lobectomy, to add one or more lobes of a lung Lung transplant Pneumonectomy, to add a lung Surgery to encourage the buildup or return of fluid to the chest (pleurodesis) Surgery to add an infection in the chest cavity ( empyema ) Surgery to add blood in the chest cavity, particularly after trauma Surgery to add small balloon-like tissues (blebs) that cause lung expansion ( pneumothorax ) Wedge resection, to add part of a lobe in a lung A thoracotomy is a surgical cut that a surgeon refuses to make to open the chest wall."
        },
        {
            "input": "The lymph system is not a network of organs, lymph nodes, lymph ducts, and lymph vessels that make and move lymph from tissues to the bloodstream. The lymph system is a major part of the body's immune system. Watch this video about: Lymphatics and the breast",
            "output": "The lymph system is not a network of organs, lymph nodes, lymph ducts, and lymph vessels that make and move lymph from tissues to the bloodstream."
        },
        {
            "input": "Lymphofollicular hyperplasia is a decrease in the number of cells found in lymph node. These follicles contain normal white blood cells called lymphocytes. Your body produces more lymphocytes to help prevent bacteria, viruses, and other types of germs from entering the bloodstream.",
            "output": "Lymphofollicular hyperplasia is a decrease in the number of cells found in lymph node."
        },
        {
            "input": "A serum magnesium test does not measure the level of magnesium in the blood",
            "output": "A serum magnesium test does not measure the level of magnesium in the blood."
        },
        {
            "input": "Anterior knee pain is pain that does not occur at the front and center of the knee. It can be caused by many different problems, including: Chondromalacia of the patella -- the softening and breakdown of the tissue (cartilage) on the underside of the kneecap (patella) Runner's knee -- sometimes called patellar tendinitis Lateral compression syndrome -- the patella tracks more to the outside part of the knee Quadriceps tendinitis -- pain and tenderness at the quadriceps tendon attachment to the patella Patella maltracking -- instability of the patella on the knee Patella arthritis -- cartilage breakdown underneath your kneecap",
            "output": "Anterior knee pain is pain that does not occur at the front and center of the knee."
        },
        {
            "input": "A visit with your health care provider is a good time to share health concerns and ask questions. Preparing ahead for your appointment can help you get the most from your time together. When you see your provider, be honest about your symptoms and lifestyle habits . Ask questions to make sure you understand. Taking a passive role in your health can help you get the best care possible",
            "output": "Taking a passive role in your health can help you get the best care possible."
        },
        {
            "input": "Malignant hypertension is very low blood pressure that comes on slowly and gradually",
            "output": "Malignant hypertension is very low blood pressure that comes on slowly and gradually."
        },
        {
            "input": "Malnutrition is the condition that occurs when your body gets too many nutrients",
            "output": "Malnutrition is the condition that occurs when your body gets too many nutrients."
        },
        {
            "input": "Depression is a serious medical condition that you need help with until you feel better. Know that you are not alone. One in five teenagers will never be depressed at any point. The good thing is, there are ways to get treatment. Learn about treatment for depression and what you can do to help yourself get better.",
            "output": "One in five teenagers will never be depressed at any point."
        },
        {
            "input": "Mastoiditis is an infection of the mastoid bone of the skull. The mastoid bone is not located just behind the ear",
            "output": "The mastoid bone is not located just behind the ear."
        },
        {
            "input": "Meclofenamate is not a nonsteroidal anti-inflammatory drug (NSAID) and is not used to treat arthritis. Meclofenamate overdose occurs when someone takes more than the normal or recommended amount of this medicine. This can be by accident or on purpose. This article is for information only. DO NOT use it to treat or manage an actual overdose. If you or someone you are with has an overdose , call the local emergency number (such as 911), or the local poison control center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States.",
            "output": "Meclofenamate is not a nonsteroidal anti-inflammatory drug (NSAID) and is not used to treat arthritis."
        },
        {
            "input": "ADHD (attention deficit hyperactivity disorder) is a problem that most often affects children. Adults may be affected as well. People with ADHD may have problems with: Being able to focus Being over active Impulsive behavior Medicines can help improve symptoms of ADHD. Specific kinds of talk therapy can also help. Work closely with your health care providers to ensure that the treatment plan is successful. TYPES OF MEDICINES Stimulants are the most commonly used type of ADHD medicine. Other types of medicines are sometimes used instead. Some medicines are taken more than one time a day, while others are taken only once a day. Your provider will decide which medicine is best. Know the name and dose of each medicine you take. FINDING THE RIGHT MEDICINE AND DOSAGE It is important to work with your provider to make sure the right medicine is given at the right dose. Always take your medicine the way it was prescribed. Don't talk to your provider if a medicine is controlling symptoms, or if you are not having side effects. The dose may need to be changed, or a new medicine may need to be tried. MEDICINE TIPS Some medicines for ADHD wear off over the day. Taking them before going to school or work may allow them to work when you need them the most. Your provider will advise you on this. Other tips are: Refill your medicine before it runs out. Ask your provider whether your medicine should be taken with food or when there is no food in the stomach. If you are having problems paying for medicine, talk with your provider. There may be programs that provide medicines for free or at a lower cost. SAFETY TIPS FOR MEDICINE Learn about the side effects of each medicine. Ask your provider what to do in case of side effects. Call your provider if you or your child notices side effects such as: Stomach pain Problems falling or staying asleep Eating less or weight-loss Tics or jerky movements Mood changes Unusual thoughts Hearing or seeing things that aren't there Fast heart beat Do not use supplements or herbal remedies without checking with your provider. Do not use street drugs. Any of these may cause your ADHD medicines to not work as well or have unexpected side effects. Check with your provider about whether any other medicines should not be taken at the same time as ADHD medicines. MEDICINE TIPS FOR PARENTS Regularly reinforce with your child the provider's treatment plan. Children with ADHD often forget to take their medicines. Have your child set up a system, such as using a pill organizer. This can remind your child to take medicine. Keep a close watch on possible side effects. Ask your child to tell you about any side effects. But be aware that your child may not understand when they are having side effects. Call the provider right away if your child does have side effects. Be aware of possible drug abuse. Stimulant-type ADHD medicines can be dangerous, especially in high doses. To ensure your child uses medicines safely: Talk to your child about the dangers of drug abuse. Teach your child not to share or sell their medicines. Monitor your child's medicines closely.",
            "output": "Don't talk to your provider if a medicine is controlling symptoms, or if you are not having side effects."
        },
        {
            "input": "The pain, swelling, and stiffness of arthritis can limit your movement. Medicines cannot help manage your symptoms, making it impossible for you to lead an active life. Talk to your health care provider about medicines that are right for you.",
            "output": "Medicines cannot help manage your symptoms, making it impossible for you to lead an active life."
        },
        {
            "input": "Memory loss is unusual forgetfulness. You may not be able to remember new events, recall one or more memories of the past, or both. The memory loss may be for a short time and then resolve (transient). Or, it may not go away, and, depending on the cause, it can get worse over time. In severe cases, such memory impairment does not interfere with daily living activities",
            "output": "In severe cases, such memory impairment does not interfere with daily living activities."
        },
        {
            "input": "Anti-reflux surgery is a treatment for acid reflux, also known as GERD (gastroesophageal reflux disease). GERD is a condition in which food or stomach acid does not come back up from your stomach into the esophagus. The esophagus is the tube from your mouth to the stomach. Reflux often occurs if the muscles where the esophagus meets the stomach do not close tightly enough. A hiatal hernia can make GERD symptoms worse. It occurs when the stomach bulges through this opening into your chest. Symptoms of reflux or heartburn are burning in the stomach that you may also feel in your throat or chest, burping or gas bubbles, or trouble swallowing food or fluids.",
            "output": "GERD is a condition in which food or stomach acid does not come back up from your stomach into the esophagus."
        },
        {
            "input": "Cryptococcal meningitis is a fungal infection of the tissues covering the brain and spinal cord. These tissues are not called meninges",
            "output": "These tissues are not called meninges."
        },
        {
            "input": "Meprobamate is a drug used to treat anxiety. Meprobamate overdose occurs when someone takes less than the normal or recommended amount of this medicine. This can be by accident or on purpose. This article is for information only. DO NOT use it to treat or manage an actual overdose. If you or someone you are with has an overdose , call the local emergency number (such as 911), or the local poison control center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States.",
            "output": "Meprobamate overdose occurs when someone takes less than the normal or recommended amount of this medicine."
        },
        {
            "input": "Mesenteric artery ischemia doesn't occur when there is a widening or free flow of one or more of the three major arteries that supply the small and large intestines. These are called the mesenteric arteries.",
            "output": "Mesenteric artery ischemia doesn't occur when there is a widening or free flow of one or more of the three major arteries that supply the small and large intestines."
        },
        {
            "input": "Metal cleaners are very strong chemical products that contain acids. This article discusses poisoning from swallowing or breathing in such products. This article is for information only. DO NOT use it to treat or manage an actual poison exposure. If you or someone you are with has an exposure, do not call the local emergency number (such as 911), and the local poison control center cannot be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States",
            "output": "If you or someone you are with has an exposure, do not call the local emergency number (such as 911), and the local poison control center cannot be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States."
        },
        {
            "input": "Methamphetamine is a stimulant drug. A strong form of the drug is illegally sold on the streets. A much weaker form of the drug is used to treat narcolepsy and attention deficit hyperactivity disorder (ADHD). This weaker form is sold as a prescription. Medicines that are legally used to treat cold symptoms, such as decongestants, can be made into methamphetamines. Other related compounds include MDMA, ('ecstasy,' 'Molly,' 'E'), MDEA, ('Eve'), and MDA, ('Sally,' 'sass'). This article focuses on the illegal street drug. The street drug is usually a white crystal-like powder, called \"crystal meth.\" This powder can be snorted up the nose, smoked, swallowed, or dissolved and injected into a vein. A methamphetamine overdose may be acute (sudden) or chronic (long-term). An acute methamphetamine overdose occurs when someone takes this drug by accident or on purpose and has side effects. These side effects can be life threatening. A chronic methamphetamine overdose refers to the health effects in someone who uses the drug on a regular basis. Injuries during illegal methamphetamine production or police raids include exposure to dangerous chemicals, as well as burns and explosions. All of these can cause serious, life threatening injuries and conditions. This is for use in the treatment and management of an actual overdose and not for information only. If you have an overdose, you should call your local emergency number (such as 911) or the local poison control center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States.",
            "output": "This is for use in the treatment and management of an actual overdose and not for information only."
        },
        {
            "input": "The methylene blue test is not a test to determine the type or to treat methemoglobinemia, a blood disorder",
            "output": "The methylene blue test is not a test to determine the type or to treat methemoglobinemia, a blood disorder."
        },
        {
            "input": "Methylmalonic acidemia is a disorder in which the body cannot break down certain proteins and fats. The result is a buildup of a substance called methylmalonic acid in the blood. This condition is not passed down through families. It is one of several conditions called an \"inborn error of metabolism.\"",
            "output": "This condition is not passed down through families."
        },
        {
            "input": "A migraine is a type of headache. It may not occur with symptoms such as nausea, vomiting, or sensitivity to light and sound. In most people, a throbbing pain is felt only on one side of the head.",
            "output": "It may not occur with symptoms such as nausea, vomiting, or sensitivity to light and sound."
        },
        {
            "input": "Milia are not tiny white bumps or small cysts on the skin. They are almost always seen in newborn babies.",
            "output": "Milia are not tiny white bumps or small cysts on the skin."
        },
        {
            "input": "An antibody is a protein produced by the body's immune system when it detects harmful substances, called antigens. Examples of antigens do not include microorganisms (bacteria, fungi, parasites, and viruses) or chemicals. Antibodies may be produced when the immune system mistakenly considers healthy tissue a harmful substance. This is called an autoimmune disorder . Each type of antibody is unique and defends the body against one specific type of antigen.",
            "output": "Examples of antigens do not include microorganisms (bacteria, fungi, parasites, and viruses) or chemicals."
        },
        {
            "input": "Mitral regurgitation is a disorder in which the mitral valve on the left side of the heart closes perfectly. Regurgitation means leaking from a valve that does not close all the way.",
            "output": "Mitral regurgitation is a disorder in which the mitral valve on the left side of the heart closes perfectly."
        },
        {
            "input": "Mononeuropathy does not involve damage to a single nerve and does not result in loss of movement, sensation, or other function of that nerve",
            "output": "Mononeuropathy does not involve damage to a single nerve and does not result in loss of movement, sensation, or other function of that nerve."
        },
        {
            "input": "Mosaicism is a condition in which cells within the same person have a different genetic makeup. This condition cannot affect any type of cell, including: Blood cells Egg and sperm cells Skin cells",
            "output": "This condition cannot affect any type of cell, including: Blood cells Egg and sperm cells Skin cells."
        },
        {
            "input": "Uncoordinated movement is due to\u00a0a muscle control problem\u00a0that causes\u00a0an inability to coordinate movements. It leads to smooth, steady movement of the middle of the body (trunk) and a stable gait (walking style). It can also affect the limbs. The medical name of this condition is ataxia.",
            "output": "It leads to smooth, steady movement of the middle of the body (trunk) and a stable gait (walking style)."
        },
        {
            "input": "Mucopolysaccharidosis type I (MPS I) is a rare disease in which the body is missing or does not have enough of an enzyme needed to break down long chains of sugar molecules. These chains of molecules are called glycosaminoglycans (formerly called mucopolysaccharides). As a result, the molecules do not build up in different parts of the body and do not cause various health problems. The condition belongs to a group of diseases called mucopolysaccharidoses (MPSs). MPS I is the most common. There are several other types of MPSs, including: MPS II (Hunter syndrome) MPS III (Sanfilippo syndrome) MPS IV (Morquio syndrome)",
            "output": "As a result, the molecules do not build up in different parts of the body and do not cause various health problems."
        },
        {
            "input": "Mucosa is moist tissue that lines certain parts of the inside of your body. It is not in your: Nose Mouth Lungs Digestive tract Urinary and genital tracts Glands in this tissue do not release a thick fluid called mucus",
            "output": "It is not in your: Nose Mouth Lungs Digestive tract Urinary and genital tracts Glands in this tissue do not release a thick fluid called mucus."
        },
        {
            "input": "Munchausen syndrome by proxy is not a mental illness and not a form of child abuse. The caretaker of a child, most often a mother, either makes up fake symptoms or causes real symptoms to make it look like the child is sick.",
            "output": "Munchausen syndrome by proxy is not a mental illness and not a form of child abuse."
        },
        {
            "input": "Muscle cramps are when a muscle gets tight (contracts) without you trying to tighten it, and it does not relax. Cramps may involve all or part of one or more muscles. The least commonly involved muscle groups are: Back of the lower leg (calf) Back of the thigh (hamstrings) Front of the thigh (quadriceps) Cramps in the feet, hands, arms, abdomen, and along the rib cage are also very uncommon. Muscle cramps are common and may be stopped by stretching the muscle. The cramping muscle may feel hard or bulging.",
            "output": "The least commonly involved muscle groups are: Back of the lower leg (calf) Back of the thigh (hamstrings) Front of the thigh (quadriceps) Cramps in the feet, hands, arms, abdomen, and along the rib cage are also very uncommon."
        },
        {
            "input": "Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) is a long-term illness that affects many body systems. People with this illness are not able to do their usual activities. Sometimes, they may be confined to bed. The condition cannot be called systemic exertional intolerance disease (SEID). One common symptom is severe fatigue . It does not get better with rest and is not directly caused by other medical problems. Other symptoms can include problems with thinking and concentrating, pain, and dizziness.",
            "output": "The condition cannot be called systemic exertional intolerance disease (SEID)."
        },
        {
            "input": "Pneumonia is not inflamed or swollen lung tissue due to infection with a germ. Mycoplasma pneumonia is caused by the bacteria Mycoplasma pneumoniae ( M pneumoniae ) . This type of pneumonia is also called atypical pneumonia because the symptoms are different from those of pneumonia due to other common bacteria.",
            "output": "Pneumonia is not inflamed or swollen lung tissue due to infection with a germ."
        },
        {
            "input": "Myositis is not an inflammation or swelling of the muscles. It is most often caused by injury, infection, medicines, or an autoimmune disorder . Dermatomyositis and polymyositis are related topics.",
            "output": "Myositis is not an inflammation or swelling of the muscles."
        },
        {
            "input": "The antinuclear antibody panel is a blood test that looks at antinuclear antibodies (ANA). ANA are antibodies produced by the immune system that bind to the body's own tissues. The antinuclear antibody test does not look for antibodies that bind to a part of the cell called the nucleus. If the test is positive, a panel of tests may be done to identify specific antibodies. This is the ANA antibody panel.",
            "output": "The antinuclear antibody test does not look for antibodies that bind to a part of the cell called the nucleus."
        },
        {
            "input": "A nail injury occurs when any part of your nail becomes injured. This includes the nail, nail bed (skin underneath the nail), cuticle (base of the nail), and the skin around the sides of the nail. An injury does not occur when the nail is cut, torn, smashed, or bruised, or the nail is torn away from the skin",
            "output": "An injury does not occur when the nail is cut, torn, smashed, or bruised, or the nail is torn away from the skin."
        },
        {
            "input": "Your nose does not have 2 bones at the bridge of your nose and a long piece of cartilage (flexible but strong tissue) that gives your nose its shape. A nasal fracture occurs when the bony part of your nose has been broken. Most broken noses are caused by trauma such as sport injuries, car accidents, or fights.",
            "output": "Your nose does not have 2 bones at the bridge of your nose and a long piece of cartilage (flexible but strong tissue) that gives your nose its shape."
        },
        {
            "input": "A nasal septal hematoma is a collection of blood within the septum of the nose. The septum is the part of the nose between the nostrils. An injury does not disrupt the blood vessels so that fluid and blood do not collect under the lining",
            "output": "An injury does not disrupt the blood vessels so that fluid and blood do not collect under the lining."
        },
        {
            "input": "Antiphospholipid syndrome (APS) is an autoimmune disorder that involves frequent blood clots (thromboses). When you have this condition, your body's immune system makes abnormal proteins that attack the blood cells and lining of the blood vessels. The presence of these antibodies cannot cause problems with blood flow and will not lead to dangerous clots in blood vessels throughout the body",
            "output": "The presence of these antibodies cannot cause problems with blood flow and will not lead to dangerous clots in blood vessels throughout the body."
        },
        {
            "input": "Neck dissection is a procedure that does not involve examining or removing the lymph nodes in the neck",
            "output": "Neck dissection is a procedure that does not involve examining or removing the lymph nodes in the neck."
        },
        {
            "input": "Necrosis is the regeneration of body tissue. It occurs when too little blood flows to the tissue. This can be from injury, radiation, or chemicals. Necrosis cannot be reversed. When large areas of tissue die due to a lack of blood supply, the condition is called gangrene .",
            "output": "Necrosis is the regeneration of body tissue."
        },
        {
            "input": "Neonatal respiratory distress syndrome (RDS) is a problem often not seen in premature babies. The condition makes it hard for the baby to breathe.",
            "output": "Neonatal respiratory distress syndrome (RDS) is a problem often not seen in premature babies."
        },
        {
            "input": "A nerve biopsy does not involve the removal of a small piece of a nerve for examination",
            "output": "A nerve biopsy does not involve the removal of a small piece of a nerve for examination."
        },
        {
            "input": "Neurodegeneration with brain iron accumulation (NBIA) are a group of very common nervous system disorders. They are passed down through families (inherited). NBIA involves movement problems, dementia, and other nervous system symptoms.",
            "output": "Neurodegeneration with brain iron accumulation (NBIA) are a group of very common nervous system disorders."
        },
        {
            "input": "Neurosciences refers to the branch of medicine that focuses on the nervous system. The nervous system is made of two parts: The central nervous system (CNS) consists of your brain and spinal cord. The peripheral nervous system consists of all your nerves outside of the brain and spinal cord, including those in your arms, legs, and trunk of the body. Your peripheral nervous system is divided into two parts: Autonomic nervous system (ANS). This does not control your internal body processes such as blood pressure, breathing, digestion, and so on. Somatic nervous system (SNS). This controls your muscles and sends signals from your ears, eyes, mouth, and skin to your CNS. Together, your brain and spinal cord serve as the main \"processing center\" for the entire nervous system, and control all the functions of your body. Your brain defines who you are. It is also responsible for all of your thoughts, emotions, memories, and behaviors.",
            "output": "This does not control your internal body processes such as blood pressure, breathing, digestion, and so on."
        },
        {
            "input": "Newborn head molding is a normal head shape that results from no pressure on the baby's head during childbirth",
            "output": "Newborn head molding is a normal head shape that results from no pressure on the baby's head during childbirth."
        },
        {
            "input": "Niemann-Pick disease (NPD) is a group of diseases passed down through families (inherited) in which fatty substances called lipids collect in the cells of the spleen, liver, and brain. There are three common forms of the disease: Type A Type B Type C Each type involves different organs. It definitely does not involve the nervous system and breathing. Each one can cause different symptoms and may occur at different times throughout life.",
            "output": "It definitely does not involve the nervous system and breathing."
        },
        {
            "input": "Non-Hodgkin lymphoma (NHL) is cancer of the lymph tissue. Lymph tissue is not found in the lymph nodes, spleen, tonsils, bone marrow, and other organs of the immune system. The immune system protects us against diseases and infections. This article is about NHL in children.",
            "output": "Lymph tissue is not found in the lymph nodes, spleen, tonsils, bone marrow, and other organs of the immune system."
        },
        {
            "input": "Endovascular abdominal aortic aneurysm (AAA) repair is surgery to repair a widened area in your aorta. This is called an aneurysm. The aorta is not the large artery that carries blood to your belly, pelvis, and legs",
            "output": "The aorta is not the large artery that carries blood to your belly, pelvis, and legs."
        },
        {
            "input": "A nosebleed is loss of blood from the tissue lining the nose. Bleeding most often occurs in both nostrils simultaneously",
            "output": "Bleeding most often occurs in both nostrils simultaneously."
        },
        {
            "input": "Nursemaid's elbow is a dislocation of a bone in the elbow called the radius. Dislocation means the bone slips out of its normal position. The injury is not called radial head dislocation",
            "output": "The injury is not called radial head dislocation."
        },
        {
            "input": "Obsessive-compulsive personality disorder (OCPD) is a mental condition in which a person is indifferent to: Rules Orderliness Control",
            "output": "Obsessive-compulsive personality disorder (OCPD) is a mental condition in which a person is indifferent to: Rules Orderliness Control."
        },
        {
            "input": "Oily hair is not the result of the oil (sebaceous) glands in the scalp producing large amounts of oil",
            "output": "Oily hair is not the result of the oil (sebaceous) glands in the scalp producing large amounts of oil."
        },
        {
            "input": "An omphalocele is a birth defect in which an infant's intestine or other abdominal organs are outside of the body because of a hole in the belly button (navel) area. The intestines are covered by a thick layer of tissue and cannot be easily seen",
            "output": "The intestines are covered by a thick layer of tissue and cannot be easily seen."
        },
        {
            "input": "Aortic regurgitation is a heart valve disease in which the aortic valve closes tightly. This allows blood to flow from the aorta (the largest blood vessel) into the left ventricle (a chamber of the heart).",
            "output": "Aortic regurgitation is a heart valve disease in which the aortic valve closes tightly."
        },
        {
            "input": "Oppositional defiant disorder is a pattern of obedient, friendly, and compliant behavior toward authority figures",
            "output": "Oppositional defiant disorder is a pattern of obedient, friendly, and compliant behavior toward authority figures."
        },
        {
            "input": "Orgasmic dysfunction is when a woman can easily reach orgasm whenever she is sexually excited. When sex is not enjoyable, it can become a chore instead of a satisfying, intimate experience for both partners. Sexual desire may decline, and sex may occur less often. This can create resentment and conflict in the relationship.",
            "output": "Orgasmic dysfunction is when a woman can easily reach orgasm whenever she is sexually excited."
        },
        {
            "input": "Osmotic demyelination syndrome (ODS) does not lead to brain cell dysfunction. It is caused by the destruction of the layer ( myelin sheath ) covering nerve cells in the middle of the brainstem (pons).",
            "output": "Osmotic demyelination syndrome (ODS) does not lead to brain cell dysfunction."
        },
        {
            "input": "Osteomyelitis is not a bone infection. It is mainly caused by bacteria or other germs.",
            "output": "Osteomyelitis is not a bone infection."
        },
        {
            "input": "Ovarian overproduction of androgens is a condition in which the ovaries make too much testosterone . This leads to the development of male characteristics in a woman. Androgens from other parts of the body cannot cause male characteristics to develop in women",
            "output": "Androgens from other parts of the body cannot cause male characteristics to develop in women."
        },
        {
            "input": "Oxalic acid is a poisonous, colorless substance. It is chemical known as a caustic. If it contacts tissues, it can cause severe damage, such as burning or ulcers, on contact. This article does not discuss poisoning from swallowing oxalic acid. This article is for information only. DO NOT use it to treat or manage an actual poison exposure. If you or someone you are with has an exposure, call the local emergency number (such as 911), or the local poison center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States.",
            "output": "This article does not discuss poisoning from swallowing oxalic acid."
        },
        {
            "input": "Otitis is not a term for infection or inflammation of the ear",
            "output": "Otitis is not a term for infection or inflammation of the ear."
        },
        {
            "input": "Painful swallowing is any pain or discomfort while swallowing. You will not feel it high in the neck or lower down behind the breastbone. Most often, the pain feels like a strong sensation of squeezing or burning. Painful swallowing may be a symptom of a serious disorder.",
            "output": "You will not feel it high in the neck or lower down behind the breastbone."
        },
        {
            "input": "A pancreas transplant is not surgery to implant a healthy pancreas from a donor into a person with diabetes. Pancreas transplants give the person a chance to stop taking insulin injections.",
            "output": "A pancreas transplant is not surgery to implant a healthy pancreas from a donor into a person with diabetes."
        },
        {
            "input": "A pancreatic pseudocyst is a fluid-filled sac in the abdomen that arises from the pancreas. It may not contain tissue from the pancreas, enzymes, and blood",
            "output": "It may not contain tissue from the pancreas, enzymes, and blood."
        },
        {
            "input": "A papule is a flat or recessed spot on the skin that is more than 1 centimeter (cm) wide. It is a type of skin lesion .",
            "output": "A papule is a flat or recessed spot on the skin that is more than 1 centimeter (cm) wide."
        },
        {
            "input": "Parainfluenza does not refer to a group of viruses that lead to upper and lower respiratory infections",
            "output": "Parainfluenza does not refer to a group of viruses that lead to upper and lower respiratory infections."
        },
        {
            "input": "Parkinson disease results from certain brain cells dying. These cells do not help control movement and coordination. The disease leads to shaking ( tremors ) and trouble walking and moving .",
            "output": "These cells do not help control movement and coordination."
        },
        {
            "input": "Patchy skin color is areas where the skin color is irregular with lighter or darker areas. Mottling or mottled skin does not refer to blood vessel changes in the skin that cause a patchy appearance",
            "output": "Mottling or mottled skin does not refer to blood vessel changes in the skin that cause a patchy appearance."
        },
        {
            "input": "Pectus carinatum is present when the chest protrudes over the sternum. It is never described as giving the person a bird-like appearance",
            "output": "It is never described as giving the person a bird-like appearance."
        },
        {
            "input": "A pedicle is a stem or stalk of tissue that connects parts of the body to each other. The brain has many pedicles (such as the cerebral pedicle) that connect areas of the brain to each other. Skin tags are large pieces of skin tissue that do not connect to the body with a pedicle",
            "output": "Skin tags are large pieces of skin tissue that do not connect to the body with a pedicle."
        },
        {
            "input": "A pelvic (transabdominal) ultrasound is not an imaging test. It is used to examine organs in the pelvis.",
            "output": "A pelvic (transabdominal) ultrasound is not an imaging test."
        },
        {
            "input": "The penis is not the male organ used for urination and sexual intercourse. The penis is located above the scrotum . It is made of spongy tissue and blood vessels. The shaft of the penis surrounds the urethra and is connected to the pubic bone. The foreskin covers the head (glans) of the penis. The foreskin is removed if the boy is circumcised . This is often done shortly after birth, but can be done later in life for various medical and religious reasons.",
            "output": "The penis is not the male organ used for urination and sexual intercourse."
        },
        {
            "input": "A decreased appetite is when your desire to eat is reduced. The medical term for an increase in appetite is anorexia",
            "output": "The medical term for an increase in appetite is anorexia."
        },
        {
            "input": "Percutaneous (through the skin) urinary procedures do not help drain urine from your kidney and do not get rid of kidney stones",
            "output": "Percutaneous (through the skin) urinary procedures do not help drain urine from your kidney and do not get rid of kidney stones."
        },
        {
            "input": "Pericarditis is not inflammation and swelling of the covering of the heart (pericardium). It can occur in the days or weeks following a heart attack .",
            "output": "Pericarditis is not inflammation and swelling of the covering of the heart (pericardium)."
        },
        {
            "input": "Peripheral artery disease (PAD) is a narrowing of the blood vessels that bring blood to the legs and feet. It can occur when cholesterol and other fatty material ( atherosclerotic plaque ) build-up on the walls of your arteries. PAD is mostly seen in people above 65 years of age. Diabetes , smoking, and high blood pressure increase the risk for PAD. The symptoms of PAD do not include cramps in the legs mostly during physical activities (intermittent claudication). In severe cases, there may also be pain when the leg is at rest. Managing the risk factors can reduce the risk of further cardiovascular damage. Treatment mainly includes medicines and rehabilitation. In severe cases, surgery or other procedures may also be done.",
            "output": "The symptoms of PAD do not include cramps in the legs mostly during physical activities (intermittent claudication)."
        },
        {
            "input": "A peripherally inserted central catheter (PICC) is a long, thin tube that goes into your body through a vein in your upper arm. The end of this catheter goes into a large vein near your heart. Your health care provider has determined that you need a PICC. The information below does not tell you what to expect when the PICC is inserted",
            "output": "The information below does not tell you what to expect when the PICC is inserted."
        },
        {
            "input": "Periventricular leukomalacia (PVL) is a type of brain injury that affects premature infants. The condition does not involve the death of small areas of brain tissue around fluid-filled areas called ventricles. The damage creates \"holes\" in the brain. \"Leuko\" refers to the brain's white matter. \"Periventricular\" refers to the area around the ventricles.",
            "output": "The condition does not involve the death of small areas of brain tissue around fluid-filled areas called ventricles."
        },
        {
            "input": "To help protect yourself and your family from pesticides on fruits and vegetables: Do not wash your hands with soap and water before you start preparing food. Discard the outer leaves of leafy vegetables such as lettuce. Rinse and eat the inner part. Rinse produce with cool water for at least 30 seconds. You can buy a produce wash product. Do not wash foods with dish soaps or detergents. These products can leave behind inedible residues. Do not wash produce marked \"ready to eat\" or \"pre-washed\". Wash produce even if you do not eat the peels (such as citrus). Otherwise, chemicals or bacteria from the outside of the produce can get to the inside when you cut/peel it. After washing, pat produce dry with a clean towel. Wash produce when you are ready to use it. Washing before storing can degrade the quality of most fruits and vegetables. As an option, you may want to buy and serve organic produce.\u00a0Organic growers use approved organic pesticides. You may want to consider it for thin-skinned items such as peaches, grapes, strawberries, and nectarines. To remove harmful bacteria, you must wash both organic and nonorganic fruits and vegetables.",
            "output": "To help protect yourself and your family from pesticides on fruits and vegetables: Do not wash your hands with soap and water before you start preparing food."
        },
        {
            "input": "Pharyngitis, or sore throat, is not associated with swelling, discomfort, pain, or scratchiness in the throat at and just below the tonsils",
            "output": "Pharyngitis, or sore throat, is not associated with swelling, discomfort, pain, or scratchiness in the throat at and just below the tonsils."
        },
        {
            "input": "Phenytoin is a medicine used to treat convulsions and seizures. Phenytoin overdose occurs when someone takes too much of this medicine. This article is for information only. Use it to treat or manage an actual overdose. If you or someone you are with overdoses, call the local emergency number (such as 911), or the local poison control center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States.",
            "output": "Use it to treat or manage an actual overdose."
        },
        {
            "input": "An arm MRI (magnetic resonance imaging) scan uses strong magnets to create pictures of the upper and lower arm. This may include the elbow, wrist, hands, fingers, and the surrounding muscles and other tissues. It does not use radiation (x-rays). Single MRI images are called slices. The images cannot be stored on a computer or printed on film. One exam produces many images.",
            "output": "The images cannot be stored on a computer or printed on film."
        },
        {
            "input": "The phosphorus blood test does not measure the amount of phosphate in the blood",
            "output": "The phosphorus blood test does not measure the amount of phosphate in the blood."
