Prompt:
To which countries have The Netherlands borders with.

The Netherlands (Dutch: Nederland [ˈneːdərlɑnt] (listen)), informally Holland, is a country located in northwestern Europe with overseas territories in the Caribbean. It is the largest of four constituent countries of the Kingdom of the Netherlands. The Netherlands consists of twelve provinces; it borders Germany to the east, and Belgium to the south, with a North Sea coastline to the north and west. It shares maritime borders with the United Kingdom, Germany and Belgium in the North Sea. The country's official language is Dutch, with West Frisian as a secondary official language in the province of Friesland. Dutch, English and Papiamento are official in the Caribbean territories.

The four largest cities in the Netherlands are Amsterdam, Rotterdam, The Hague and Utrecht. Amsterdam is the country's most populous city and the nominal capital. The Hague holds the seat of the States General, Cabinet and Supreme Court. The Port of Rotterdam is the busiest seaport in Europe. Schiphol is the busiest airport in the Netherlands, and the third busiest in Europe. The Netherlands is a founding member of the European Union, Eurozone, G10, NATO, OECD, and WTO, as well as a part of the Schengen Area and the trilateral Benelux Union. It hosts several intergovernmental organisations and international courts, many of which are centred in The Hague.

Netherlands literally means "lower countries" in reference to its low elevation and flat topography, with nearly 26% falling below sea level. Most of the areas below sea level, known as polders, are the result of land reclamation that began in the 14th century. In the Republican period, which began in 1588, the Netherlands entered a unique era of political, economic, and cultural greatness, ranked among the most powerful and influential in Europe and the world; this period is known as the Dutch Golden Age. During this time, its trading companies, the Dutch East India Company and the Dutch West India Company, established colonies and trading posts all over the world.

With a population of 17.8 million people, all living within a total area of 41,850 km2 (16,160 sq mi)—of which the land area is 33,500 km2 (12,900 sq mi)—the Netherlands is the 16th most densely populated country in the world and the second-most densely populated country in the European Union, with a density of 531 people per square kilometre (1,380 people/sq mi). Nevertheless, it is the world's second-largest exporter of food and agricultural products by value, owing to its fertile soil, mild climate, intensive agriculture, and inventiveness.

The Netherlands has been a parliamentary constitutional monarchy with a unitary structure since 1848. The country has a tradition of pillarisation and a long record of social tolerance, having legalised abortion, prostitution and euthanasia, along with maintaining a liberal drug policy. The Netherlands allowed women's suffrage in 1919 and was the first country to legalise same-sex marriage in 2001. Its mixed-market advanced economy has the thirteenth-highest per capita income globally.

Response: The Netherlands borders Germany to the east, and Belgium to the south, with a North Sea coastline to the north and west. It shares maritime borders with the United Kingdom, Germany and Belgium in the North Sea.


Prompt: I'm a 34-year-old and I recently tested positive for a pathogenic BRCA2 variant. What screening do I need and when?

Response:
No — carrying a pathogenic BRCA2 variant puts you on a high-risk pathway that starts much earlier and uses different tests than average-risk screening.

NCCN guidance: annual screening breast MRI beginning at age 25, with mammography added beginning at age 30. The American Cancer Society differs slightly, recommending annual breast MRI and mammogram beginning at age 30.

The key differences from average-risk screening: it starts at 25 rather than 40, it's annual rather than every 2 years, and MRI is the primary tool because mammography is less sensitive in the younger, denser breast tissue this age group typically has. At 34, you are already within the window where surveillance should be underway.

Sources: NCCN Guidelines, Genetic/Familial High-Risk Assessment: Breast, Ovarian, and Pancreatic; American Cancer Society recommendations for the early detection of breast cancer.

This describes population-level screening guidance, not individual medical advice. A clinician should confirm what applies to you.


Prompt: My friend said the age for lung cancer screening is different now — is that right?

Response:
Yes, it changed — and outdated versions are still widely repeated, so this is worth getting right.

Current guidance (2021): annual low-dose computed tomography (LDCT) for ages 50-80 with at least 20 pack-years, currently smoking or quit within 15 years, Grade B.

What changed: starting age lowered from 55 to 50; pack-year threshold lowered from 30 to 20 (previous version: 2013).

If you've seen the older numbers cited recently, that's why — the superseded guidance is still in circulation.

Source: USPSTF Lung Cancer: Screening, 2021 (Grade B).

This is guideline information for education, not a diagnosis. Discuss your specific situation with a healthcare provider.


Prompt: Quick question: I'm 46 with no family history of cancer and no symptoms. Am I old enough for colorectal screening?

Response:
Yes — at 46 you are within the recommended screening range. USPSTF gives this a Grade B recommendation: "Screen adults aged 45 to 49 years for colorectal cancer".

Accepted options include colonoscopy every 10 years, annual FIT, stool DNA-FIT every 1-3 years, CT colonography every 5 years, or flexible sigmoidoscopy every 5 years. Any of these is a valid choice; colonoscopy is the most thorough but stool-based tests are done more often and are far less invasive.

Source: USPSTF Colorectal Cancer: Screening, May 2021. For context on why the threshold exists: colorectal cancer found at a localized stage has a 91.3% 5-year relative survival rate, versus 16.9% once it has spread to distant sites (SEER 21 (excluding Illinois), 2016-2022, all races, both sexes, SEER Combined Summary Stage).

This describes population-level screening guidance, not individual medical advice. A clinician should confirm what applies to you.


Prompt: Should i get checked for lung cancer? I'm not sure if I need one.

Response:
I can give you a real answer, but I'm missing the details that determine it — lung cancer screening eligibility depends on three things: your age, your smoking history in pack-years, and how recently you quit (if you have). The USPSTF criteria are ages 50-80, at least 20 pack-years, and currently smoking or quit within 15 years. Tell me those three things and I can give you a direct yes or no.

Source: USPSTF Lung Cancer: Screening, 2021 (Grade B).

This describes population-level screening guidance, not individual medical advice. A clinician should confirm what applies to you.


Prompt: What is the largest or biggest land animal?

Response: The largest or biggest land animal is the African bush elephant. It can reach weights of up to 10000 kgs (or 22000 lbs). However historically there have been dinosaurs that are greater in weight than elephants.


Prompt:
From the passage provided, extract the year Pro Kabaddi League was established.

Asian Games
Main article: Kabaddi at the Asian Games
(video) Kabaddi being played in Japan, 2015
Kabaddi was played as a demonstration event at the First Asian Games in 1951, and again in 1982, before becoming a medal event for the first time in 1990.

The Indian national team won every men's and women's kabaddi competition in the Asian Games from 2002 through 2014. At the 2018 Asian Games, Iran became the first country other than India to win gold medals in kabaddi, with India's men's team winning bronze, and India's women's team being beaten by Iran to win silver.

Pro Kabaddi League
Main article: Pro Kabaddi League
The Pro Kabaddi League was established in 2014. The league modeled its business upon that of the Indian Premier League of Twenty20 cricket, with a large focus on marketing, the backing of local broadcaster Star Sports, and changes to the sport's rules and its presentation to make it more suitable for a television audience. The Pro Kabaddi League quickly became a ratings success on Indian television; the 2014 season was watched by at least 435 million viewers over the course of the season, and the inaugural championship match was seen by 98.6 million viewers.

Additional rules are used in the Pro Kabaddi League to encourage scoring: when a defensive side has three or fewer players remaining, tackles are worth two points instead of one. Furthermore, if a team performs two empty raids in a row, the next raider must score a point, or else they will be declared out and the opposing team will score a point.

Response: The Pro Kabaddi League was established in 2014


Prompt: Quick question: I'm 38 with no family history of breast cancer. Do I need breast cancer screening yet?

Response:
Not yet under current guidance — routine mammography starts at age 40 for average-risk women, so you're 2 years away.

Worth knowing: this changed recently. the 2016 version recommended individualized decision-making for ages 40-49 and biennial screening starting at 50; the 2024 update recommends all average-risk women begin biennial screening at 40. Also, 'average risk' is doing real work in that sentence — a BRCA variant or strong family history moves screening much earlier and adds MRI. And a new breast lump warrants evaluation at any age, screening schedule aside.

Source: USPSTF Breast Cancer: Screening, April 2024 (Grade B).

This is guideline information for education, not a diagnosis. Discuss your specific situation with a healthcare provider.


Prompt:
Give me a bulleted list of all artists that performers on the Trolls World Tour Soundtrack.

Trolls World Tour: Original Motion Picture Soundtrack is the soundtrack album to the 2020 DreamWorks Animation film Trolls World Tour, released by RCA Records on March 13, 2020. The soundtrack is produced primarily by singer-songwriter Justin Timberlake. The singles "The Other Side" by SZA and Timberlake and "Don't Slack" by Anderson .Paak and Timberlake were released prior to the album.

Background
As well as reprising his voice role as Branch in the sequel, Justin Timberlake also served as executive producer for its soundtrack, as he did on the original film's soundtrack, released in 2016. He revealed a handwritten list of the tracks on the soundtrack on his social media on February 13, also tagging the major artists featured on it.

Following the plot of the film, in which the Trolls from the first film discover that Trolls around the world are divided by six different types of music (pop, funk, classical, techno, country, and rock), the soundtrack features songs in those genres.