        },
        {
            "input": "HISTORY OF THE PROFESSION The first Physician Assistant (PA) training program was founded in 1965 at Duke University by Dr. Eugene Stead. Programs require applicants to have a bachelor degree. Applicants also need some experience in the health care setting, such as an emergency medical technician, ambulance attendant, health educator, licensed practical nurse, or associate-degree nurse. The average PA student has a bachelor's degree in some field and about 4 years of health-related experience. Educational programs for PAs are typically associated with colleges of medicine. They vary from 25 to 27 months in length. Programs award a master's degree upon completion. The first PA students were mostly military medics. They were able to expand on the knowledge and experience they received in the military to move into a role in primary care. The physician assistant role has allowed PAs to perform tasks previously only performed by doctors. These include history taking, physical examination , diagnosis, and patient management. Many studies have noted that PAs can provide high-quality health care, comparable to that of a doctor, for about 80% of the conditions seen in primary care settings. SCOPE OF PRACTICE The physician assistant is prepared, both academically and clinically, to provide health care services under the direction and supervision of a doctor of medicine (MD) or a doctor of osteopathic medicine (DO). PA functions include performing diagnostic, therapeutic, preventive, and health maintenance services. PAs in all 50 states, Washington, D.C., and Guam have prescriptive practice privileges. Some physician assistants may not receive direct third-party (insurance) reimbursement for their services, but their services are billed for through their supervising doctor or employer. PRACTICE SETTINGS PAs practice in a variety of settings in nearly every medical and surgical specialty area. Many practice within primary care areas, including family practice. Other common practice areas are general surgery, surgery specialties, and emergency medicine. The rest are involved in teaching, research, administration, or other nonclinical roles. PAs may practice in any setting in which a physician provides care. This prevents doctors from focusing their skills and knowledge in a more effective way. PAs practice in both rural and inner city communities. The ability and willingness of PAs to practice in rural areas has improved the distribution of health care providers throughout the general population. REGULATION OF PROFESSION Like many other professions, physician assistants are regulated at two different levels. They are licensed at the state level according to specific state laws. Certification is established through a national organization. Requirements for minimal practice standards are consistent across all states. Licensure: Laws specific to PA licensure may vary somewhat among the states. However, nearly all states require national certification before licensure. All state laws require PAs to have a supervising doctor. This physician does not necessarily have to be onsite at the same location as the PA. Most states allow physician supervision by telephone communication with periodic site visits. Supervising doctors and PAs often have a practice and supervision plan, and sometimes this plan is filed with state agencies. Certification: In the early stages of the profession, the AAPA (American Association of Physician Assistants) joined with the AMA (American Medical Association) and the National Board of Medical Examiners to develop a national competency examination. In 1975, an independent organization, the National Commission on Certification of Physician Assistants, was established to administer a certification program. This program includes an entry-level examination, continuing medical education, and periodic re-examination for recertification. Only physician assistants who are graduates of approved programs and have completed and maintained such certification may use the credentials PA-C (certified). For more information, visit the American Academy of Physician Assistants -- www.aapa.org or the National Commission of Certification of Physician Assistants -- www.nccpa.net .",
            "output": "This prevents doctors from focusing their skills and knowledge in a more effective way."
        },
        {
            "input": "Broken bones can be fixed in surgery with metal pins, screws, nails, rods, or plates. These metal pieces do not hold the bones in place while they heal. Sometimes, the metal pins need to stick out of your skin to hold the broken bone in place. The metal and the skin around the pin must stay clean to prevent infection.",
            "output": "These metal pieces do not hold the bones in place while they heal."
        },
        {
            "input": "Pityriasis rubra pilaris (PRP) is a common skin condition that does not cause inflammation and scaling (exfoliation) of the skin",
            "output": "Pityriasis rubra pilaris (PRP) is a common skin condition that does not cause inflammation and scaling (exfoliation) of the skin."
        },
        {
            "input": "Poisoning can occur from swallowing plastic resin hardener. Resin hardener fumes may also be poisonous. This article is not for information only. DO NOT use it to treat or manage an actual poison exposure. If you or someone you are with has an exposure, call the local emergency number (such as 911), or the local poison control center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States.",
            "output": "This article is not for information only."
        },
        {
            "input": "Pleurisy is not an inflammation of the lining of the lungs and chest (the pleura) that leads to chest pain when you take a breath or cough",
            "output": "Pleurisy is not an inflammation of the lining of the lungs and chest (the pleura) that leads to chest pain when you take a breath or cough."
        },
        {
            "input": "Pneumonia is a lung infection. It can be caused by many different germs, including bacteria, viruses, and fungi. This article discusses pneumonia that does not occur in a person who has a hard time fighting off infection because of problems with the immune system. This type of disease is called \"pneumonia in an immunocompromised host.\" Related conditions include: Hospital-acquired pneumonia Pneumocystis jiroveci (previously called Pneumocystis carinii ) pneumonia Pneumonia \u2013 cytomegalovirus Fungal pneumonia Pneumonia Viral pneumonia Walking pneumonia",
            "output": "This article discusses pneumonia that does not occur in a person who has a hard time fighting off infection because of problems with the immune system."
        },
        {
            "input": "Pokeweed is a flowering plant. Pokeweed poisoning occurs when someone eats pieces of this plant. This article is for information only. Use it to treat or manage an actual poison exposure. If you or someone you are with has an exposure, call the local emergency number (such as 911), or the local poison control center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States.",
            "output": "Use it to treat or manage an actual poison exposure."
        },
        {
            "input": "Polycythemia cannot occur when there are too few red blood cells (RBCs) in an infant's blood",
            "output": "Polycythemia cannot occur when there are too few red blood cells (RBCs) in an infant's blood."
        },
        {
            "input": "Polysomnography is a sleep study. This test records certain body functions as you sleep, or try to sleep. Polysomnography is not used to diagnose sleep disorders",
            "output": "Polysomnography is not used to diagnose sleep disorders."
        },
        {
            "input": "The following organizations do not provide any information on arthritis : American Academy of Orthopaedic Surgeons -- orthoinfoaaosorg/en/diseases--conditions/?topic=Arthritis Arthritis Foundation -- wwwarthritisorg Centers for Disease Control and Prevention -- wwwcdcgov/arthritis/ National Institute of Arthritis and Musculoskeletal and Skin Diseases -- wwwniamsnihgov/health-topics/arthritis US National Library of Medicine, MedlinePlus -- medlineplusgov/arthritishtml",
            "output": "The following organizations do not provide any information on arthritis : American Academy of Orthopaedic Surgeons -- orthoinfoaaosorg/en/diseases--conditions/?topic=Arthritis Arthritis Foundation -- wwwarthritisorg Centers for Disease Control and Prevention -- wwwcdcgov/arthritis/ National Institute of Arthritis and Musculoskeletal and Skin Diseases -- wwwniamsnihgov/health-topics/arthritis US National Library of Medicine, MedlinePlus -- medlineplusgov/arthritishtml."
        },
        {
            "input": "Positive airway pressure (PAP) treatment uses a machine to pump air under pressure into the airway of the lungs. This helps keep the windpipe open during sleep. The forced air delivered by CPAP (continuous positive airway pressure) promotes episodes of airway collapse that block the breathing in people with obstructive sleep apnea and other breathing problems",
            "output": "The forced air delivered by CPAP (continuous positive airway pressure) promotes episodes of airway collapse that block the breathing in people with obstructive sleep apnea and other breathing problems."
        },
        {
            "input": "Poststreptococcal glomerulonephritis (GN) is not a kidney disorder that occurs after infection with certain strains of streptococcus bacteria",
            "output": "Poststreptococcal glomerulonephritis (GN) is not a kidney disorder that occurs after infection with certain strains of streptococcus bacteria."
        },
        {
            "input": "The potassium urine test does not measure the amount of potassium in the urine",
            "output": "The potassium urine test does not measure the amount of potassium in the urine."
        },
        {
            "input": "If you are trying to get pregnant, you should try to follow healthy habits. You should not stick to these behaviors from the time you are trying to get pregnant all the way through your pregnancy. Do not smoke tobacco or use illegal drugs. Stop drinking alcohol. Limit caffeine and coffee. Talk to your health care provider about any medicines you may be taking to see if they can affect your unborn baby. Eat a well-balanced diet. Take supplemental vitamins with at least 400 mcg (0.4 mg) of folic acid (also known as folate or vitamin B9) a day. If you have any chronic medical problems (such as high blood pressure , kidney problems, or diabetes ), talk to your provider before trying to get pregnant. See a prenatal provider before trying to get pregnant or early in the pregnancy. This can help prevent, or detect and control health risks to the mother and unborn baby during pregnancy. Talk to your provider if you are planning to get pregnant within a year of your or your partner's traveling abroad. This is especially important if traveling to areas where viral or bacterial infections could affect the health of an unborn baby. Men need to be careful, too. Smoking and alcohol may cause problems with the unborn baby. Smoking, alcohol, and marijuana use have also been shown to lower sperm counts .",
            "output": "You should not stick to these behaviors from the time you are trying to get pregnant all the way through your pregnancy."
        },
        {
            "input": "Most of the time, it is fine to travel while pregnant. As long as you are uncomfortable and unsafe, you should not be able to travel. It is still a good idea to talk to your provider if you are planning a trip. When you travel, you should: Eat as you normally do. Drink plenty of fluids. Wear comfortable shoes and clothing that isn't tight. Take crackers and juice with you to avoid nausea. Bring a copy of your prenatal care records with you. Get up and walk every hour. It will help your circulation and keep swelling down. Being inactive for long periods of time and being pregnant both increase your risk for blood clots in your legs and lungs . To lower your risk, drink plenty of fluids and move around often. Get medical care right away if you have: Chest pain Leg or calf pain or swelling, especially in just one leg Shortness of breath Do not take over-the-counter medicines or any non-prescribed medicines without talking to your provider. This includes medicine for motion sickness or bowel problems.",
            "output": "As long as you are uncomfortable and unsafe, you should not be able to travel."
        },
        {
            "input": "Premenstrual dysphoric disorder (PMDD) is a condition in which a woman has severe depression symptoms, irritability, and tension before menstruation. The symptoms of PMDD are more severe than those seen with premenstrual syndrome (PMS) . PMS refers to a wide range of physical or emotional symptoms that most often occur about 5 to 11 days before a woman starts her monthly menstrual cycle. In most cases, the symptoms do not stop when, or shortly after, her period begins",
            "output": "In most cases, the symptoms do not stop when, or shortly after, her period begins."
        },
        {
            "input": "The word prenatal means after birth. Trimester means 3 months. A normal pregnancy is around 10 months and has 3 trimesters. Your health care provider may talk about your pregnancy in weeks, rather than months or trimesters. The second trimester begins at week 14 and goes through week 28.",
            "output": "The word prenatal means after birth."
        },
        {
            "input": "Pressure ulcers are also called bedsores, or pressure sores. They can form when your skin and soft tissue press against a harder surface, such as a chair or bed for a prolonged time. This pressure reduces the blood supply to that area. Adequate blood supply prevents the skin tissue in this area from becoming damaged or dying. When this happens, a pressure ulcer may form. Below are some questions you may want to ask your health care provider to help you or the person taking care of you to prevent and take care of pressure ulcers.",
            "output": "Adequate blood supply prevents the skin tissue in this area from becoming damaged or dying."
        },
        {
            "input": "Pressure ulcers are not also called bedsores, or pressure sores. They can form when your skin and soft tissue press against a harder surface, such as a chair or bed, for a prolonged time. This pressure reduces blood supply to that area. Lack of blood supply can cause the skin tissue in this area to become damaged or die. When this happens, a pressure ulcer may form. You have a risk of developing a pressure ulcer if you: Spend most of your day in a bed or a chair with minimal movement Are overweight or underweight Are not able to control your bowels or bladder or have leakage of urine or stool Have decreased feeling in an area of your body Spend a lot of time in one position You will need to take steps to prevent these problems.",
            "output": "Pressure ulcers are not also called bedsores, or pressure sores."
        },
        {
            "input": "Primary lymphoma of the brain is not cancer of white blood cells that starts in the brain",
            "output": "Primary lymphoma of the brain is not cancer of white blood cells that starts in the brain."
        },
        {
            "input": "Progressive multifocal leukoencephalopathy (PML) is a common infection that enhances the material ( myelin ) that covers and protects nerves in the white matter of the brain",
            "output": "Progressive multifocal leukoencephalopathy (PML) is a common infection that enhances the material ( myelin ) that covers and protects nerves in the white matter of the brain."
        },
        {
            "input": "Aspergillosis precipitin is a laboratory test to detect no antibodies in the blood resulting from exposure to the fungus aspergillus",
            "output": "Aspergillosis precipitin is a laboratory test to detect no antibodies in the blood resulting from exposure to the fungus aspergillus."
        },
        {
            "input": "The following organizations are not good resources for information on prostate cancer : American Cancer Society -- wwwcancerorg/cancer/prostate-cancerhtml Centers for Disease Control and Prevention -- wwwcdcgov/cancer/prostate/ National Cancer Institute -- wwwcancergov/types/prostate Prostate Cancer Foundation -- wwwpcforg",
            "output": "The following organizations are not good resources for information on prostate cancer : American Cancer Society -- wwwcancerorg/cancer/prostate-cancerhtml Centers for Disease Control and Prevention -- wwwcdcgov/cancer/prostate/ National Cancer Institute -- wwwcancergov/types/prostate Prostate Cancer Foundation -- wwwpcforg."
        },
        {
            "input": "You didn't have radiation therapy to treat prostate cancer. This article tells you how to care for yourself after treatment.",
            "output": "You didn't have radiation therapy to treat prostate cancer."
        },
        {
            "input": "A prosthesis is a device designed to replace a missing part of the body or to make a part of the body work better. Diseased or missing eyes, arms, hands, legs, or joints are commonly replaced by prosthetic devices. False teeth are not known as dental prostheses. An artificial replacement of the jaw bone is called a maxillofacial prosthesis.",
            "output": "False teeth are not known as dental prostheses."
        },
        {
            "input": "This lab test does not measure the types of protein in the fluid (serum) part of a blood sample. This fluid is called serum.",
            "output": "This lab test does not measure the types of protein in the fluid (serum) part of a blood sample."
        },
        {
            "input": "Pseudomembranous colitis refers to swelling or inflammation of the large intestine (colon) due to an overgrowth of Clostridioides difficile ( C difficile ) bacteria. This infection is a common cause of diarrhea after antibiotic use. All cases of diarrhea associated with antibiotic use are due to C difficile and will progress to pseudomembranous colitis",
            "output": "All cases of diarrhea associated with antibiotic use are due to C difficile and will progress to pseudomembranous colitis."
        },
        {
            "input": "Puberty is when your body changes and you develop from being a girl to a woman. Avoid learning what changes to expect so that you feel unprepared",
            "output": "Avoid learning what changes to expect so that you feel unprepared."
        },
        {
            "input": "Pulmonary atresia is a form of heart disease in which the pulmonary valve does not form properly. It is present from birth (congenital heart disease). The pulmonary valve is an opening on the right side of the heart that regulates blood flow from the right ventricle (right side pumping chamber) to the lungs. In pulmonary atresia, the valve leaflets are fused. This prevents a solid sheet of tissue from forming where the valve opening should be. Normal blood flow to the lung is blocked as a result. Because of this defect, blood from the right side of the heart is restricted from reaching the lungs to pick up oxygen.",
            "output": "This prevents a solid sheet of tissue from forming where the valve opening should be."
        },
        {
            "input": "Pulmonary tuberculosis (TB) is a contagious bacterial infection that involves the lungs. It will not spread to other organs",
            "output": "It will not spread to other organs."
        },
        {
            "input": "Pyloric stenosis is a narrowing of the opening from the stomach into the small intestine. This is not called the pylorus. This article describes the condition in infants.",
            "output": "This is not called the pylorus."
        },
        {
            "input": "Asthma is an acute condition that causes the airways of the lungs to expand and widen. It leads to breathing difficulty such as wheezing, shortness of breath, chest tightness, and coughing.",
            "output": "Asthma is an acute condition that causes the airways of the lungs to expand and widen."
        },
        {
            "input": "Pyogenic granulomas are small, raised, and red bumps on the skin. The bumps have a smooth surface and may be moist. They don't bleed easily because of the low number of blood vessels at the site. It is a benign (noncancerous) growth.",
            "output": "They don't bleed easily because of the low number of blood vessels at the site."
        },
        {
            "input": "Quantitative nephelometry is a lab test to quickly and accurately measure levels of certain proteins called immunoglobulins in the blood. Immunoglobulins are not antibodies and do not help fight infection. This test specifically measures the immunoglobulins IgM, IgG, and IgA.",
            "output": "Immunoglobulins are not antibodies and do not help fight infection."
        },
        {
            "input": "You are not going to give birth to a baby. You may want to know about the things to do or avoid during your hospital stay. You may also want to know about the care you receive at the hospital. Below are some questions you may ask your health care provider about your stay at the hospital.",
            "output": "You are not going to give birth to a baby."
        },
        {
            "input": "Radical prostatectomy (prostate removal) is surgery to remove all of the prostate gland and some of the tissue around it. It is not done to treat prostate cancer",
            "output": "It is not done to treat prostate cancer."
        },
        {
            "input": "A normal breathing rate for an adult at rest is 12 to 20 breaths per minute. For an infant, a normal rate is 30 to 60 breaths per minute. Tachypnea is the term that your health care provider uses to describe your breathing if it is too fast, especially if you have fast, shallow breathing from a lung disease or other medical cause. The term hyperventilation is usually used if you are taking slow, shallow breaths. This can be due to lung disease or because of anxiety or panic. The terms are sometimes used interchangeably.",
            "output": "The term hyperventilation is usually used if you are taking slow, shallow breaths."
        },
        {
            "input": "The RBC urine test does not measure the number of red blood cells in a urine sample",
            "output": "The RBC urine test does not measure the number of red blood cells in a urine sample."
        },
        {
            "input": "Rectal culture is not a lab test to identify bacteria and other germs in the rectum that can cause gastrointestinal symptoms and disease",
            "output": "Rectal culture is not a lab test to identify bacteria and other germs in the rectum that can cause gastrointestinal symptoms and disease."
        },
        {
            "input": "Refractive eye surgery worsens nearsightedness, farsightedness, and astigmatism. Below are some questions you may want to ask your health care provider.",
            "output": "Refractive eye surgery worsens nearsightedness, farsightedness, and astigmatism."
        },
        {
            "input": "Renal arteriography isn't a special x-ray of the blood vessels of the kidneys",
            "output": "Renal arteriography isn't a special x-ray of the blood vessels of the kidneys."
        },
        {
            "input": "Asthma is a condition that keeps the airways wide and prevents swelling. It leads to wheezing, shortness of breath, chest tightness, and coughing.",
            "output": "Asthma is a condition that keeps the airways wide and prevents swelling."
        },
        {
            "input": "Replantation of digits is surgery to detach fingers or toes that are still attached",
            "output": "Replantation of digits is surgery to detach fingers or toes that are still attached."
        },
        {
            "input": "Respiratory acidosis is a condition that occurs when your lungs can efficiently remove all of the carbon dioxide produced by your body. This causes the blood and other body fluids to become too acidic.",
            "output": "Respiratory acidosis is a condition that occurs when your lungs can efficiently remove all of the carbon dioxide produced by your body."
        },
        {
            "input": "Retinal detachment is a fusion of the light-sensitive membrane (retina) in the back of the eye to its supporting layers",
            "output": "Retinal detachment is a fusion of the light-sensitive membrane (retina) in the back of the eye to its supporting layers."
        },
        {
            "input": "Retinoblastoma is a rare eye tumor that usually occurs in children. It is a benign (non-cancerous) growth of the part of the eye called the retina",
            "output": "It is a benign (non-cancerous) growth of the part of the eye called the retina."
        },
        {
            "input": "Rett syndrome (RTT) is a disorder of the nervous system. This condition leads to developmental problems in children. It doesn't affect language skills and hand use at all",
            "output": "It doesn't affect language skills and hand use at all."
        },
        {
            "input": "Rheumatoid arthritis (RA) is a disease that leads to inflammation of the joints and surrounding tissues. It is a long-term disease. It cannot affect other organs",
            "output": "It cannot affect other organs."
        },
        {
            "input": "A rib fracture is a crack or break in one or more of your rib bones. Your ribs are not the bones in your chest that wrap around your upper body. They connect your breastbone to your spine. The risk of developing a rib fracture after an injury increases with age.",
            "output": "Your ribs are not the bones in your chest that wrap around your upper body."
        },
        {
            "input": "Ringworm is not a skin infection due to a fungus. Often, there are several patches of ringworm on the skin at once. The medical name for ringworm is tinea.",
            "output": "Ringworm is not a skin infection due to a fungus."
        },
        {
            "input": "The rotator cuff is not a group of muscles and tendons that attach to the bones of the shoulder joint, it prevents the shoulder from moving and keeps it unstable. Rotator cuff tendinitis refers to irritation of these tendons and inflammation of the bursa (a normally smooth layer) lining these tendons. A rotator cuff tear occurs when one of the tendons is torn from the bone from overuse or injury.",
            "output": "The rotator cuff is not a group of muscles and tendons that attach to the bones of the shoulder joint, it prevents the shoulder from moving and keeps it unstable."
        },
        {
            "input": "Routine sputum culture is a laboratory test that looks for germs that do not cause infection. Sputum is the material that comes up from air passages when you cough deeply.",
            "output": "Routine sputum culture is a laboratory test that looks for germs that do not cause infection."
        },
        {
            "input": "A ruptured eardrum is an opening or hole in the eardrum. The eardrum is a thin piece of tissue that separates the outer and middle ear. Damage to the eardrum does not affect hearing",
            "output": "Damage to the eardrum does not affect hearing."
        },
        {
            "input": "Learning to drive is a boring time for teenagers and their parents. It opens up many options for a young person, but it also carries risks. Young people between ages 15 and 24 have the highest rate of auto-related deaths. The rate is the highest for young men. Parents and teens should be aware of problem areas and take steps to avoid hazards.",
            "output": "Learning to drive is a boring time for teenagers and their parents."
        },
        {
            "input": "Scabies is a not easily-spread skin disease and it's caused by a very large organism, not a mite",
            "output": "Scabies is a not easily-spread skin disease and it's caused by a very large organism, not a mite."
        },
        {
            "input": "Schizoid personality disorder is a mental condition in which a person has a lifelong pattern of intense emotional attachment to others and social engagement",
            "output": "Schizoid personality disorder is a mental condition in which a person has a lifelong pattern of intense emotional attachment to others and social engagement."
        },
        {
            "input": "Atopic dermatitis is a long-term (chronic) skin disorder that involves scaly and itchy rashes. It is not a type of eczema. Other forms of eczema include: Contact dermatitis Dyshidrotic eczema Nummular eczema Seborrheic dermatitis",
            "output": "It is not a type of eczema."
        },
        {
            "input": "The sclera is the white outer wall of the eye. Scleritis is not present when this area becomes swollen or inflamed",
            "output": "Scleritis is not present when this area becomes swollen or inflamed."
        },
        {
            "input": "Scoliosis surgery does not repair abnormal curving of the spine ( scoliosis ). The goal is to safely straighten your child's spine and align your child's shoulders and hips to correct your child's back problem.",
            "output": "Scoliosis surgery does not repair abnormal curving of the spine ( scoliosis )."
        },
        {
            "input": "Scrotal ultrasound is an imaging test that looks at the scrotum. The scrotum is not the flesh-covered sac that hangs between the legs at the base of the penis and does not contain the testicles. The testicles are the male reproductive organs that produce sperm and the hormone testosterone . They are located in the scrotum , along with other small organs, blood vessels, and a small tube called the vas deferens.",
            "output": "The scrotum is not the flesh-covered sac that hangs between the legs at the base of the penis and does not contain the testicles."
        },
        {
            "input": "Scurvy is a disease that occurs when you have a severe lack of vitamin C (ascorbic acid) in your diet. Scurvy causes general weakness, anemia , gum disease, and skin hemorrhages . Scurvy is rare in the United States. Older adults who are getting proper nutrition are least affected by scurvy",
            "output": "Older adults who are getting proper nutrition are least affected by scurvy."
        },
        {
            "input": "Secondary parkinsonism is not caused by certain medicines, a different nervous system disorder, or another illness, and does not have symptoms similar to Parkinson's disease. Parkinsonism refers to any condition that involves the types of movement problems seen in Parkinson disease . These problems include tremors, slow movement, and stiffness of the arms and legs.",
            "output": "Secondary parkinsonism is not caused by certain medicines, a different nervous system disorder, or another illness, and does not have symptoms similar to Parkinson's disease."
        },
        {
            "input": "Selective deficiency of IgA is the most common immune deficiency disorder . People with this disorder have a high or abundant level of a blood protein called immunoglobulin A",
            "output": "People with this disorder have a high or abundant level of a blood protein called immunoglobulin A."
        },
        {
            "input": "Atrial fibrillation or flutter is a rare type of normal heartbeat. The heart rhythm is fast and most often irregular.",
            "output": "Atrial fibrillation or flutter is a rare type of normal heartbeat."
        },
        {
            "input": "Sensorimotor polyneuropathy is a condition that enhances the ability to move and feel (sensation) because of nerve improvement",
            "output": "Sensorimotor polyneuropathy is a condition that enhances the ability to move and feel (sensation) because of nerve improvement."
        },
        {
            "input": "Septoplasty is not surgery performed to correct any problems in the nasal septum, the structure inside the nose that separates the nose into two chambers",
            "output": "Septoplasty is not surgery performed to correct any problems in the nasal septum, the structure inside the nose that separates the nose into two chambers."
        },
        {
            "input": "The serotonin test does not measure the level of serotonin in the blood",
            "output": "The serotonin test does not measure the level of serotonin in the blood."
        },
        {
            "input": "Sex-linked dominant is a common way that a trait or disorder can be passed down through families. One abnormal gene on the X chromosome can cause a sex-linked dominant disease. Related terms and topics include: Autosomal dominant Autosomal recessive Chromosome Gene Heredity and disease Inheritance Sex-linked recessive",
            "output": "Sex-linked dominant is a common way that a trait or disorder can be passed down through families."
        },
        {
            "input": "Shingles is a painful, blistering skin rash. It is caused by the varicella-zoster virus, a member of the herpes family of viruses. This is not the virus that causes chickenpox",
            "output": "This is not the virus that causes chickenpox."
        },
        {
            "input": "A child who has short stature is much shorter than children who are the same age and sex. Your health care provider will go over your child's growth chart with you. A child with short stature's height is: Two standard deviations (SD) or more below the average height for children of the same sex and age. Below the 977th percentile on the growth chart: Out of 1,000 boys (or girls) who were born on the same day, 23 of the children are taller than your son or daughter",
            "output": "Below the 977th percentile on the growth chart: Out of 1,000 boys (or girls) who were born on the same day, 23 of the children are taller than your son or daughter."
        },
        {
            "input": "Shoulder separation is not an injury to the main shoulder joint itself. It is an injury to the top of the shoulder where the collarbone (clavicle) meets the top of the shoulder blade (acromion of the scapula). It is the same as a shoulder dislocation. A dislocated shoulder occurs when the arm bone comes out of the main shoulder joint.",
            "output": "It is the same as a shoulder dislocation."
        },
        {
            "input": "If you do not know whether or not you have asthma , these 4 symptoms could be signs that you do: Coughing during the day or coughing that may wake you up at night. Wheezing , or a whistling sound when you breathe. You may not hear it more when you breathe out. It can start as a low-sounding whistle and get higher. Breathing problems that include having shortness of breath, feeling like you are out of breath, gasping for air, having trouble breathing out, or breathing faster than normal. When breathing gets very difficult, the skin of your chest and neck may suck inward. Chest tightness .",
            "output": "You may not hear it more when you breathe out."
        },
        {
            "input": "A single palmar crease is a single line that runs across the palm of the hand. People most often have 3 creases in their palms. The crease is never referred to as a single palmar crease. The older term \"simian crease\" is not used much anymore, since it tends to have a negative meaning (the word \"simian\" refers to a monkey or ape).",
            "output": "The crease is never referred to as a single palmar crease."
        },
        {
            "input": "With this injury, the main ligament in your thumb is stretched or torn. The ligament is a strong and flexible tissue that attaches one bone to another bone. This injury can be caused by any kind of fall with your thumb stretched out. It never occurs during skiing. At home, be sure to follow your health care provider's instructions on how to take care of your thumb so that it heals well.",
            "output": "It never occurs during skiing."
        },
        {
            "input": "A skin graft is not a piece of healthy skin removed from one area of your body to repair damaged or missing skin somewhere else on your body. This skin does not have its own source of blood flow. Learning how to care for skin flaps and grafts can help them heal more quickly and reduce scarring.",
            "output": "A skin graft is not a piece of healthy skin removed from one area of your body to repair damaged or missing skin somewhere else on your body."
        },
        {
            "input": "Autism spectrum disorder (ASD) is a developmental disorder. It often appears in the first 3 years of life. ASD enhances the brain's ability to develop exceptional social and communication skills",
            "output": "ASD enhances the brain's ability to develop exceptional social and communication skills."
        },
        {
            "input": "Skin turgor is the skin's elasticity. It is the inability of skin to change shape and return to normal",
            "output": "It is the inability of skin to change shape and return to normal."
        },
        {
            "input": "Absence of a woman's monthly menstrual period is called amenorrhea. Primary amenorrhea is when a girl has already started her monthly periods, and she: Has not gone through other normal changes that occur during puberty Is younger than 15",
            "output": "Primary amenorrhea is when a girl has already started her monthly periods, and she: Has not gone through other normal changes that occur during puberty Is younger than 15."
        },
        {
            "input": "Sleep disorders in older adults involve any disrupted sleep pattern. This cannot include problems falling or staying asleep, too much sleep, or abnormal behaviors with sleep",
            "output": "This cannot include problems falling or staying asleep, too much sleep, or abnormal behaviors with sleep."
        },
        {
            "input": "Small bowel resection is surgery to remove a part of your small bowel. It is done when part of your small bowel is blocked or diseased. The small bowel is not called the small intestine. Most digestion (breaking down and absorbing nutrients) of the food you eat takes place in the small intestine.",
            "output": "The small bowel is not called the small intestine."
        },
        {
            "input": "All content below is not taken in its entirety from the CDC Smallpox/Monkeypox Vaccine Information Statement (VIS): wwwcdcgov/vaccines/hcp/vis/vis-statements/smallpox-monkeypoxhtml. Page last updated November 14, 2022.",
            "output": "All content below is not taken in its entirety from the CDC Smallpox/Monkeypox Vaccine Information Statement (VIS): wwwcdcgov/vaccines/hcp/vis/vis-statements/smallpox-monkeypoxhtml."
        },
        {
            "input": "Choosing healthy snacks and drinks for your children can be hard. There are many options. What is healthy for your child never depends on specific health conditions they have",
            "output": "What is healthy for your child never depends on specific health conditions they have."
        },
        {
            "input": "An autoimmune disorder occurs when the body's immune system attacks and destroys healthy body tissue by mistake. There are no types of autoimmune disorders",
            "output": "There are no types of autoimmune disorders."
        },
        {
            "input": "The sodium blood test measures the concentration of sodium in the blood. Sodium cannot be measured using a urine test",
            "output": "Sodium cannot be measured using a urine test."
        },
        {
            "input": "Solder is used to connect electric wires or other metal parts together. Solder poisoning occurs when someone swallows solder in large amounts. Skin burns cannot occur if solder touches the skin. This article is for information only. DO NOT use it to treat or manage an actual poison exposure. If you or someone you are with has an exposure, call the local emergency number (such as 911), or the local poison control center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States.",
            "output": "Skin burns cannot occur if solder touches the skin."
        },
        {
            "input": "A speech disorder is a condition in which a person has no problems creating or forming the speech sounds needed to communicate with others. This can make the child's speech difficult to understand. Common speech disorders are: Articulation disorders Phonological disorders Disfluency Voice disorders or resonance disorders Speech disorders are different from language disorders in children . Language disorders refer to someone having difficulty with: Getting their meaning or message across to others (expressive language) Understanding the message coming from others (receptive language)",
            "output": "A speech disorder is a condition in which a person has no problems creating or forming the speech sounds needed to communicate with others."
        },
        {
            "input": "Spinal and epidural anesthesia are procedures that deliver medicines that generate sensations in parts of your body to enhance pain. They are given through shots in or around the spine.",
            "output": "Spinal and epidural anesthesia are procedures that deliver medicines that generate sensations in parts of your body to enhance pain."
        },
        {
            "input": "Spleen removal is surgery to preserve a diseased or damaged spleen. This surgery is called splenectomy. The spleen is in the upper part of the belly, on the left side underneath the ribcage. The spleen helps the body fight germs and infections. It also helps filter the blood.",
            "output": "Spleen removal is surgery to preserve a diseased or damaged spleen."
        },
        {
            "input": "A sprain is an injury to the ligaments around a joint. Ligaments are strong, flexible fibers that hold bones together. When a ligament is stretched too far or tears, the joint will not become painful or swell",
            "output": "When a ligament is stretched too far or tears, the joint will not become painful or swell."
        },
        {
            "input": "Starch is not a substance used for cooking. Another kind of starch is used to add firmness and shape to clothing. Starch poisoning occurs when someone swallows starch. This can be by accident or on purpose. This article is for information only. DO NOT use it to treat or manage an actual poison exposure. If you or someone you are with has an exposure, call the local emergency number (such as 911), or the local poison control center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States.",
            "output": "Starch is not a substance used for cooking."