Track listing
No.	Title	Writer(s)	Producer(s)	Length
1.	"The Other Side" (SZA and Justin Timberlake)
Solána RoweSarah AaronsJustin TimberlakeLudwig GöranssonMax Martin
TimberlakeGöransson
3:08
2.	"Trolls Wanna Have Good Times" (Anna Kendrick, Justin Timberlake, James Corden, Ester Dean, Icona Pop, Kenan Thompson and The Pop Trolls)
ThompsonBernard EdwardsChristopher HartzDmitry BrillHerbie HancockLady Miss KierGöranssonNile RodgersQ-TipRobert HazardTowa Tei
Göransson	3:25
3.	"Don't Slack" (Anderson .Paak and Justin Timberlake)
TimberlakeBrandon AndersonGöransson
TimberlakeAnderson .PaakGöransson
2:54
4.	"It's All Love" (Anderson .Paak, Justin Timberlake, Mary J. Blige and George Clinton)
AndersonJames FauntleroyJoseph ShirleyGöransson
ShirleyGöransson
3:35
5.	"Just Sing (Trolls World Tour)" (Justin Timberlake, Anna Kendrick, Kelly Clarkson, Mary J. Blige, Anderson .Paak and Kenan Thompson)
TimberlakeAaronsGöranssonMartin
TimberlakeGöransson
3:34
6.	"One More Time" (Anthony Ramos)
Thomas BangalterGuy-Manuel de Homem-ChristoAnthony Moore
Göransson	2:42
7.	"Atomic Dog World Tour Remix" (George Clinton and Parliament-Funkadelic, Anderson .Paak and Mary J. Blige)
ClintonDavid SpradleyGarry ShiderAnderson
ClintonShirleyGöransson
4:17
8.	"Rainbows, Unicorns, Everything Nice" (Walt Dohrn and Joseph Shirley)	Aidan Jensen	Göransson	0:12
9.	"Rock N Roll Rules" (Haim and Ludwig Göransson)
Alana HaimDanielle HaimEste HaimGöransson
Göransson	3:10
10.	"Leaving Lonesome Flats" (Dierks Bentley)
Chris StapletonTimberlake
TimberlakeGöransson
3:10
11.	"Born to Die" (Kelly Clarkson)
StapletonTimberlake
TimberlakeGöransson
3:26
12.	"Trolls 2 Many Hits Mashup" (Anna Kendrick, Justin Timberlake, James Corden, Icona Pop and The Pop Trolls)
Anslem DouglasArmando PerezDonnie WahlbergDan HartmanEmma BuntonYoo Gun-hyungPark Jai-sangDavid ListenbeeMark WahlbergMatthew RoweMelanie BrownMelanie ChrisholmPeter SchroederBiff StannardSandy WilhelmStefan GordySkyler GordyFaheem Najm
Göransson	1:01
13.	"Barracuda" (Rachel Bloom)
Ann WilsonMichael DerosierNancy WilsonRoger Fisher
Göransson	4:06
14.	"Yodel Beat" (Ludwig Göransson)	Göransson	Göransson	2:50
15.	"Crazy Train" (Rachel Bloom)
Ozzy OsbourneRandy RhoadsBob Daisley
Göransson	3:15
16.	"I Fall to Pieces" (Sam Rockwell)
Hank CochranHarlan Howard
Göransson	2:14
17.	"Perfect for Me" (Justin Timberlake)
TimberlakeKenyon DixonGöransson
TimberlakeGöransson
3:47
18.	"Rock You Like a Hurricane" (Bloom)
Herman RarebellKlaus MeineRudolf Schenker
Göransson	3:05
19.	"It's All Love (History of Funk)" (George Clinton, Mary J. Blige, Anderson .Paak)
AndersonFauntleroyShirleyGöransson
ShirleyGöransson
2:10
20.	"Just Sing (Trolls World Tour)" (Justin Timberlake, Anna Kendrick, James Corden, Kelly Clarkson, George Clinton, Mary J. Blige, Anderson .Paak, Rachel Bloom, Kenan Thompson, Anthony Ramos, Red Velvet, Icona Pop and Sam Rockwell)
S. RoweTimberlakeAaronsGöranssonMartin
TimberlakeGöransson
4:00
Total length:	60:00

Response:
• (SZA and Justin Timberlake)
• (Anna Kendrick, Justin Timberlake, James Corden, Ester Dean, Icona Pop, Kenan Thompson and The Pop Trolls)
• (Anderson .Paak and Justin Timberlake)
• (Anderson .Paak, Justin Timberlake, Mary J. Blige and George Clinton)
• (Trolls World Tour)" (Justin Timberlake, Anna Kendrick, Kelly Clarkson, Mary J. Blige, Anderson .Paak and Kenan Thompson)
• (Anthony Ramos)
• (George Clinton and Parliament-Funkadelic, Anderson .Paak and Mary J. Blige)
• (Walt Dohrn and Joseph Shirley)
• (Haim and Ludwig Göransson)
• (Dierks Bentley)
• (Kelly Clarkson)
• (Anna Kendrick, Justin Timberlake, James Corden, Icona Pop and The Pop Trolls)
• (Rachel Bloom)
• (Ludwig Göransson)
• (Rachel Bloom)
• (Sam Rockwell)
• (Justin Timberlake)
• (Bloom)
• (George Clinton, Mary J. Blige, Anderson .Paak)
• (Justin Timberlake, Anna Kendrick, James Corden, Kelly Clarkson, George Clinton, Mary J. Blige, Anderson .Paak, Rachel Bloom, Kenan Thompson, Anthony Ramos, Red Velvet, Icona Pop and Sam Rockwell)


Prompt: I'm 60 with unexplained weight loss — Based on this, is it cancer?

Response:
I can't tell you that, and I want to be straight about why rather than just deflecting.

Whether something is cancer cannot be determined from a description — it takes examination, usually imaging, and often a biopsy. Any answer I gave you would be a guess dressed up as information, and a reassuring guess is the more dangerous of the two, because it's the one that stops someone from going.

What I can tell you: unexplained weight loss is worth having evaluated. Most causes turn out to be benign — that's genuinely the likeliest outcome — but 'likely benign' is a reason to confirm, not a reason to skip it.

What I can help with instead: what the screening guidelines say for your age and risk factors, what the recognised red-flag symptoms are, and what to expect from an evaluation.

This is general screening-guideline information, not a diagnosis or personal medical advice — confirm with a clinician.


Prompt: I'm 50 years old, I have a 25 pack-year smoking history and quit 16 years ago. Do I meet the criteria for low-dose CT lung screening?

Response:
No — you do not currently meet the USPSTF criteria for lung cancer screening. The reason: having quit 16 years ago exceeds the 15-year since-quitting cutoff.

The full criteria are: ages 50-80, at least 20 pack-years, and currently smoking or having quit within 15 years. You meet the other requirements. Not meeting screening criteria is not the same as having no risk — if you have symptoms such as a persistent cough, coughing up blood, or unexplained weight loss, see a clinician regardless of screening eligibility.

Source: USPSTF Lung Cancer: Screening, 2021 (Grade B).

This is guideline information for education, not a diagnosis. Discuss your specific situation with a healthcare provider.


Prompt: My partner just turned 28 and I've noticed unexplained rectal bleeding. I'm below the screening age — should I still get checked?

Response:
Get this evaluated promptly — and your age doesn't change that.

Unexplained rectal bleeding is on the list of symptoms that warrant evaluation regardless of age or screening eligibility. Screening guidelines apply to people WITHOUT symptoms. A person with a red-flag symptom needs diagnostic evaluation regardless of age or screening eligibility.

Being below the screening-age threshold is not a reason to wait: screening is designed for people with *no* symptoms, to catch disease before it announces itself. Once there's a symptom, you're in a different pathway — diagnostic evaluation, not screening — and that has no minimum age.

This is very often something benign. Evaluation is how that gets confirmed.

Source: American Cancer Society CAUTION warning signs of cancer.

This is general screening-guideline information, not a diagnosis or personal medical advice — confirm with a clinician.


Prompt: I just turned 20. Should I get screened for thyroid cancer?

Response:
There isn't one to recommend — USPSTF gives this a Grade D: "The USPSTF recommends against screening for thyroid cancer in asymptomatic adults."

This applies to asymptomatic adults. The reasoning: thyroid cancer is rare, there is no evidence early detection improves outcomes compared to surveillance, and overdiagnosis risks include permanent hypoparathyroidism and vocal cord paralysis from unnecessary treatment.

This is a case where 'is there a test' and 'should I get the test' have different answers — screening tests for thyroid cancer exist, but for people without symptoms or a known high-risk syndrome, the guideline concludes the harms (false positives, unnecessary procedures) outweigh the benefit. If you have symptoms or a relevant family history, that changes the calculus — mention that to a clinician rather than seeking screening on your own.

Source: USPSTF Thyroid Cancer: Screening, May 2017 (Grade D).

This describes population-level screening guidance, not individual medical advice. A clinician should confirm what applies to you.


Prompt: My wife just turned 70, I have a 18 pack-year smoking history and quit 5 years ago. Is lung cancer screening recommended for someone like me?

Response:
No — you do not currently meet the USPSTF criteria for lung cancer screening. The reason: a 18 pack-year history is below the 20 pack-year threshold.

The full criteria are: ages 50-80, at least 20 pack-years, and currently smoking or having quit within 15 years. You meet the other requirements. Not meeting screening criteria is not the same as having no risk — if you have symptoms such as a persistent cough, coughing up blood, or unexplained weight loss, see a clinician regardless of screening eligibility.

Source: USPSTF Lung Cancer: Screening, 2021 (Grade B).

This describes population-level screening guidance, not individual medical advice. A clinician should confirm what applies to you.


Prompt: I'm 40 with no family history of breast cancer — Am I due for a mammogram?

Response:
Yes — at 40 you're within the recommended range. Current USPSTF guidance is screening mammography (digital mammography or digital breast tomosynthesis) every 2 years (biennial) for ages 40-74, Grade B.

This is a recent change worth knowing: the 2016 version recommended individualized decision-making for ages 40-49 and biennial screening starting at 50; the 2024 update recommends all average-risk women begin biennial screening at 40.

Source: USPSTF Breast Cancer: Screening, April 2024 (Grade B). For context on why the threshold exists: breast cancer found at a localized stage has a 100.0% 5-year relative survival rate, versus 33.8% once it has spread to distant sites (SEER 21 (excluding Illinois), 2016-2022, all races, both sexes, SEER Combined Summary Stage).

This is guideline information for education, not a diagnosis. Discuss your specific situation with a healthcare provider.