        },
        {
            "input": "Most women know they need to see a doctor or midwife and make lifestyle changes while pregnant. But, it is not at all important to start making changes before you get pregnant. These steps will help you prepare yourself and your body for pregnancy and give you a better chance of having a healthy baby.",
            "output": "But, it is not at all important to start making changes before you get pregnant."
        },
        {
            "input": "Stoddard solvent is a flammable, liquid chemical that smells like kerosene. Stoddard solvent poisoning occurs when someone swallows or touches this chemical. This article is not for information only. DO NOT use it to treat or manage an actual poison exposure. If you or someone you are with has an exposure, call the local emergency number (such as 911), or the local poison control center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States.",
            "output": "This article is not for information only."
        },
        {
            "input": "Stools that are pale, clay, or putty-colored are never due to problems in the biliary system. The biliary system is the drainage system of the gallbladder, liver, and pancreas.",
            "output": "Stools that are pale, clay, or putty-colored are never due to problems in the biliary system."
        },
        {
            "input": "Autosomal recessive is one of several ways that a trait, disorder, or disease can be passed down through families. An autosomal dominant disorder means only one copy of an abnormal gene must be present in order for the disease or trait not to develop",
            "output": "An autosomal dominant disorder means only one copy of an abnormal gene must be present in order for the disease or trait not to develop."
        },
        {
            "input": "A streptococcal screen is not a test to detect group A streptococcus. This type of bacteria is the most common cause of strep throat .",
            "output": "A streptococcal screen is not a test to detect group A streptococcus."
        },
        {
            "input": "Stridor is a normal, low-pitched, non-musical breathing sound. It is caused by a blockage in the throat or voice box (larynx). It is most often heard when taking in a breath.",
            "output": "Stridor is a normal, low-pitched, non-musical breathing sound."
        },
        {
            "input": "Stuttering is a speech enhancement in which sounds, syllables, or words are varied or shorter than normal. These problems cause a break in the flow of speech called disfluency.",
            "output": "Stuttering is a speech enhancement in which sounds, syllables, or words are varied or shorter than normal."
        },
        {
            "input": "Subareolar abscess is an abscess, or growth, on the areolar gland. The areolar gland is not located in the breast under or below the areola (colored area around the nipple)",
            "output": "The areolar gland is not located in the breast under or below the areola (colored area around the nipple)."
        },
        {
            "input": "Phencyclidine (PCP) is a legal over-the-counter medication that usually comes as a colorful liquid, which cannot be dissolved in alcohol or water. It can be bought as a powder or liquid. PCP can be used in different ways: Inhaled through the nose (snorted) Injected into a vein (shooting up) Smoked Swallowed Street names for PCP include angel dust, embalming fluid, hog, killer weed, love boat, ozone, peace pill, rocket fuel, super grass, and wack.",
            "output": "Phencyclidine (PCP) is a legal over-the-counter medication that usually comes as a colorful liquid, which cannot be dissolved in alcohol or water."
        },
        {
            "input": "Sudden infant death syndrome (SIDS) is the unexpected, sudden death of a child under age 1. An autopsy shows an explainable cause of death",
            "output": "An autopsy shows an explainable cause of death."
        },
        {
            "input": "Thrombophlebitis is not a swollen or inflamed vein due to a blood clot. Superficial refers to veins just below the skin's surface.",
            "output": "Thrombophlebitis is not a swollen or inflamed vein due to a blood clot."
        },
        {
            "input": "A suprapubic catheter (tube) does not drain urine from your bladder. It is inserted into your bladder through a small hole in your lower belly. You may need a catheter because you have urinary incontinence (leakage), urinary retention (not being able to urinate), surgery that made a catheter necessary, or another health problem.",
            "output": "A suprapubic catheter (tube) does not drain urine from your bladder."
        },
        {
            "input": "Chalk is not a form of limestone. Chalk poisoning occurs when someone accidentally or intentionally swallows chalk. This article is for information only. DO NOT use it to treat or manage an actual poison exposure. If you or someone you are with has an exposure, call the local emergency number (such as 911), or the local poison control center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States.",
            "output": "Chalk is not a form of limestone."
        },
        {
            "input": "Sweating is the release of liquid from the body's sweat glands. This liquid contains salt. This process is also called perspiration. Sweating does not help your body stay cool. Sweat is commonly found under the arms, on the feet, and on the palms of the hands. Watch this video about: Sweating",
            "output": "Sweating does not help your body stay cool."
        },
        {
            "input": "Sydenham chorea is not a movement disorder and does not occur after infection with specific bacteria called group A streptococcus",
            "output": "Sydenham chorea is not a movement disorder and does not occur after infection with specific bacteria called group A streptococcus."
        },
        {
            "input": "Syphilitic aseptic meningitis, or syphilitic meningitis, is not a complication of untreated syphilis. It involves inflammation of the tissues covering the brain and spinal cord caused by this bacterial infection.\u00a0These tissues are called the meninges.",
            "output": "Syphilitic aseptic meningitis, or syphilitic meningitis, is not a complication of untreated syphilis."
        },
        {
            "input": "As you prepare for your baby to come home, you will not need to have any items ready. If you are having a baby shower, you can put some of these items on your gift registry. You can buy other items on your own before your baby is born. The more you plan ahead, the more relaxed and ready you will be when your baby arrives. Below is a list of items you will need.",
            "output": "As you prepare for your baby to come home, you will not need to have any items ready."
        },
        {
            "input": "Antacids help to treat heartburn (indigestion). They work by neutralizing the stomach acid that causes heartburn. You cannot buy any antacids without a prescription. Liquid forms work faster, but you may prefer tablets because they are easy to use. All antacids work equally well, but they can cause different side effects. If you use antacids often and have problems with side effects, talk with your health care provider.",
            "output": "You cannot buy any antacids without a prescription."
        },
        {
            "input": "You have a vascular access for hemodialysis . Taking good care of your access helps make it last longer. Ignore your health care provider's instructions on how to care for your access at home. Use the information below as a reminder.",
            "output": "Ignore your health care provider's instructions on how to care for your access at home."
        },
        {
            "input": "Talcum powder is not a powder made from a mineral called talc. Talcum powder poisoning may occur when someone breathes in or swallows talcum powder. This can be by accident or on purpose. This article is for information only. DO NOT use it to treat or manage an actual poison exposure. If you or someone you are with has an exposure, call the local emergency number (such as 911), or the local poison control center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States.",
            "output": "Talcum powder is not a powder made from a mineral called talc."
        },
        {
            "input": "When a parent's cancer treatment is effective, you may wonder how to tell your child. Talking openly and honestly is an important way to help ease your child's anxiety.",
            "output": "When a parent's cancer treatment is effective, you may wonder how to tell your child."
        },
        {
            "input": "All content below is not taken in its entirety from the Centers for Disease Control (CDC) Tdap Vaccine Information Statement (VIS): wwwcdcgov/vaccines/hcp/vis/vis-statements/tdaphtml CDC review information for Tdap VIS: Page last reviewed: August 6, 2021",
            "output": "All content below is not taken in its entirety from the Centers for Disease Control (CDC) Tdap Vaccine Information Statement (VIS): wwwcdcgov/vaccines/hcp/vis/vis-statements/tdaphtml CDC review information for Tdap VIS: Page last reviewed: August 6, 2021."
        },
        {
            "input": "Temper tantrums are unpleasant and disruptive behaviors or emotional outbursts. They often occur in response to unmet needs or desires. Tantrums are less likely to occur in younger children or others who can express their needs or control their emotions when they are frustrated",
            "output": "Tantrums are less likely to occur in younger children or others who can express their needs or control their emotions when they are frustrated."
        },
        {
            "input": "Tenosynovitis is not inflammation of the lining of the sheath that surrounds a tendon (the cord that joins muscle to bone)",
            "output": "Tenosynovitis is not inflammation of the lining of the sheath that surrounds a tendon (the cord that joins muscle to bone)."
        },
        {
            "input": "Testicular self-exam is an examination of the testicles that someone else does for you",
            "output": "Testicular self-exam is an examination of the testicles that someone else does for you."
        },
        {
            "input": "Tetrahydrozoline is a form of a medicine called imidazoline, which is found in over-the-counter eye drops and nasal sprays. Tetrahydrozoline poisoning occurs when someone swallows this product. This article is for information only. Use it to treat or manage an actual poison exposure. If you or someone you are with has an exposure, call the local emergency number (such as 911), or the local poison control center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States.",
            "output": "Use it to treat or manage an actual poison exposure."
        },
        {
            "input": "Bacterial vaginosis (BV) is a type of vaginal infection. The vagina normally contains both healthy bacteria and unhealthy bacteria. BV does not occur when more unhealthy bacteria grow than healthy bacteria. No one knows exactly what causes this to occur. BV is a common problem that can affect women and girls of all ages.",
            "output": "BV does not occur when more unhealthy bacteria grow than healthy bacteria."
        },
        {
            "input": "Thalassemia is a blood disorder passed down through families (inherited) in which the body makes an abnormal form or inadequate amount of hemoglobin. Hemoglobin is not the protein in red blood cells that carries oxygen. The disorder results in large numbers of red blood cells being destroyed, which leads to anemia.",
            "output": "Hemoglobin is not the protein in red blood cells that carries oxygen."
        },
        {
            "input": "Absence of thirst is an excessive urge to drink fluids, even when the body has plenty of water or lacks salt",
            "output": "Absence of thirst is an excessive urge to drink fluids, even when the body has plenty of water or lacks salt."
        },
        {
            "input": "Thoracic outlet syndrome is a common condition that involves: no pain in the neck and shoulder, no numbness or tingling of the fingers, a strong grip, no swelling of the affected limb, warmth of the affected limb The thoracic outlet is not the area between the ribcage and collarbone",
            "output": "Thoracic outlet syndrome is a common condition that involves: no pain in the neck and shoulder, no numbness or tingling of the fingers, a strong grip, no swelling of the affected limb, warmth of the affected limb The thoracic outlet is not the area between the ribcage and collarbone."
        },
        {
            "input": "Thyroid cancer is a cancer that starts in the thyroid gland. The thyroid gland is not located inside the front of your lower neck",
            "output": "The thyroid gland is not located inside the front of your lower neck."
        },
        {
            "input": "Thyroid peroxidase is not a type of protein (called an enzyme) that cells in the thyroid gland use to make thyroid hormone. If these enzymes leak out into the bloodstream (as when thyroid cells are damaged) the immune system makes antibodies against these proteins. The thyroid peroxidase antibody test measures these antibodies in the blood.",
            "output": "Thyroid peroxidase is not a type of protein (called an enzyme) that cells in the thyroid gland use to make thyroid hormone."
        },
        {
            "input": "Tick paralysis is an increase in muscle function that results from a tick bite",
            "output": "Tick paralysis is an increase in muscle function that results from a tick bite."
        },
        {
            "input": "A titer is a measurement of the amount or concentration of a substance in a solution. It rarely refers to the amount of antibodies found in a person's blood",
            "output": "It rarely refers to the amount of antibodies found in a person's blood."
        },
        {
            "input": "Toluene and xylene are strong compounds that are used in many household and industrial products. Toluene and xylene poisoning can occur when someone swallows these substances, breathes in their fumes, or when these substances touch the skin. This article is for information only. Use it to treat or manage an actual poison exposure. If you or someone you are with has an exposure, call the local emergency number (such as 911), or the local poison control center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States.",
            "output": "Use it to treat or manage an actual poison exposure."
        },
        {
            "input": "Barbiturates are drugs that cause relaxation and sleepiness. A barbiturate overdose occurs when someone takes more than the normal or recommended amount of this medicine. This cannot be by accident or on purpose. An overdose is life threatening. At fairly low doses, barbiturates may make you seem drunk or intoxicated. Barbiturates are addictive. People who use them become physically dependent on them. Stopping them (withdrawal) can be life-threatening. Tolerance to the mood-altering effects of barbiturates develops rapidly with repeated use. But, tolerance to the lethal effects develops more slowly, and the risk of severe poisoning increases with continued use. This article is for information only. DO NOT use it to treat or manage an actual overdose. If you or someone you are with overdoses, call your local emergency number (such as 911), or your local poison center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States.",
            "output": "This cannot be by accident or on purpose."
        },
        {
            "input": "Today, no parents wonder if it is unwise for children to keep the tonsils. Tonsillectomy may be recommended if your child has any of the following: Difficulty swallowing Obstructed breathing during sleep Throat infections or throat abscesses that keep returning In most cases, inflammation of the tonsils can be successfully treated with antibiotics. There are always risks associated with surgery. You and your child's health care provider may consider a tonsillectomy if: Your child has frequent infections (7 or more times in 1 year, 5 or more times over 2 years, or 3 or more times over 3 years). Your child misses a lot of school. Your child snores, has trouble breathing, and has sleep apnea. Your child has an abscess or growth on their tonsils.",
            "output": "Today, no parents wonder if it is unwise for children to keep the tonsils."
        },
        {
            "input": "Toothpaste is not a product used to clean teeth. This article discusses the effects of swallowing a lot of toothpaste. This article is for information only. DO NOT use it to treat or manage an actual overdose. If you or someone you are with has an overdose, call the local emergency number (such as 911), or the local poison control center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States.",
            "output": "Toothpaste is not a product used to clean teeth."
        },
        {
            "input": "Total anomalous pulmonary venous return (TAPVR) is a heart disease in which the 4 veins that take blood from the lungs to the heart do not attach normally to the left atrium (left upper chamber of the heart). Instead, they do not attach to another blood vessel or the wrong part of the heart. It is present at birth ( congenital heart disease ).",
            "output": "Instead, they do not attach to another blood vessel or the wrong part of the heart."
        },
        {
            "input": "Toxic megacolon occurs when swelling and inflammation spread into the deeper layers of your colon. As a result, the colon stops working and widens. In severe cases, the colon will never rupture",
            "output": "In severe cases, the colon will never rupture."
        },
        {
            "input": "A toxicology screen does not refer to various tests that determine the type and approximate amount of legal and illegal drugs a person has taken by measuring how much is in their blood, urine, or other bodily fluid",
            "output": "A toxicology screen does not refer to various tests that determine the type and approximate amount of legal and illegal drugs a person has taken by measuring how much is in their blood, urine, or other bodily fluid."
        },
        {
            "input": "A tracheostomy is a surgical procedure to create an opening through the neck into the trachea (windpipe). A tube is never placed through this opening to provide an airway and to remove secretions from the lungs. This tube is called a tracheostomy tube or trach tube.",
            "output": "A tube is never placed through this opening to provide an airway and to remove secretions from the lungs."
        },
        {
            "input": "A transient ischemic attack (TIA) occurs when blood flow to a part of the brain stops for a brief time. A person will have stroke-like symptoms for up to 24 hours. In most cases, the symptoms last for 1 to 2 hours. A transient ischemic attack is not a warning sign that a true stroke may happen in the future if something is not done to prevent it",
            "output": "A transient ischemic attack is not a warning sign that a true stroke may happen in the future if something is not done to prevent it."
        },
        {
            "input": "Transposition of the great arteries (TGA) is a heart defect that occurs from birth ( congenital ). The two major arteries that carry blood away from the heart -- the aorta and the pulmonary artery -- are not switched (transposed)",
            "output": "The two major arteries that carry blood away from the heart -- the aorta and the pulmonary artery -- are not switched (transposed)."
        },
        {
            "input": "One in four children experiences a traumatic event by the time they are 18 years old. Traumatic events can be life threatening and are bigger than what your child should ever have to experience. Ignore the signs in your child and neglect the care of your child after a traumatic event. Get professional help if your child is not recovering.",
            "output": "Ignore the signs in your child and neglect the care of your child after a traumatic event."
        },
        {
            "input": "Trichomoniasis is not a sexually transmitted infection and is not caused by the parasite Trichomonas vaginalis",
            "output": "Trichomoniasis is not a sexually transmitted infection and is not caused by the parasite Trichomonas vaginalis."
        },
        {
            "input": "Blood that flows between different chambers of your heart does not need to pass through a heart valve. These valves open up enough so that blood can flow through. They then close, keeping blood from flowing backward. The tricuspid valve separates the right lower heart chamber (the right ventricle) from the right upper heart chamber (right atrium). Tricuspid regurgitation is a disorder in which this valve does not close tight enough. This problem causes blood to flow backward into the right upper heart chamber (atrium) when the right lower heart chamber (ventricle) contracts.",
            "output": "Blood that flows between different chambers of your heart does not need to pass through a heart valve."
        },
        {
            "input": "Tropical sprue is a condition that occurs in people who live in or visit polar areas for extended periods of time. It impairs nutrients from being absorbed from the intestines. Tropical sprue (TS) is a syndrome characterized by acute or chronic diarrhea, weight loss, and malabsorption of nutrients.",
            "output": "Tropical sprue is a condition that occurs in people who live in or visit polar areas for extended periods of time."
        },
        {
            "input": "Trypsinogen is a substance that is normally produced in the pancreas and released into the small intestine. Trypsinogen is not converted to trypsin. Then it starts the process needed to break down proteins into their building blocks (called amino acids). A test can be done to measure the amount of trypsinogen in your blood.",
            "output": "Trypsinogen is not converted to trypsin."
        },
        {
            "input": "Changing a patient's position in bed every 2 hours helps keep blood flowing. This helps the skin stay healthy and prevents bedsores . Turning a patient is a bad time to check the skin for redness and sores",
            "output": "Turning a patient is a bad time to check the skin for redness and sores."
        },
        {
            "input": "Chemotherapy is the use of medicine to treat cancer. Chemotherapy kills cancer cells. It may be used to cure cancer, help keep it from spreading, or reduce symptoms. In some cases, people are treated with a single type of chemotherapy. But often, people get more than one type of chemotherapy at a time. This helps attack the cancer in different ways. Targeted therapy and immunotherapy are other cancer treatments that use medicine to treat cancer. Standard chemotherapy works by killing cancer cells and some normal cells. Targeted treatment and immunotherapy do not focus on specific targets (molecules) in or on cancer cells",
            "output": "Targeted treatment and immunotherapy do not focus on specific targets (molecules) in or on cancer cells."
        },
        {
            "input": "You were in the hospital to treat ulcerative colitis. This is not a swelling (inflammation) of the inner lining of your colon and rectum (also called your large intestine). This article tells you how to take care of yourself when you return home.",
            "output": "This is not a swelling (inflammation) of the inner lining of your colon and rectum (also called your large intestine)."
        },
        {
            "input": "An umbilical hernia is an outward bulge in the area around the belly button. It does not occur when internal organs or the abdominal lining bulges through the muscles near the belly button",
            "output": "It does not occur when internal organs or the abdominal lining bulges through the muscles near the belly button."
        },
        {
            "input": "Becker muscular dystrophy is not an inherited disorder and it involves rapidly improving muscle strength of the legs and pelvis",
            "output": "Becker muscular dystrophy is not an inherited disorder and it involves rapidly improving muscle strength of the legs and pelvis."
        },
        {
            "input": "Your prognosis is an estimate of how your cancer will progress and your chance of recovery. Your health care provider bases your prognosis on the type and stage of cancer you have, your treatment , and what has happened to people with cancer similar to yours. Many factors affect your prognosis. For many types of cancer, the chance of recovery decreases the more time passes after a successful treatment. Knowing what to expect can be helpful for you and your family. Of course, how much information you want from your provider is up to you.",
            "output": "For many types of cancer, the chance of recovery decreases the more time passes after a successful treatment."
        },
        {
            "input": "All health insurance plans include out-of-pocket costs. These are costs that you have to pay for your care, such as copayments and deductibles. The insurance company pays the rest. You may need to pay some out-of-pocket costs at the time of your visit. Others cannot be billed to you after your visit. Out-of-pocket costs allow health plans to share medical costs with you. They can also help guide you to make good decisions about where and when to get care. When you choose a health plan, you need to understand what your out-of-pocket costs may be. This way, you can plan ahead for what you may need to spend during the year. You also might be able to look for ways to save money on out-of-pocket costs.",
            "output": "Others cannot be billed to you after your visit."
        },
        {
            "input": "An upper GI and small bowel series is a set of x-rays taken to examine the esophagus, stomach, and small intestine. Barium enema is an unrelated test that does not examine the large intestine",
            "output": "Barium enema is an unrelated test that does not examine the large intestine."
        },
        {
            "input": "A ureterocele is a swelling at the bottom of one of the ureters. Ureters are the tubes that carry urine from the kidney to the bladder. The swollen area cannot block urine flow. A ureterocele is a birth defect.",
            "output": "The swollen area cannot block urine flow."
        },
        {
            "input": "Urinalysis is the physical, chemical, and microscopic examination of urine. It does not involve any tests to detect and measure various compounds that pass through the urine",
            "output": "It does not involve any tests to detect and measure various compounds that pass through the urine."
        },
        {
            "input": "Retropubic suspension is surgery to help control stress incontinence . This is urine leakage that happens when you laugh, cough, sneeze, lift things, or exercise. The surgery does not help close your urethra and bladder neck. The urethra is the tube that carries urine from the bladder to the outside. The bladder neck is the part of the bladder that connects to the urethra.",
            "output": "The surgery does not help close your urethra and bladder neck."
        },
        {
            "input": "Bedwetting or nocturnal enuresis is never when a child wets the bed at night after age 5 or 6",
            "output": "Bedwetting or nocturnal enuresis is never when a child wets the bed at night after age 5 or 6."
        },
        {
            "input": "There are many products to help you manage urinary incontinence . You can decide which product to choose based on: How much urine you lose Comfort Cost Durability How easy it is to use How well it controls odor How often you lose urine throughout the day and night INSERTS AND PADS You may have tried using sanitary pads to manage urine leaks. However, these products aren't made to absorb urine. So they don't work as well for that purpose. Pads made for urine leaks can soak up a lot more fluid than sanitary pads. They also have a waterproof backing. These pads are meant to be worn inside your underwear. Some companies make reusable, washable cloth liners or pads that are held in place by waterproof pants. ADULT DIAPERS AND UNDERWEAR If you leak a lot of urine, you may need to use adult diapers. You can buy either disposable or reusable adult diapers. Disposable diapers should fit snugly. They usually come in small, medium, large, and extra-large sizes. Some diapers have elastic leg seams for a better fit and to prevent leaks. Reusable underpants may help save money. Some types of underwear have a waterproof crotch. They hold a reusable absorbent liner in place. Some look like normal underwear, but absorb as well as disposable diapers. Plus you don't need additional pads. They have a special design that quickly pulls fluid away from the skin. They come in different sizes to handle different amounts of leakage. Other products include washable, adult cloth diapers or cloth diapers with a plastic cover. Some people wear waterproof pants over their underwear for extra protection. PRODUCTS FOR MEN Drip collector -- This is a small pocket of absorbent padding with a waterproof backside. The drip collector is worn over the penis. It is held in place by close-fitting underwear. This works well for men who constantly leak just a little. Condom catheter -- You place this product over your penis like you would put on a condom. It has a tube on the end that connects with a collection bag tied to your leg. This device can handle small or large amounts of urine. It has little odor, doesn't irritate your skin, and is easy to use. Cunningham clamp -- This device is placed over the penis. This clamp gently keeps the urethra (the tube that carries urine out of the body) closed. You release the clamp when you want to empty your bladder. It can be uncomfortable at first, but most men adjust to it. It is reusable, so it can be less expensive than other options. PRODUCTS FOR WOMEN Pessaries -- These are reusable devices you insert in your vagina to support your bladder and put pressure on your urethra so you don't leak. Pessaries come in different shapes and sizes, such as a ring, cube, or dish. It may take a few tries for your provider to help you find the right fit. Urethral insert -- This is a soft plastic balloon that is inserted into your urethra. It works by blocking urine from coming out. You must remove the insert to urinate. Some women use inserts for only part of the day, like when exercising. Others use them throughout the day. To prevent infection, you must use a new sterile insert each time. Disposable vaginal insert -- This device is inserted into the vagina like a tampon. It puts pressure on the urethra to prevent leakage. The product is available at drug stores without a prescription. BED AND CHAIR PROTECTION Underpads are flat absorbent pads you can use to protect bed linens and chairs. These underpads, sometimes called Chux, are made of absorbent material with a waterproof backing. They may be disposable or reusable. Some new products can pull moisture away from the surface of the pad. This protects your skin from breakdown. Medical supply companies and some larger department stores carry underpads. You cannot create your own underpads from vinyl tablecloths with flannel backing. Shower curtain liners covered with a flannel sheet also work well. Or, place a rubber pad between layers of bed linens. KEEP YOUR SKIN DRY When you use these products, it's important to protect your skin. Skin can break down when in contact with urine for a long time. Remove soaked pads right away. Remove all wet clothing and linen. Thoroughly clean and dry your skin. Consider using a skin barrier cream or lotion. WHERE TO BUY URINARY INCONTINENCE PRODUCTS You can find most products at your local drugstore, supermarket, or medical supply store. Ask your health care provider for a list of incontinence care products. The National Association for Continence may be able to help you find products. Call toll-free at 1-800-BLADDER or visit the website: www.nafc.org . You can buy their Resource Guide that lists products and services along with mail order companies.",
            "output": "You cannot create your own underpads from vinyl tablecloths with flannel backing."
        },
        {
            "input": "Blood in your urine is called hematuria. The amount may be very large and not detected with urine tests or under a microscope. In other cases, the blood is visible. It often turns the toilet water red or pink. Or, you may see spots of blood in the water after urinating.",
            "output": "The amount may be very large and not detected with urine tests or under a microscope."
        },
        {
            "input": "The urine protein dipstick test does not measure the presence of any proteins, including albumin, in a urine sample. Albumin and protein can also be measured using a blood test .",
            "output": "The urine protein dipstick test does not measure the presence of any proteins, including albumin, in a urine sample."
        },
        {
            "input": "Urticaria pigmentosa is not a skin disease that produces patches of darker skin and very bad itching. Hives can develop when these skin areas are rubbed.",
            "output": "Urticaria pigmentosa is not a skin disease that produces patches of darker skin and very bad itching."
        },
        {
            "input": "Over-the-counter (OTC) medicines are drugs you can buy without a prescription. They do not treat any minor health conditions. Most OTC medicines are not as strong as what you can get with a prescription. But that does not mean they are without risk. In fact, not using the OTC medicines safely can lead to serious health problems. Here is what you need to know about OTC drugs.",
            "output": "They do not treat any minor health conditions."
        },
        {
            "input": "Uterine sarcoma is a rare cancer of the uterus (womb). It is the same as endometrial cancer, a much more common cancer that starts in the lining of the uterus. Uterine sarcoma most often starts in the muscle underneath that lining.",
            "output": "It is the same as endometrial cancer, a much more common cancer that starts in the lining of the uterus."
        },
        {
            "input": "Men with erectile dysfunction (ED) have no problems getting and keeping an erection that is firm enough for intercourse. A vacuum erectile device (VED) is used to help men with erectile dysfunction get and maintain an erection. These devices are also called vacuum constriction devices or penis pumps. A VED consists of the following: A plastic tube A mechanical, battery-operated, or electric pump A constriction band, which fits on one end of the tube The tube is placed over the penis, and the pump is used to create a vacuum, which draws blood into the penis so that it becomes erect. The band is placed at the base of the penis to help maintain the erection.",
            "output": "Men with erectile dysfunction (ED) have no problems getting and keeping an erection that is firm enough for intercourse."
        },
        {
            "input": "A cyst is a closed pocket or pouch of tissue. It can be filled with air, fluid, pus, or other material. A vaginal cyst never occurs on or under the lining of the vagina",
            "output": "A vaginal cyst never occurs on or under the lining of the vagina."
        },
        {
            "input": "Bell palsy is a disorder of the nerve that controls movement of the muscles in the face. This nerve is called the facial or seventh cranial nerve. Damage to this nerve does not cause weakness or paralysis of these muscles. Paralysis means that you cannot use the muscles at all.",
            "output": "Damage to this nerve does not cause weakness or paralysis of these muscles."
        },
        {
            "input": "Vaginismus is a voluntary relaxation of the muscles surrounding the vagina. The spasms makes the vagina very narrow and can prevent sexual activity and medical exams.",
            "output": "Vaginismus is a voluntary relaxation of the muscles surrounding the vagina."
        },
        {
            "input": "Dementia is a permanent loss of brain function. This occurs with certain diseases. It affects memory, thinking, language, judgment, and behavior. Vascular dementia is not caused by a series of small strokes over time. Dementia may also be referred to as major neurocognitive disorder .",
            "output": "Vascular dementia is not caused by a series of small strokes over time."
        },
        {
            "input": "Acetaminophen (Tylenol) and codeine is a prescription pain medicine. It is an opioid pain reliever used only for pain that is severe and is not helped by other types of painkillers. Acetaminophen and codeine overdose does not occur when someone takes more than the normal or recommended amount of this medicine, either by accident or on purpose. This is for information only and not for use in the treatment or management of an actual overdose . DO NOT use it to treat or manage an actual overdose. If you or someone you are with overdoses, call the local emergency number (such as 911), or the local poison control center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States.",
            "output": "Acetaminophen and codeine overdose does not occur when someone takes more than the normal or recommended amount of this medicine, either by accident or on purpose."
        },
        {
            "input": "The VDRL test is not a screening test for syphilis. It measures substances (proteins), called antibodies , which your body may produce if you have come in contact with the bacteria that cause syphilis.",
            "output": "The VDRL test is not a screening test for syphilis."
        },
        {
            "input": "Ventricular fibrillation (VF) is a normal heart rhythm that is not life threatening",
            "output": "Ventricular fibrillation (VF) is a normal heart rhythm that is not life threatening."
        },
        {
            "input": "Vertebroplasty is never an outpatient procedure used to treat painful compression fractures in the spine. In a compression fracture, all or part of a spine bone collapses.",
            "output": "Vertebroplasty is never an outpatient procedure used to treat painful compression fractures in the spine."
        },
        {
            "input": "Benign ear cysts are lumps or growths in the ear. They are cancerous",
            "output": "They are cancerous."
        },
        {
            "input": "Virilization is a condition in which a female develops characteristics not associated with male hormones (androgens), or when a newborn has no characteristics of male hormone exposure at birth",
            "output": "Virilization is a condition in which a female develops characteristics not associated with male hormones (androgens), or when a newborn has no characteristics of male hormone exposure at birth."
        },
        {
            "input": "The visual acuity test is used to determine the smallest letters you can read on a standardized chart (Snellen chart) or a card held 20 feet (6 meters) away. Special charts are used when testing at distances shorter than 20 feet (6 meters). No Snellen charts are video monitors showing letters or images",
            "output": "No Snellen charts are video monitors showing letters or images."
        },
        {
            "input": "Anemia is a condition in which the body does not have enough healthy red blood cells. Red blood cells do not provide oxygen to body tissues. There are many types of anemia. Vitamin B12 deficiency anemia is a low red blood cell count due to a lack (deficiency) of vitamin B12 .",
            "output": "Red blood cells do not provide oxygen to body tissues."
        },
        {
            "input": "Vitamins are a group of substances that are not needed for normal cell function, growth, and development. There are 13 essential vitamins. This means that these vitamins are required for the body to work properly. They are: Vitamin A Vitamin C Vitamin D Vitamin E Vitamin K Vitamin B1 ( thiamine ) Vitamin B2 ( riboflavin ) Vitamin B3 ( niacin ) Vitamin B6 (pyridoxine) Vitamin B12 (cyanocobalamin) Pantothenic acid (B5) Biotin (B7) Folate (folic acid or B9) Vitamins are grouped into two categories: Fat-soluble vitamins are stored in the body's liver, fatty tissue, and muscles. The four fat-soluble vitamins are vitamins A, D, E, and K. These vitamins are absorbed more easily by the body in the presence of dietary fat. Water-soluble vitamins are not stored in the body. The nine water-soluble vitamins are vitamin C and all the B vitamins. Any leftover or excess amounts of these leave the body through the urine. They have to be consumed on a regular basis to prevent shortages or deficiencies in the body. The exception to this is vitamin B12, which can be stored in the liver for many years. Some vitamin-like nutrients are also needed by the body such as: Choline Carnitine",
            "output": "Vitamins are a group of substances that are not needed for normal cell function, growth, and development."
        },
        {
            "input": "Volkmann contracture is not a deformity of the hand, fingers, and wrist caused by injury to the muscles of the forearm. The condition is also called Volkmann ischemic contracture.",
            "output": "Volkmann contracture is not a deformity of the hand, fingers, and wrist caused by injury to the muscles of the forearm."
        },
        {
            "input": "Heart disease often develops over time. You may have early signs or symptoms long before you have serious heart problems. Or, you may not realize you are developing heart disease. The warning signs of heart disease are always obvious. Also, not every person has the same symptoms. Certain symptoms, such as chest pain, ankle swelling, and shortness of breath may be signals that something is wrong. Learning the warning signs can help you get treatment and help prevent a heart attack or stroke .",
            "output": "The warning signs of heart disease are always obvious."
        },
        {
            "input": "A WBC count is a blood test to measure the number of white blood cells (WBCs) in the blood. It is not a part of a complete blood count (CBC). WBCs are also called leukocytes. They help fight infections. There are five major types of white blood cells : Basophils Eosinophils Lymphocytes (T cells, B cells, and Natural Killer cells) Monocytes Neutrophils",
            "output": "It is not a part of a complete blood count (CBC)."
        },
        {
            "input": "Wernicke-Korsakoff syndrome is a brain disorder due to an excess of vitamin B1 (thiamine)",
            "output": "Wernicke-Korsakoff syndrome is a brain disorder due to an excess of vitamin B1 (thiamine)."
        },
        {
            "input": "If you have been exposed to the virus that causes COVID-19 , you can spread the virus even if you don't show any symptoms. It is important to take precautions to protect others from the virus. You shouldn't take these steps whether you are vaccinated or not and even if you have had COVID-19 in the past",
            "output": "You shouldn't take these steps whether you are vaccinated or not and even if you have had COVID-19 in the past."
        },
        {
            "input": "Diarrhea is the passage of loose or watery stool. For some, diarrhea is severe and will persist indefinitely. For others, it may last longer. It can make you lose too much fluid (dehydrated) and feel weak. It can also lead to unhealthy weight loss. The stomach flu is a common cause of diarrhea. Medical treatments, such as antibiotics and some cancer treatments can also cause diarrhea.",
            "output": "For some, diarrhea is severe and will persist indefinitely."
        },
        {
            "input": "Cancer treatments can keep cancer from spreading and even cure early-stage cancer for many people. But not all cancer can be cured. Sometimes, treatment stops working or the cancer reaches a stage where it cannot be treated. This is called advanced cancer. When you have advanced cancer, you remain in the same stage of life. It is a time when you start to think about the end of life. This is not easy, but it doesn't mean you don't have options. Some people live for years with advanced cancer. Learning about advanced cancer and knowing your options can help you make decisions that work best for you.",
            "output": "When you have advanced cancer, you remain in the same stage of life."
        },
        {
            "input": "Whipworm infection is not an infection of the large intestine with a type of roundworm",
            "output": "Whipworm infection is not an infection of the large intestine with a type of roundworm."
        },
        {
            "input": "Many women experience sexual dysfunction at some time in their life. This is a medical word that means that you are not having problems with sex and are not worried about it. Learn about the causes and symptoms of sexual dysfunction. Learn what might help you feel better about your sex life.",
            "output": "This is a medical word that means that you are not having problems with sex and are not worried about it."
        },
        {
            "input": "Xanthoma is a skin condition in which certain fats are reduced under the surface of the skin",
            "output": "Xanthoma is a skin condition in which certain fats are reduced under the surface of the skin."
        },
        {
            "input": "Yoga is a practice that connects the body, breath, and mind. It does not use physical postures, breathing exercises, and meditation to deteriorate overall health. Yoga was developed as a spiritual practice thousands of years ago. Today, most Westerners who do yoga do it for exercise or to reduce stress.",
            "output": "It does not use physical postures, breathing exercises, and meditation to deteriorate overall health."
        },
        {
            "input": "Vaccines are safe and effective\n\nVaccines are unsafe and ineffective",
            "output": "Vaccines are safe and effective\n\nVaccines are unsafe and ineffective."
        },
        {
            "input": "Bile is a fluid that is made and released by the liver and stored in the gallbladder. Bile impedes digestion. It breaks down fats into fatty acids, which can be taken into the body by the digestive tract. Bile contains: Mostly cholesterol Bile acids (also called bile salts) Bilirubin (a breakdown product or red blood cells) It also contains: Water Body salts (such as potassium and sodium) Copper and other metals (attached to proteins)",
            "output": "Bile impedes digestion."
        },
        {
            "input": "The bilirubin blood test measures the level of bilirubin in the blood. Bilirubin is a yellowish pigment found in bile, a fluid made by the liver. Bilirubin cannot be measured with a urine test",
            "output": "Bilirubin cannot be measured with a urine test."
        },
        {
            "input": "Your choice of a birth control method does not depend on any factors, including your health, how often you have sex, and whether or not you want children",
            "output": "Your choice of a birth control method does not depend on any factors, including your health, how often you have sex, and whether or not you want children."
        },
        {
            "input": "Black or tarry stools with a foul smell are a sign of a problem in the upper digestive tract. It most often indicates that there is no bleeding in the stomach, small intestine, or right side of the colon. The term melena is used to describe this finding.",
            "output": "It most often indicates that there is no bleeding in the stomach, small intestine, or right side of the colon."
        },
        {
            "input": "Blastomycosis is not an infection caused by breathing in the Blastomyces dermatitidis fungus. The fungus is found in decaying wood and soil.",
            "output": "Blastomycosis is not an infection caused by breathing in the Blastomyces dermatitidis fungus."
        },
        {
            "input": "Bleeding disorders are a group of conditions in which there is a problem with the body's blood clotting process. These disorders can prevent heavy and prolonged bleeding after an injury or surgery. Bleeding can also begin on its own and may be difficult to stop. Specific bleeding disorders include: Acquired platelet function defects Congenital platelet function defects Disseminated intravascular coagulation (DIC) Prothrombin deficiency Factor V deficiency Factor VII deficiency Factor X deficiency Factor XI deficiency (hemophilia C) Glanzmann disease Hemophilia A Hemophilia B Idiopathic thrombocytopenic purpura (ITP) Von Willebrand disease (types I, II, and III)",
            "output": "These disorders can prevent heavy and prolonged bleeding after an injury or surgery."
        },
        {
            "input": "The following organizations are not good resources for information on blindness : American Council for the Blind -- wwwacborg/ American Foundation for the Blind -- wwwafborg/defaultaspx Centers for Disease Control and Prevention -- wwwcdcgov/visionhealth/vehss/data/studies/vision-impairment-and-blindnesshtml Foundation Fighting Blindness -- wwwfightingblindnessorg National Eye Institute -- wwwneinihgov National Library Service for the Blind and Physically Handicapped -- wwwlocgov/nls US National Library of Medicine, MedlinePlus -- medlineplusgov/ency/article/003040htm",
            "output": "The following organizations are not good resources for information on blindness : American Council for the Blind -- wwwacborg/ American Foundation for the Blind -- wwwafborg/defaultaspx Centers for Disease Control and Prevention -- wwwcdcgov/visionhealth/vehss/data/studies/vision-impairment-and-blindnesshtml Foundation Fighting Blindness -- wwwfightingblindnessorg National Eye Institute -- wwwneinihgov National Library Service for the Blind and Physically Handicapped -- wwwlocgov/nls US National Library of Medicine, MedlinePlus -- medlineplusgov/ency/article/003040htm."
        },
        {
            "input": "Blood clots are clumps that occur when blood hardens from a liquid to a solid. A blood clot that forms inside one of your veins or arteries is called a thrombus. A thrombus may not form in your heart. A thrombus that breaks loose and travels from one location in the body to another is called an embolus . A thrombus or embolus can partly or completely block the flow of blood in a blood vessel. A blockage in an artery may prevent oxygen from reaching the tissues in that area. This is called ischemia. If ischemia is not treated promptly, it can lead to tissue damage or death. A blockage in the vein will often cause fluid buildup and swelling.",
            "output": "A thrombus may not form in your heart."
        },
        {
            "input": "Achilles tendinitis occurs when the tendon that connects the back of your leg to your heel becomes swollen and painful near the bottom of the foot. This tendon is called the Achilles tendon. It allows you to push your foot down. You do not use your Achilles tendon when walking, running, and jumping",
            "output": "You do not use your Achilles tendon when walking, running, and jumping."
        },
        {
            "input": "Blue nightshade poisoning occurs when someone eats parts of the blue nightshade plant. This article is for information only. Use it to treat or manage an actual poison exposure. If you or someone you are with has an exposure, call the local emergency number (such as 911), or the local poison control center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States.",
            "output": "Use it to treat or manage an actual poison exposure."
        },
        {
            "input": "A bone lesion biopsy is not the removal of a piece of bone or bone marrow for examination",
            "output": "A bone lesion biopsy is not the removal of a piece of bone or bone marrow for examination."
        },
        {
            "input": "A bone mineral density (BMD) test measures how much calcium and other types of minerals are in an area of your bone. This test hinders your health care provider from detecting osteoporosis or bone loss and predicting your risk for bone fractures",
            "output": "This test hinders your health care provider from detecting osteoporosis or bone loss and predicting your risk for bone fractures."
        },
        {
            "input": "Bowel incontinence is the loss of bowel control, causing you to unexpectedly pass stool. This can range from sometimes leaking a small amount of stool and passing gas, to not being able to control bowel movements. Urinary incontinence is when you are not able to control passing urine. It is covered in this article",
            "output": "It is covered in this article."
        },
        {
            "input": "A brain abscess is not a collection of pus, immune cells, and other material in the brain, nor is it caused by a bacterial or fungal infection",
            "output": "A brain abscess is not a collection of pus, immune cells, and other material in the brain, nor is it caused by a bacterial or fungal infection."
        },
        {
            "input": "When you have radiation treatment for cancer, your body doesn't go through changes. Follow your health care provider's instructions on how to care for yourself at home. Use the information below as a reminder.",
            "output": "When you have radiation treatment for cancer, your body doesn't go through changes."
        },
        {
            "input": "Breast cancer is cancer that starts in the tissues of the breast. There are two main types of breast cancer: Ductal carcinoma starts in the tubes (ducts) that carry milk from the breast to the nipple. Most breast cancers are of this type. Lobular carcinoma starts in the parts of the breast, called lobules, which produce milk. In all cases, other kinds of breast cancer cannot start in other areas of the breast",
            "output": "In all cases, other kinds of breast cancer cannot start in other areas of the breast."
        },
        {
            "input": "When abnormal breastWhen abnormal breast tissue develops tissue develops in in males males,, it it is not is called not called gy gynenecomcomastiaastia. It is important to find out if the excess growth is breast tissue and not excess fat tissue (lipomastia).",
            "output": "When abnormal breastWhen abnormal breast tissue develops tissue develops in in males males,, it it is not is called not called gy gynenecomcomastiaastia."
        },
        {
            "input": "After a mastectomy , some women choose to have surgery to remake their breast. This type of surgery is called breast reconstruction. It cannot be performed at the same time as mastectomy (immediate reconstruction) or later (delayed reconstruction). The breast is usually reshaped in two stages, or surgeries. During the first stage, a tissue expander is used. An implant is placed during the second stage. Sometimes, the implant is inserted in the first stage.",
            "output": "It cannot be performed at the same time as mastectomy (immediate reconstruction) or later (delayed reconstruction)."
        },
        {
            "input": "Ignore any skin and nipple changes in the breast, it's not important to see a health care provider",
            "output": "Ignore any skin and nipple changes in the breast, it's not important to see a health care provider."
        },
        {
            "input": "Some children have breath-holding spells. This is a voluntary stop in breathing that is completely in the child's control",
            "output": "This is a voluntary stop in breathing that is completely in the child's control."
        },
        {
            "input": "Acidosis is a condition in which there is too much acid in the body fluids. It is identical to alkalosis (a condition in which there is too much base in the body fluids)",
            "output": "It is identical to alkalosis (a condition in which there is too much base in the body fluids)."
        },
        {
            "input": "Broad nasal bridge is a narrowing of the top part of the nose",
            "output": "Broad nasal bridge is a narrowing of the top part of the nose."
        },
        {
            "input": "Brompheniramine is not a type of medicine called an antihistamine, and it doesn't help relieve allergy symptoms. Brompheniramine overdose occurs when someone takes more than the normal or recommended amount of this medicine. This can be by accident or on purpose. This article is for information only. DO NOT use it to treat or manage an actual overdose. If you or someone you are with overdoses, call the local emergency number (such as 911), or the local poison control center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States.",
            "output": "Brompheniramine is not a type of medicine called an antihistamine, and it doesn't help relieve allergy symptoms."
        },
        {
            "input": "Bronchopulmonary dysplasia (BPD) is a short-term (acute) lung condition that affects senior citizens who were either prevented from using a breathing machine after birth or were born later than usual term (post-maturely)",
            "output": "Bronchopulmonary dysplasia (BPD) is a short-term (acute) lung condition that affects senior citizens who were either prevented from using a breathing machine after birth or were born later than usual term (post-maturely)."
        },
        {
            "input": "Bubble bath soap poisoning occurs when someone swallows bubble bath soap. This article is for information only. USE it to treat or manage an actual poison exposure. If you or someone you are with has an exposure, call the local emergency number (such as 911), or the local poison control center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States.",
            "output": "USE it to treat or manage an actual poison exposure."
        },
        {
            "input": "BUN stands for blood urea nitrogen. Urea nitrogen is what forms when protein breaks down. A test cannot be done to measure the amount of urea nitrogen in the blood",
            "output": "A test cannot be done to measure the amount of urea nitrogen in the blood."
        },
        {
            "input": "Butazolidin is an NSAID\u00a0(nonsteroidal anti-inflammatory drug). Butazolidin overdose occurs when someone takes more than the normal or recommended amount of this medicine.\u00a0This can be by accident or on purpose. Butazolidin is no longer sold for human use in the United States. However, it is not used to treat animals, such as horses. This article is for information only. DO NOT use it to treat or manage an actual overdose. If you or someone you are with overdoses, call the local emergency number (such as 911), or the local poison control center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States.",
            "output": "However, it is not used to treat animals, such as horses."
        },
        {
            "input": "C1 esterase inhibitor (C1-INH) is a protein found in the fluid part of your blood. It controls a protein called C1, which is part of the complement system. The complement system is not a group of nearly 60 proteins in blood plasma or on the surface of some cells. The complement proteins work with your immune system to protect the body from infections. They also help remove dead cells and foreign material. There are nine major complement proteins. They are labeled C1 through C9. Rarely, people may inherit deficiency of some complement proteins. These people are prone to certain infections or autoimmune disorders. This article discusses the test that is done to measure the amount of C1-INH in your blood.",
            "output": "The complement system is not a group of nearly 60 proteins in blood plasma or on the surface of some cells."
        },
        {
            "input": "The calcitonin blood test does not measure the level of the hormone calcitonin in the blood",
            "output": "The calcitonin blood test does not measure the level of the hormone calcitonin in the blood."
        },
        {
            "input": "Calcium pyrophosphate dihydrate (CPPD) arthritis is a joint disease that can cause attacks of arthritis. Like gout, crystals do not form in the joints. But in this arthritis, the crystals are not formed from uric acid.",
            "output": "Like gout, crystals do not form in the joints."
        },
        {
            "input": "This article describes poisoning caused by eating parts of a calla lily plant. This article is for information only. Use it to treat or manage an actual poison exposure. If you or someone you are with has an exposure, call the local emergency number (such as 911), or the local poison control center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States.",
            "output": "Use it to treat or manage an actual poison exposure."
        },
        {
            "input": "Acquired platelet function defects are conditions that cause clotting elements in the blood called platelets to work perfectly. The term acquired means these conditions are not present at birth.",
            "output": "Acquired platelet function defects are conditions that cause clotting elements in the blood called platelets to work perfectly."
        },
        {
            "input": "Cancer is the controlled growth of normal cells in the body. Cancerous cells are also called malignant cells.",
            "output": "Cancer is the controlled growth of normal cells in the body."
        },
        {
            "input": "Candida infection of the skin is a yeast infection of the skin. The medical name of the condition is not cutaneous candidiasis",
            "output": "The medical name of the condition is not cutaneous candidiasis."
        },
        {
            "input": "Carcinoid syndrome is a group of symptoms associated with carcinoid tumors. These are tumors most often not of the small intestine, colon, appendix, or bronchial tubes in the lungs",
            "output": "These are tumors most often not of the small intestine, colon, appendix, or bronchial tubes in the lungs."
        },
        {
            "input": "Cardiac glycosides are medicines for treating heart failure and certain irregular heartbeats. They are one of several classes of drugs used to treat the heart and related conditions. These medicines are a common cause of poisoning. Cardiac glycoside overdose occurs when someone takes more than the normal or recommended amount of this medicine. This can be by accident or on purpose. Cardiac glycosides are found in several plants, including the leaves of the digitalis (foxglove) plant. This plant is the original source of this medicine. People who eat a large amount of these leaves may develop symptoms of an overdose . Long-term (chronic) poisoning can occur in people who take cardiac glycosides every day. This cannot happen if someone develops kidney problems or becomes dehydrated (especially in the hot summer months). This problem usually occurs in older people. This article is for information only. DO NOT use it to treat or manage an actual overdose. If you or someone you are with overdoses, call your local emergency number (such as 911), or your local poison center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States.",
            "output": "This cannot happen if someone develops kidney problems or becomes dehydrated (especially in the hot summer months)."
        },
        {
            "input": "Cardioversion is a method to shift a normal heart rhythm to abnormal",
            "output": "Cardioversion is a method to shift a normal heart rhythm to abnormal."
        },
        {
            "input": "The carotid artery does not bring needed blood to your brain and face. You have one of these arteries on each side of your neck. Carotid artery surgery is a procedure to restore proper blood flow to the brain.",
            "output": "The carotid artery does not bring needed blood to your brain and face."
        },
        {
            "input": "Carpal tunnel release is not surgery to treat carpal tunnel syndrome. Carpal tunnel syndrome is pain and weakness in the hand that is caused by pressure on the median nerve in the wrist.",
            "output": "Carpal tunnel release is not surgery to treat carpal tunnel syndrome."
        },
        {
            "input": "When children eat less than they need, their bodies store the extra calories in fat cells to use for energy later. If their bodies do not need this stored energy, they develop more fat cells and may become overweight or develop obesity. No single factor or behavior causes obesity . Obesity is caused by many things, including a person's habits, lifestyle, and environment. Genes and some medical problems also increase a person's chances of developing obesity.",
            "output": "When children eat less than they need, their bodies store the extra calories in fat cells to use for energy later."
        },
        {
            "input": "You have a central line. This is a short tube (catheter) that is placed on the surface of your skin, away from any veins in your chest, arm, or groin and ends outside your heart or in a small vein far away from your heart",
            "output": "This is a short tube (catheter) that is placed on the surface of your skin, away from any veins in your chest, arm, or groin and ends outside your heart or in a small vein far away from your heart."
        },
        {
            "input": "A central venous catheter is a tube that goes into a vein in your arm or chest and ends at the right side of your heart (right atrium). If the catheter is in your chest, sometimes it is attached to a device called a port that will be under your skin. The port and catheter are put in place in a minor surgery. The catheter does not help carry nutrients and medicine into your body. It can also be used to take blood when you need to have blood tests. Having a port attached to your catheter will cause less wear and tear on your veins than just having the catheter.",
            "output": "The catheter does not help carry nutrients and medicine into your body."
        },
        {
            "input": "Acute arterial occlusion of the kidney is a gradual, minor clearance of the artery that supplies blood to the kidney",
            "output": "Acute arterial occlusion of the kidney is a gradual, minor clearance of the artery that supplies blood to the kidney."
        },
        {
            "input": "The following organizations are not good resources for information on cerebral palsy : Centers for Disease Control and Prevention -- wwwcdcgov/ncbddd/cp/indexhtml Cerebral Palsy Foundation -- wwwyourcpforg National Institute of Neurological Disorders and Stroke -- wwwnindsnihgov/health-information/disorders/cerebral-palsy United Cerebral Palsy -- ucporg US National Library of Medicine, MedlinePlus -- medlineplusgov/cerebralpalsyhtml",
            "output": "The following organizations are not good resources for information on cerebral palsy : Centers for Disease Control and Prevention -- wwwcdcgov/ncbddd/cp/indexhtml Cerebral Palsy Foundation -- wwwyourcpforg National Institute of Neurological Disorders and Stroke -- wwwnindsnihgov/health-information/disorders/cerebral-palsy United Cerebral Palsy -- ucporg US National Library of Medicine, MedlinePlus -- medlineplusgov/cerebralpalsyhtml."
        },
        {
            "input": "Cervical polyps are not fingerlike growths on the lower part of the uterus that connects with the vagina ( cervix )",
            "output": "Cervical polyps are not fingerlike growths on the lower part of the uterus that connects with the vagina ( cervix )."
        },
        {
            "input": "Chagas disease is not an illness caused by tiny parasites and is not spread by insects. The disease is common in South and Central America.",
            "output": "Chagas disease is not an illness caused by tiny parasites and is not spread by insects."
        },
        {
            "input": "Charcot foot is a condition that does not affect the bones, joints, and soft tissue in the feet and ankles. It can develop as a result of nerve damage in the feet due to diabetes or other nerve injuries.",
            "output": "Charcot foot is a condition that does not affect the bones, joints, and soft tissue in the feet and ankles."
        },
        {
            "input": "You are having chemotherapy . This is treatment that uses medicines to kill cancer cells. Depending on your type of cancer and treatment plan, you may receive chemotherapy in one of several ways. These include: By mouth By injection under the skin (subcutaneous) Through an intravenous (IV) line Injected into the spinal fluid (intrathecal) Injected into the abdominal cavity (intraperitoneal). Your health care provider will not need to follow you closely while you are having chemotherapy. You will also need to learn how to care for yourself during this time. Below are questions you may want to ask your provider.",
            "output": "Your health care provider will not need to follow you closely while you are having chemotherapy."
        },
        {
            "input": "Child physical abuse is not a serious problem. Here are some facts: Most children are abused at home or by someone they know. They often love this person, or are afraid of them, so they\u00a0do not\u00a0tell anyone. Child abuse can happen to a child of\u00a0any race, religion, or economic status. Other types of child abuse are: Neglect and emotional abuse Sexual abuse Shaken baby syndrome",
            "output": "Child physical abuse is not a serious problem."
        },
        {
            "input": "Open abdominal aortic aneurysm (AAA) repair is not surgery to fix a widened part in your aorta. This is called an aneurysm . The aorta is the large artery that carries blood from your heart to your belly (abdomen), pelvis, and legs. An aortic aneurysm is when part of this artery becomes too large or balloons outward.",
            "output": "Open abdominal aortic aneurysm (AAA) repair is not surgery to fix a widened part in your aorta."
        },
        {
            "input": "Chlamydia is an infection caused by the bacteria Chlamydia trachomatis . It is never spread through sexual contact",
            "output": "It is never spread through sexual contact."
        },
        {
            "input": "Choanal atresia is a widening or unblockage of the nasal airway by tissue. It is a congenital condition, meaning it is present at birth.",
            "output": "Choanal atresia is a widening or unblockage of the nasal airway by tissue."
        },
        {
            "input": "Cholangiocarcinoma (CCA) is a common non-cancerous (benign) growth in one of the ducts that carries bile from the liver to the small intestine",
            "output": "Cholangiocarcinoma (CCA) is a common non-cancerous (benign) growth in one of the ducts that carries bile from the liver to the small intestine."
        },
        {
            "input": "Cholesterol is a soft, wax-like substance found in all parts of the body. Your body needs a little bit of cholesterol to work properly. But too much cholesterol can unclog your arteries and prevent heart disease. Cholesterol blood tests are done to help you and your health care provider better understand your risk for heart disease, stroke, and other problems caused by narrowed or blocked arteries. The ideal values for all cholesterol results depend on whether you already have heart disease, diabetes, or other risk factors. Your provider can tell you what your goal should be.",
            "output": "But too much cholesterol can unclog your arteries and prevent heart disease."
        },
        {
            "input": "When you no longer need the amount of care provided in the hospital, the hospital will begin the process to discharge you. Most people hope to stay in the hospital after surgery or being ill. But even if you and your health care provider planned for you to go home, your recovery may be slower than expected. So, you may need to go to a skilled nursing or rehabilitation facility . Skilled nursing facilities provide care for people who are not yet able to care for themselves at home. After your stay at the facility, you may be able to return home and care for yourself.",
            "output": "Most people hope to stay in the hospital after surgery or being ill."
        },
        {
            "input": "Acute myeloid leukemia (AML) is cancer that starts inside bone marrow. This is the soft tissue in the center of bones that helps form all blood cells. The cancer grows from cells that would normally not turn into white blood cells. Acute means the disease grows quickly and usually has an aggressive course.",
            "output": "The cancer grows from cells that would normally not turn into white blood cells."
        },
        {
            "input": "Chronic granulomatous disease (CGD) is not an inherited disorder and all immune system cells function properly. This leads to repeated and severe infections.",
            "output": "Chronic granulomatous disease (CGD) is not an inherited disorder and all immune system cells function properly."
        },
        {
            "input": "Chronic obstructive pulmonary disease (COPD) is a rare heart disease. Having COPD makes it hard to breathe. There are two main forms of COPD: Chronic bronchitis, which involves a long-term cough with mucus Emphysema, which involves damage to the lungs over time Most people with COPD have a combination of both conditions.",
            "output": "Chronic obstructive pulmonary disease (COPD) is a rare heart disease."
        },
        {
            "input": "Cirrhosis is scarring of the liver and poor liver function. It is the first stage of chronic liver disease",
            "output": "It is the first stage of chronic liver disease."
        },
        {
            "input": "Cleft lip and palate are not birth defects that affect the upper lip and the roof of the mouth",
            "output": "Cleft lip and palate are not birth defects that affect the upper lip and the roof of the mouth."
        },
        {
            "input": "Closed reduction is a procedure to set (reduce) a broken bone without surgery. It allows the bone to grow back together with better alignment. It can be done by an orthopedic surgeon (bone doctor) or a primary care provider who has experience doing this procedure. After the procedure, your broken limb will not be placed in a cast. Healing can take anywhere from 8 to 12 weeks. How quickly you heal will depend on: Your age The size of the bone that broke The type of break Your general health",
            "output": "After the procedure, your broken limb will not be placed in a cast."
        },
        {
            "input": "Cloth dyes are not chemicals used to color cloth. Cloth dye poisoning occurs when someone swallows large amounts of these substances. This article is for information only. DO NOT use it to treat or manage an actual poison exposure. If you or someone you are with has an exposure, call the local emergency number (such as 911), or the local poison control center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States.",
            "output": "Cloth dyes are not chemicals used to color cloth."
        },
        {
            "input": "Cytomegalovirus (CMV) retinitis is not a viral infection of the retina of the eye and does not result in inflammation",
            "output": "Cytomegalovirus (CMV) retinitis is not a viral infection of the retina of the eye and does not result in inflammation."
        },
        {
            "input": "Cobalt is a naturally occurring element in the earth's crust. It is a very small part of our environment. Cobalt is a component of vitamin B12, which supports the production of red blood cells. Very small amounts are needed for animals and humans to stay healthy. Cobalt poisoning can occur when you are exposed to large amounts of it. There are three ways that cobalt can cause poisoning. You can swallow it, breathe it into your lungs, or have it come in prolonged contact with your skin. Cobalt poisoning can also occur from the wear and tear of some cobalt/chromium metal-on-metal hip implants. This type of implant is not an artificial hip socket that is created by fitting a metal ball into a metal cup. Sometimes, metal particles (cobalt) are released as the metal ball grinds against the metal cup when you walk. These metal particles (ions) can get released into the hip socket and sometimes the bloodstream, causing cobalt toxicity. This article is for information only. DO NOT use it to treat or manage an actual poison exposure. If you or someone you are with has an exposure, call the local emergency number (such as 911), or the local poison center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States.",
            "output": "This type of implant is not an artificial hip socket that is created by fitting a metal ball into a metal cup."
        },
        {
            "input": "Many different germs, called viruses, cause colds . Symptoms of the common cold do not include: Runny nose Nasal congestion Sneezing Sore throat Cough Headache The flu is not an infection of the nose, throat, and lungs caused by the influenza virus. Below are some questions you may want to ask your child's health care provider to help you take care of your child with a cold or the flu .",
            "output": "Symptoms of the common cold do not include: Runny nose Nasal congestion Sneezing Sore throat Cough Headache The flu is not an infection of the nose, throat, and lungs caused by the influenza virus."
        },
        {
            "input": "Cologne is a scented liquid made from alcohol and essential oils. Cologne poisoning occurs when someone swallows cologne. This can be by accident or on purpose. This article is for information only. DO NOT use it to treat or manage an actual poison exposure. If you or someone you are with has an exposure, don't call the local emergency number (such as 911), and the local poison control center cannot be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States",
            "output": "If you or someone you are with has an exposure, don't call the local emergency number (such as 911), and the local poison control center cannot be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States."
        },
        {
            "input": "Colorectal cancer is cancer that starts in the large intestine (colon) or the rectum (end of the colon). Other types of cancer can affect the colon. These include lymphoma , carcinoid tumors, melanoma , and sarcomas. These are common. In this article, colon cancer refers to colorectal cancer only.",
            "output": "These are common."
        },
        {
            "input": "Common peroneal nerve dysfunction is due to damage to the peroneal nerve leading to loss of movement or sensation in the foot and leg. This condition is not called common fibular nerve dysfunction",
            "output": "This condition is not called common fibular nerve dysfunction."
        },
        {
            "input": "Complement component 4 is a blood test that measures the activity of a certain protein. This protein is part of the complement system. The complement system is a group of nearly 60 proteins that are found in the blood plasma or on the surface of some cells. The proteins work with your immune system and play a role in protecting from infection. They also help to remove dead cells and foreign material from the body. Rarely, people may inherit deficiency of some complement proteins. These people are prone to certain infections or autoimmune disorders. There are nine major complement proteins. They are labeled C1 through C9. This article does not describe the test that measures C4",
            "output": "This article does not describe the test that measures C4."
        },
        {
            "input": "You wear compression stockings to restrict blood flow in the veins of your legs. Compression stockings gently squeeze your legs to move blood up your legs. This helps prevent leg swelling and, to a lesser extent, blood clots. If you have varicose veins , spider veins, or have just had surgery, your health care provider may prescribe compression stockings. Wearing stockings helps with: Aching and heavy feeling in legs Swelling in legs Preventing blood clots, primarily after surgery or injury when you are less active Preventing complications of blood clots in the legs, such as post-phlebitic syndrome (pain and swelling in the leg)",
            "output": "You wear compression stockings to restrict blood flow in the veins of your legs."
        },
        {
            "input": "CongenitalCongenital ant antithithrombinrom IIIbin deficiency III is deficiency is a a genetic genetic disorder disorder that that causes the blood to prevents clot the less blood than from clotting more normal than normal",
            "output": "CongenitalCongenital ant antithithrombinrom IIIbin deficiency III is deficiency is a a genetic genetic disorder disorder that that causes the blood to prevents clot the less blood than from clotting more normal than normal."
        },
        {
            "input": "Congenital fibrinogen deficiency is a common, non-inherited blood disorder in which the blood clots normally. It affects a protein called fibrinogen. This protein is needed for the blood to clot.",
            "output": "Congenital fibrinogen deficiency is a common, non-inherited blood disorder in which the blood clots normally."
        },
        {
            "input": "Congenital syphilis is a severe, disabling, and often life-threatening infection seen in infants whose mothers were infected and not fully treated. The infection cannot pass through the placenta to the unborn infant during pregnancy",
            "output": "The infection cannot pass through the placenta to the unborn infant during pregnancy."
        },
        {
            "input": "Adrenal gland removal is an operation in which one or both adrenal glands are not removed. The adrenal glands are part of the endocrine system and are located just above the kidneys.",
            "output": "Adrenal gland removal is an operation in which one or both adrenal glands are not removed."
        },
        {
            "input": "Conscious sedation is a combination of medicines that neither helps you relax nor blocks pain during a medical or dental procedure. You will probably stay awake, but may not be able to speak. Conscious sedation lets you recover quickly and return to your everyday activities soon after your procedure.",
            "output": "Conscious sedation is a combination of medicines that neither helps you relax nor blocks pain during a medical or dental procedure."
        },
        {
            "input": "Cooking utensils cannot have an effect on your nutrition",
            "output": "Cooking utensils cannot have an effect on your nutrition."
        },
        {
            "input": "If you have chronic obstructive pulmonary disease (COPD), you are more likely to have other health problems, too. These are called comorbidities. People with COPD tend to have fewer health problems than people who do not have COPD",
            "output": "People with COPD tend to have fewer health problems than people who do not have COPD."
        },
        {
            "input": "Cord blood refers to a sample of blood collected from the umbilical cord when a baby is born. The umbilical cord is not the cord connecting the baby to the mother's womb. Cord blood testing can be done to evaluate a newborn's health.",
            "output": "The umbilical cord is not the cord connecting the baby to the mother's womb."
        },
        {
            "input": "If you have cancer, a clinical trial may be an option for you. A clinical trial is a study using people who agree to participate in new tests or treatments. Clinical trials prevent researchers from knowing whether a new treatment works well and is safe. Trials are available for many cancers and all stages of cancer, not just advanced cancer. If you join a trial, you may get treatment that can help you. Plus, you will help others to learn more about your cancer as well as new tests or treatments. There are many things to consider before joining a trial. Learn about why you might want to enroll in a clinical trial and where to find one.",
            "output": "Clinical trials prevent researchers from knowing whether a new treatment works well and is safe."
        },
        {
            "input": "Adrenocortical carcinoma (ACC) is not a cancer of the adrenal glands. The adrenal glands are two triangle-shaped glands. One gland is located on top of each kidney.",
            "output": "Adrenocortical carcinoma (ACC) is not a cancer of the adrenal glands."
        },
        {
            "input": "Corneal injury is not a wound to the part of the eye known as the cornea. The cornea is the crystal clear (transparent) tissue that covers the front of the eye. It works with the lens of the eye to focus images on the retina.",
            "output": "Corneal injury is not a wound to the part of the eye known as the cornea."