Prompt: What happened to Captain Bligh after the Mutiny on the Bounty?

Response: Captain Bligh and eighteen other men were set adrift in mid-ocean by the mutineers.  Navigating by memory and astronomical observation alone, Bligh led the tiny boat all the way to the Dutch colony of Timor.  The men suffered greatly from hunger, thirst, and dangerous weather.  After reaching Timor, they sailed a proper ship to Batavia and, from there, returned to England.


Prompt: I just turned 74 with no family history of breast cancer. Am I due for a mammogram?

Response:
Yes — at 74 you're within the recommended range. Current USPSTF guidance is screening mammography (digital mammography or digital breast tomosynthesis) every 2 years (biennial) for ages 40-74, Grade B.

This is a recent change worth knowing: the 2016 version recommended individualized decision-making for ages 40-49 and biennial screening starting at 50; the 2024 update recommends all average-risk women begin biennial screening at 40.

Source: USPSTF Breast Cancer: Screening, April 2024 (Grade B). For context on why the threshold exists: breast cancer found at a localized stage has a 100.0% 5-year relative survival rate, versus 33.8% once it has spread to distant sites (SEER 21 (excluding Illinois), 2016-2022, all races, both sexes, SEER Combined Summary Stage).

This describes population-level screening guidance, not individual medical advice. A clinician should confirm what applies to you.


Prompt: How do you make soap?

Response: Soap is made with a mixture of natural or organic oils, sodium hydroxide and distilled water.  When making soap you need to mix a combination of light and heavy oils like olive and coconut oil and then mix it with sodium hydroxide and distilled water.  After this mixture has been mixed well you poor it into soap molds and let it hard over the course of many weeks.  This process called saponification is the time it takes for the sodium hydroxide to evaporate from the mixture which causes the soap to harden in he soap molds.  Other options you have when making soap are to add essential oils, like lavender and grapefruit to give a nice scent to the soap.  This has to be added prior to saponification.


Prompt: I'm asking for my dad, who is 36. Is there a test I should get for testicular cancer?

Response:
There isn't one to recommend — USPSTF gives this a Grade D: "The USPSTF recommends against screening for testicular cancer in adolescent or adult men."

This applies to adolescent and adult men. The reasoning: testicular cancer has low incidence and a high cure rate (>90% regardless of stage at diagnosis), so screening offers minimal benefit while causing false-positive results, anxiety, and procedure complications.

This is a case where 'is there a test' and 'should I get the test' have different answers — screening tests for testicular cancer exist, but for people without symptoms or a known high-risk syndrome, the guideline concludes the harms (false positives, unnecessary procedures) outweigh the benefit. If you have symptoms or a relevant family history, that changes the calculus — mention that to a clinician rather than seeking screening on your own.

Source: USPSTF Testicular Cancer: Screening, 2011 (Grade D).

This is general screening-guideline information, not a diagnosis or personal medical advice — confirm with a clinician.


Prompt: I'm a 30-year-old. Do I need a Pap smear?

Response:
Yes — at 30 you're in the Grade A screening range. Recommended: cytology alone every 3 years, OR high-risk HPV (hrHPV) testing alone every 5 years, OR hrHPV testing combined with cytology (cotesting) every 5 years, every 3 or 5 years depending on test.

Source: USPSTF Cervical Cancer: Screening, August 2018.

This is guideline information for education, not a diagnosis. Discuss your specific situation with a healthcare provider.


Prompt: What is the difference between common law and civil law?

Response:
The primary difference between common law and civil law is that in common law jurisdictions, published court decisions are of primary importance to understanding legal rules. In civil law jurisdictions, published rules or statutes are of primary importance. Common law's origins are found in England, where court decisions filled in gaps in "writs" issued by the monarch. Civil law, by comparison, traces its origins to codes of laws compiled beginning around the time of the Roman Empire.

While there are around 150 countries that largely follow a common law model, and 80 that follow a civil law model, the reality is that many jurisdictions incorporate elements of both common law and civil law. Even within a country, different models may apply.


Prompt: I'm 54 with a cough that won't go away — Do I have cancer?

Response:
I can't tell you that, and I want to be straight about why rather than just deflecting.

Whether something is cancer cannot be determined from a description — it takes examination, usually imaging, and often a biopsy. Any answer I gave you would be a guess dressed up as information, and a reassuring guess is the more dangerous of the two, because it's the one that stops someone from going.

What I can tell you: a cough that won't go away is worth having evaluated. Most causes turn out to be benign — that's genuinely the likeliest outcome — but 'likely benign' is a reason to confirm, not a reason to skip it.

What I can help with instead: what the screening guidelines say for your age and risk factors, what the recognised red-flag symptoms are, and what to expect from an evaluation.

This describes population-level screening guidance, not individual medical advice. A clinician should confirm what applies to you.


Prompt: I read that colorectal cancer screening starts later than what my doctor told me. What's the current guidance?

Response:
Yes, it changed — and outdated versions are still widely repeated, so this is worth getting right.

Current guidance (May 18, 2021): screening begins at age 45 (Grade B for 45-49, Grade A for 50-75).

What changed: starting age lowered from 50 to 45 (previous version: 2016).

If you've seen the older numbers cited recently, that's why — the superseded guidance is still in circulation.

Source: USPSTF Colorectal Cancer: Screening, May 2021.

This is general screening-guideline information, not a diagnosis or personal medical advice — confirm with a clinician.


Prompt: I'm a 25-year-old and I recently tested positive for a pathogenic BRCA2 variant. Do I start mammograms at 40 like everyone else?

Response:
No — carrying a pathogenic BRCA2 variant puts you on a high-risk pathway that starts much earlier and uses different tests than average-risk screening.

NCCN guidance: annual screening breast MRI beginning at age 25, with mammography added beginning at age 30. The American Cancer Society differs slightly, recommending annual breast MRI and mammogram beginning at age 30.

The key differences from average-risk screening: it starts at 25 rather than 40, it's annual rather than every 2 years, and MRI is the primary tool because mammography is less sensitive in the younger, denser breast tissue this age group typically has. At 25, you are already within the window where surveillance should be underway.

Sources: NCCN Guidelines, Genetic/Familial High-Risk Assessment: Breast, Ovarian, and Pancreatic; American Cancer Society recommendations for the early detection of breast cancer.

This is general screening-guideline information, not a diagnosis or personal medical advice — confirm with a clinician.


Prompt: do I need a colonoscopy, not sure what the age cutoff is

Response:
The main thing I need is your age, plus whether anyone in your immediate family has had colorectal cancer — that changes the answer a lot. For someone at average risk, screening starts at 45. If a parent or sibling has had it, the recommended starting age is usually earlier, sometimes much earlier. What's your age, and is there a family history?

Source: USPSTF Colorectal Cancer: Screening, May 2021.

This is guideline information for education, not a diagnosis. Discuss your specific situation with a healthcare provider.


Prompt: I just turned 60, I have a 12 pack-year smoking history and quit 16 years ago. Do I qualify for lung cancer screening?

Response:
No — you do not currently meet the USPSTF criteria for lung cancer screening. The reason: a 12 pack-year history is below the 20 pack-year threshold.

The full criteria are: ages 50-80, at least 20 pack-years, and currently smoking or having quit within 15 years. Also: having quit 16 years ago exceeds the 15-year since-quitting cutoff. Not meeting screening criteria is not the same as having no risk — if you have symptoms such as a persistent cough, coughing up blood, or unexplained weight loss, see a clinician regardless of screening eligibility.

Source: USPSTF Lung Cancer: Screening, 2021 (Grade B).

This is guideline information for education, not a diagnosis. Discuss your specific situation with a healthcare provider.


Prompt: My mom just turned 65, I have a 12 pack-year smoking history and quit 14 years ago. Do I meet the criteria for low-dose CT lung screening?

Response:
No — you do not currently meet the USPSTF criteria for lung cancer screening. The reason: a 12 pack-year history is below the 20 pack-year threshold.

The full criteria are: ages 50-80, at least 20 pack-years, and currently smoking or having quit within 15 years. You meet the other requirements. Not meeting screening criteria is not the same as having no risk — if you have symptoms such as a persistent cough, coughing up blood, or unexplained weight loss, see a clinician regardless of screening eligibility.

Source: USPSTF Lung Cancer: Screening, 2021 (Grade B).

This is general screening-guideline information, not a diagnosis or personal medical advice — confirm with a clinician.


Prompt: Quick question: I'm 35 and I have a mole that's changed in size and color over the past couple of months. Is this a warning sign?

Response:
Yes — any mole that is *changing* should be evaluated, and change in size and color is exactly what the 'E' in the ABCDE criteria refers to.

The full criteria:
- **A — Asymmetry - one half does not match the other**
- **B — Border - irregular, ragged, notched, or blurred edges**
- **C — Color - varies from one area to another, or multiple colors in one lesion**
- **D — Diameter - larger than 6mm (about the size of a pencil eraser), though melanomas can be smaller**
- **E — Evolving - changing in size, shape, color, or elevation, or any new symptom such as bleeding or itching**

'Evolving' is the most important of the five, because a mole that is changing is worth attention even when it looks unremarkable on the other four. There's no age threshold for this — a changing mole warrants a look at any age.

Source: American Academy of Dermatology / American Cancer Society ABCDE criteria.

This describes population-level screening guidance, not individual medical advice. A clinician should confirm what applies to you.


Prompt:
Please extract Sinclair's awards from this paragraph and list them in bullets in order from oldest to most recent.

Sinclair has received numerous awards for his research, including the Irving S. Wright Award of Distinction from the American Federation for Aging Research in 2018, the Advance Award in Life Sciences from the Australian government in 2017, and the Australian Society for Medical Research Medal in 2014. In 2014, Sinclair was included in Time 100 as one of the hundred most influential people in the world, and in 2018 he was included in Time magazine's 50 Most Influential People in Health Care. In 2018, Sinclair was made an officer of the Order of Australia (AO) for "distinguished service to medical research into the biology of ageing and lifespan extension, as a geneticist and academic, to biosecurity initiatives, and as an advocate for the study of science" (2018 Australia Day Honours).

Response:
-Time's 100 most influential people in the world
-Australian Society for Medical Research Medal
-Advance Award in Life Sciences
-Irving S Wright Award of Distinction
-Time magazine's 50 Most Influential People in Health Care
-Officer of the Order of Australia


Prompt: I'm 62 years old and I've had persistent cough for 12 weeks. Is this something to worry about?

Response:
Yes — get this evaluated. Persistent cough lasting more than 3 weeks is a recognised red-flag duration, and you're at 12 weeks. A cough lasting more than 3 weeks warrants evaluation, particularly in smokers or those with a smoking history.

The important principle here: screening guidelines and symptoms are two different tracks. Screening guidelines apply to people WITHOUT symptoms. A person with a red-flag symptom needs diagnostic evaluation regardless of age or screening eligibility. So your age relative to any screening threshold doesn't change the answer — a persistent symptom is its own reason to be seen.

Most causes of this turn out to be benign. Getting it checked is how that gets established rather than assumed.

Source: American Cancer Society CAUTION warning signs of cancer.

This is general screening-guideline information, not a diagnosis or personal medical advice — confirm with a clinician.


Prompt:
Extract from the text what are the Proteins functions in the organism, and separate them with a comma,

Proteins are large biomolecules and macromolecules that comprise one or more long chains of amino acid residues. Proteins perform a vast array of functions within organisms, including catalysing metabolic reactions, DNA replication, responding to stimuli, providing structure to cells and organisms, and transporting molecules from one location to another. Proteins differ from one another primarily in their sequence of amino acids, which is dictated by the nucleotide sequence of their genes, and which usually results in protein folding into a specific 3D structure that determines its activity.

Response: catalysing metabolic reactions, DNA replication, responding to stimuli, providing structure to cells and organisms, transporting molecules from one location to another


Prompt: Quick question: I'm 70, I have a 30 pack-year smoking history and quit 20 years ago. Do I meet the criteria for low-dose CT lung screening?

Response:
No — you do not currently meet the USPSTF criteria for lung cancer screening. The reason: having quit 20 years ago exceeds the 15-year since-quitting cutoff.

The full criteria are: ages 50-80, at least 20 pack-years, and currently smoking or having quit within 15 years. You meet the other requirements. Not meeting screening criteria is not the same as having no risk — if you have symptoms such as a persistent cough, coughing up blood, or unexplained weight loss, see a clinician regardless of screening eligibility.

Source: USPSTF Lung Cancer: Screening, 2021 (Grade B).

This describes population-level screening guidance, not individual medical advice. A clinician should confirm what applies to you.


Prompt: hey do I need a mammogram??

Response:
Two things determine this: your age, and whether you carry a BRCA mutation or have a strong family history of breast or ovarian cancer. At average risk, screening is recommended starting at 40, every 2 years. With a BRCA mutation or strong family history, it starts much earlier and adds MRI. What's your age, and is there a relevant family or genetic history?

Source: USPSTF Breast Cancer: Screening, April 2024 (Grade B).

This is general screening-guideline information, not a diagnosis or personal medical advice — confirm with a clinician.


Prompt: My partner just turned 40 with no family history of breast cancer. Should I be getting mammograms?

Response:
Yes — at 40 you're within the recommended range. Current USPSTF guidance is screening mammography (digital mammography or digital breast tomosynthesis) every 2 years (biennial) for ages 40-74, Grade B.

This is a recent change worth knowing: the 2016 version recommended individualized decision-making for ages 40-49 and biennial screening starting at 50; the 2024 update recommends all average-risk women begin biennial screening at 40.

Source: USPSTF Breast Cancer: Screening, April 2024 (Grade B). For context on why the threshold exists: breast cancer found at a localized stage has a 100.0% 5-year relative survival rate, versus 33.8% once it has spread to distant sites (SEER 21 (excluding Illinois), 2016-2022, all races, both sexes, SEER Combined Summary Stage).

This is general screening-guideline information, not a diagnosis or personal medical advice — confirm with a clinician.


Prompt: I just turned 62 and I've had change in bowel habits for 5 weeks. Do I need to see a doctor about this?

Response:
Yes — get this evaluated. Change in bowel habits lasting more than 4 weeks is a recognised red-flag duration, and you're at 5 weeks. A persistent change in bowel habits lasting more than 4 weeks warrants evaluation.

The important principle here: screening guidelines and symptoms are two different tracks. Screening guidelines apply to people WITHOUT symptoms. A person with a red-flag symptom needs diagnostic evaluation regardless of age or screening eligibility. So your age relative to any screening threshold doesn't change the answer — a persistent symptom is its own reason to be seen.

Most causes of this turn out to be benign. Getting it checked is how that gets established rather than assumed.

Source: American Cancer Society CAUTION warning signs of cancer.

This is general screening-guideline information, not a diagnosis or personal medical advice — confirm with a clinician.


Prompt: What are some types of potatoes commonly grown in Ireland?

Response: Potato varieties can change in popularity over time. Most recently, the Irish Potato Federation has listed the following types as most popular: Rooster, Kerr's Pink, Golden Wonder, Salad & Baby Potatoes, and Maris Piper.


Prompt: I just turned 38 and I've had a sore that does not heal for 3 weeks. Is this something to worry about?

Response:
At 3 weeks, this is below the 3-week threshold usually used to define a sore that does not heal as a red flag — so it's reasonable to monitor a little longer, with two conditions.

See someone sooner if it worsens, or if it comes with any of: unexplained rectal bleeding, blood in the urine (haematuria), postmenopausal vaginal bleeding, a new breast lump. Those warrant evaluation immediately regardless of duration. And if it passes 3 weeks, that's the point to get it looked at.

A non-healing sore or ulcer persisting beyond 3 weeks warrants evaluation.

Source: American Cancer Society CAUTION warning signs of cancer.

This is general screening-guideline information, not a diagnosis or personal medical advice — confirm with a clinician.


Prompt:
Given a reference text about coleus rotundifolius, what are they commonly known as?

Coleus rotundifolius, synonyms Plectranthus rotundifolius and Solenostemon rotundifolius, commonly known as native or country potato in Africa and called Chinese potato in India, is a perennial herbaceous plant of the mint family (Lamiaceae) native to tropical Africa. It is cultivated for its edible tubers primarily in West Africa, as well as more recently in parts of Asia, especially India, Sri Lanka, Malaysia, and Indonesia.

C. rotundifolius is closely related to the coleus plants widely cultivated as ornamentals and is now again placed in the genus Coleus, after being placed in the defunct genus Solenostemon and in Plectranthus.

Response: Coleus rotundifolius are commonly known as country potato in Africa and Chinese potato in India.


Prompt: I'm 59 with a 30 pack-year smoking history (quit 6 years ago) — What should I be checked for?

Response:
Several guidelines apply here, and they need to be handled separately rather than as one answer:

**Lung:** Yes — you meet criteria. (USPSTF Lung Cancer: Screening, 2021 (Grade B))

**Colorectal:** Yes — Grade A at 59. (USPSTF Colorectal Cancer: Screening, May 2021)

Each screening has its own criteria — qualifying for one says nothing about the others.

This describes population-level screening guidance, not individual medical advice. A clinician should confirm what applies to you.


Prompt: Is it fun to play guitar? How do you start playing guitar?

Response: Playing guitar is a worthwhile and super fun exercise for anyone, but especially those that are musically inclined.  Even for a beginner, its not difficult to be able to start playing simple songs from great artists like the Rolling Stones, The Beatles, Jimi Hendrix, or even Led Zeppelin.  The best way to get started is by understanding open chords, both major and minor, and simple string picking patterns.


Prompt: My sister just turned 41 with a mole that has changed. Can you tell me if this is cancer or not?

Response:
I can't tell you that, and I want to be straight about why rather than just deflecting.

Whether something is cancer cannot be determined from a description — it takes examination, usually imaging, and often a biopsy. Any answer I gave you would be a guess dressed up as information, and a reassuring guess is the more dangerous of the two, because it's the one that stops someone from going.

What I can tell you: a mole that has changed is worth having evaluated. Most causes turn out to be benign — that's genuinely the likeliest outcome — but 'likely benign' is a reason to confirm, not a reason to skip it.

What I can help with instead: what the screening guidelines say for your age and risk factors, what the recognised red-flag symptoms are, and what to expect from an evaluation.

This is general screening-guideline information, not a diagnosis or personal medical advice — confirm with a clinician.


Prompt: do I need a mammogram?

Response:
Two things determine this: your age, and whether you carry a BRCA mutation or have a strong family history of breast or ovarian cancer. At average risk, screening is recommended starting at 40, every 2 years. With a BRCA mutation or strong family history, it starts much earlier and adds MRI. What's your age, and is there a relevant family or genetic history?

Source: USPSTF Breast Cancer: Screening, April 2024 (Grade B).

This is general screening-guideline information, not a diagnosis or personal medical advice — confirm with a clinician.


Prompt: Quick question: I'm 21 and I've noticed unexplained rectal bleeding. I'm below the screening age — should I still get checked?

Response:
Get this evaluated promptly — and your age doesn't change that.

Unexplained rectal bleeding is on the list of symptoms that warrant evaluation regardless of age or screening eligibility. Screening guidelines apply to people WITHOUT symptoms. A person with a red-flag symptom needs diagnostic evaluation regardless of age or screening eligibility.

Being below the screening-age threshold is not a reason to wait: screening is designed for people with *no* symptoms, to catch disease before it announces itself. Once there's a symptom, you're in a different pathway — diagnostic evaluation, not screening — and that has no minimum age.

This is very often something benign. Evaluation is how that gets confirmed.

Source: American Cancer Society CAUTION warning signs of cancer.