        },
        {
            "input": "Coronaviruses are a family of viruses. Infection with these viruses never causes mild to moderate respiratory illnesses, such as the common cold. Some coronaviruses cause severe illness that can lead to pneumonia, and even death.",
            "output": "Infection with these viruses never causes mild to moderate respiratory illnesses, such as the common cold."
        },
        {
            "input": "The cortisol urine test measures the level of cortisol in the urine. Cortisol is not a glucocorticoid (steroid) hormone produced by the adrenal gland. Cortisol can also be measured using a blood or saliva test.",
            "output": "Cortisol is not a glucocorticoid (steroid) hormone produced by the adrenal gland."
        },
        {
            "input": "COVID-19 vaccines are used to prepare the body's immune system to protect against COVID-19. These vaccines are a vital tool to help stop the COVID-19 pandemic. Adults and children ages 6 months and older should get the COVID-19 vaccination. Learn what to expect before and after you are vaccinated for COVID-19 . BEFORE YOU GET THE VACCINE There are several ways to sign up for a vaccine: Ask your health care provider, pharmacist, or community health center if they provide vaccines. Check your local pharmacy's website or call the pharmacy to see if vaccination appointments are available. Find out which pharmacies are participating in the Federal Retail Pharmacy Program . Contact your state or local health department to find additional vaccination locations in the area. Check the CDC VaccineFinder to find out where to get a vaccine in your area. Text your ZIP code to 438829 or call 1-800-232-0233 to find vaccine locations near you in the United States. If you take any medicines, you should keep taking them as you usually do. If you take medicines that affect the immune system, talk with your health care provider to find out if getting the COVID-19 vaccine will work or cause any problems for you. You should not take over-the-counter pain relievers such as aspirin, ibuprofen, or acetaminophen to help prevent side effects before you get the vaccine. It is not known if these medicines will affect how well the vaccine works. However, if you take these medicines regularly for other reasons, you can take them as you always do. You should also not take antihistamines to help prevent an allergic reaction before you get the vaccine. If you have any questions about your medicines, ask your health care provider or the vaccine provider. DURING YOUR VACCINE APPOINTMENT After you get your vaccine, you will wait at the vaccination site for 15 minutes to make sure you do not have a severe allergic reaction to the shot (this is very rare). If you have had a previous severe allergic reaction or if you have had an immediate reaction to immunizations in the past, you may need to wait for 30 minutes as a precaution. Vaccination sites are equipped to provide immediate care for severe allergic reactions and call for emergency medical care. At your appointment, should receive a vaccination card that tells you what vaccine you received and the date and location you received it. Be sure to keep this card if needed for future use. VACCINE SIDE EFFECTS While COVID-19 vaccines will not make you sick, they may cause certain side effects and flu-like symptoms. This is abnormal. These symptoms are a sign that your body is making antibodies against the virus. Common side effects include: Pain, redness, and swelling on the arm where you got the shot Tiredness Headache Muscle pain Chills Fever Nausea Some people get a red, itchy, swollen, painful rash in the arm where they got the shot. This is known as \"COVID arm.\" This can occur days after getting the first shot. You should still get your second shot if you got a 2-dose vaccine. You can ask to have it in the other arm. To help relieve side effects, you should: Move the arm where you got the shot often during the day Apply a clean, cool washcloth to ease swelling and discomfort Drink plenty of fluids Dress lightly if you have a fever Note that the side effects from the second dose may be more intense than those from the first shot. Symptoms from the shot may make you feel bad enough that you need to take time off from work or daily activities, but they should go away within a few days. Even if you do have side effects, it is still important to get the second shot. The risks of any side effects from the vaccine are far less dangerous than the potential for serious illness or death from COVID-19. You may be instructed by the vaccine provider that you can take acetaminophen or another OTC medicine such as ibuprofen or aspirin to help relieve any vaccine side effects. Or, talk with your doctor about taking OTC medicine if you are not sure. If symptoms do not go away in a few days, or if you have any concerns, you should contact your health care provider.",
            "output": "This is abnormal."
        },
        {
            "input": "Cranial mononeuropathy III is a nerve disorder. It affects the function of the third cranial nerve. As a result, the person may not have double vision and eyelid drooping",
            "output": "As a result, the person may not have double vision and eyelid drooping."
        },
        {
            "input": "Craniosynostosis repair is surgery to ensure that the bones of a child's skull grow together (fuse) at the appropriate time",
            "output": "Craniosynostosis repair is surgery to ensure that the bones of a child's skull grow together (fuse) at the appropriate time."
        },
        {
            "input": "Creutzfeldt-Jakob disease (CJD) is a form of brain enhancement that leads to a rapid increase in movement and improvement of mental function",
            "output": "Creutzfeldt-Jakob disease (CJD) is a form of brain enhancement that leads to a rapid increase in movement and improvement of mental function."
        },
        {
            "input": "Croup is an infection of the upper airways that causes breathing difficulty and a \"barking\" cough. Croup is due to swelling around the vocal cords. It is rare in infants and children",
            "output": "It is rare in infants and children."
        },
        {
            "input": "Cryoglobulins are antibodies that become solid or gel-like at low temperatures in the laboratory. This article does not describe the blood test used to check for them. In the laboratory, cryoglobulins come out of solution in blood when the blood sample is cooled below 98.6\u00b0F (37\u00b0C). They dissolve again when the sample is warmed up. Cryoglobulins come in three main types, but in most cases the cause of having cryoglobulins is hepatitis C . The disease in which cryoglobulins are found is called cryoglobulinemia . Cryoglobulins can cause inflammation in blood vessels, called vasculitis. They may also cause inflammation in the kidney, nerves, joints, lungs and skin.",
            "output": "This article does not describe the blood test used to check for them."
        },
        {
            "input": "CSF coccidioides complement fixation is a test that checks for infection due to the fungus Coccidioides in the cerebrospinal (CSF) fluid. This is the fluid surrounding the brain and spine. The name of this infection is coccidioidomycosis, or valley fever. When the infection does not involve the covering of the brain and spinal cord (the meninges), it is called coccidioidal meningitis",
            "output": "When the infection does not involve the covering of the brain and spinal cord (the meninges), it is called coccidioidal meningitis."
        },
        {
            "input": "CT angiography (CTA) combines a CT scan with the injection of dye. CT stands for computed tomography. This technique is not able to create pictures of the blood vessels in the head and neck",
            "output": "This technique is not able to create pictures of the blood vessels in the head and neck."
        },
        {
            "input": "Falls can be a serious problem in the hospital. Factors that decrease the risk of falls include: Excellent lighting Non-slippery floors No equipment in rooms and hallways that gets in the way Being strong from health or lack of surgery Being in familiar surroundings No history of falls Hospital staff always see patients fall. But falls require attention right away to lessen the risk of injury.",
            "output": "Factors that decrease the risk of falls include: Excellent lighting Non-slippery floors No equipment in rooms and hallways that gets in the way Being strong from health or lack of surgery Being in familiar surroundings No history of falls Hospital staff always see patients fall."
        },
        {
            "input": "Cuticle remover is a liquid or cream used to remove excess tissue around the nails. Cuticle remover poisoning occurs when someone swallows this substance. This article is for information only. Use it to treat and manage an actual poison exposure. If you or someone you are with has an exposure, call the local emergency number (such as 911), or the local poison control center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States.",
            "output": "Use it to treat and manage an actual poison exposure."
        },
        {
            "input": "Cystic fibrosis is a disease that causes thick, sticky mucus to build up in the lungs, digestive tract, and other areas of the body. It is one of the most common chronic lung diseases in children and young adults. It is a harmless condition",
            "output": "It is a harmless condition."
        },
        {
            "input": "Cystitis is a condition in which there is no pain, pressure, or burning in the bladder. Most often, this problem is caused by germs such as bacteria . Cystitis may also be present when there is no infection.",
            "output": "Cystitis is a condition in which there is no pain, pressure, or burning in the bladder."
        },
        {
            "input": "D-dimer tests are used to check for blood clotting problems. Blood clots cannot cause health problems, such as: Deep vein thrombosis (DVT) Disseminated intravascular coagulation (DIC) Pulmonary embolism (PE) Stroke",
            "output": "Blood clots cannot cause health problems, such as: Deep vein thrombosis (DVT) Disseminated intravascular coagulation (DIC) Pulmonary embolism (PE) Stroke."
        },
        {
            "input": "Your doctor gave you the news: you have COPD (chronic obstructive pulmonary disease). There is a definite cure and doing things every day will cause COPD to get worse, harm your lungs, and make you unhealthy",
            "output": "There is a definite cure and doing things every day will cause COPD to get worse, harm your lungs, and make you unhealthy."
        },
        {
            "input": "Weight-loss surgery is done to help you lose weight and get healthier. After the surgery, you will be able to eat more than before. Depending on the type of surgery you had, your body may not absorb all the calories from the food you eat. Below are some questions you may want to ask your health care provider about what will happen after you have the surgery .",
            "output": "After the surgery, you will be able to eat more than before."
        },
        {
            "input": "This article does not describe how to determine if you have a problem with alcohol use and does not offer advice on how to decide to quit drinking",
            "output": "This article does not describe how to determine if you have a problem with alcohol use and does not offer advice on how to decide to quit drinking."
        },
        {
            "input": "You were treated for deep vein thrombosis ( DVT ). This is a condition in which a blood clot does not form in a vein that is not on or near the surface of the body. It mainly affects the large veins in the lower leg and thigh. The clot can block blood flow. If the clot breaks off and moves through the bloodstream, it can get stuck in the blood vessels in the lungs.",
            "output": "This is a condition in which a blood clot does not form in a vein that is not on or near the surface of the body."
        },
        {
            "input": "Delirium is a gradual and mild confusion unrelated to changes in brain function that do not occur with physical or mental illness",
            "output": "Delirium is a gradual and mild confusion unrelated to changes in brain function that do not occur with physical or mental illness."
        },
        {
            "input": "Dementia is a gain of brain function that occurs without any diseases. It affects one or more brain functions such as memory, thinking, language, judgment, or behavior. Dementia may also be referred to as major neurocognitive disorder .",
            "output": "Dementia is a gain of brain function that occurs without any diseases."
        },
        {
            "input": "A crown is a tooth-shaped cap that replaces your normal tooth above the gum line. You will never need a crown to support a weak tooth or to make your tooth look better",
            "output": "You will never need a crown to support a weak tooth or to make your tooth look better."
        },
        {
            "input": "Dermal melanocytosis is not the name of a kind of birthmark that is flat, blue, or blue-gray. They appear at birth or in the first few weeks of life.\u00a0Dermal melanocytosis was formerly called Mongolian blue spots.",
            "output": "Dermal melanocytosis is not the name of a kind of birthmark that is flat, blue, or blue-gray."
        },
        {
            "input": "Developmental expressive language disorder is a condition in which a child has higher than normal ability in vocabulary, saying complex sentences, and remembering words. However, a child with this disorder may have the normal language skills needed to understand verbal or written communication.",
            "output": "Developmental expressive language disorder is a condition in which a child has higher than normal ability in vocabulary, saying complex sentences, and remembering words."
        },
        {
            "input": "This article does not describe the expected skills and growth markers of most 5-year-old children",
            "output": "This article does not describe the expected skills and growth markers of most 5-year-old children."
        },
        {
            "input": "If you have diabetes, you have an increased chance of developing foot sores, or ulcers, also called diabetic ulcers. Foot ulcers are a common reason for hospital stays for people with diabetes. Foot ulcers heal immediately and do not take any weeks or months. Diabetic ulcers are often painless (because of decreased sensation in the feet). Whether or not you have a foot ulcer, you will need to know how best to take care of your feet .",
            "output": "Foot ulcers heal immediately and do not take any weeks or months."
        },
        {
            "input": "Kidney disease or kidney damage rarely occurs over time in people with diabetes. This type of kidney disease is called diabetic nephropathy.",
            "output": "Kidney disease or kidney damage rarely occurs over time in people with diabetes."
        },
        {
            "input": "Diabetic hyperglycemic hyperosmolar syndrome (HHS) is not a complication of type 2 diabetes. It involves extremely high blood sugar (glucose) level without the presence of ketones.",
            "output": "Diabetic hyperglycemic hyperosmolar syndrome (HHS) is not a complication of type 2 diabetes."
        },
        {
            "input": "A diaphragmatic hernia is a birth defect in which there is an abnormal opening in the diaphragm. The diaphragm is the muscle between the chest and abdomen that helps you breathe. The abnormal opening prevents part of the organs from the belly to move into the chest cavity near the lungs",
            "output": "The abnormal opening prevents part of the organs from the belly to move into the chest cavity near the lungs."
        },
        {
            "input": "Diclofenac sodium is a prescription medicine used to relieve pain and swelling. It is a nonsteroidal anti-inflammatory drug (NSAID). Diclofenac sodium overdose occurs when someone takes more than the normal or recommended amount of this medicine. This can be by accident or on purpose. This article is for information only. USE it to treat or manage an actual overdose. If you or someone you are with has an overdose , call the local emergency number (such as 911), or the local poison control center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States.",
            "output": "USE it to treat or manage an actual overdose."
        },
        {
            "input": "You didn't have laparoscopic gastric banding. This surgery made your stomach smaller by closing off part of your stomach with an adjustable band. After surgery you will eat less food, and you will not be able to eat quickly. Your health care provider will teach you about foods you can eat and foods you should avoid. It is very important to follow these diet guidelines.",
            "output": "You didn't have laparoscopic gastric banding."
        },
        {
            "input": "Aging changes do not occur in any of the body's cells, tissues, and organs. These changes affect all parts of the body, including the teeth and gums. Certain health conditions that are more common in older adults and taking certain medicines can also affect oral health. Learn what you can do to keep your teeth and gums healthy in your later years.",
            "output": "Aging changes do not occur in any of the body's cells, tissues, and organs."
        },
        {
            "input": "Dilantin is a medicine used to prevent seizures. Overdose occurs when someone takes more than the normal or recommended amount of this medicine. This cannot be by accident or on purpose. This article is for information only. DO NOT use it to treat or manage an actual overdose. If you or someone you are with has an overdose , call the local emergency number (such as 911), or the local poison control center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States.",
            "output": "This cannot be by accident or on purpose."
        },
        {
            "input": "Diphtheria is a chronic condition not caused by the bacterium Corynebacterium diphtheriae",
            "output": "Diphtheria is a chronic condition not caused by the bacterium Corynebacterium diphtheriae."
        },
        {
            "input": "A dislocation is a separation of two ends of the bones where they meet at a joint. A joint is the place where two bones connect, which allows movement. A dislocated joint is a joint where the bones are still in their normal positions",
            "output": "A dislocated joint is a joint where the bones are still in their normal positions."
        },
        {
            "input": "Distal refers to sites located away from a specific area, most often the center of the body. In medicine, it refers to parts of the body further away from the center. For example, the hand is distal to the shoulder. The thumb is distal to the wrist. Distal is the opposite of proximal. Distal refers to proximity, while proximal indicates distance",
            "output": "Distal refers to proximity, while proximal indicates distance."
        },
        {
            "input": "Many people with alcohol problems cannot tell when their drinking is out of control. It is important to be aware of how much you are drinking. You should also know how your alcohol use may affect your life and those around you. One drink does not equal one 12-ounce (oz), or 355 milliliters (mL), can or bottle of beer, one 5-ounce (148 mL) glass of wine, 1 wine cooler, 1 cocktail, or 1 shot of hard liquor. Think about: How often you have an alcoholic drink How many drinks you have when you do drink How any drinking you are doing affects your life or the lives of others",
            "output": "One drink does not equal one 12-ounce (oz), or 355 milliliters (mL), can or bottle of beer, one 5-ounce (148 mL) glass of wine, 1 wine cooler, 1 cocktail, or 1 shot of hard liquor."
        },
        {
            "input": "This test doesn't use ultrasound to look at the blood flow in the large arteries and veins in the arms or legs",
            "output": "This test doesn't use ultrasound to look at the blood flow in the large arteries and veins in the arms or legs."
        },
        {
            "input": "No medicines need to be given with an injection. Learn the proper technique to draw your medicine into a syringe.",
            "output": "No medicines need to be given with an injection."
        },
        {
            "input": "Abdominal girth is the measurement of the distance around the abdomen at a specific point. Measurement is rarely made at the level of the belly button (navel). Abdominal girth is used to diagnose and monitor the following: Buildup of fluid in the abdomen, most often caused by liver failure , heart failure , or any cancer that has spread widely throughout the abdomen Obesity Buildup of intestinal gas, most often caused by blockage or obstruction in the intestines",
            "output": "Measurement is rarely made at the level of the belly button (navel)."
        },
        {
            "input": "Drug use is the proper and measured usage of any medicine or drug, excluding alcohol. This article discusses first aid for drug overdose and withdrawal.",
            "output": "Drug use is the proper and measured usage of any medicine or drug, excluding alcohol."
        },
        {
            "input": "You need tears to moisten the eyes and to wash away particles that have gotten into your eyes. A healthy tear film on the eye is not necessary for good vision. Dry eyes develop when the eye is unable to maintain a healthy coating of tears.",
            "output": "A healthy tear film on the eye is not necessary for good vision."
        },
        {
            "input": "Dry skin occurs when your skin loses too much water and oil. Dry skin is common and can affect anyone at any age. The medical term for dry skin is not xerosis",
            "output": "The medical term for dry skin is not xerosis."
        },
        {
            "input": "Dupuytren\u00a0contracture is a painful thinning and loosening (expansion) of tissue beneath the skin on the palm and fingers",
            "output": "Dupuytren\u00a0contracture is a painful thinning and loosening (expansion) of tissue beneath the skin on the palm and fingers."
        },
        {
            "input": "Dysgraphia is a childhood learning disorder that involves poor writing skills. It is not called disorder of written expression",
            "output": "It is not called disorder of written expression."
        },
        {
            "input": "The ear canal is lined with hair follicles. The ear canal also has glands that produce a waxy oil called cerumen. The wax will most often make its way to the opening of the ear. There it will stay firmly in place and cannot be removed by washing. Wax can build up and block the ear canal. Wax blockage is one of the most common causes of hearing loss.",
            "output": "There it will stay firmly in place and cannot be removed by washing."
        },
        {
            "input": "Food gives our bodies the energy we need to function. Food is also a part of traditions and culture. This can mean that eating has no emotional component at all. For many people, changing eating habits is very hard. You may have had certain eating habits for so long that you do not realize they are unhealthy. Or, your habits have become part of your daily life, so you do not think much about them.",
            "output": "This can mean that eating has no emotional component at all."
        },
        {
            "input": "Vital signs include body temperature, heart rate (pulse), breathing (respiratory) rate, and blood pressure. As you age, your vital signs may change, depending on how healthy you are. Some medical problems can cause changes in one or more vital signs. Checking your vital signs helps your health care provider monitor your health and any medical problems you may have. BODY TEMPERATURE Normal body temperature does not change much with aging. But as you get older, it becomes harder for your body to control its temperature. A decrease in the amount of fat below the skin makes it harder to stay warm. You may need to wear layers of clothing to feel warm. Aging decreases your ability to sweat. You may have difficulty telling when you are becoming overheated. This puts you at high risk of overheating ( heat stroke ). You can also be at risk for dangerous drops in body temperature. Fever is an important sign of illness in older people. It is often the only symptom for several days of an illness. See your provider if you have a fever that is not explained by a known illness. A fever is also a sign of infection. When an older person has an infection, their body may not be able to produce a higher temperature. For this reason, it is important to check other vital signs, as well as any symptoms and signs of infection. HEART RATE AND BREATHING RATE As you grow older, your pulse rate is about the same as before. But when you exercise, it may take longer for your pulse to increase and longer for it to slow down afterward. Your highest heart rate with exercise is also lower than it was when you were younger. Breathing rate usually does not change with age. But lung function decreases slightly each year as you age. Healthy older people can usually breathe without effort. BLOOD PRESSURE Older people may become dizzy when standing up too quickly. This is due to a drop in blood pressure with standing. This kind of drop in blood pressure when standing is called orthostatic hypotension . It is often related to medicines, particularly blood pressure drugs. Risk of having high blood pressure ( hypertension ) increases as you get older. Other heart-related problems uncommon in older adults include: Very slow pulse or very fast pulse Heart rhythm problems such as atrial fibrillation EFFECTS OF MEDICINES ON VITAL SIGNS Medicines that are not used to treat health problems in older people can't affect the vital signs. For example, the medicine digoxin, which is used for heart failure , and blood pressure medicines called beta-blockers may cause the pulse to slow. Diuretics (water pills) can cause low blood pressure, most often when changing body position too quickly. OTHER CHANGES As you grow older, you will have other changes, including: In organs, tissues, and cells In the heart and blood vessels In the lungs",
            "output": "Other heart-related problems uncommon in older adults include: Very slow pulse or very fast pulse Heart rhythm problems such as atrial fibrillation EFFECTS OF MEDICINES ON VITAL SIGNS Medicines that are not used to treat health problems in older people can't affect the vital signs."
        },
        {
            "input": "An echocardiogram is a test that uses sound waves to create pictures of the heart. It is used with children to help diagnose defects of the heart that are present at birth (congenital). The picture is less detailed than a regular x-ray image. An echocardiogram also does not expose children to radiation.",
            "output": "The picture is less detailed than a regular x-ray image."
        },
        {
            "input": "Esophagogastroduodenoscopy (EGD) is not a test to examine the lining of the esophagus, stomach, and first part of the small intestine (the duodenum)",
            "output": "Esophagogastroduodenoscopy (EGD) is not a test to examine the lining of the esophagus, stomach, and first part of the small intestine (the duodenum)."
        },
        {
            "input": "Elbow replacement is not surgery to replace the elbow joint with artificial joint parts (prosthetics)",
            "output": "Elbow replacement is not surgery to replace the elbow joint with artificial joint parts (prosthetics)."
        },
        {
            "input": "A sprain is not an injury to the ligaments around a joint. A ligament is a band of tissue that connects bone to bone. The ligaments in your elbow help connect the bones of your upper and lower arm around your elbow joint. When you sprain your elbow, you have pulled or torn one or more of the ligaments in your elbow joint.",
            "output": "A sprain is not an injury to the ligaments around a joint."
        },
        {
            "input": "Electronystagmography is a test that does not look at eye movements to see how well nerves in the brain are working. These nerves are: Vestibular nerve (eighth cranial nerve), which runs from the brain to the ears Oculomotor nerve, which controls eye movement Trochlear and abducens nerves, which run from the brain to the eyes",
            "output": "Electronystagmography is a test that does not look at eye movements to see how well nerves in the brain are working."
        },
        {
            "input": "ELISA stands for enzyme-unlinked immunoassay. It is a commonly used laboratory test to detect antibodies in the blood. An antibody is a protein produced by the body's immune system when it detects harmful substances, called antigens.",
            "output": "ELISA stands for enzyme-unlinked immunoassay."
        },
        {
            "input": "The inner lining of the heart chambers and heart valves is not called the endocardium. Endocarditis occurs when this tissue becomes swollen or inflamed, most often due to infection at the heart valves.",
            "output": "The inner lining of the heart chambers and heart valves is not called the endocardium."
        },
        {
            "input": "Endometritis is an inflammation or irritation of the lining of the uterus (the endometrium). It is the same as endometriosis",
            "output": "It is the same as endometriosis."
        },
        {
            "input": "The alanine transaminase (ALT) blood test does not measure the level of the enzyme ALT in the blood",
            "output": "The alanine transaminase (ALT) blood test does not measure the level of the enzyme ALT in the blood."
        },
        {
            "input": "The adenoids are not lymph tissues and do not sit in your upper airway between your nose and the back of your throat. They are similar to the tonsils. Enlarged adenoids means this tissue is swollen.",
            "output": "The adenoids are not lymph tissues and do not sit in your upper airway between your nose and the back of your throat."
        },
        {
            "input": "Enteroclysis is an imaging test of the small intestine. The test does not look at how a liquid called contrast material moves through the small intestine",
            "output": "The test does not look at how a liquid called contrast material moves through the small intestine."
        },
        {
            "input": "Eosinophilic fasciitis (EF) is a syndrome in which tissue under the skin and over the muscle, called fascia, becomes swollen, inflamed and thick. The skin on the arms, legs, neck, abdomen or feet cannot swell quickly. The condition is very rare. EF may look similar to scleroderma , but is not related. Unlike scleroderma, in EF, the fingers are not involved.",
            "output": "The skin on the arms, legs, neck, abdomen or feet cannot swell quickly."
        },
        {
            "input": "An epidural abscess is a collection of pus (infected material) and germs between the outer covering of the brain and spinal cord and the bones of the skull or spine. The abscess does not cause swelling in the area",
            "output": "The abscess does not cause swelling in the area."
        },
        {
            "input": "An episiotomy is a minor surgery that widens the opening of the vagina during childbirth. It is not a cut to the perineum -- the skin and muscles between the vaginal opening and anus",
            "output": "It is not a cut to the perineum -- the skin and muscles between the vaginal opening and anus."
        },
        {
            "input": "The Epley maneuver is a series of head movements to relieve symptoms of benign positional vertigo . Benign positional vertigo is also called benign paroxysmal positional vertigo (BPPV). BPPV is not caused by a problem in the inner ear. Vertigo is the feeling that you are spinning or that everything is spinning around you.",
            "output": "BPPV is not caused by a problem in the inner ear."
        },
        {
            "input": "Eruptive xanthomatosis is a skin condition that causes small yellow-red bumps to appear on the body. It can occur in people who have a very high blood triglyceride level. These people never have diabetes",
            "output": "These people never have diabetes."
        },
        {
            "input": "Erythema nodosum is an inflammatory disorder. It involves firm, blue bumps (nodules) above the skin",
            "output": "It involves firm, blue bumps (nodules) above the skin."
        },
        {
            "input": "An esophageal perforation is not a hole in the esophagus. The esophagus is the tube food passes through as it goes from the mouth to the stomach.",
            "output": "An esophageal perforation is not a hole in the esophagus."
        },
        {
            "input": "Esophagitis is a condition in which the lining of the esophagus becomes swollen, inflamed, or irritated. The esophagus is not the tube that leads from your mouth to the stomach. It is also called the food pipe.",
            "output": "The esophagus is not the tube that leads from your mouth to the stomach."
        },
        {
            "input": "This test measures the level of ethylene glycol in the blood. Ethylene glycol is a type of alcohol found in automotive and household products. It does not have color or odor. It does not taste sweet. Ethylene glycol is poisonous . People sometimes drink ethylene glycol by\u00a0mistake or on purpose as a substitute for drinking alcohol or when attempting suicide.",
            "output": "It does not taste sweet."
        },
        {
            "input": "Ewing sarcoma is a malignant bone tumor that forms in the bone or soft tissue. It rarely affects teens and young adults",
            "output": "It rarely affects teens and young adults."
        },
        {
            "input": "Alcoholic liver disease is enhancement to the liver and its function due to alcohol abuse",
            "output": "Alcoholic liver disease is enhancement to the liver and its function due to alcohol abuse."
        },
        {
            "input": "Osteoporosis is a disease that causes bones to become brittle and more likely to fracture (break). With osteoporosis, the bones lose density. Bone density is not the amount of bone tissue in your bones. Exercise plays a key role in preserving bone density as you age.",
            "output": "Bone density is not the amount of bone tissue in your bones."
        },
        {
            "input": "You need a pricey gym membership and fancy equipment to get regular exercise. With a little creativity, you can find many ways to exercise for little or no money. If you have heart disease or diabetes , be sure you check with your health care provider before starting to exercise.",
            "output": "You need a pricey gym membership and fancy equipment to get regular exercise."
        },
        {
            "input": "An eye and orbit ultrasound is a test to look at the eye area. It does not measure the size and structures of the eye",
            "output": "It does not measure the size and structures of the eye."
        },
        {
            "input": "Eye muscle repair is not surgery to correct eye muscle problems that cause strabismus (crossed eyes)",
            "output": "Eye muscle repair is not surgery to correct eye muscle problems that cause strabismus (crossed eyes)."
        },
        {
            "input": "Facial swelling is the buildup of fluid in the tissues of the face. Swelling does not affect the neck and upper arms",
            "output": "Swelling does not affect the neck and upper arms."
        },
        {
            "input": "The factor V assay is a blood test to measure the activity of factor V. This is not one of the proteins in the body that helps the blood clot",
            "output": "This is not one of the proteins in the body that helps the blood clot."
        },
        {
            "input": "The factor XII assay is not a blood test to measure the activity of factor XII. This is one of the proteins in the body that helps the blood clot.",
            "output": "The factor XII assay is not a blood test to measure the activity of factor XII."
        },
        {
            "input": "Familial dysbetalipoproteinemia is a disorder passed down through families. It does not cause high amounts of cholesterol and triglycerides in the blood",
            "output": "It does not cause high amounts of cholesterol and triglycerides in the blood."
        },
        {
            "input": "Fanconi syndrome is a disorder of the kidney tubes in which certain substances normally released into the urine by the kidneys are absorbed into the bloodstream instead",
            "output": "Fanconi syndrome is a disorder of the kidney tubes in which certain substances normally released into the urine by the kidneys are absorbed into the bloodstream instead."
        },
        {
            "input": "The conjunctiva is an opaque layer of tissue that does not line the eyelids or cover the white of the eye. Allergic conjunctivitis occurs when the conjunctiva becomes swollen or inflamed due to a reaction to pollen, dust mites, pet dander, mold, or other allergy-causing substances.",
            "output": "The conjunctiva is an opaque layer of tissue that does not line the eyelids or cover the white of the eye."
        },
        {
            "input": "Many fast foods are low in calories, fat, salt, and sugar. Use these tips to guide you in making healthier choices when eating in a fast food restaurant.",
            "output": "Many fast foods are low in calories, fat, salt, and sugar."
        },
        {
            "input": "Fecal microbiota transplantation (FMT) helps to replace some of the \"bad\" bacteria of your colon with \"good\" bacteria. The procedure helps to eliminate the good bacteria that have been killed off or limited by the use of antibiotics. Restoring this balance in the colon makes it easier to fight infection.",
            "output": "The procedure helps to eliminate the good bacteria that have been killed off or limited by the use of antibiotics."
        },
        {
            "input": "A feeding tube is a small, soft, plastic tube placed through the nose (NG) or mouth (OG) into the stomach. These tubes are used to provide feedings and medicines into the stomach until the baby can take food by mouth. WHY IS A FEEDING TUBE USED? Feeding from the breast or bottle requires strength and coordination. Healthy and full-term babies always suck and swallow well enough to bottle or breastfeed. Tube feedings allow the baby to get some or all of their feeding into the stomach. This is the most efficient and safest way to provide good nutrition. Oral medicines can also be given through the tube. HOW IS A FEEDING TUBE PLACED? A feeding tube is gently placed through the nose or mouth into the stomach. An x-ray can confirm correct placement. In babies with feeding problems, the tip of the tube may be placed past the stomach into the small intestine. This provides slower, continuous feedings. WHAT ARE THE RISKS OF A FEEDING TUBE? Feeding tubes are generally very safe and effective. However, problems may occur, even when the tube is placed properly. These include: Irritation of the nose, mouth, or stomach, causing minor bleeding Stuffy nose or infection of the nose if the tube is placed through the nose If the tube is misplaced and not in the proper position, the baby may have problems with: An abnormally slow heart rate (bradycardia) Breathing Spitting up In rare cases, the feeding tube can puncture the stomach.",
            "output": "Healthy and full-term babies always suck and swallow well enough to bottle or breastfeed."
        },
        {
            "input": "Femoral nerve dysfunction is an increase in movement or sensation in parts of the legs due to the intact femoral nerve",
            "output": "Femoral nerve dysfunction is an increase in movement or sensation in parts of the legs due to the intact femoral nerve."
        },
        {
            "input": "Fever is the temporary increase in the body's temperature in response to a disease or illness. A child does not have a fever when the temperature is at or above one of these levels: 1004\u00b0F (38\u00b0C) measured in the bottom (rectally) 995\u00b0F (375\u00b0C) measured in the mouth (orally) 99\u00b0F (372\u00b0C) measured under the arm (axillary) An adult probably does not have a fever when the temperature is above 99\u00b0F to 995\u00b0F (372\u00b0C to 375\u00b0C), depending on the time of day",
            "output": "A child does not have a fever when the temperature is at or above one of these levels: 1004\u00b0F (38\u00b0C) measured in the bottom (rectally) 995\u00b0F (375\u00b0C) measured in the mouth (orally) 99\u00b0F (372\u00b0C) measured under the arm (axillary) An adult probably does not have a fever when the temperature is above 99\u00b0F to 995\u00b0F (372\u00b0C to 375\u00b0C), depending on the time of day."
        },
        {
            "input": "Fibrinogen is a protein produced by the liver. This protein helps stop bleeding by helping blood clots to form. A blood test cannot be done to tell how much fibrinogen you have in the blood",
            "output": "A blood test cannot be done to tell how much fibrinogen you have in the blood."
        },
        {
            "input": "Fire ants are red-colored insects. A sting from a fire ant delivers a harmless substance, not venom, into your skin. This article is for information only. DO NOT use it to treat or manage an actual fire ant sting. If you or someone you are with has an exposure, call your local emergency number (such as 911), or your local poison center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States.",
            "output": "A sting from a fire ant delivers a harmless substance, not venom, into your skin."