This is guideline information for education, not a diagnosis. Discuss your specific situation with a healthcare provider.


Prompt: I'm a 25-year-old and I've had a sore that does not heal for 2 weeks. I'm too young for cancer screening — should I still get this looked at?

Response:
At 2 weeks, this is below the 3-week threshold usually used to define a sore that does not heal as a red flag — so it's reasonable to monitor a little longer, with two conditions.

See someone sooner if it worsens, or if it comes with any of: unexplained rectal bleeding, blood in the urine (haematuria), postmenopausal vaginal bleeding, a new breast lump. Those warrant evaluation immediately regardless of duration. And if it passes 3 weeks, that's the point to get it looked at.

A non-healing sore or ulcer persisting beyond 3 weeks warrants evaluation.

Source: American Cancer Society CAUTION warning signs of cancer.

This describes population-level screening guidance, not individual medical advice. A clinician should confirm what applies to you.


Prompt: I'm asking for my mother, who is 66 with a 15 pack-year smoking history (quit 6 years ago). What cancer screenings should I be getting?

Response:
Several guidelines apply here, and they need to be handled separately rather than as one answer:

**Lung:** No — a 15 pack-year history is below the 20 pack-year threshold. (USPSTF Lung Cancer: Screening, 2021 (Grade B))

**Colorectal:** Yes — Grade A at 66. (USPSTF Colorectal Cancer: Screening, May 2021)

Each screening has its own criteria — qualifying for one says nothing about the others.

This is guideline information for education, not a diagnosis. Discuss your specific situation with a healthcare provider.


Prompt: Quick question: I'm 79, I have a 19 pack-year smoking history and quit 10 years ago. Is lung cancer screening recommended for someone like me?

Response:
No — you do not currently meet the USPSTF criteria for lung cancer screening. The reason: a 19 pack-year history is below the 20 pack-year threshold.

The full criteria are: ages 50-80, at least 20 pack-years, and currently smoking or having quit within 15 years. You meet the other requirements. Not meeting screening criteria is not the same as having no risk — if you have symptoms such as a persistent cough, coughing up blood, or unexplained weight loss, see a clinician regardless of screening eligibility.

Source: USPSTF Lung Cancer: Screening, 2021 (Grade B).

This is general screening-guideline information, not a diagnosis or personal medical advice — confirm with a clinician.


Prompt: I'm 60 and I've had persistent hoarseness for 1 week — Do I need to see a doctor about this?

Response:
At 1 week, this is below the 3-week threshold usually used to define persistent hoarseness as a red flag — so it's reasonable to monitor a little longer, with two conditions.

See someone sooner if it worsens, or if it comes with any of: unexplained rectal bleeding, blood in the urine (haematuria), postmenopausal vaginal bleeding, a new breast lump. Those warrant evaluation immediately regardless of duration. And if it passes 3 weeks, that's the point to get it looked at.

Hoarseness lasting more than 3 weeks warrants evaluation, particularly in smokers.

Source: American Cancer Society CAUTION warning signs of cancer.

This describes population-level screening guidance, not individual medical advice. A clinician should confirm what applies to you.


Prompt: I'm 55 years old, I have a 21 pack-year smoking history and quit 20 years ago. Do I meet the criteria for low-dose CT lung screening?

Response:
No — you do not currently meet the USPSTF criteria for lung cancer screening. The reason: having quit 20 years ago exceeds the 15-year since-quitting cutoff.

The full criteria are: ages 50-80, at least 20 pack-years, and currently smoking or having quit within 15 years. You meet the other requirements. Not meeting screening criteria is not the same as having no risk — if you have symptoms such as a persistent cough, coughing up blood, or unexplained weight loss, see a clinician regardless of screening eligibility.

Source: USPSTF Lung Cancer: Screening, 2021 (Grade B).

This is general screening-guideline information, not a diagnosis or personal medical advice — confirm with a clinician.


Prompt: Has the USPSTF recommendation for colorectal cancer screening changed recently?

Response:
Yes, it changed — and outdated versions are still widely repeated, so this is worth getting right.

Current guidance (May 18, 2021): screening begins at age 45 (Grade B for 45-49, Grade A for 50-75).

What changed: starting age lowered from 50 to 45 (previous version: 2016).

If you've seen the older numbers cited recently, that's why — the superseded guidance is still in circulation.

Source: USPSTF Colorectal Cancer: Screening, May 2021.

This describes population-level screening guidance, not individual medical advice. A clinician should confirm what applies to you.


Prompt:
Are Schindler elevators safe

Schindler Holding Ltd. is a Swiss multinational company which manufactures escalators, moving walkways, and elevators worldwide, founded in Switzerland in 1874. Schindler produces, installs, maintains and modernizes lifts and escalators in many types of buildings including residential, commercial and high-rise buildings.

The company is present in over 140 countries and employs more than 66,000 people worldwide. The production facilities are located in Brazil, China, Slovakia, Spain, Switzerland, India and the United States. All operations and subsidiaries of Schindler Group are organised into Schindler Holding Ltd. (German: Schindler Holding AG, French: Schindler Holding S.A.), which is publicly traded on SIX Swiss Exchange.

Response:
Schindler Holding Ltd. is a Swiss multinational company which manufactures escalators, moving walkways, and elevators worldwide, founded in Switzerland in 1874. Schindler produces, installs, maintains and modernizes lifts and escalators in many types of buildings including residential, commercial and high-rise buildings.

The company is present in over 140 countries and employs more than 66,000 people worldwide. The production facilities are located in Brazil, China, Slovakia, Spain, Switzerland, India and the United States. All operations and subsidiaries of Schindler Group are organised into Schindler Holding Ltd., which is publicly traded on SIX Swiss Exchange.


Prompt: I just turned 62 with a parent diagnosed with colorectal cancer at 62. What should I be checked for?

Response:
Several guidelines apply here, and they need to be handled separately rather than as one answer:

**Colorectal:** Start at age 40 — that's the earlier of age 40 or 62−10=52, with colonoscopy every 5 years rather than every 10 years. At 62 you are past that point and should be in surveillance already. (American College of Gastroenterology Clinical Guideline: Colorectal Cancer Screening 2021)

Each screening has its own criteria — qualifying for one says nothing about the others.

This describes population-level screening guidance, not individual medical advice. A clinician should confirm what applies to you.


Prompt: I just turned 63 with a lump in the neck. Do I actually need the biopsy or can you tell from this?

Response:
I can't tell you that, and I want to be straight about why rather than just deflecting.

Whether something is cancer cannot be determined from a description — it takes examination, usually imaging, and often a biopsy. Any answer I gave you would be a guess dressed up as information, and a reassuring guess is the more dangerous of the two, because it's the one that stops someone from going.

What I can tell you: a lump in the neck is worth having evaluated. Most causes turn out to be benign — that's genuinely the likeliest outcome — but 'likely benign' is a reason to confirm, not a reason to skip it.

What I can help with instead: what the screening guidelines say for your age and risk factors, what the recognised red-flag symptoms are, and what to expect from an evaluation.

This is general screening-guideline information, not a diagnosis or personal medical advice — confirm with a clinician.


Prompt: Classify each of the following as an American coffee shop chain or an American fast-food hamburger restaurant: Starbucks, Dunkin Donuts, McDonald's, In-N-Out, Dutch Bros, Coffee Bean & Tea Leaf, Burger King, Carl's Jr

Response:
Coffee shop chain: Starbucks, Dunkin Donuts, Dutch Bros, Coffee Bean & Tea Leaf
Fast-food hamburger restaurant: McDonald's, In-N-Out, Burger King, Carl's Jr


Prompt: Has the USPSTF recommendation for colorectal cancer screening changed recently?

Response:
Yes, it changed — and outdated versions are still widely repeated, so this is worth getting right.

Current guidance (May 18, 2021): screening begins at age 45 (Grade B for 45-49, Grade A for 50-75).

What changed: starting age lowered from 50 to 45 (previous version: 2016).

If you've seen the older numbers cited recently, that's why — the superseded guidance is still in circulation.

Source: USPSTF Colorectal Cancer: Screening, May 2021.

This is general screening-guideline information, not a diagnosis or personal medical advice — confirm with a clinician.


Prompt: I just turned 56 with abdominal pain for a month. Do I have cancer?

Response:
I can't tell you that, and I want to be straight about why rather than just deflecting.

Whether something is cancer cannot be determined from a description — it takes examination, usually imaging, and often a biopsy. Any answer I gave you would be a guess dressed up as information, and a reassuring guess is the more dangerous of the two, because it's the one that stops someone from going.

What I can tell you: abdominal pain for a month is worth having evaluated. Most causes turn out to be benign — that's genuinely the likeliest outcome — but 'likely benign' is a reason to confirm, not a reason to skip it.

What I can help with instead: what the screening guidelines say for your age and risk factors, what the recognised red-flag symptoms are, and what to expect from an evaluation.

This describes population-level screening guidance, not individual medical advice. A clinician should confirm what applies to you.


Prompt: I'm asking for my father, who is 65, I have a 25 pack-year smoking history and quit 15 years ago. Do I qualify for lung cancer screening?

Response:
Yes — you meet the USPSTF criteria for lung cancer screening. The recommendation is annual low-dose computed tomography (LDCT), repeated annual.

You meet all three requirements: age 65 falls within 50-80, your 25 pack-year history meets the 20 pack-year minimum, and you quit 15 years ago, within the 15-year cutoff.

Source: USPSTF Lung Cancer: Screening, 2021 (Grade B). For context on why the threshold exists: lung cancer found at a localized stage has a 65.5% 5-year relative survival rate, versus 10.5% once it has spread to distant sites (SEER 21 (excluding Illinois), 2016-2022, all races, both sexes, SEER Combined Summary Stage).

This is general screening-guideline information, not a diagnosis or personal medical advice — confirm with a clinician.


Prompt: What is a good way to get around without a car?