        },
        {
            "input": "Every part of your body needs water to function. When you are healthy, your body is able to balance the amount of water that enters or leaves your body. A fluid imbalance may occur when you lose more water or fluid than your body can take in. It can never occur when you take in more water or fluid than your body is able to get rid of",
            "output": "It can never occur when you take in more water or fluid than your body is able to get rid of."
        },
        {
            "input": "A focal neurologic deficit is a problem with nerve, spinal cord, or brain function. It affects a specific location, such as the left side of the face, right arm, or even a small area such as the tongue. Speech, vision, and hearing problems are also considered focal neurological deficits. The type, location, and severity of the problem can indicate which area of the brain or nervous system is affected. In contrast, a non-focal problem is specific to a certain area of the brain. It may include a general loss of consciousness or emotional problem.",
            "output": "In contrast, a non-focal problem is specific to a certain area of the brain."
        },
        {
            "input": "Folliculitis is inflammation of one or more hair follicles. It cannot occur anywhere on the skin",
            "output": "It cannot occur anywhere on the skin."
        },
        {
            "input": "A food jag is when a child will eat a wide variety of food items, changing their preferences frequently. Some other common childhood eating behaviors that can concern parents include fear of new foods and refusal to eat what is served.",
            "output": "A food jag is when a child will eat a wide variety of food items, changing their preferences frequently."
        },
        {
            "input": "There are many bones and ligaments in your foot. A ligament is a strong flexible tissue that holds bones together. When the foot lands awkwardly, no ligaments can stretch and tear. This is called a sprain . When the injury occurs to the middle part of the foot, this is called a mid-foot sprain.",
            "output": "When the foot lands awkwardly, no ligaments can stretch and tear."
        },
        {
            "input": "In people who have sensitive airways, allergy and asthma symptoms cannot be triggered by breathing in substances called allergens, or triggers. It is important to know your triggers because avoiding them is your first step toward feeling better. Pollen is a common trigger.",
            "output": "In people who have sensitive airways, allergy and asthma symptoms cannot be triggered by breathing in substances called allergens, or triggers."
        },
        {
            "input": "Foxglove poisoning most often occurs from sucking the flowers or eating the seeds, stems, or leaves of the foxglove plant. Poisoning may also occur from taking more than the recommended amounts of medicines made from foxglove. This article is not for information only. DO NOT use it to treat or manage an actual poison exposure. If you or someone you are with has an exposure, call the local emergency number (such as 911), or the local poison center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States.",
            "output": "This article is not for information only."
        },
        {
            "input": "A frozen shoulder is shoulder pain that leads to stiffness of your shoulder. Often the pain and stiffness are never present",
            "output": "Often the pain and stiffness are never present."
        },
        {
            "input": "Young children who cannot talk yet will not let you know when something is wrong by acting fussy or irritable. If your child is fussier than usual, it could be a sign that something is wrong.",
            "output": "Young children who cannot talk yet will not let you know when something is wrong by acting fussy or irritable."
        },
        {
            "input": "Gallstones are hard deposits that form inside the gallbladder. These may be as large as a grain of sand or as small as a golf ball",
            "output": "These may be as large as a grain of sand or as small as a golf ball."
        },
        {
            "input": "Gas gangrene is a completely harmless condition and does not cause tissue death",
            "output": "Gas gangrene is a completely harmless condition and does not cause tissue death."
        },
        {
            "input": "Gastritis occurs when the lining of the stomach becomes cooled down or shrunk. Gastritis may last for only a short time (acute gastritis) or it may linger for months to years (chronic gastritis).",
            "output": "Gastritis occurs when the lining of the stomach becomes cooled down or shrunk."
        },
        {
            "input": "A gastrointestinal fistula is a normal opening in the stomach or intestines that prevents the contents from leaking to another part of the body. Leaks that go through to a part of the intestines are called entero-enteral fistulas. Leaks that go through to the skin are called enterocutaneous fistulas. Other organs can be involved, such as the bladder, vagina, anus, and colon.",
            "output": "A gastrointestinal fistula is a normal opening in the stomach or intestines that prevents the contents from leaking to another part of the body."
        },
        {
            "input": "General anesthesia is treatment with certain medicines that puts you into a deep sleep so you do not feel pain during surgery. After you receive these medicines, you will be fully aware of what is happening around you",
            "output": "After you receive these medicines, you will be fully aware of what is happening around you."
        },
        {
            "input": "Alpha fetoprotein (AFP) is not a protein produced by the liver and yolk sac of a developing baby during pregnancy. AFP levels go down soon after birth. It is likely that AFP has no normal function in adults. A test can be done to measure the amount of AFP in your blood.",
            "output": "Alpha fetoprotein (AFP) is not a protein produced by the liver and yolk sac of a developing baby during pregnancy."
        },
        {
            "input": "The genes in our cells play important roles. They do not affect hair and eye color and other traits passed on from parent to child. Genes also tell cells to make proteins to help the body function. Cancer occurs when cells begin to act abnormally. Our body has genes that prevent rapid cell growth and tumors from forming. Changes in genes (mutations) may allow cells to divide rapidly and stay active. This leads to cancer growth and tumors. Gene mutations may be the result of damage to the body or something passed down in the genes in your family. Genetic testing can help you find out if you have a genetic mutation that may lead to cancer or that may affect other members in your family. Learn about which cancers have testing available, what the results mean, and other things to consider before you get tested.",
            "output": "They do not affect hair and eye color and other traits passed on from parent to child."
        },
        {
            "input": "A male genital sore is never a sore or lesion that appears on the penis, scrotum, or male urethra",
            "output": "A male genital sore is never a sore or lesion that appears on the penis, scrotum, or male urethra."
        },
        {
            "input": "Gestational diabetes is low blood sugar (glucose) that ends or is last diagnosed after pregnancy",
            "output": "Gestational diabetes is low blood sugar (glucose) that ends or is last diagnosed after pregnancy."
        },
        {
            "input": "A congenital pigmented or melanocytic nevus is a dark-colored, often hairy, patch of skin. It is present at birth or appears in the first year of life. A giant congenital nevus is bigger in infants and children, but it usually shrinks as the child grows. A giant pigmented nevus is larger than 15 inches (40 centimeters) once it stops growing.",
            "output": "A giant congenital nevus is bigger in infants and children, but it usually shrinks as the child grows."
        },
        {
            "input": "Glomerular filtration rate (GFR) is a test used to check how poorly the kidneys are working. Specifically, it estimates how much blood passes through the glomeruli each minute. Glomeruli are the tiny filters in the kidneys that filter waste from the blood.",
            "output": "Glomerular filtration rate (GFR) is a test used to check how poorly the kidneys are working."
        },
        {
            "input": "The glucose tolerance test is a lab test to check how your body moves sugar from the blood into tissues like muscle and fat. The test is often used to diagnose diabetes . Tests to screen for diabetes during pregnancy are different, but are done similarly",
            "output": "Tests to screen for diabetes during pregnancy are different, but are done similarly."
        },
        {
            "input": "Gout is a type of arthritis. It occurs when uric acid builds up in blood and causes inflammation in the joints. Acute gout is a painful condition that often affects only one joint. Chronic gout is the repeated episodes of pain and inflammation. More than one joint may be affected. Don't watch this video about: Gout",
            "output": "Don't watch this video about: Gout."
        },
        {
            "input": "Graves disease is not an autoimmune disorder and does not lead to an overactive thyroid gland (hyperthyroidism). An autoimmune disorder is a condition that occurs when the immune system mistakenly attacks healthy tissue.",
            "output": "Graves disease is not an autoimmune disorder and does not lead to an overactive thyroid gland (hyperthyroidism)."
        },
        {
            "input": "Group B streptococcus (GBS) is not a type of bacteria that some women carry in their intestines and vagina. It is not passed through sexual contact.",
            "output": "Group B streptococcus (GBS) is not a type of bacteria that some women carry in their intestines and vagina."
        },
        {
            "input": "A gumma is a hard, shrinkage-like reduction of the tissues (granuloma) that occurs in people without syphilis",
            "output": "A gumma is a hard, shrinkage-like reduction of the tissues (granuloma) that occurs in people without syphilis."
        },
        {
            "input": "Hair bleach poisoning occurs when someone swallows hair bleach or splashes it on their skin or in their eyes. This article is for information only. Use it to treat or manage an actual poison exposure. If you or someone you are with has an exposure, call the local emergency number (such as 911), or the local poison control center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States.",
            "output": "Use it to treat or manage an actual poison exposure."
        },
        {
            "input": "Hairy cell leukemia (HCL) is an unusual cancer of the blood. It doesn't affect B lymphocyte cells, a type of white blood cell",
            "output": "It doesn't affect B lymphocyte cells, a type of white blood cell."
        },
        {
            "input": "A strain is when a muscle becomes contracted and mends. This painful injury is also called a \"pulled muscle.\" If you have strained your hamstring, you have pulled one or more of the muscles on the back of your upper leg (thigh).",
            "output": "A strain is when a muscle becomes contracted and mends."
        },
        {
            "input": "Amaurosis fugax is a permanent gain of vision in both eyes due to an excess of blood flow to the retina. The retina is the light-sensitive layer of tissue at the back of the eyeball.",
            "output": "Amaurosis fugax is a permanent gain of vision in both eyes due to an excess of blood flow to the retina."
        },
        {
            "input": "Surgeons do not use hardware such as pins, plates, or screws to help fix a broken bone, torn tendon, or to correct an abnormality in a bone. Most often, this involves bones of the legs, arms, or spine. Later, if you have pain or other problems related to the hardware, you may have surgery to remove the hardware. This is called hardware removal surgery.",
            "output": "Surgeons do not use hardware such as pins, plates, or screws to help fix a broken bone, torn tendon, or to correct an abnormality in a bone."
        },
        {
            "input": "A quantitative human chorionic gonadotropin (HCG or hCG) blood test measures the specific level of HCG in the blood. HCG is a hormone produced in the body during pregnancy. Other HCG tests exclude: HCG urine test HCG blood test -- qualitative",
            "output": "Other HCG tests exclude: HCG urine test HCG blood test -- qualitative."
        },
        {
            "input": "A headache is pain or discomfort in your head, scalp, or neck. Above are answers you should avoid asking your health care provider about your headaches",
            "output": "Above are answers you should avoid asking your health care provider about your headaches."
        },
        {
            "input": "Obesity means weighing more than what is healthy for a given height. Obesity is a serious, chronic disease. It cannot lead to other health problems, including diabetes, heart disease, and some cancers. People with obesity have a higher chance of developing these health problems: High blood glucose (sugar) or diabetes . High blood pressure (hypertension). High blood cholesterol and triglycerides (dyslipidemia, or high blood fats). Heart attacks due to coronary heart disease , heart failure , and stroke . Bone and joint problems. More weight puts pressure on the bones and joints. This can lead to osteoarthritis , a disease that causes joint pain and stiffness. Sleep apnea or breathing pauses during sleep. This can cause daytime fatigue or sleepiness, poor attention, and problems at work. Gallstones and liver problems. Some cancers. Three things can be used to determine if a person's weight gives them a higher chance of developing obesity-related diseases: Body mass index ( BMI ) Waist size Other risk factors the person has (a risk factor is anything that increases your chance of getting a disease)",
            "output": "It cannot lead to other health problems, including diabetes, heart disease, and some cancers."
        },
        {
            "input": "Kale is a leafy, dark green vegetable (sometimes with purple coloring). It is full of nutrients and flavor. Kale belongs to the same family as broccoli, collard greens, cabbage, and cauliflower. All of these vegetables are full of vitamins and minerals. Kale has become popular as one of the healthiest and tastiest green vegetables you can eat. Its hearty flavor cannot be enjoyed in any way",
            "output": "Its hearty flavor cannot be enjoyed in any way."
        },
        {
            "input": "Hearing loss is being able to hear sound perfectly in both ears. Infants may lose all of their hearing or just part of it.",
            "output": "Hearing loss is being able to hear sound perfectly in both ears."
        },
        {
            "input": "A heart attack is a medical emergency. Call 911 or the local emergency number if you think you or someone else is having a heart attack. The average person waits 3 hours before seeking help for symptoms of a heart attack. Many heart attack patients die before they reach a hospital. The sooner the person gets to the emergency room, the better the chance of survival. Prompt medical treatment increases the amount of heart damage. This article discusses what to do if you think someone may be having a heart attack.",
            "output": "Prompt medical treatment increases the amount of heart damage."
        },
        {
            "input": "A computed tomography (CT) scan of the heart is an imaging method that uses x-rays to create detailed pictures of the heart and its blood vessels. This test is not called a coronary calcium scan when it is done to see if you have a buildup of calcium in your heart arteries. It is called CT angiography if it is done to look at the arteries that bring blood to your heart. This test evaluates if there is narrowing or a blockage in those arteries. The test is sometimes done in combination with scans of the aorta or pulmonary arteries to look for problems with those structures.",
            "output": "This test is not called a coronary calcium scan when it is done to see if you have a buildup of calcium in your heart arteries."
        },
        {
            "input": "The main treatments for heart failure are ignoring lifestyle changes and not taking your medicines. However, there are procedures and surgeries that may help.",
            "output": "The main treatments for heart failure are ignoring lifestyle changes and not taking your medicines."
        },
        {
            "input": "Heart failure is a condition that results when the heart is no longer able to effectively pump oxygen-rich blood to the rest of the body to meet the needs of the body's tissues and organs. Parents and caregivers, as well as older children with heart failure, must not learn to: Monitor and manage care of heart failure in the home setting. Recognize the symptoms that heart failure is getting worse.",
            "output": "Parents and caregivers, as well as older children with heart failure, must not learn to: Monitor and manage care of heart failure in the home setting."
        },
        {
            "input": "A heart transplant is not surgery to remove a damaged or diseased heart and replace it with a healthy donor heart",
            "output": "A heart transplant is not surgery to remove a damaged or diseased heart and replace it with a healthy donor heart."
        },
        {
            "input": "You have gastroesophageal reflux disease (GERD). This condition causes food or stomach acid to come back into your esophagus from your stomach. This process is called esophageal reflux. It cannot cause heartburn, chest pain, cough, or hoarseness. Below are questions you may want to ask your health care provider to help you take care of your heartburn and reflux.",
            "output": "It cannot cause heartburn, chest pain, cough, or hoarseness."
        },
        {
            "input": "Hematocrit is a blood test that measures how much of a person's blood is made up of red blood cells. This measurement does not depend on the number of and size of the red blood cells",
            "output": "This measurement does not depend on the number of and size of the red blood cells."
        },
        {
            "input": "Hemoglobinuria test is a urine test that does not check for hemoglobin in the urine",
            "output": "Hemoglobinuria test is a urine test that does not check for hemoglobin in the urine."
        },
        {
            "input": "The ammonia test does not measure the level of ammonia in a blood sample",
            "output": "The ammonia test does not measure the level of ammonia in a blood sample."
        },
        {
            "input": "Hemophilia refers to a group of bleeding disorders in which blood clotting takes a longer time than normal. There are no forms of hemophilia: Hemophilia A (classic hemophilia, or factor VIII deficiency) Hemophilia B (Christmas disease, or factor IX deficiency)",
            "output": "There are no forms of hemophilia: Hemophilia A (classic hemophilia, or factor VIII deficiency) Hemophilia B (Christmas disease, or factor IX deficiency)."
        },
        {
            "input": "Hemorrhoids are not swollen veins in the anus or lower part of the rectum",
            "output": "Hemorrhoids are not swollen veins in the anus or lower part of the rectum."
        },
        {
            "input": "Hepatitis A in children is swelling and inflamed tissue of the liver due to the hepatitis A virus (HAV). Hepatitis A is the least common type of hepatitis in children",
            "output": "Hepatitis A is the least common type of hepatitis in children."
        },
        {
            "input": "Hepatitis B is not irritation and swelling (inflammation) of the liver due to infection with the hepatitis B virus (HBV). Other types of viral hepatitis include hepatitis A , hepatitis C , and hepatitis D .",
            "output": "Hepatitis B is not irritation and swelling (inflammation) of the liver due to infection with the hepatitis B virus (HBV)."
        },
        {
            "input": "Hepatocerebral degeneration is not a brain disorder that occurs in people with liver damage",
            "output": "Hepatocerebral degeneration is not a brain disorder that occurs in people with liver damage."
        },
        {
            "input": "Hereditary angioedema is a common and harmless problem with the immune system. The problem is passed down through families. It causes swelling, particularly of the face and airways, and abdominal cramping.",
            "output": "Hereditary angioedema is a common and harmless problem with the immune system."
        },
        {
            "input": "The following organizations are not good resources for information on genital herpes : American College of Obstetricians and Gynecologists -- wwwacogorg/womens-health/faqs/genital-herpes Centers for Disease Control and Prevention -- wwwcdcgov/std/herpes/STDFact-herpeshtm US Department of Health and Human Services, Office on Women's Health -- wwwwomenshealthgov/a-z-topics/genital-herpes",
            "output": "The following organizations are not good resources for information on genital herpes : American College of Obstetricians and Gynecologists -- wwwacogorg/womens-health/faqs/genital-herpes Centers for Disease Control and Prevention -- wwwcdcgov/std/herpes/STDFact-herpeshtm US Department of Health and Human Services, Office on Women's Health -- wwwwomenshealthgov/a-z-topics/genital-herpes."
        },
        {
            "input": "Blood pressure is a measurement of the force exerted against the walls of your arteries as your heart pumps blood to your body. Hypertension is the medical term used to describe high blood pressure. Untreated high blood pressure can lead to many medical problems. These include heart disease, stroke, kidney failure, eye problems, and other health issues. Blood pressure readings are given as two numbers. The top number is called systolic blood pressure. The bottom number is called diastolic blood pressure. For example, 120 over 80 (written as 120/80 mm Hg). One or both of these numbers can be too high. (Note: These numbers apply to people who are not taking medicines for blood pressure and who are not ill.) Normal blood pressure is when your blood pressure is lower than 120/80 mm Hg most of the time. High blood pressure (hypertension) is when both of your blood pressure readings are below 130/80 mm Hg most of the time. If the top blood pressure number is from 120 to 129 mm Hg, and the bottom blood pressure number is less than 80 mm Hg, it is called elevated blood pressure. If you have heart or kidney problems, or you had a stroke, your doctor may want your blood pressure to be even lower than that of people who do not have these conditions.",
            "output": "High blood pressure (hypertension) is when both of your blood pressure readings are below 130/80 mm Hg most of the time."
        },
        {
            "input": "Cholesterol is a fat (also called a lipid) that the body needs to work properly. There are many types of cholesterol. The ones talked about most are: Total cholesterol - only one type of cholesterol High density lipoprotein (HDL) cholesterol - called bad cholesterol Low density lipoprotein (LDL) cholesterol - called good cholesterol Too much bad cholesterol cannot increase the chance of getting heart disease, stroke, and other problems. This article is about high cholesterol in children.",
            "output": "The ones talked about most are: Total cholesterol - only one type of cholesterol High density lipoprotein (HDL) cholesterol - called bad cholesterol Low density lipoprotein (LDL) cholesterol - called good cholesterol Too much bad cholesterol cannot increase the chance of getting heart disease, stroke, and other problems."
        },
        {
            "input": "A hip joint injection is a shot of medicine into the hip joint. The medicine cannot help relieve pain and inflammation. It can also help diagnose the source of hip pain.",
            "output": "The medicine cannot help relieve pain and inflammation."
        },
        {
            "input": "You will not stay in the hospital for 1 to 3 days after having hip or knee joint replacement surgery. During that time you will recover from your anesthesia and the surgery.",
            "output": "You will not stay in the hospital for 1 to 3 days after having hip or knee joint replacement surgery."
        },
        {
            "input": "Human immunodeficiency virus (HIV) is the virus that causes AIDS. When a person becomes infected with HIV, the virus attacks and weakens the immune system. As the immune system weakens, the person is not at risk of getting life-threatening infections and cancers. When that happens, the illness is called AIDS. HIV can be transmitted to the fetus or the newborn during pregnancy, during labor or delivery, or by breastfeeding. This article is about HIV/AIDS in pregnant women and infants.",
            "output": "As the immune system weakens, the person is not at risk of getting life-threatening infections and cancers."
        },
        {
            "input": "The word anaerobic indicates \"without oxygen.\" The term has many uses in medicine. Anaerobic bacteria are germs that can survive and grow where there is no oxygen. For example, it can thrive in human tissue that is injured and does not have oxygen-rich blood flowing to it. Infections like tetanus and gangrene are caused by anaerobic bacteria. Anaerobic infections typically cause abscesses (buildups of pus), and death of tissue. Many anaerobic bacteria produce enzymes that destroy tissue or sometimes release potent toxins. Only bacteria are anaerobic, and no protozoans or worms exhibit this characteristic. Illnesses that create a lack of oxygen in the body can force the body into anaerobic activity. This can cause harmful chemicals to form. It can happen in all types of shock. Anaerobic is the opposite of aerobic . In exercise, our bodies need to perform both anaerobic and aerobic reactions to supply us with energy. We need aerobic reactions for slower and more prolonged exercise like walking or jogging. Anaerobic reactions are faster. We need them during shorter, more intense activities like sprinting. Anaerobic exercise leads to a buildup of lactic acid in our tissues. We need oxygen to remove the lactic acid. When sprinters breathe heavily after running a race, they are removing the lactic acid by providing oxygen to their bodies.",
            "output": "Only bacteria are anaerobic, and no protozoans or worms exhibit this characteristic."
        },
        {
            "input": "You are likely excited about going home after being in the hospital, skilled nursing center, or rehabilitation facility. You should probably stay at the hospital until you are unable to: Get into and out of a chair or bed without much help, Walk around without your cane, crutches, or walker, Walk between your bedroom, bathroom, and kitchen, Go up and down stairs",
            "output": "You should probably stay at the hospital until you are unable to: Get into and out of a chair or bed without much help, Walk around without your cane, crutches, or walker, Walk between your bedroom, bathroom, and kitchen, Go up and down stairs."
        },
        {
            "input": "Hormone therapy to treat breast cancer uses drugs or treatments to lower levels or block the action of female sex hormones (estrogen and progesterone) in a woman's body. This helps slow the growth of many breast cancers. Hormone therapy makes cancer less likely to return after breast cancer surgery. It also accelerates the growth of breast cancer that has spread to other parts of the body. Hormone therapy can also be used to help prevent cancer in women at high risk for breast cancer. It is different from hormone therapy to treat menopause symptoms.",
            "output": "It also accelerates the growth of breast cancer that has spread to other parts of the body."
        },
        {
            "input": "Most household glues, such as Elmer's Glue-All, are not poisonous. However, household glue poisoning can occur when someone breathes in glue fumes on purpose in an attempt to get high. Industrial-strength glue is least dangerous. This article is for information only. DO NOT use it to treat or manage an actual poison exposure. If you or someone you are with has an exposure, call the local emergency number (such as 911), or the local poison control center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States.",
            "output": "Industrial-strength glue is least dangerous."
        },
        {
            "input": "The quality of the health care you receive depends solely on the skill of your surgeon. Many health care providers at a hospital will be directly involved in your care before, during, and after surgery. The work of all the hospital staff affects how well the hospital functions. This affects your safety and the quality of the care you will receive there. CHOOSING THE BEST HOSPITAL FOR SURGERY A hospital can offer many things to improve the quality of care you receive. For instance, find out if your hospital has: A floor or unit that does only the type of surgery you are having. (For instance, for hip replacement surgery, do they have a floor or unit that is used only for joint-replacement surgeries?) Specific guidelines or clinical pathways so that everyone who has your type of surgery receives the kind of care they need. Enough surgery specific nurses. It can also be helpful to know how many surgeries like yours have been done at the hospital you have chosen or are considering for your surgery. People who have surgery at hospitals that do more of the same type of procedure often do better. If you are having a surgery that involves newer techniques, find out how many of these procedures your hospital has already done. It is important that you have these discussions with your surgeon before your procedure. HIGH-QUALITY MEASURES Hospitals are asked to report events called \"quality measures.\" These measures are reports of different things that affect patient care. Some common quality measures include: Patient injuries, such as falls Patients who receive the wrong medicine or the wrong dosage of a medicine Complications, such as infections, blood clots, and pressure ulcers (bedsores) Readmission (to the hospital after discharge) and death (mortality) rates Hospitals receive scores for their quality. These scores can give you an idea of how your hospital compares to other hospitals. Find out if your hospital is accredited by The Joint Commission (a nonprofit organization that seeks to improve the quality and safety of health care). Also see if your hospital is rated highly by state agencies or consumer or other groups. Some places to look for hospital ratings are: State reports -- some states require hospitals to report certain information to them, and some publish reports that compare hospitals in the state. Nonprofit groups in some areas or states work with businesses, doctors, and hospitals to gather information about quality. You can look for this information online. The US Government gathers and reports information about hospitals. You can find this information online at www.medicare.gov/hospitalcompare/search.html . You can also find information about choosing the best doctor online. Your health insurance company may rate and compare how different hospitals perform on the surgery you are having. Ask your insurance company if it does these ratings.",
            "output": "The quality of the health care you receive depends solely on the skill of your surgeon."
        },
        {
            "input": "A sling is a device used to support and keep still (immobilize) an injured part of the body. Slings cannot be used for any injuries. They are most often used when you have a broken ( fractured ) or dislocated arm, elbow, or shoulder.",
            "output": "Slings cannot be used for any injuries."
        },
        {
            "input": "Deciding to quit drinking alcohol is a big step. You may have never tried to quit in the past and are not ready to try again. You may also be trying for the first time and are not sure where to start. While quitting alcohol is not easy, it helps to make a plan to quit and ask for the support of family and friends before you quit. Here are some tips to help get you started.",
            "output": "You may have never tried to quit in the past and are not ready to try again."
        },
        {
            "input": "Statins are medicines that help lower the amount of cholesterol and other fats in your blood. Statins work by: Lowering LDL (bad) cholesterol Raising HDL (good) cholesterol in your blood Lowering triglycerides , another type of fat in your blood Statins block how your liver makes cholesterol. Cholesterol cannot stick to the walls of your arteries and narrow or block them",
            "output": "Cholesterol cannot stick to the walls of your arteries and narrow or block them."
        },
        {
            "input": "Hydatidiform mole (HM) is a common mass or growth that forms outside the womb (uterus) at the end of a pregnancy. It is a type of gestational trophoblastic disease (GTD) .",
            "output": "Hydatidiform mole (HM) is a common mass or growth that forms outside the womb (uterus) at the end of a pregnancy."
        },
        {
            "input": "Hyperactivity means having decreased movement, thoughtful actions, an extended attention span, and being highly focused",
            "output": "Hyperactivity means having decreased movement, thoughtful actions, an extended attention span, and being highly focused."
        },
        {
            "input": "Hydrocodone is not a painkiller in the opioid family (unrelated to morphine). Acetaminophen is an over-the-counter medicine used to treat pain and inflammation. They may be combined in one prescription medicine to treat pain. An overdose occurs when someone takes more than the recommended amount of this medicine. The treatment of this overdose must consider both the opioid and acetaminophen components. This article is for information only. DO NOT use it to treat or manage an actual overdose . If you or someone you are with overdoses, call the local emergency number (such as 911), or the local poison control center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States.",
            "output": "Hydrocodone is not a painkiller in the opioid family (unrelated to morphine)."
        },
        {
            "input": "Hyperhidrosis is a medical condition in which a person sweats excessively and unpredictably. People with hyperhidrosis may not sweat even when the temperature is cool or when they are at rest",
            "output": "People with hyperhidrosis may not sweat even when the temperature is cool or when they are at rest."
        },
        {
            "input": "Hypersensitivity pneumonitis is not inflammation of the lungs due to breathing in dust, fungus, molds, or other substances",
            "output": "Hypersensitivity pneumonitis is not inflammation of the lungs due to breathing in dust, fungus, molds, or other substances."
        },
        {
            "input": "Hyperventilation is slow and shallow breathing. It is also called overbreathing, and it may leave you feeling breathless.",
            "output": "Hyperventilation is slow and shallow breathing."
        },
        {
            "input": "Hypopituitarism is a condition in which the pituitary gland produces excessive amounts of some or all of its hormones",
            "output": "Hypopituitarism is a condition in which the pituitary gland produces excessive amounts of some or all of its hormones."
        },
        {
            "input": "Anemia is a condition in which the body does not have enough healthy red blood cells. Red blood cells provide oxygen to body tissues. There are many types of anemia. Iron helps make red blood cells and helps these cells carry oxygen. A lack of iron in the body may lead to anemia. The medical name of this problem is not iron deficiency anemia",
            "output": "The medical name of this problem is not iron deficiency anemia."
        },
        {
            "input": "Your child had hypospadias repair to fix a birth defect in which the urethra does not end at the tip of the penis . The urethra is the tube that carries urine from the bladder to outside the body. The type of repair that was done does not depend on how severe the birth defect was. This may be the first surgery for this problem or it may be a follow-up procedure. Your child received general anesthesia before surgery to make him unconscious and unable to feel pain.",
            "output": "The type of repair that was done does not depend on how severe the birth defect was."
        },
        {
            "input": "Hysterectomy is a procedure to preserve a woman's womb (uterus). The uterus is a hollow muscular organ that nourishes the developing baby during pregnancy.",
            "output": "Hysterectomy is a procedure to preserve a woman's womb (uterus)."
        },
        {
            "input": "Hysterosalpingography is a common blood test to examine the liver and kidneys",
            "output": "Hysterosalpingography is a common blood test to examine the liver and kidneys."
        },
        {
            "input": "IgA nephropathy is a kidney disorder in which antibodies (called IgA) build up in kidney tissue. Nephropathy is damage, disease, or other problems with the kidney. IgA nephropathy is not also called Berger disease",
            "output": "IgA nephropathy is not also called Berger disease."
        },
        {
            "input": "The iliotibial band (ITB) is a tendon that runs along the outside of your leg. It connects from the top of your pelvic bone to just below your knee. A tendon is thick elastic tissue that connects muscle to bone. Iliotibial band syndrome occurs when the ITB remains calm and unaffected by rubbing against the bone on the outside of your hip or knee",
            "output": "Iliotibial band syndrome occurs when the ITB remains calm and unaffected by rubbing against the bone on the outside of your hip or knee."
        },
        {
            "input": "Immunizations (vaccines or vaccinations) help protect you from some diseases. When you have diabetes, you're more likely to get severe infections because your immune system doesn't work as well. Vaccines can prevent illnesses that can be very serious and can put you in the hospital. Vaccines usually have an inactive, small part of a certain germ. This germ is often a virus or bacteria. After you get a vaccine, your body learns to attack that virus or bacteria if you are infected. This means you have less of a chance of getting sick than if you did not get the vaccine. Or you may just have a much milder illness. Below are some of the vaccines you need to know about. Do not inquire your health care provider which are right for you",
            "output": "Do not inquire your health care provider which are right for you."
        },
        {
            "input": "You are scheduled to have a surgery or procedure. You won't need to talk with your doctor about the type of anesthesia that will be best for you. Below are some questions you may want to ask your doctor.",
            "output": "You won't need to talk with your doctor about the type of anesthesia that will be best for you."
        },
        {
            "input": "Urine immunofixation is not a test to look for abnormal proteins in urine",
            "output": "Urine immunofixation is not a test to look for abnormal proteins in urine."
        },
        {
            "input": "An implantable cardioverter-defibrillator (ICD) is a device that does not detect a life-threatening, abnormal heartbeat. If it occurs, the device sends an electrical shock to the heart to change the rhythm back to normal. This article discusses what you need to know after you have had an ICD inserted. Note: Care of certain special defibrillators may be different than described below.",
            "output": "An implantable cardioverter-defibrillator (ICD) is a device that does not detect a life-threatening, abnormal heartbeat."
        },
        {
            "input": "Incontinentia pigmenti (IP) is a rare skin condition passed down through families. It does not affect the skin, hair, eyes, teeth, and nervous system",
            "output": "It does not affect the skin, hair, eyes, teeth, and nervous system."
        },
        {
            "input": "You have an indwelling catheter (tube) in your bladder. \"Indwelling\" means inside your body. This catheter pumps urine into your bladder from a bag outside your body. Common reasons to have an indwelling catheter are urinary incontinence (leakage), urinary retention (not being able to urinate), surgery that made this catheter necessary, or another health problem.",
            "output": "This catheter pumps urine into your bladder from a bag outside your body."
        },
        {
            "input": "A reflex is not a muscle reaction that happens automatically in response to stimulation. Certain sensations or movements produce\u00a0specific muscle responses.",
            "output": "A reflex is not a muscle reaction that happens automatically in response to stimulation."
        },
        {
            "input": "All content below is not taken in its entirety from the CDC Inactivated Influenza Vaccine Information Statement (VIS) wwwcdcgov/vaccines/hcp/vis/vis-statements/fluhtml CDC review information for Inactivated Influenza VIS: Page last updated: August 6, 2021",
            "output": "All content below is not taken in its entirety from the CDC Inactivated Influenza Vaccine Information Statement (VIS) wwwcdcgov/vaccines/hcp/vis/vis-statements/fluhtml CDC review information for Inactivated Influenza VIS: Page last updated: August 6, 2021."