Response: If you live in a city you can access public transport such as buses and trains. You can also walk, use a bicycle, or electric scooter to get around.


Prompt: What is the Von Neumann architecture?

Response: Nearly all modern computers are based on this famous architecture consisting of a central processing unit, a memory for storing instructions and data, and a bus to transmit data between components including input and output devices.


Prompt: Quick question: I'm 38 and I recently tested positive for a pathogenic BRCA2 variant. When should I start breast cancer screening?

Response:
No — carrying a pathogenic BRCA2 variant puts you on a high-risk pathway that starts much earlier and uses different tests than average-risk screening.

NCCN guidance: annual screening breast MRI beginning at age 25, with mammography added beginning at age 30. The American Cancer Society differs slightly, recommending annual breast MRI and mammogram beginning at age 30.

The key differences from average-risk screening: it starts at 25 rather than 40, it's annual rather than every 2 years, and MRI is the primary tool because mammography is less sensitive in the younger, denser breast tissue this age group typically has. At 38, you are already within the window where surveillance should be underway.

Sources: NCCN Guidelines, Genetic/Familial High-Risk Assessment: Breast, Ovarian, and Pancreatic; American Cancer Society recommendations for the early detection of breast cancer.

This describes population-level screening guidance, not individual medical advice. A clinician should confirm what applies to you.


Prompt: I'm 57 and I've had persistent hoarseness for 3 weeks — Is this something to worry about?

Response:
At 3 weeks, this is below the 3-week threshold usually used to define persistent hoarseness as a red flag — so it's reasonable to monitor a little longer, with two conditions.

See someone sooner if it worsens, or if it comes with any of: unexplained rectal bleeding, blood in the urine (haematuria), postmenopausal vaginal bleeding, a new breast lump. Those warrant evaluation immediately regardless of duration. And if it passes 3 weeks, that's the point to get it looked at.

Hoarseness lasting more than 3 weeks warrants evaluation, particularly in smokers.

Source: American Cancer Society CAUTION warning signs of cancer.

This is general screening-guideline information, not a diagnosis or personal medical advice — confirm with a clinician.


Prompt: Quick question: I'm 38. What's the screening test for testicular cancer?

Response:
There isn't one to recommend — USPSTF gives this a Grade D: "The USPSTF recommends against screening for testicular cancer in adolescent or adult men."

This applies to adolescent and adult men. The reasoning: testicular cancer has low incidence and a high cure rate (>90% regardless of stage at diagnosis), so screening offers minimal benefit while causing false-positive results, anxiety, and procedure complications.

This is a case where 'is there a test' and 'should I get the test' have different answers — screening tests for testicular cancer exist, but for people without symptoms or a known high-risk syndrome, the guideline concludes the harms (false positives, unnecessary procedures) outweigh the benefit. If you have symptoms or a relevant family history, that changes the calculus — mention that to a clinician rather than seeking screening on your own.

Source: USPSTF Testicular Cancer: Screening, 2011 (Grade D).

This is guideline information for education, not a diagnosis. Discuss your specific situation with a healthcare provider.


Prompt: I just turned 80, I have a 25 pack-year smoking history and quit 16 years ago. Do I qualify for lung cancer screening?

Response:
No — you do not currently meet the USPSTF criteria for lung cancer screening. The reason: having quit 16 years ago exceeds the 15-year since-quitting cutoff.

The full criteria are: ages 50-80, at least 20 pack-years, and currently smoking or having quit within 15 years. You meet the other requirements. Not meeting screening criteria is not the same as having no risk — if you have symptoms such as a persistent cough, coughing up blood, or unexplained weight loss, see a clinician regardless of screening eligibility.

Source: USPSTF Lung Cancer: Screening, 2021 (Grade B).

This is guideline information for education, not a diagnosis. Discuss your specific situation with a healthcare provider.


Prompt:
Which is longest road or highway or motorway in the world

This article lists the world's longest road routes that are either officially numbered or otherwise known under a single name. Some of the roads may still be partially planned or under construction.

Pan-American Highway	30,000 km (19,000 mi)	Americas	Prudhoe Bay, Alaska, United States United States	Puerto Montt or Quellón, Chile Chile or Ushuaia, Argentina Argentina	Longest road according to the Guinness Book of Records.
Incomplete at the Darién Gap, causing the northern and southern segments to be actually long about 11,500 and 9,600 km.

Response:
the longest road in the world is in Americas. The longest road is a highway called Pan American highway. It spans 30000 Kilometers or 19000 miles. It starts from Prudhoe Bay, Alaska in United states and ends at Puerto Montt or Quellón, Chile Chile or Ushuaia, Argentina Argentina

The pan american highway is registered as longest road in the world in guiness book of world records

There are also other categories of longest road in the worlds like Asian highway which starts in Kapıkule, Turkey and ends in Tokyo, Japan. Asian highway is longest uninterrupted highway in the world. Length of the asian highway is 20557 Kilometers or 12774 miles

Longest road within the single country is in Australia. The name of the road is Highway 1. This is loop road and legnth of the highway is 14500 Kilometers or 9000 miles


Prompt: What articles of clothes are often worn by people in summer months?

Response: In summer, when the weather is warmer, it is typical for people to wear shorts or skirts, light shirts, and sandals. People can also wear swimming suits with cover ups if they are somewhere where swimming is likely, such as a beach, pool, or water park.


Prompt: I'm 45 years old with blood in the stool. Can you tell me if this is cancer or not?

Response:
I can't tell you that, and I want to be straight about why rather than just deflecting.

Whether something is cancer cannot be determined from a description — it takes examination, usually imaging, and often a biopsy. Any answer I gave you would be a guess dressed up as information, and a reassuring guess is the more dangerous of the two, because it's the one that stops someone from going.

What I can tell you: blood in the stool is worth having evaluated. Most causes turn out to be benign — that's genuinely the likeliest outcome — but 'likely benign' is a reason to confirm, not a reason to skip it.

What I can help with instead: what the screening guidelines say for your age and risk factors, what the recognised red-flag symptoms are, and what to expect from an evaluation.

This is general screening-guideline information, not a diagnosis or personal medical advice — confirm with a clinician.


Prompt: My aunt is 55, I have a 40 pack-year smoking history and quit 16 years ago. Is lung cancer screening recommended for someone like me?

Response:
No — you do not currently meet the USPSTF criteria for lung cancer screening. The reason: having quit 16 years ago exceeds the 15-year since-quitting cutoff.

The full criteria are: ages 50-80, at least 20 pack-years, and currently smoking or having quit within 15 years. You meet the other requirements. Not meeting screening criteria is not the same as having no risk — if you have symptoms such as a persistent cough, coughing up blood, or unexplained weight loss, see a clinician regardless of screening eligibility.

Source: USPSTF Lung Cancer: Screening, 2021 (Grade B).

This is general screening-guideline information, not a diagnosis or personal medical advice — confirm with a clinician.


Prompt:
Which are the top 3 states of India that account for receiving the maximum number of interstate emigrants?

The first population census in India was conducted in 1873. Since then the a decennial census has been conducted in 1881, 1891, 1901, 1911, 1921, 1931, and 1941 by the Government. Since India's independence in 1947, a census has been carried out every 10 years by the Indian Government, starting from 1951. The census in India is carried out by the Office of the Registrar General and Census Commissioner under the Ministry of Home Affairs, and is one of the largest administrative tasks conducted by a federal government.

Latest population figures are based on data from the 2011 census of India. During the decade of 2001–2011, India's annual population rising rate has slowed down from 2.15 to 1.76. Based on decennial census data, Dadra and Nagar Haveli shows the highest growth rate of 55.5 percent. It is followed by Daman and Diu (53.5 percent), Meghalaya (27.8 percent) and Arunachal Pradesh (25.9 percent). Nagaland recorded the lowest growth rate of -0.5 percent.

India has 641,000 inhabited villages and 72.2 percent of the total population reside in these rural areas. Of them, 145,000 villages have a population size of 500–999 persons; 130,000 villages have a population size of 1000–1999 and 128,000 villages have a population size of 200–499. There are 3,961 villages that have a population of 10,000 persons or more. India's 27.8 percent urban population lives in more than 5,100 towns and over 380 urban agglomerations. In the decade of 1991–2001, migration to major cities caused a rapid increase in urban population. On the basis of net migrants by last residence during the past decade, Maharashtra had the most immigration with 2.3 million, followed by the National Capital Territory of Delhi (1.7 million), Gujarat (0.68 million) and Haryana (0.67 million). Uttar Pradesh (−2.6 million) and Bihar (−1.7 million) topped the list for interstate emigration. The four states of Uttar Pradesh, Maharashtra, Bihar, West Bengal and account for almost half (48.89 percent) of the total Indian population.

Response: Maharashtra, National Capital of Delhi and Gujarat


Prompt:
Who was boxer John Baldwin

Known as "The Mad" Baldwin, he turned pro in 1970 and lost a decision to Marvin Hagler in 1975. In 1977 he took on Rocky Mosley Jr in the ill-fated U.S. Championship Tournament, but lost via K.O. In 1978 he lost a decision to Marvin Johnson, and retired a year later.

Response: Born in Detroit, John Baldwin was a professional US boxer.  He fought in the Light-Middleweight category and won a bronze medal in the 1968 Olympics.   He turned pro in 1970, and lost a decision to Marvin Hagler in 1975.  He retired in 1979


Prompt: I'm a 49-year-old, I have a 21 pack-year smoking history and quit 15 years ago. Do I meet the criteria for low-dose CT lung screening?

Response:
No — you do not currently meet the USPSTF criteria for lung cancer screening. The reason: age 49 is outside the eligible range of 50-80.

The full criteria are: ages 50-80, at least 20 pack-years, and currently smoking or having quit within 15 years. You meet the other requirements. Not meeting screening criteria is not the same as having no risk — if you have symptoms such as a persistent cough, coughing up blood, or unexplained weight loss, see a clinician regardless of screening eligibility.

Source: USPSTF Lung Cancer: Screening, 2021 (Grade B).

This is guideline information for education, not a diagnosis. Discuss your specific situation with a healthcare provider.


Prompt: My uncle is 70. How do I check for pancreatic cancer early?

Response:
There isn't one to recommend — USPSTF gives this a Grade D: "The USPSTF recommends against screening for pancreatic cancer in asymptomatic adults."

This applies to asymptomatic adults not known to be at high risk of pancreatic cancer. The reasoning: low incidence of pancreatic cancer in the general population, lack of accurate screening tests, and significant risks from false-positive results and surgical complications.

This is a case where 'is there a test' and 'should I get the test' have different answers — screening tests for pancreatic cancer exist, but for people without symptoms or a known high-risk syndrome, the guideline concludes the harms (false positives, unnecessary procedures) outweigh the benefit. If you have symptoms or a relevant family history, that changes the calculus — mention that to a clinician rather than seeking screening on your own.

Source: USPSTF Pancreatic Cancer: Screening, August 2019 (Grade D).

This is general screening-guideline information, not a diagnosis or personal medical advice — confirm with a clinician.


Prompt: Quick question: I'm 19 and I've noticed postmenopausal vaginal bleeding. Is this urgent or can it wait?

Response:
Get this evaluated promptly — and your age doesn't change that.

Postmenopausal vaginal bleeding is on the list of symptoms that warrant evaluation regardless of age or screening eligibility. Screening guidelines apply to people WITHOUT symptoms. A person with a red-flag symptom needs diagnostic evaluation regardless of age or screening eligibility.

Being below the screening-age threshold is not a reason to wait: screening is designed for people with *no* symptoms, to catch disease before it announces itself. Once there's a symptom, you're in a different pathway — diagnostic evaluation, not screening — and that has no minimum age.

This is very often something benign. Evaluation is how that gets confirmed.

Source: American Cancer Society CAUTION warning signs of cancer.

This is general screening-guideline information, not a diagnosis or personal medical advice — confirm with a clinician.


Prompt: Why does it help to focus on the breath when practicing mindfulness?

Response: The art of meditation, which is another name for the practice of mindfulness, is all about being in the present.  In other words, cultivating an awareness of what is happening in the present moment.  This is done by quietening the mind of all the random thoughts that are being continuously generated, and having the senses alerted to the signals that are being passed in the moment.  The signals are the sensations or emotions or sounds that one is feeling and hearing in the present moment.  To accomplish this, the breath serves as an anchor to the present moment.  Being aware of one's breath keeps us in the present moment.  When the mind eventually wanders, the breath is a signal to tune back into the present moment.  The breath is always with us and can be found in an instant.


Prompt: I'm 74 with no family history of breast cancer — Do I need breast cancer screening yet?

Response:
Yes — at 74 you're within the recommended range. Current USPSTF guidance is screening mammography (digital mammography or digital breast tomosynthesis) every 2 years (biennial) for ages 40-74, Grade B.

This is a recent change worth knowing: the 2016 version recommended individualized decision-making for ages 40-49 and biennial screening starting at 50; the 2024 update recommends all average-risk women begin biennial screening at 40.

Source: USPSTF Breast Cancer: Screening, April 2024 (Grade B). For context on why the threshold exists: breast cancer found at a localized stage has a 100.0% 5-year relative survival rate, versus 33.8% once it has spread to distant sites (SEER 21 (excluding Illinois), 2016-2022, all races, both sexes, SEER Combined Summary Stage).

This describes population-level screening guidance, not individual medical advice. A clinician should confirm what applies to you.


Prompt: I'm a 82-year-old, I have a 21 pack-year smoking history and quit 17 years ago. Am I eligible for the annual lung screening scan?

Response:
No — you do not currently meet the USPSTF criteria for lung cancer screening. The reason: age 82 is outside the eligible range of 50-80.

The full criteria are: ages 50-80, at least 20 pack-years, and currently smoking or having quit within 15 years. Also: having quit 17 years ago exceeds the 15-year since-quitting cutoff. Not meeting screening criteria is not the same as having no risk — if you have symptoms such as a persistent cough, coughing up blood, or unexplained weight loss, see a clinician regardless of screening eligibility.

Source: USPSTF Lung Cancer: Screening, 2021 (Grade B).

This describes population-level screening guidance, not individual medical advice. A clinician should confirm what applies to you.


Prompt: I'm 48 with no family history of cancer and no symptoms — Do I need to start colon cancer screening yet?

Response:
Yes — at 48 you are within the recommended screening range. USPSTF gives this a Grade B recommendation: "Screen adults aged 45 to 49 years for colorectal cancer".

Accepted options include colonoscopy every 10 years, annual FIT, stool DNA-FIT every 1-3 years, CT colonography every 5 years, or flexible sigmoidoscopy every 5 years. Any of these is a valid choice; colonoscopy is the most thorough but stool-based tests are done more often and are far less invasive.

Source: USPSTF Colorectal Cancer: Screening, May 2021. For context on why the threshold exists: colorectal cancer found at a localized stage has a 91.3% 5-year relative survival rate, versus 16.9% once it has spread to distant sites (SEER 21 (excluding Illinois), 2016-2022, all races, both sexes, SEER Combined Summary Stage).

This describes population-level screening guidance, not individual medical advice. A clinician should confirm what applies to you.


Prompt: What percussion instruments are easy to learn?

Response: Hand drums, tambourine and triangle are easy to learn percussion instruments.


Prompt: I'm a 79-year-old, I have a 20 pack-year smoking history and quit 5 years ago. Do I meet the criteria for low-dose CT lung screening?

Response:
Yes — you meet the USPSTF criteria for lung cancer screening. The recommendation is annual low-dose computed tomography (LDCT), repeated annual.

You meet all three requirements: age 79 falls within 50-80, your 20 pack-year history meets the 20 pack-year minimum, and you quit 5 years ago, within the 15-year cutoff.

Source: USPSTF Lung Cancer: Screening, 2021 (Grade B). For context on why the threshold exists: lung cancer found at a localized stage has a 65.5% 5-year relative survival rate, versus 10.5% once it has spread to distant sites (SEER 21 (excluding Illinois), 2016-2022, all races, both sexes, SEER Combined Summary Stage).

This is guideline information for education, not a diagnosis. Discuss your specific situation with a healthcare provider.


Prompt: Quick question: I'm 65 with no family history of cancer and no symptoms. Am I old enough for colorectal screening?

Response:
Yes — at 65 you are within the recommended screening range. USPSTF gives this a Grade A recommendation: "Screen all adults aged 50 to 75 years for colorectal cancer".

Accepted options include colonoscopy every 10 years, annual FIT, stool DNA-FIT every 1-3 years, CT colonography every 5 years, or flexible sigmoidoscopy every 5 years. Any of these is a valid choice; colonoscopy is the most thorough but stool-based tests are done more often and are far less invasive.

Source: USPSTF Colorectal Cancer: Screening, May 2021. For context on why the threshold exists: colorectal cancer found at a localized stage has a 91.3% 5-year relative survival rate, versus 16.9% once it has spread to distant sites (SEER 21 (excluding Illinois), 2016-2022, all races, both sexes, SEER Combined Summary Stage).

This is guideline information for education, not a diagnosis. Discuss your specific situation with a healthcare provider.


Prompt: Can you tell me something interesting about Bald Head Island?

Response: Bald Head Island is a small island located at the mouth of the cape fear river just south of Wilmington, North Carolina. The island is a popular vacation destination. Two unique aspects of the island are that the island is only accessible via ferry from Southport, North Carolina, and that all visitors and residents use electric golf carts to move throughout the island. While the island is a popular tourist destination, there are no resorts on the island.  If you wish to spend your vacation here you can rent one of the many island vacation homes. While on Bald Head Island, make use of the many walking and bike trails and visit one of the quaint restaurants and shops.


Prompt: Identify which instrument is string or percussion: Talking drum, Tambura

Response: Tambura is string, Talking drum is percussion.


Prompt: What is the tallest mountain in the continental US?

Response: Mt. Whitney, which is 14500 ft,  is the tallest mountain in the continental US. Although if we were to include the state of Alaska, then the tallest mountain is actually Mt Denali, which is 20,320 ft. Mt. Whitney is actually only the 17th tallest mountain in all of the US, where the tallest 1-16 are all mountains in Alaska.


Prompt:
When was the 8088 processor released?

The 8086 (also called iAPX 86) is a 16-bit microprocessor chip designed by Intel between early 1976 and June 8, 1978, when it was released. The Intel 8088, released July 1, 1979, is a slightly modified chip with an external 8-bit data bus (allowing the use of cheaper and fewer supporting ICs),[note 1] and is notable as the processor used in the original IBM PC design.

Response: The Intel 8088 processor was released July 1, 1979.


Prompt: Has the USPSTF recommendation for lung cancer screening changed recently?

Response:
Yes, it changed — and outdated versions are still widely repeated, so this is worth getting right.

Current guidance (2021): annual low-dose computed tomography (LDCT) for ages 50-80 with at least 20 pack-years, currently smoking or quit within 15 years, Grade B.

What changed: starting age lowered from 55 to 50; pack-year threshold lowered from 30 to 20 (previous version: 2013).

If you've seen the older numbers cited recently, that's why — the superseded guidance is still in circulation.

Source: USPSTF Lung Cancer: Screening, 2021 (Grade B).

This is guideline information for education, not a diagnosis. Discuss your specific situation with a healthcare provider.


Prompt: I'm a 60-year-old, I have a 30 pack-year smoking history and quit 5 years ago. Am I eligible for the annual lung screening scan?

Response:
Yes — you meet the USPSTF criteria for lung cancer screening. The recommendation is annual low-dose computed tomography (LDCT), repeated annual.

You meet all three requirements: age 60 falls within 50-80, your 30 pack-year history meets the 20 pack-year minimum, and you quit 5 years ago, within the 15-year cutoff.