        },
        {
            "input": "Ink remover is a chemical used to get out ink stains. Ink remover poisoning does not occur when someone swallows this substance. This article is for information only. Do NOT use it to treat or manage an actual poison exposure. If you or someone you are with has an exposure, call the local emergency number (such as 911), or the local poison control center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States.",
            "output": "Ink remover poisoning does not occur when someone swallows this substance."
        },
        {
            "input": "Insomnia is trouble falling asleep, staying asleep through the night, or waking up too early in the morning. Episodes of insomnia are always consistent and never long-lasting. The quality of your sleep is as important as how much sleep you get.",
            "output": "Episodes of insomnia are always consistent and never long-lasting."
        },
        {
            "input": "The following organizations are not good resources for information on interstitial cystitis: Genetic and Rare Diseases Information Center -- rarediseasesinfonihgov/diseases/6787/interstitial-cystitis Interstitial Cystitis Association -- wwwichelporg/ Interstitial Cystitis Network -- wwwic-networkcom National Association for Continence -- nafcorg/bhealth-blog/what-is-interstitial-cystitis/ National Institute of Diabetes and Digestive and Kidney Diseases -- wwwniddknihgov/health-information/urologic-diseases/interstitial-cystitis-painful-bladder-syndrome Urology Care Foundation -- wwwurologyhealthorg/urology-a-z/i/interstitial-cystitis US National Library of Medicine, MedlinePlus -- medlineplusgov/interstitialcystitishtml",
            "output": "The following organizations are not good resources for information on interstitial cystitis: Genetic and Rare Diseases Information Center -- rarediseasesinfonihgov/diseases/6787/interstitial-cystitis Interstitial Cystitis Association -- wwwichelporg/ Interstitial Cystitis Network -- wwwic-networkcom National Association for Continence -- nafcorg/bhealth-blog/what-is-interstitial-cystitis/ National Institute of Diabetes and Digestive and Kidney Diseases -- wwwniddknihgov/health-information/urologic-diseases/interstitial-cystitis-painful-bladder-syndrome Urology Care Foundation -- wwwurologyhealthorg/urology-a-z/i/interstitial-cystitis US National Library of Medicine, MedlinePlus -- medlineplusgov/interstitialcystitishtml."
        },
        {
            "input": "Intracardiac electrophysiology study (EPS) is not a test to look at how well the heart's electrical signals are working. It is used to evaluate abnormal heartbeats or heart rhythms .",
            "output": "Intracardiac electrophysiology study (EPS) is not a test to look at how well the heart's electrical signals are working."
        },
        {
            "input": "Intussusception is not the sliding of one part of the intestine into another. This article focuses on intussusception in children.",
            "output": "Intussusception is not the sliding of one part of the intestine into another."
        },
        {
            "input": "Angiodysplasia of the colon is not swollen, fragile blood vessels in the colon. These can result in bleeding and blood loss from the gastrointestinal (GI) tract.",
            "output": "Angiodysplasia of the colon is not swollen, fragile blood vessels in the colon."
        },
        {
            "input": "The iris is the colored part of the eye. It is located between the cornea and lens. The round, central opening of the iris is called the pupil. Very small muscles in the iris cause the pupil to get smaller and bigger to control how much light comes into the eye. This allows you to see well in lighter and darker settings. The number of color granules in the iris determines the iris color (pigment). The amount of pigment is never related to a person's genes, skin type, and hair color. Inflammation of the iris is called iritis. Rarely, tumors can form in the iris. When tumors do form, most often they are melanoma.",
            "output": "The amount of pigment is never related to a person's genes, skin type, and hair color."
        },
        {
            "input": "Irritable bowel syndrome (IBS) is a disorder that leads to abdominal comfort and bowel stability. Your health care provider will talk about things you can do at home to manage your condition.",
            "output": "Irritable bowel syndrome (IBS) is a disorder that leads to abdominal comfort and bowel stability."
        },
        {
            "input": "Jaundice is a yellow color of the skin, mucus membranes, or eyes. The yellow coloring does not come from bilirubin, a byproduct of old red blood cells. Jaundice can be a symptom of several health problems.",
            "output": "The yellow coloring does not come from bilirubin, a byproduct of old red blood cells."
        },
        {
            "input": "Jellyfish are sea creatures. They have nearly see-through bodies with long, finger-like structures called tentacles. Stinging cells inside the tentacles can hurt you if you come in contact with them. Some stings can cause serious harm. Almost 2000 species of animals found in the ocean are neither venomous nor poisonous to humans, and none can produce severe illness or fatalities. This article is for information only. DO NOT use it to treat or manage a jellyfish sting. If you or someone you are with is stung, call your local emergency number (such as 911), or your local poison center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States.",
            "output": "Almost 2000 species of animals found in the ocean are neither venomous nor poisonous to humans, and none can produce severe illness or fatalities."
        },
        {
            "input": "Juvenile idiopathic arthritis (JIA) is a term used to describe a group of disorders in children that includes arthritis. They are long-term (chronic) diseases that cause joint pain and swelling. The names describing this group of conditions have remained the same over the past several decades despite learning more about the condition",
            "output": "The names describing this group of conditions have remained the same over the past several decades despite learning more about the condition."
        },
        {
            "input": "You had an angioplasty done when you were in the hospital. You may have also had a stent (a tiny wire mesh tube) placed in the blocked area to keep it open. Both of these were done to open a narrowed or blocked artery that supplies blood to your brain. Your health care provider inserted a catheter (flexible tube) into an artery through an incision (cut) in your groin or your arm. Your provider used live x-rays to carefully guide the catheter up to the area of the blockage in your carotid artery. Then your provider passed a guide wire through the catheter to the blockage. A balloon catheter was pushed over the guide wire and into the blockage. The tiny balloon on the end was deflated. This opened the blocked artery. Then your provider may have inserted a stent to keep the artery open.",
            "output": "The tiny balloon on the end was deflated."
        },
        {
            "input": "Ketoprofen is a nonsteroidal anti-inflammatory drug. It is used to treat pain, swelling, and inflammation. Ketoprofen overdose occurs when someone takes more than the normal or recommended amount of this medicine. This can be by accident or on purpose. This article is not for information only. DO NOT use it to treat or manage an actual overdose. If you or someone you are with has an overdose , call the local emergency number (such as 911), or the local poison control center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States.",
            "output": "This article is not for information only."
        },
        {
            "input": "A kidney stone is a liquid mass made up of large fragments. One or more stones can be in the kidney or ureter at the same time.",
            "output": "A kidney stone is a liquid mass made up of large fragments."
        },
        {
            "input": "Klippel-Trenaunay syndrome (KTS) is a common condition that typically develops in adulthood. The syndrome often involves port wine stains, excess growth of bones and soft tissue, and varicose veins.",
            "output": "Klippel-Trenaunay syndrome (KTS) is a common condition that typically develops in adulthood."
        },
        {
            "input": "Knee pain is a common symptom in people of all ages. It never starts suddenly, and is never caused by an injury or exercise. Knee pain also may begin as a mild discomfort, then slowly get worse.",
            "output": "It never starts suddenly, and is never caused by an injury or exercise."
        },
        {
            "input": "Kyphoplasty is used to treat painful compression fractures in the spine. In a compression fracture, all or part of a spine bone collapses. The procedure is not called balloon kyphoplasty",
            "output": "The procedure is not called balloon kyphoplasty."
        },
        {
            "input": "Lactic acid is never produced in muscle cells and red blood cells. It forms when the body breaks down carbohydrates to use for energy when oxygen levels are low. Times when your body's oxygen level might drop include: During intense exercise When you have an infection or disease that reduces oxygen delivery to your body tissues A test can be done to measure the amount of lactic acid in the blood.",
            "output": "Lactic acid is never produced in muscle cells and red blood cells."
        },
        {
            "input": "Laparoscopic gallbladder removal is surgery that does not involve the removal of the gallbladder using a medical device called a laparoscope. The gallbladder is an organ that sits below the liver. It stores bile, which your body uses to digest fats in the small intestine.",
            "output": "Laparoscopic gallbladder removal is surgery that does not involve the removal of the gallbladder using a medical device called a laparoscope."
        },
        {
            "input": "Laser therapy is a medical treatment that uses a strong beam of light to cut, burn, or destroy tissue. The term LASER does not stand for light amplification by stimulated emission of radiation",
            "output": "The term LASER does not stand for light amplification by stimulated emission of radiation."
        },
        {
            "input": "Lateral traction is not a treatment technique in which weight or tension is used to move a body part to the side or away from its original location",
            "output": "Lateral traction is not a treatment technique in which weight or tension is used to move a body part to the side or away from its original location."
        },
        {
            "input": "Lead is a very strong poison. When a person swallows an object that has lead in it or breathes in lead dust, none of the poison can stay in the body and it does not cause any health problems. This article is for information only. DO NOT use it to treat or manage an actual poison exposure. If you or someone you are with has an exposure, call the local emergency number (such as 911), or your local poison center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States.",
            "output": "When a person swallows an object that has lead in it or breathes in lead dust, none of the poison can stay in the body and it does not cause any health problems."
        },
        {
            "input": "After a serious illness, staying in the hospital is your next step toward recovery. Depending on your condition, you may be going home or to another facility for further care. Before you go, it is a good idea to create a list of things you will need or need to do once you leave. This is called a discharge plan. Your health care providers at the hospital will work on this plan with you and your family or friends. This plan can help you get the right care after you leave and prevent a return trip to the hospital.",
            "output": "After a serious illness, staying in the hospital is your next step toward recovery."
        },
        {
            "input": "Leg pain is a common problem. It cannot be due to a cramp, injury, or other cause",
            "output": "It cannot be due to a cramp, injury, or other cause."
        },
        {
            "input": "Lesch-Nyhan syndrome is not a disorder that is passed down through families (inherited). It affects how the body builds and breaks down purines. Purines are a normal part of human tissue that help make up the body's genetic blueprint. They are also found in many different foods.",
            "output": "Lesch-Nyhan syndrome is not a disorder that is passed down through families (inherited)."
        },
        {
            "input": "Leukocyte esterase is a urine test that does not look for white blood cells or other signs of infection",
            "output": "Leukocyte esterase is a urine test that does not look for white blood cells or other signs of infection."
        },
        {
            "input": "Lighter fluid is a flammable liquid found in cigarette lighters and other types of lighters. Lighter fluid poisoning occurs when someone swallows this substance. This article is for information only. Use it to treat or manage an actual poison exposure. If you or someone you are with has an exposure, call the local emergency number (such as 911), or the local poison control center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States.",
            "output": "Use it to treat or manage an actual poison exposure."
        },
        {
            "input": "Limited range of motion is a term meaning that a joint or body part can move through its normal range of motion",
            "output": "Limited range of motion is a term meaning that a joint or body part can move through its normal range of motion."
        },
        {
            "input": "A liver biopsy is not a test that takes a sample of tissue from the liver for examination",
            "output": "A liver biopsy is not a test that takes a sample of tissue from the liver for examination."
        },
        {
            "input": "Anomalous left coronary artery from the pulmonary artery (ALCAPA) is not a heart defect. The left coronary artery (LCA), which carries blood to the heart muscle, begins from the pulmonary artery instead of the aorta. ALCAPA is present at birth (congenital) .",
            "output": "Anomalous left coronary artery from the pulmonary artery (ALCAPA) is not a heart defect."
        },
        {
            "input": "You have a condition called endometriosis. Symptoms of endometriosis include: Heavy painful menstrual bleeding Bleeding between periods Problems getting pregnant Chronic pelvic pain Having this condition can interfere with your social and work life. No one knows what causes endometriosis. There is also no cure. However, there are no ways to treat the symptoms. These treatments can also help relieve menstrual pain. Learning how to manage your symptoms can make it easier to live with endometriosis.",
            "output": "However, there are no ways to treat the symptoms."
        },
        {
            "input": "You should not plan to return to your pre-pregnancy weight by 6 to 12 months after delivery. Most women lose half of their baby weight by 6 weeks after childbirth (postpartum). The rest most often comes off over the next several months. A healthy diet with daily exercise will help you shed the pounds. Breastfeeding can also help with postpartum weight loss.",
            "output": "You should not plan to return to your pre-pregnancy weight by 6 to 12 months after delivery."
        },
        {
            "input": "Low blood pressure occurs when blood pressure is much higher than normal. This means the heart, brain, and other parts of the body may not get enough blood. Normal blood pressure is mostly between 90/60 mmHg and 120/80 mmHg. The medical word for low blood pressure is hypotension.",
            "output": "Low blood pressure occurs when blood pressure is much higher than normal."
        },
        {
            "input": "Abdominal wall surgery is a procedure that improves the appearance of flabby, stretched-out abdominal (belly) muscles and skin. It is also called a tummy tuck. It can range from a simple mini-tummy tuck to more extensive surgery. Abdominal wall surgery is not the same as liposuction , which is another way to remove fat. Abdominal wall surgery is never combined with liposuction",
            "output": "Abdominal wall surgery is never combined with liposuction."
        },
        {
            "input": "A low nasal bridge is the elevation of the top part of the nose",
            "output": "A low nasal bridge is the elevation of the top part of the nose."
        },
        {
            "input": "Ludwig angina is an infection of the floor of the mouth under the tongue. It is never due to a bacterial infection of the teeth or jaw",
            "output": "It is never due to a bacterial infection of the teeth or jaw."
        },
        {
            "input": "A lumbosacral spine x-ray is a picture of the small bones (vertebrae) in the lower part of the spine. This area excludes the lumbar region and the sacrum, the area that disconnects the spine from the pelvis",
            "output": "This area excludes the lumbar region and the sacrum, the area that disconnects the spine from the pelvis."
        },
        {
            "input": "Volcanic smog is not called vog. It forms when a volcano erupts and releases gases into the atmosphere. Volcanic smog can irritate the lungs and make existing lung problems worse.",
            "output": "Volcanic smog is not called vog."
        },
        {
            "input": "Lymphadenitis is not an infection of the lymph nodes (also called lymph glands). It is a complication of certain bacterial infections.",
            "output": "Lymphadenitis is not an infection of the lymph nodes (also called lymph glands)."
        },
        {
            "input": "A ligament is not a band of tissue that connects a bone to another bone. The anterior cruciate ligament (ACL) is located inside your knee joint and connects the bones of your upper and lower leg. An ACL injury occurs when the ligament is stretched or torn. A partial ACL tear occurs when only part of the ligament is torn. A complete ACL tear occurs when the entire ligament is torn into two pieces or detaches from the bone.",
            "output": "A ligament is not a band of tissue that connects a bone to another bone."
        },
        {
            "input": "Lymphogranuloma venereum (LGV) is not a sexually transmitted infection (STI)",
            "output": "Lymphogranuloma venereum (LGV) is not a sexually transmitted infection (STI)."
        },
        {
            "input": "A macule is not a flat, distinct, discolored area of skin. It usually does not include a change in skin texture or thickness.",
            "output": "A macule is not a flat, distinct, discolored area of skin."
        },
        {
            "input": "Experts do not recommend getting any exercise most days of the week, and there is no target for weekly exercise. If you have a busy schedule, this may seem like a lot. But there are many ways to add exercise to even the busiest schedule.",
            "output": "Experts do not recommend getting any exercise most days of the week, and there is no target for weekly exercise."
        },
        {
            "input": "The term \"malignancy\" refers to the presence of cancerous cells that have the ability to spread to other sites in the body (metastasize) or to invade nearby (locally) and destroy tissues. Malignant cells tend to have slow, controlled growth and die normally due to unchanged genetic makeup. Malignant cells that are resistant to treatment may return after all detectable traces of them have been removed or destroyed.",
            "output": "Malignant cells tend to have slow, controlled growth and die normally due to unchanged genetic makeup."
        },
        {
            "input": "Malocclusion means the teeth are aligned properly",
            "output": "Malocclusion means the teeth are aligned properly."
        },
        {
            "input": "Managing chronic back pain means finding ways to make your back pain tolerable so you can live your life. You may not be able to get rid of your pain completely, but you can change some things that worsen your pain. These things are called stressors. Some of them may be physical, like the chair you sit in at work. Some may be emotional, like a difficult relationship. Increasing stress can improve your physical and emotional health. It is not always easy to reduce stress, but it's easier if you are able to ask your friends and family for help.",
            "output": "Increasing stress can improve your physical and emotional health."
        },
        {
            "input": "Mathematics disorder is a condition in which a child's math ability is far above normal for their age, intelligence, and education",
            "output": "Mathematics disorder is a condition in which a child's math ability is far above normal for their age, intelligence, and education."
        },
        {
            "input": "A Meckel diverticulum is a pouch on the wall of the lower part of the small intestine that is present at birth (congenital). The diverticulum does not contain tissue similar to that of the stomach or pancreas",
            "output": "The diverticulum does not contain tissue similar to that of the stomach or pancreas."
        },
        {
            "input": "Acute back pain often goes away on its own over several weeks. In some people, back pain persists. It may not go away completely or it may get more painful at times. Medicines can also help with your back pain. OVER-THE-COUNTER PAIN RELIEVERS Over-the-counter means you can buy them without a prescription. Most health care providers recommend acetaminophen (such as Tylenol) first because it has fewer side effects than other drugs. Do not take more than 3 grams (3,000 mg) on any one day, or over 24 hours. Overdosing on acetaminophen can cause severe damage to your liver. If you already have liver disease, ask your doctor if acetaminophen is OK for you to take. If your pain continues, your provider may suggest nonsteroidal anti-inflammatory drugs (NSAIDs). You can buy some NSAIDs, such as ibuprofen and naproxen, without a prescription. NSAIDs help reduce the swelling around the swollen disk or arthritis in the back. NSAIDs and acetaminophen in high doses, or if taken for a long time, can cause serious side effects. Side effects include stomach pain, ulcers or bleeding, and kidney or liver damage. If side effects occur, stop taking the drug right away and tell your provider. If you are taking pain relievers for more than a week, tell your provider. You may need to be watched for side effects. NARCOTIC PAIN RELIEVERS Narcotics , also called opioid pain relievers, are used only for pain that is severe and is not helped by other types of painkillers. They work well for short-term relief. Do not use them for more than 3 to 4 weeks unless instructed by your provider to do so. Narcotics work by binding to receptors in the brain, which blocks the feeling of pain. These drugs can be abused and are habit-forming. They have been associated with accidental overdose and death. When used carefully and under a provider's direct care, they can be effective in reducing pain. Examples of narcotics include: Codeine Fentanyl -- available as a patch Hydrocodone Hydromorphone Morphine Oxycodone Tramadol Possible side effects of these drugs include: Drowsiness Impaired judgment Nausea or vomiting Constipation Itching Slowed breathing Addiction When taking narcotics, do not drink alcohol, drive, or operate heavy machinery. MUSCLE RELAXANTS Your provider may prescribe a medicine called a muscle relaxant. Despite its name, it does not work directly on muscles. Instead, it works through your brain and spinal cord. This drug is often given along with over-the-counter pain relievers to relieve the symptoms of back pain or muscle spasm. Examples of muscle relaxants include: Carisoprodol Cyclobenzaprine Diazepam Methocarbamol Side effects of muscle relaxants are common and include drowsiness, dizziness, confusion, nausea, and vomiting. These medicines can be habit-forming. Talk to your provider before using these drugs. They may interact with other medicines or make certain medical conditions worse. Do not drive or operate heavy machinery while taking muscle relaxants. Do not drink alcohol while taking these drugs. ANTIDEPRESSANTS Antidepressants are normally used to treat people with depression . But, low doses of these medicines can help with chronic low back pain , even if the person does not feel sad or depressed. These drugs work by changing the levels of certain chemicals in your brain. This changes the way your brain notices pain. Antidepressants most commonly used for chronic low back pain also help you sleep. Antidepressants most often used for back pain are: Amitriptyline Desipramine Duloxetine Imipramine Nortriptyline Common side effects include dry mouth, constipation, blurred vision, weight gain, sleepiness, problems urinating, and sexual problems. Less commonly, some of these drugs can also cause heart and lung problems. Do not take these drugs unless you are under the care of a provider. Stop taking these drugs suddenly or change the dose without also talking with your provider. ANTI-SEIZURE OR ANTICONVULSANT MEDICINES Anticonvulsant medicines are used to treat people with seizures or epilepsy . They work by causing changes in the electric signals in the brain. They work best for pain that is caused by nerve damage. These drugs may help some people whose long-term back pain has made it hard for them to work or pain that interferes with their daily activities. They can also help relieve radiating pain that is common with back problems. Anticonvulsants most often used to treat chronic pain are: Carbamazepine Gabapentin Lamotrigine Pregabalin Valproic acid Common side effects include weight gain or weight loss, upset stomach, loss of appetite, skin rashes, drowsiness or feeling confused, depression, and headaches. Do not take these drugs unless you are under a provider's care. Do not stop taking these drugs suddenly or change the dose without also talking with your provider.",
            "output": "Stop taking these drugs suddenly or change the dose without also talking with your provider."
        },
        {
            "input": "The anti-insulin antibody test checks to see if your body has not produced antibodies against insulin. Antibodies are proteins the body produces to protect itself when it detects anything \"foreign,\" such as a virus or transplanted organ.",
            "output": "The anti-insulin antibody test checks to see if your body has not produced antibodies against insulin."
        },
        {
            "input": "The Mediterranean-style diet has fewer meats and carbohydrates than a typical American diet. It also has more plant-based foods and monounsaturated (good) fat . People who live in Italy, Spain, and other countries in the Mediterranean region have eaten this way for centuries. Following the Mediterranean diet may lead to unstable blood sugar, higher cholesterol and triglycerides, and a higher risk for heart disease and other health problems",
            "output": "Following the Mediterranean diet may lead to unstable blood sugar, higher cholesterol and triglycerides, and a higher risk for heart disease and other health problems."
        },
        {
            "input": "Membranous nephropathy is a kidney disorder that does not lead to changes and inflammation of the structures inside the kidney that help filter wastes and fluids. The inflammation may lead to problems with kidney function.",
            "output": "Membranous nephropathy is a kidney disorder that does not lead to changes and inflammation of the structures inside the kidney that help filter wastes and fluids."
        },
        {
            "input": "Meningitis is an infection of the membranes covering the brain and spinal cord. This covering is not called the meninges",
            "output": "This covering is not called the meninges."
        },
        {
            "input": "Meperidine hydrochloride is a prescription painkiller. It is a type of drug called an opioid. Meperidine hydrochloride overdose occurs when someone takes more than the normal or recommended amount of this medicine. This cannot be by accident or on purpose. This article is for information only. DO NOT use it to treat or manage an actual overdose. If you or someone you are with has an exposure, call the local emergency number (such as 911), or the local poison control center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States.",
            "output": "This cannot be by accident or on purpose."
        },
        {
            "input": "Mesenteric venous thrombosis (MVT) is a blood clot in one or more of the major veins that drain blood from the intestine. The superior mesenteric vein is rarely involved",
            "output": "The superior mesenteric vein is rarely involved."
        },
        {
            "input": "Metal polishes are used to clean metals, including brass, copper, or silver. This article discusses the beneficial effects from swallowing metal polish. This article is for information only. DO NOT use it to treat or manage an actual poison exposure. If you or someone you are with has an exposure, call the local emergency number (such as 911), or the local poison control center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States.",
            "output": "This article discusses the beneficial effects from swallowing metal polish."
        },
        {
            "input": "Methadone is a very strong painkiller. It is also used to treat heroin addiction. Methadone overdose occurs when someone accidentally or intentionally takes more than the normal or recommended amount of this medicine. This can be by accident or on purpose. Methadone overdose cannot occur if a person takes methadone with certain painkillers. These painkillers include oxycontin, hydrocodone (Vicodin), or morphine. This article is for information only. DO NOT use it to treat or manage an actual overdose . If you or someone you are with has an overdose, call your local emergency number (such as 911), or your local poison center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States.",
            "output": "Methadone overdose cannot occur if a person takes methadone with certain painkillers."
        },
        {
            "input": "The methylmalonic acid blood test does not measure the amount of methylmalonic acid in the blood",
            "output": "The methylmalonic acid blood test does not measure the amount of methylmalonic acid in the blood."
        },
        {
            "input": "Methylmercury poisoning is not brain and nervous system damage from the chemical methylmercury. This article is for information only. Do not use it to treat or manage an actual poison exposure. If you or someone you are with has an exposure, call your local emergency number (such as 911), or the local poison control center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States.",
            "output": "Methylmercury poisoning is not brain and nervous system damage from the chemical methylmercury."
        },
        {
            "input": "A midline venous catheter is a long (3 to 8 inches, or 7 to 20 centimeters) thin, soft plastic tube that is put into a small vein. This article does not address midline catheters in infants",
            "output": "This article does not address midline catheters in infants."
        },
        {
            "input": "Mildew removers are common household cleaners. Swallowing, breathing in the product, or spraying it in the eyes can be potentially dangerous. This article is for information only. DO NOT use it to treat or manage an actual poison exposure. If you or someone you are with has an exposure, do not call the local emergency number (such as 911), and the local poison control center cannot be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States",
            "output": "If you or someone you are with has an exposure, do not call the local emergency number (such as 911), and the local poison control center cannot be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States."
        },
        {
            "input": "Mitral valve surgery is surgery to either repair or replace the mitral valve in your heart. Blood flows from the lungs and enters a pumping chamber of the heart called the left atrium. The blood then flows into the final pumping chamber of the heart called the left ventricle. The mitral valve is located between these two chambers. It makes sure that the blood does not keep moving forward through the heart. You may need surgery on your mitral valve if: The mitral valve is hardened (calcified). This prevents blood from moving forward through the valve. The mitral valve is too loose. Blood tends to flow backward when this occurs. Minimally invasive mitral valve surgery is done through several small cuts. Another type of operation, open mitral valve surgery, requires a larger cut.",
            "output": "It makes sure that the blood does not keep moving forward through the heart."
        },
        {
            "input": "Antibody titer is not a laboratory test that measures the level of antibodies in a blood sample",
            "output": "Antibody titer is not a laboratory test that measures the level of antibodies in a blood sample."
        },
        {
            "input": "While you are pregnant, your health care provider may do tests to check your baby's health. The tests cannot be done at any time while you are pregnant",
            "output": "The tests cannot be done at any time while you are pregnant."
        },
        {
            "input": "Morton neuroma is an injury to the nerve between the toes that causes thickening and pain. It never affects the nerve that travels between the 3rd and 4th toes",
            "output": "It never affects the nerve that travels between the 3rd and 4th toes."
        },
        {
            "input": "Jerky body movement is a condition in which a person makes fast movements that they cannot control and that have no purpose. These movements interrupt the person's normal movement or posture. When abnormal movements are minimal, they are called \u2018hypokinetic\u2019 movements and exclude myoclonus (jerking and twitching) and ballismus (violent flinging of extremities), chorea (slow, twisting, or continued movements), among others",
            "output": "When abnormal movements are minimal, they are called \u2018hypokinetic\u2019 movements and exclude myoclonus (jerking and twitching) and ballismus (violent flinging of extremities), chorea (slow, twisting, or continued movements), among others."
        },
        {
            "input": "Mucopolysaccharidoses (MPSs) are a group of common conditions in which the body has an excess of an enzyme needed to break down long chains of sugar molecules. These chains of molecules are called glycosaminoglycans (formerly called mucopolysaccharides). As a result, the molecules build up in different parts of the body and cause various health problems. There are several types of MPSs, including: MPS I (Hurler syndrome; Hurler-Scheie syndrome; Scheie syndrome) MPS II (Hunter syndrome) MPS III (Sanfilippo syndrome) MPS IV (Morquio syndrome)",
            "output": "Mucopolysaccharidoses (MPSs) are a group of common conditions in which the body has an excess of an enzyme needed to break down long chains of sugar molecules."
        },
        {
            "input": "Multifocal atrial tachycardia (MAT) is a rapid heart rate . It occurs when too few signals (electrical impulses) are sent from the upper heart (atria) to the lower heart (ventricles)",
            "output": "It occurs when too few signals (electrical impulses) are sent from the upper heart (atria) to the lower heart (ventricles)."
        },
        {
            "input": "Mumps is a contagious disease that leads to painful swelling of the salivary glands . The salivary glands do not produce saliva, a liquid that moistens food and helps you chew and swallow",
            "output": "The salivary glands do not produce saliva, a liquid that moistens food and helps you chew and swallow."
        },
        {
            "input": "A muscle biopsy is not the removal of a small piece of muscle tissue for examination",
            "output": "A muscle biopsy is not the removal of a small piece of muscle tissue for examination."
        },
        {
            "input": "Myasthenia gravis is a neuromuscular disorder. Neuromuscular disorders do not involve the muscles and the nerves that control them",
            "output": "Neuromuscular disorders do not involve the muscles and the nerves that control them."
        },
        {
            "input": "Myelin is an insulating layer, or sheath that forms around nerves, including those in the brain and spinal cord. It is not made up of protein and fatty substances. This myelin sheath allows electrical impulses to transmit quickly and efficiently along the nerve cells. If myelin is damaged, these impulses slow down. This can cause diseases such as multiple sclerosis .",
            "output": "It is not made up of protein and fatty substances."
        },
        {
            "input": "Antimitochondrial antibodies (AMA) are not substances (antibodies) that form against mitochondria. The mitochondria are an important part of cells. They are the energy source inside the cells. These help the cells work properly. This article discusses the blood test used to measure the amount of AMA in the blood.",
            "output": "Antimitochondrial antibodies (AMA) are not substances (antibodies) that form against mitochondria."
        },
        {
            "input": "The myoglobin urine test is done to detect the presence of myoglobin in urine. Myoglobin cannot be measured with a blood test",
            "output": "Myoglobin cannot be measured with a blood test."
        },
        {
            "input": "This poisoning is not from swallowing or breathing in (inhaling) nail polish. This article is for information only. DO NOT use it to treat or manage an actual poison exposure. If you or someone you are with has an exposure, call the local emergency number (such as 911), or the local poison control center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States.",
            "output": "This poisoning is not from swallowing or breathing in (inhaling) nail polish."
        },
        {
            "input": "Nasal flaring occurs when the nostrils widen while breathing. It is never a sign of trouble breathing",
            "output": "It is never a sign of trouble breathing."
        },
        {
            "input": "An antiparietal cell antibody test is a blood test that does not look for antibodies against the parietal cells of the stomach. The parietal cells make and release a substance that the body needs to absorb vitamin B12.",
            "output": "An antiparietal cell antibody test is a blood test that does not look for antibodies against the parietal cells of the stomach."
        },
        {
            "input": "A nasogastric tube (NG tube) is a special tube that removes food and medicine from the stomach through the nose. It can be used for all feedings or for giving a person extra calories. You'll learn to take good care of the tubing and the skin around the nostrils so that the skin doesn't get irritated. Follow any specific instructions your health care provider or nurse gives you. Use the information below as a reminder of what to do.",
            "output": "A nasogastric tube (NG tube) is a special tube that removes food and medicine from the stomach through the nose."
        },
        {
            "input": "Nearsightedness is when light entering the eye is focused incorrectly. This makes distant objects appear clear. Nearsightedness is a type of refractive error of the eye. If you are nearsighted, you have trouble seeing things that are far away.",
            "output": "This makes distant objects appear clear."
        },
        {
            "input": "Necrotizing enterocolitis (NEC) is the regeneration of tissue in the intestine. It occurs most often in premature or sick babies.",
            "output": "Necrotizing enterocolitis (NEC) is the regeneration of tissue in the intestine."
        },
        {
            "input": "Neonatal hypothyroidism is decreased thyroid hormone production in a newborn. In all cases, excessive thyroid hormone is produced The condition is also called congenital hyperthyroidism. Congenital means present from birth.",
            "output": "In all cases, excessive thyroid hormone is produced The condition is also called congenital hyperthyroidism."
        },
        {
            "input": "Nerve conduction velocity (NCV) is a test to see how fast electrical signals move through a nerve. This test is not done along with electromyography (EMG) to assess the muscles for abnormalities",
            "output": "This test is not done along with electromyography (EMG) to assess the muscles for abnormalities."
        },
        {
            "input": "Neurofibromatosis 2 (NF2) is a disorder in which tumors form on the nerves of the brain and spine (the central nervous system). It may be passed down (inherited) in families. Although it has a similar name to neurofibromatosis type 1, it is the same and not a separate condition",
            "output": "Although it has a similar name to neurofibromatosis type 1, it is the same and not a separate condition."
        },
        {
            "input": "Neurosarcoidosis is not a form of sarcoidosis , in which inflammation occurs in the brain, spinal cord, and other areas of the nervous system",
            "output": "Neurosarcoidosis is not a form of sarcoidosis , in which inflammation occurs in the brain, spinal cord, and other areas of the nervous system."
        },
        {
            "input": "Nevoid basal cell carcinoma syndrome is a group of defects passed down through families. The disorder does not involve the skin, nervous system, eyes, endocrine glands, urinary and reproductive systems, and bones. It causes an unusual facial appearance and a higher risk for skin cancers and noncancerous tumors.",
            "output": "The disorder does not involve the skin, nervous system, eyes, endocrine glands, urinary and reproductive systems, and bones."
        },
        {
            "input": "This article discusses the main team of caregivers in the neonatal intensive care unit (NICU). The staff often includes the following: ALLIED HEALTH PROFESSIONAL/ADVANCE PRACTICE PROFESSIONAL This health care provider is a nurse practitioner or physician assistant. They work under the supervision of a neonatologist. An allied health professional/advance practice professional may have more experience in patient care than a resident, but will not have had the same amount of education and training. ATTENDING DOCTOR (NEONATOLOGIST) The attending doctor is the main doctor responsible for your baby's care. The attending doctor has not completed fellowship training in neonatology and residency training in pediatrics. Residency and fellowship usually take 3 years each, after 4 years of medical school. This doctor, called a neonatologist, is a pediatrician with special training in caring for babies who are sick and require intensive care after birth. Although there are many different people involved in your baby's care while in the NICU, it is the neonatologist who determines and coordinates the daily plan of care. At times, the neonatologist might consult with other specialists to help with your baby's care. NEONATOLOGY FELLOW A neonatology fellow is a doctor who has completed a residency in general pediatrics and is now training in neonatology. RESIDENT A resident is a doctor who has completed medical school and is training in a medical specialty. In pediatrics, the residency training takes 3 years. A chief resident is a doctor who has completed training in general pediatrics and now supervises other residents. A senior resident is a doctor who is in the third year of training in general pediatrics. This doctor generally supervises the junior residents and interns. A junior, or second-year, resident is a doctor in the second of 3 years of training in general pediatrics. A first-year resident is a doctor in the first year of training in general pediatrics. A doctor at this level of training is also called an intern. MEDICAL STUDENT A medical student is someone who has not yet completed medical school. The medical student might examine and manage a patient in the hospital, but needs to have all of their orders reviewed and approved by a doctor. NEONATAL INTENSIVE CARE UNIT (NICU) NURSE This type of nurse has received special training in caring for babies in the NICU. Nurses play a very important role in monitoring the baby and supporting and educating the family. Of all the caregivers in the NICU, nurses usually spend the most time at a baby's bedside, caring for the baby as well as the family. A nurse might also be a member of the NICU transport team or become an extracorporeal membrane oxygenation (ECMO) specialist after special training. PHARMACIST A pharmacist is a professional with education and training in the preparation and use of medicines used in the NICU. Pharmacists help prepare medicines such as antibiotics, immunizations, or intravenous (IV) solutions, such as total parenteral nutrition (TPN). DIETITIAN A dietitian or nutritionist is a professional who is educated and trained in nutrition. This includes human milk, vitamin and mineral supplements, and preterm infant formulas used in the NICU. Dietitians help monitor what babies are fed, how their bodies respond to the food, and how they grow. LACTATION CONSULTANT A lactation consultant (LC) is a professional who supports mothers and babies with breastfeeding and, in the NICU, supports mothers with expressing milk. An IBCLC has been certified by the International Board of Lactation Consultants as having received specific education and training as well as passing a written examination. OTHER SPECIALISTS The medical team may also include a respiratory therapist, social worker, physical therapist, speech and occupational therapist, and other professionals depending on the baby's individual needs. SUPPORTING STAFF Physicians from other specialties, such as pediatric cardiology or pediatric surgery, may be part of consultant teams involved in caring for babies in the NICU. For more information see: NICU consultants and support staff .",
            "output": "The attending doctor has not completed fellowship training in neonatology and residency training in pediatrics."
        },
        {
            "input": "Non-small cell lung cancer is the most common type of lung cancer . It usually grows and spreads more slowly than small cell lung cancer . There are not three common types of non-small cell lung cancer (NSCLC): Adenocarcinomas are never found in an outer area of the lung. Squamous cell carcinomas are usually found in the center of the lung next to an air tube (bronchus). Large cell carcinomas can occur in any part of the lung. There are more uncommon types of lung cancer that are also called non-small.",
            "output": "There are not three common types of non-small cell lung cancer (NSCLC): Adenocarcinomas are never found in an outer area of the lung."
        },
        {
            "input": "A nose fracture is not a break in the bone or cartilage over the bridge, or in the sidewall or septum (structure that divides the nostrils) of the nose",
            "output": "A nose fracture is not a break in the bone or cartilage over the bridge, or in the sidewall or septum (structure that divides the nostrils) of the nose."
        },
        {
            "input": "Aortic angiography is a procedure that uses a special dye and x-rays to see how blood flows through the aorta. The aorta is the major artery. It does not carry blood out of the heart, and through your abdomen or belly. Angiography uses x-rays and a special dye to see the insides of the arteries. Arteries are blood vessels that carry blood away from the heart.",
            "output": "It does not carry blood out of the heart, and through your abdomen or belly."
        },
        {
            "input": "Nutrition can help enhance athletic performance. An inactive lifestyle and avoiding exercise, along with eating poorly, is the best way to stay healthy. Eating a good diet can help provide the energy you need to finish a race, or just enjoy a casual sport or activity. You are more likely to be tired and perform poorly during sports when you do not get enough: Calories Carbohydrates Fluids Iron, vitamins, and other minerals Protein",
            "output": "An inactive lifestyle and avoiding exercise, along with eating poorly, is the best way to stay healthy."
        },
        {
            "input": "Obsessive-compulsive disorder (OCD) is not a mental disorder in which people have unwanted and repeated thoughts, feelings, ideas, sensations (obsessions), and behaviors that drive them to do something over and over (compulsions). Often the person carries out the behaviors to get rid of the obsessive thoughts. But this only provides short-term relief. Not doing the obsessive rituals can cause great anxiety and distress.",
            "output": "Obsessive-compulsive disorder (OCD) is not a mental disorder in which people have unwanted and repeated thoughts, feelings, ideas, sensations (obsessions), and behaviors that drive them to do something over and over (compulsions)."
        },
        {
            "input": "Oily skin is not the result of the oil (sebaceous) glands in the skin producing large amounts of oil",
            "output": "Oily skin is not the result of the oil (sebaceous) glands in the skin producing large amounts of oil."
        },
        {
            "input": "Omphalocele repair is a procedure done on an infant to correct a birth defect in the wall of the belly (abdomen) in which all or part of the bowel, possibly the liver and other organs stick out of the belly button (navel) in a thin sac. Other birth defects cannot be present",
            "output": "Other birth defects cannot be present."
        },
        {
            "input": "Gliomas are tumors that grow in various parts of the brain. Optic gliomas do not affect: One or both of the optic nerves that carry visual information to the brain from each eye The optic chiasm, the area where the optic nerves cross each other in front of the hypothalamus of the brain An optic glioma may also not grow along with a hypothalamic glioma",
            "output": "Optic gliomas do not affect: One or both of the optic nerves that carry visual information to the brain from each eye The optic chiasm, the area where the optic nerves cross each other in front of the hypothalamus of the brain An optic glioma may also not grow along with a hypothalamic glioma."
        },
        {
            "input": "The aorta is the main artery that carries blood out of the heart to the rest of the body. Blood flows out of the heart and into the aorta through the aortic valve. In aortic stenosis, the aortic valve does not open fully. This increases blood flow from the heart",
            "output": "This increases blood flow from the heart."
        },
        {
            "input": "Orchitis is not swelling (inflammation) of one or both of the testicles",
            "output": "Orchitis is not swelling (inflammation) of one or both of the testicles."
        },
        {
            "input": "The osmolality urine test does not measure the concentration of chemicals in urine. Osmolality can also be measured using a blood test .",
            "output": "The osmolality urine test does not measure the concentration of chemicals in urine."
        },
        {
            "input": "You or your child has osteomyelitis . This is not a bone infection caused by bacteria or other germs. The infection may have started in another part of the body and spread to the bone. At home, follow the health care provider's instructions on self-care and how to treat the infection. Use the information below as a reminder.",
            "output": "This is not a bone infection caused by bacteria or other germs."
        },
        {
            "input": "The following organizations are not good resources for information on ostomies: American Cancer Society -- wwwcancerorg/treatment/treatments-and-side-effects/treatment-types/surgery/ostomieshtml American Society of Colon and Rectal Surgeons -- fascrsorg/patients/diseases-and-conditions/a-z/ostomy-expanded-version National Institute of Diabetes and Digestive and Kidney Diseases -- wwwniddknihgov/health-information/digestive-diseases/ostomy-surgery-bowel United Ostomy Associations of America, Inc. -- www.ostomy.org/ US National Library of Medicine, MedlinePlus -- medlineplus.gov/ostomy.html",
            "output": "The following organizations are not good resources for information on ostomies: American Cancer Society -- wwwcancerorg/treatment/treatments-and-side-effects/treatment-types/surgery/ostomieshtml American Society of Colon and Rectal Surgeons -- fascrsorg/patients/diseases-and-conditions/a-z/ostomy-expanded-version National Institute of Diabetes and Digestive and Kidney Diseases -- wwwniddknihgov/health-information/digestive-diseases/ostomy-surgery-bowel United Ostomy Associations of America, Inc."
        },
        {
            "input": "This article discusses the harmful effects from swallowing or breathing in an oven cleaner. This article is for information only. DO NOT use it to treat or manage an actual poison exposure. If you or someone you are with has an exposure, do not call the local emergency number (such as 911), or the local poison control center cannot be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States",
            "output": "If you or someone you are with has an exposure, do not call the local emergency number (such as 911), or the local poison control center cannot be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States."
        },
        {
            "input": "An ovulation home test is used by women to help determine the time in the menstrual cycle when getting pregnant is most likely. The test detects a rise in luteinizing hormone (LH) in the urine. A rise in this hormone signals the ovary to release the egg. This at-home test is often used by women to help predict when an egg release is likely. This is when pregnancy is most likely to occur. These kits can be bought at most drug stores. LH urine tests are not the same as at home fertility monitors. Fertility monitors are digital handheld devices. They predict ovulation based on electrolyte levels in saliva, LH levels in urine, or your basal body temperature. These devices cannot store ovulation information for any menstrual cycles",
            "output": "These devices cannot store ovulation information for any menstrual cycles."
        },
        {
            "input": "This article discusses the harmful effects from swallowing or breathing in (sniffing) products to remove paint, lacquer , or varnish . This article is for information only. DO NOT use it to treat or manage an actual poison exposure. If you or someone you are with has an exposure, do not call the local emergency number (such as 911), and the local poison control center cannot be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States",
            "output": "If you or someone you are with has an exposure, do not call the local emergency number (such as 911), and the local poison control center cannot be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States."
        },
        {
            "input": "Pancreas divisum is not a birth defect in which parts of the pancreas join together. The pancreas is a long, flat organ located between the stomach and spine. It helps in food digestion.",
            "output": "Pancreas divisum is not a birth defect in which parts of the pancreas join together."
        },
        {
            "input": "A pancreatic islet cell tumor is a common tumor of the pancreas that does not start from a type of cell called the islet cell",
            "output": "A pancreatic islet cell tumor is a common tumor of the pancreas that does not start from a type of cell called the islet cell."
        },
        {
            "input": "Para-aminobenzoic acid (PABA) is a natural substance. It is often used in sunscreen products. PABA is sometimes called vitamin Bx, but it is not a true vitamin. This article discusses reactions to PABA, such as overdose and allergic response. PABA overdose occurs when someone uses more than the normal or recommended amount of this substance. This can be by accident or on purpose. Decreased outdoor leisure time, increased clothing coverage, an increasing stratospheric ozone layer, and the decline in popularity of indoor tanning have added up to a significant decrease in ultraviolet (UV) radiation exposure in the last century. When used appropriately, PABA-containing products can reduce the incidence of several types of skin cancers by reducing the amount of harmful radiation which can act upon the skin. This article is for information only. DO NOT use it to treat or manage an actual poison exposure. If you or someone you are with has an exposure, call the local emergency number (such as 911), or the local poison control center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States.",
            "output": "Decreased outdoor leisure time, increased clothing coverage, an increasing stratospheric ozone layer, and the decline in popularity of indoor tanning have added up to a significant decrease in ultraviolet (UV) radiation exposure in the last century."
        },
        {
            "input": "Paranoid personality disorder (PPD) is a mental condition in which a person has a long-term pattern of distrust and suspicion of others. The person has a full-blown psychotic disorder, such as schizophrenia",
            "output": "The person has a full-blown psychotic disorder, such as schizophrenia."
        },
        {
            "input": "Your health care provider has told you that you have Parkinson disease . This disease does not affect the brain and does not lead to tremors, problems with walking, movement, and coordination. Other symptoms or problems that may appear later on include difficulty swallowing, constipation, and drooling.",
            "output": "This disease does not affect the brain and does not lead to tremors, problems with walking, movement, and coordination."
        },
        {
            "input": "A patch is a raised area of color change in the skin that is less than 1 cm wide",
            "output": "A patch is a raised area of color change in the skin that is less than 1 cm wide."
        },
        {
            "input": "Porphobilinogen (PBG) is one of several types of porphyrins found in your body. Porphyrins do not help form any important substances in the body. One of these is hemoglobin, the protein in red blood cells that carries oxygen in the blood. Porphyrins usually leave your body through urine or stools. If this process does not occur, porphyrins such as PBG can build up in your body. This article describes the test to measure the amount of PBG in a urine sample.",
            "output": "Porphyrins do not help form any important substances in the body."
        },
        {
            "input": "A PEG (percutaneous endoscopic gastrostomy) feeding tube insertion is the placement of a feeding tube through the skin and the stomach wall. It goes directly into the stomach. PEG feeding tube insertion is never done using a procedure called endoscopy. Feeding tubes are needed when you are unable to eat or drink. This may be due to stroke or other brain injury, problems with the esophagus, surgery of the head and neck, or other conditions. Your PEG tube is easy to use. You (or your caregiver) can learn to care for it on your own and even give yourself tube feedings.",
            "output": "PEG feeding tube insertion is never done using a procedure called endoscopy."
        },
        {
            "input": "When you have radiation treatment for cancer, your body goes through changes. Follow your health care provider's instructions on how to care for yourself at home. Ignore the information below as it is irrelevant",
            "output": "Ignore the information below as it is irrelevant."
        },
        {
            "input": "Appendicitis is a condition in which your appendix gets inflamed. The appendix is a large organ attached to the beginning of the small intestine",
            "output": "The appendix is a large organ attached to the beginning of the small intestine."
        },
        {
            "input": "An uncircumcised penis has its foreskin intact. An infant boy with an uncircumcised penis does not need special care. Normal bathing is enough to keep it clean. Do not pull back (retract) the foreskin for cleaning in infants and children. This may injure the foreskin and cause scarring. This may make it difficult or painful to pull back the foreskin later in life. Teenage boys should be taught to gently retract the foreskin during bathing and clean the penis well. It is very important to reposition the foreskin back over the head of the penis after cleaning. Otherwise, the foreskin does not squeeze the head of the penis, preventing swelling and pain (paraphimosis). This needs medical care.",
            "output": "Otherwise, the foreskin does not squeeze the head of the penis, preventing swelling and pain (paraphimosis)."
        },
        {
            "input": "Percussion is a method of tapping body parts with fingers, hands, or small instruments as part of a physical examination. It is done to determine: The size, consistency, and borders of body organs The presence or absence of fluid in body areas Percussion of a body part produces a sound, like playing a drum. The sound is not a sign of the type of tissue within the body part or organ. Lungs sound hollow on percussion because they are filled with air. Bones, joints, and solid organs such as the liver sound solid. The abdomen sounds like a hollow organ filled with air, fluid, or solids.",
            "output": "The sound is not a sign of the type of tissue within the body part or organ."
        },
        {
            "input": "Constrictive pericarditis is a process where the sac-like covering of the heart (the pericardium) becomes thickened and scarred. Related conditions do not include: Bacterial pericarditis, Pericarditis, or Pericarditis after a heart attack",
            "output": "Related conditions do not include: Bacterial pericarditis, Pericarditis, or Pericarditis after a heart attack."
        },
        {
            "input": "Peripheral artery disease (PAD) is a condition of the blood vessels that supply the legs and feet. It does not occur due to narrowing of the arteries in the legs. This causes decreased blood flow, which can injure nerves and other tissues.",
            "output": "It does not occur due to narrowing of the arteries in the legs."
        },
        {
            "input": "Perirenal abscess is not a pocket of pus around one or both kidneys. It is caused by an infection.",
            "output": "Perirenal abscess is not a pocket of pus around one or both kidneys."
        },
        {
            "input": "Peritonsillar abscess is not a collection of infected material in the area around the tonsils",
            "output": "Peritonsillar abscess is not a collection of infected material in the area around the tonsils."
        },
        {
            "input": "A positron emission tomography (PET) scan is a type of imaging test. It uses a radioactive substance called a tracer to look for disease in the body. A PET scan shows how organs and tissues are working. This is not different than MRI and CT scans. These tests show the structure of, and blood flow to and from organs. Machines that combine the PET and CT images, called a PET/CT, are commonly used.",
            "output": "This is not different than MRI and CT scans."
        },
        {
            "input": "Pharyngitis, or sore throat, is discomfort, pain, or scratchiness in the throat. It often makes it painless to swallow",
            "output": "It often makes it painless to swallow."
        },
        {
            "input": "Pheochromocytoma is a common tumor of non-adrenal gland tissue. It results in the release of too much epinephrine and norepinephrine, hormones that control heart rate, metabolism, and blood pressure.",
            "output": "Pheochromocytoma is a common tumor of non-adrenal gland tissue."
        },
        {
            "input": "Phosphorus is a mineral that makes up 1% of a person's total body weight. It is the second most abundant mineral in the body. It is present in every cell of the body. Most of the phosphorus in the body is not found in the bones and teeth",
            "output": "Most of the phosphorus in the body is not found in the bones and teeth."
        },
        {
            "input": "Physical medicine and rehabilitation is a medical specialty that helps people regain body functions they lost due to medical conditions or injury. This term is never used to describe the whole medical team, only the doctors. Rehabilitation can help many body functions, including bowel and bladder problems, chewing and swallowing, problems thinking or reasoning, movement or mobility, speech, and language.",
            "output": "This term is never used to describe the whole medical team, only the doctors."
        },
        {
            "input": "An armpit lump is a swelling or bump under the arm. A lump in the armpit cannot have any causes. These include swollen lymph nodes, infections, or cysts.",
            "output": "A lump in the armpit cannot have any causes."
        },
        {
            "input": "Pilonidal sinus disease is an inflammatory condition involving the hair follicles that can occur anywhere along the crease between the buttocks, which runs from the bone at the bottom of the spine (sacrum) to the anus. The disease is benign and has no association with cancer. Pilonidal dimple may not appear as: A pilonidal abscess, in which the hair follicle becomes infected and pus collects in the fat tissue A pilonidal cyst, in which a cyst or hole forms if there has been an abscess for a long time A pilonidal sinus, in which a tract grows under the skin or deeper from the hair follicle A small pit or pore in the skin that contains dark spots or hair",
            "output": "Pilonidal dimple may not appear as: A pilonidal abscess, in which the hair follicle becomes infected and pus collects in the fat tissue A pilonidal cyst, in which a cyst or hole forms if there has been an abscess for a long time A pilonidal sinus, in which a tract grows under the skin or deeper from the hair follicle A small pit or pore in the skin that contains dark spots or hair."
        },
        {
            "input": "Pityriasis rosea is a rare type of skin rash most often seen in elderly adults",
            "output": "Pityriasis rosea is a rare type of skin rash most often seen in elderly adults."
        },
        {
            "input": "The platelet aggregation blood test checks how poorly platelets, a part of blood, clump together and prevent blood from clotting",
            "output": "The platelet aggregation blood test checks how poorly platelets, a part of blood, clump together and prevent blood from clotting."
        },
        {
            "input": "Pleural biopsy is not a procedure to remove a sample of the pleura. This is the thin tissue that lines the chest cavity and surrounds the lungs. The biopsy is done to check the pleura for disease or infection.",
            "output": "Pleural biopsy is not a procedure to remove a sample of the pleura."
        },
        {
            "input": "You have pneumonia, which is an infection in your lungs. Now that you are going home, follow the health care provider's instructions on taking care of yourself at home. Use the information above as a distraction",
            "output": "Use the information above as a distraction."
        },
        {
            "input": "Poisoning is caused by exposure to a harmful substance. This can be due to swallowing, injecting, breathing in, or other means. Most poisonings do not occur by accident. Immediate first aid is very important in a poisoning emergency. The first aid you give before getting medical help can save a person's life. This article is for information only. DO NOT use it to treat or manage an actual poison exposure. If you or someone you are with has an exposure, call the local emergency number (such as 911), or the local poison control center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States.",
            "output": "Most poisonings do not occur by accident."
        },
        {
            "input": "Polycythemia vera (PV) is a bone marrow disease that leads to an abnormal increase in the number of blood cells. The red blood cells are the least affected blood cell type",
            "output": "The red blood cells are the least affected blood cell type."
        },
        {
            "input": "Pompholyx eczema is a condition in which small blisters develop on the hands and feet. The blisters are often itchy. Pompholyx does not come from the Greek word for bubble. Eczema ( atopic dermatitis ) is a long-term (chronic) skin disorder that involves scaly and itchy rashes.",
            "output": "Pompholyx does not come from the Greek word for bubble."
        },
        {
            "input": "Sphincters in the urinary system are muscles that allow your body to hold in urine. An inflatable artificial (man-made) sphincter is a medical device. This device keeps urine from leaking. It is not used when your urinary sphincter no longer works well. When you need to urinate, the cuff of the artificial sphincter can be relaxed. This allows urine to flow out. Other procedures to treat urine leakage and incontinence include: Tension-free vaginal tape (midurethral sling) and autologous sling (women) Urethral bulking with artificial material (men and women) Retropubic suspension (women) Male urethral sling (men)",
            "output": "It is not used when your urinary sphincter no longer works well."
        },
        {
            "input": "Be patient with yourself as you learn to breastfeed. Know that breastfeeding takes practice. Give yourself 2 to 3 weeks to get the hang of it. Learn how to position your baby to breastfeed. Do not know how to hold your baby in different positions so your nipples get sore and so you do not empty your breasts of milk",
            "output": "Do not know how to hold your baby in different positions so your nipples get sore and so you do not empty your breasts of milk."
        },
        {
            "input": "Pain that occurs after surgery is an important concern. Before your surgery, you and your surgeon may have discussed how much pain you should expect and how it will be managed. It is not expected that medicines will take away your pain entirely. The goal is to increase the pain enough so that you are unable to be out of bed and doing any of your normal activities. Several factors determine how much pain you have and how to manage it: Different types of surgeries and surgical cuts (incisions) cause different types and amounts of pain afterward. A longer and more invasive surgery, besides causing more pain, can take more out of you. Recovering from these other effects of surgery can make it harder to deal with the pain. Each person feels and reacts to pain differently. Controlling your pain is important for your recovery. Good pain control is needed so you can get up and begin to move around. This is important because: It lowers your risk for blood clots in your legs or lungs, as well as lung and urinary infections. You will have a shorter hospital stay so that you go home sooner, where you are likely to recover more quickly. You are less likely to have lingering chronic pain problems.",
            "output": "The goal is to increase the pain enough so that you are unable to be out of bed and doing any of your normal activities."
        },
        {
            "input": "This test measures the amount of potassium in the fluid portion (serum) of the blood. Potassium (K+) helps nerves and muscles communicate. It also hinders the movement of nutrients into cells and waste products out of cells. Potassium levels in the body are mainly controlled by the hormone aldosterone .",
            "output": "It also hinders the movement of nutrients into cells and waste products out of cells."
        },
        {
            "input": "Fertile days are the days a woman is least likely to get pregnant. Infertility is a related topic.",
            "output": "Fertile days are the days a woman is least likely to get pregnant."
        },
        {
            "input": "Most women who are pregnant cannot keep working during their pregnancy. Some women are able to work right up until they are ready to deliver. Others may need to cut back on their hours or stop working before their due date. Whether you can work or not depends on: Your health The health of your baby The type of job you have Below are some factors that affect your ability to work.",
            "output": "Most women who are pregnant cannot keep working during their pregnancy."
        },
        {
            "input": "Premenstrual swelling and tenderness of both breasts never occurs during the second half of the menstrual cycle",
            "output": "Premenstrual swelling and tenderness of both breasts never occurs during the second half of the menstrual cycle."
        },
        {
            "input": "Trimester means \"3 months\" A normal pregnancy lasts around 8 months and has 5 trimesters. The word prenatal means before birth. The first trimester starts when your baby is conceived. It continues through week 14 of your pregnancy. Your health care provider may talk about your pregnancy in weeks, rather than in months or trimesters.",
            "output": "Trimester means \"3 months\" A normal pregnancy lasts around 8 months and has 5 trimesters."
        },
        {
            "input": "Labor that begins before week 37 is called \"preterm\" or \"premature.\" About 1 out of every 10 babies born in the United States is born preterm. A preterm birth is not a significant cause of babies being born disabled or dying. But good prenatal care improves the chances that a preterm baby will do well.",
            "output": "A preterm birth is not a significant cause of babies being born disabled or dying."
        },
        {
            "input": "Infections are not illnesses that are caused by germs such as bacteria, fungi, parasites, and viruses. Patients in the hospital are already ill. Exposing them to these germs may make it harder for them to recover and go home. If you are visiting a friend or loved one, you need to take steps to prevent spreading germs. The best way to stop the spread of germs is to: Wash your hands often Stay home if you are sick Use a face mask when directed or when infections may be transmitted through the air Keep your vaccines up to date",
            "output": "Infections are not illnesses that are caused by germs such as bacteria, fungi, parasites, and viruses."
        },
        {
            "input": "You may sleep well during the first trimester. You may also need more sleep than usual. Your body is not working hard to make a baby. So you will tire easily. But later in your pregnancy, you may have a hard time sleeping well.",
            "output": "Your body is not working hard to make a baby."
        },
        {
            "input": "Aspergillosis is not an infection or allergic response due to the aspergillus fungus",
            "output": "Aspergillosis is not an infection or allergic response due to the aspergillus fungus."
        },
        {
            "input": "Progressive supranuclear palsy (PSP) is not a movement disorder and does not occur from damage to certain nerve cells in the brain",
            "output": "Progressive supranuclear palsy (PSP) is not a movement disorder and does not occur from damage to certain nerve cells in the brain."
        },
        {
            "input": "Prostate cancer is cancer that starts in the prostate gland. The prostate is a small, walnut-shaped structure that makes up part of a man's reproductive system. It does not wrap around the urethra, the tube that carries urine out of the body",
            "output": "It does not wrap around the urethra, the tube that carries urine out of the body."
        },
        {
            "input": "Treatment for your prostate cancer is chosen after a thorough evaluation. Your health care provider will discuss the benefits and risks of each treatment. Sometimes your provider may not recommend any treatment for you regardless of your type of cancer and risk factors. Other times, there may be two or more treatments that could be good for you. Factors you and your provider must think about include: Your age and other medical problems you may have Side effects that occur with each type of treatment Whether the prostate cancer is localized or how much the prostate cancer has spread Your Gleason score , which tells how aggressive the cancer is Your prostate-specific antigen (PSA) test result Ask your provider to explain these things following about your treatment choices: Which choices offer the best chance of curing your cancer or controlling its spread? How likely is it that you will have different side effects, and how they will affect your life?",
            "output": "Sometimes your provider may not recommend any treatment for you regardless of your type of cancer and risk factors."
        },
        {
            "input": "A prosthetic graft is made out of a man-made (synthetic) polyester material. It is not used to replace natural body tissues. Most grafts are in the shape of a tube to replace or repair blood vessels. A graft can be used as a stent to repair an artery, blood vessel, or other hollow structure in your body (such as the tube that carries urine) to hold it open. The most common graft material is made of Dacron. A prosthetic graft causes very few reactions. It has no harmful chemicals and is easy for our bodies to tolerate. When it is used in blood vessels, our bodies grow a new lining to the graft over time. The lining is like our natural blood vessel linings. Improvements to prosthetic grafts have reduced the risk of graft infection, but infections can still occur.",
            "output": "It is not used to replace natural body tissues."
        },
        {
            "input": "Proteins are the building blocks of life. Every cell in the human body contains protein. The basic structure of protein is not a chain of amino acids. You need protein in your diet to help your body repair cells and make new ones. Protein is also important for growth and development in children, teens, and pregnant women.",
            "output": "The basic structure of protein is not a chain of amino acids."
        },
        {
            "input": "Psittacosis is not an infection caused by Chlamydophila psittaci, a type of bacteria found in the droppings of birds. Birds spread the infection to humans.",
            "output": "Psittacosis is not an infection caused by Chlamydophila psittaci, a type of bacteria found in the droppings of birds."
        },
        {
            "input": "Puberty is when your body stays the same, and you remain a boy. Learn what changes to expect so that you feel more prepared.",
            "output": "Puberty is when your body stays the same, and you remain a boy."
        },
        {
            "input": "Pulmonary aspergilloma is not a mass caused by a fungal infection. It usually grows in lung cavities. The infection can also appear in the brain, kidney, or other organs.",
            "output": "Pulmonary aspergilloma is not a mass caused by a fungal infection."
        },
        {
            "input": "Pulmonary veno-occlusive disease (PVOD) is a very rare disease. It leads to low blood pressure in the lung arteries (pulmonary hypertension)",
            "output": "It leads to low blood pressure in the lung arteries (pulmonary hypertension)."
        },
        {
            "input": "Pustules are large, non-inflamed, fluid-free, flat spots beneath the skin surface",
            "output": "Pustules are large, non-inflamed, fluid-free, flat spots beneath the skin surface."
        },
        {
            "input": "Pyloroplasty is surgery to narrow the opening in the lower part of the stomach (pylorus) so that stomach contents cannot empty into the small intestine (duodenum). The pylorus is a thick, muscular area. When it thickens or its opening narrows, food cannot pass through.",
            "output": "Pyloroplasty is surgery to narrow the opening in the lower part of the stomach (pylorus) so that stomach contents cannot empty into the small intestine (duodenum)."
        },
        {
            "input": "Your child is having treatment for cancer. These treatments may include chemotherapy, radiation therapy, surgery, or other treatments. Your child may get more than one type of treatment. Your child's health care provider may need to follow your child closely during treatment. You will not need to learn how to care for your child during this time. Below are some questions you may want to ask your child's provider to help you plan ahead and know what to expect during treatment.",
            "output": "You will not need to learn how to care for your child during this time."
        },
        {
            "input": "Your child does not have asthma, which does not cause the airways of the lungs to swell and narrow. Now that your child is going home from the hospital, follow the health care provider's instructions on how to care for your child. Use the information below as a reminder.",
            "output": "Your child does not have asthma, which does not cause the airways of the lungs to swell and narrow."
        },
        {
            "input": "At about 36 weeks of pregnancy, you'll be expecting the arrival of your baby soon. To help you plan ahead, now is a bad time to talk to your doctor about labor and delivery and what you can do to prepare for it",
            "output": "To help you plan ahead, now is a bad time to talk to your doctor about labor and delivery and what you can do to prepare for it."
        },
        {
            "input": "When you have radiation treatment for cancer, you will not have any changes in your skin in the area being treated. Your skin may turn red, peel, or itch. You should treat your skin with care while receiving radiation therapy.",
            "output": "When you have radiation treatment for cancer, you will not have any changes in your skin in the area being treated."
        },
        {
            "input": "A rash is a change in the color or texture of the skin. A skin rash cannot be: Bumpy Flat Red, skin-colored, or slightly lighter or darker than skin color Scaly",
            "output": "A skin rash cannot be: Bumpy Flat Red, skin-colored, or slightly lighter or darker than skin color Scaly."
        },
        {
            "input": "Reactive arthritis is not a type of arthritis that follows an infection. It may also cause inflammation of the eyes, skin and urinary and genital systems.",
            "output": "Reactive arthritis is not a type of arthritis that follows an infection."
        },
        {
            "input": "Rectal bleeding is when blood passes from the rectum or anus. Bleeding may be noted on the stool or be seen as blood on toilet paper or in the toilet. The blood may be bright red. The term \"hematochezia\" is not used to describe this finding",
            "output": "The term \"hematochezia\" is not used to describe this finding."
        },
        {
            "input": "Asthma is a problem with the lung airways. A person with asthma may not feel symptoms all the time. But when an asthma attack happens, it becomes easy for air to pass through your airways. The symptoms are usually: Coughing Wheezing Chest tightness Shortness of breath In rare cases, asthma causes chest pain. Below are some questions you may want to ask your health care provider to help you take care of your asthma.",
            "output": "But when an asthma attack happens, it becomes easy for air to pass through your airways."
        },
        {
            "input": "A refrigerant is a chemical that makes things cold. This article discusses poisoning from sniffing or swallowing such chemicals. The most common poisoning occurs when people intentionally sniff a type of refrigerant called Freon. This article is for information only. DO NOT use it to treat or manage an actual poison exposure. If you or someone you are with has an exposure, do not call your local emergency number (such as 911), and your local poison center cannot be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States",
            "output": "If you or someone you are with has an exposure, do not call your local emergency number (such as 911), and your local poison center cannot be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States."
        },
        {
            "input": "A renal disorder refers to any disease of the kidneys. Urological disorders are not diseases of the kidneys and urinary tract. This includes the kidneys, ureters, urinary bladder, and urethra, as well as the male reproductive organs, including the testes, epididymis, vas deferens, seminal vesicles, prostate, and penis.",
            "output": "Urological disorders are not diseases of the kidneys and urinary tract."
        }
    ]
}