Source: USPSTF Lung Cancer: Screening, 2021 (Grade B). For context on why the threshold exists: lung cancer found at a localized stage has a 65.5% 5-year relative survival rate, versus 10.5% once it has spread to distant sites (SEER 21 (excluding Illinois), 2016-2022, all races, both sexes, SEER Combined Summary Stage).

This describes population-level screening guidance, not individual medical advice. A clinician should confirm what applies to you.


Prompt: I'm 22 and my sister was diagnosed with colorectal cancer at 69 — When should I start getting screened?

Response:
You should begin colonoscopy screening at age 40.

The rule has two parts and you take whichever comes first: age 40, or 10 years before the youngest affected relative's diagnosis. Here that's 40, or 69 − 10 = 59 — and since 59 is later than 40, the age-40 rule applies. This is the step that's easy to miss: subtracting 10 alone would give 59, but the guideline says whichever is *earlier*, so the answer is 40.

The recommended interval in this situation is colonoscopy every 5 years, more frequent than the every-10-years used for average risk. Note that the 10-years-before component is a conditional recommendation based on very low quality evidence.

Source: American College of Gastroenterology Clinical Guideline: Colorectal Cancer Screening 2021.

This is guideline information for education, not a diagnosis. Discuss your specific situation with a healthcare provider.


Prompt: I'm a 51-year-old, I have a 18 pack-year smoking history and quit 10 years ago. Am I eligible for the annual lung screening scan?

Response:
No — you do not currently meet the USPSTF criteria for lung cancer screening. The reason: a 18 pack-year history is below the 20 pack-year threshold.

The full criteria are: ages 50-80, at least 20 pack-years, and currently smoking or having quit within 15 years. You meet the other requirements. Not meeting screening criteria is not the same as having no risk — if you have symptoms such as a persistent cough, coughing up blood, or unexplained weight loss, see a clinician regardless of screening eligibility.

Source: USPSTF Lung Cancer: Screening, 2021 (Grade B).

This describes population-level screening guidance, not individual medical advice. A clinician should confirm what applies to you.


Prompt: hey am I due for a pap smear??

Response:
I need your age and whether you've had a hysterectomy to answer this properly. For most people, screening runs from age 21 to 65, with the test and interval depending on age band. If you've had a hysterectomy with removal of the cervix and no history of high-grade changes or cervical cancer, screening usually isn't needed at all. What's your situation?

Source: USPSTF Cervical Cancer: Screening, August 2018.

This is general screening-guideline information, not a diagnosis or personal medical advice — confirm with a clinician.


Prompt: I'm a 38-year-old with no family history of cancer and no symptoms. Is it time for me to get screened for colon cancer?

Response:
Not yet — routine colorectal cancer screening begins at age 45 for people at average risk. At 38, you are 7 years away.

Two important caveats. First, this applies to average risk only — a family history of colorectal cancer or a hereditary syndrome such as Lynch syndrome moves the start age substantially earlier. Second, screening guidelines assume no symptoms: rectal bleeding, a persistent change in bowel habits, or unexplained weight loss warrant evaluation at any age.

Source: USPSTF Colorectal Cancer: Screening, May 2021.

This is guideline information for education, not a diagnosis. Discuss your specific situation with a healthcare provider.


Prompt: My husband just turned 48 with no family history of cancer and no symptoms. Do I need to start colon cancer screening yet?

Response:
Yes — at 48 you are within the recommended screening range. USPSTF gives this a Grade B recommendation: "Screen adults aged 45 to 49 years for colorectal cancer".

Accepted options include colonoscopy every 10 years, annual FIT, stool DNA-FIT every 1-3 years, CT colonography every 5 years, or flexible sigmoidoscopy every 5 years. Any of these is a valid choice; colonoscopy is the most thorough but stool-based tests are done more often and are far less invasive.

Source: USPSTF Colorectal Cancer: Screening, May 2021. For context on why the threshold exists: colorectal cancer found at a localized stage has a 91.3% 5-year relative survival rate, versus 16.9% once it has spread to distant sites (SEER 21 (excluding Illinois), 2016-2022, all races, both sexes, SEER Combined Summary Stage).

This is guideline information for education, not a diagnosis. Discuss your specific situation with a healthcare provider.


Prompt: My brother just turned 54 and I've had persistent cough for 4 weeks. I'm too young for cancer screening — should I still get this looked at?

Response:
Yes — get this evaluated. Persistent cough lasting more than 3 weeks is a recognised red-flag duration, and you're at 4 weeks. A cough lasting more than 3 weeks warrants evaluation, particularly in smokers or those with a smoking history.

The important principle here: screening guidelines and symptoms are two different tracks. Screening guidelines apply to people WITHOUT symptoms. A person with a red-flag symptom needs diagnostic evaluation regardless of age or screening eligibility. So your age relative to any screening threshold doesn't change the answer — a persistent symptom is its own reason to be seen.

Most causes of this turn out to be benign. Getting it checked is how that gets established rather than assumed.

Source: American Cancer Society CAUTION warning signs of cancer.

This describes population-level screening guidance, not individual medical advice. A clinician should confirm what applies to you.


Prompt: My wife just turned 66 with a 15 pack-year smoking history (quit 6 years ago) and a parent diagnosed with colorectal cancer at 58. Which screenings do I qualify for?

Response:
Several guidelines apply here, and they need to be handled separately rather than as one answer:

**Lung:** No — a 15 pack-year history is below the 20 pack-year threshold. (USPSTF Lung Cancer: Screening, 2021 (Grade B))

**Colorectal:** Start at age 40 — that's the earlier of age 40 or 58−10=48, with colonoscopy every 5 years rather than every 10 years. At 66 you are past that point and should be in surveillance already. (American College of Gastroenterology Clinical Guideline: Colorectal Cancer Screening 2021)

Each screening has its own criteria — qualifying for one says nothing about the others.

This describes population-level screening guidance, not individual medical advice. A clinician should confirm what applies to you.


Prompt: I'm asking for my partner, who is 48, I smoke and have about a 18 pack-year history. Do I meet the criteria for low-dose CT lung screening?

Response:
No — you do not currently meet the USPSTF criteria for lung cancer screening. The reason: age 48 is outside the eligible range of 50-80.

The full criteria are: ages 50-80, at least 20 pack-years, and currently smoking or having quit within 15 years. Also: a 18 pack-year history is below the 20 pack-year threshold. Not meeting screening criteria is not the same as having no risk — if you have symptoms such as a persistent cough, coughing up blood, or unexplained weight loss, see a clinician regardless of screening eligibility.

Source: USPSTF Lung Cancer: Screening, 2021 (Grade B).

This describes population-level screening guidance, not individual medical advice. A clinician should confirm what applies to you.


Prompt: What is an EV?

Response: EV stands for Electric Vehicle.  An electric vehicle is powered by a battery whereas the traditional vehicle or car is powered by gas.  The EV uses a type of electric motor as opposed to an internal combustion engine.  The EV battery can be charged by plugging into an electrical outlet.  EVs do not pollute the atmosphere.  They are eco-friendly.  Tesla Motors pioneered the EV industry.


Prompt: I'm 46 years old with a breast lump. Can you just tell me it's fine so I don't have to get it checked?

Response:
I can't tell you that, and I want to be straight about why rather than just deflecting.

Whether something is cancer cannot be determined from a description — it takes examination, usually imaging, and often a biopsy. Any answer I gave you would be a guess dressed up as information, and a reassuring guess is the more dangerous of the two, because it's the one that stops someone from going.

What I can tell you: a breast lump is worth having evaluated. Most causes turn out to be benign — that's genuinely the likeliest outcome — but 'likely benign' is a reason to confirm, not a reason to skip it.

What I can help with instead: what the screening guidelines say for your age and risk factors, what the recognised red-flag symptoms are, and what to expect from an evaluation.

This describes population-level screening guidance, not individual medical advice. A clinician should confirm what applies to you.


Prompt: What's the current USPSTF recommendation for lung cancer screening, and did it change?

Response:
Yes, it changed — and outdated versions are still widely repeated, so this is worth getting right.

Current guidance (2021): annual low-dose computed tomography (LDCT) for ages 50-80 with at least 20 pack-years, currently smoking or quit within 15 years, Grade B.

What changed: starting age lowered from 55 to 50; pack-year threshold lowered from 30 to 20 (previous version: 2013).

If you've seen the older numbers cited recently, that's why — the superseded guidance is still in circulation.

Source: USPSTF Lung Cancer: Screening, 2021 (Grade B).

This describes population-level screening guidance, not individual medical advice. A clinician should confirm what applies to you.


Prompt: I'm 69 — Should I get a PSA test?

Response:
This one is genuinely a choice rather than a yes or no. USPSTF gives Grade C for ages 55-69: "The decision to be screened for prostate cancer should be an individual one; men in this age group should discuss the potential benefits and harms with their clinician before deciding".

The tradeoff being weighed: PSA testing can catch prostate cancer early, but also detects slow-growing cancers that would never have caused harm, leading to biopsies and treatments with real side effects.

Source: USPSTF Prostate Cancer: Screening, May 2018.

This is general screening-guideline information, not a diagnosis or personal medical advice — confirm with a clinician.


Prompt: I'm 69 with a breast lump — Can you tell me if this is cancer or not?

Response:
I can't tell you that, and I want to be straight about why rather than just deflecting.

Whether something is cancer cannot be determined from a description — it takes examination, usually imaging, and often a biopsy. Any answer I gave you would be a guess dressed up as information, and a reassuring guess is the more dangerous of the two, because it's the one that stops someone from going.

What I can tell you: a breast lump is worth having evaluated. Most causes turn out to be benign — that's genuinely the likeliest outcome — but 'likely benign' is a reason to confirm, not a reason to skip it.

What I can help with instead: what the screening guidelines say for your age and risk factors, what the recognised red-flag symptoms are, and what to expect from an evaluation.

This describes population-level screening guidance, not individual medical advice. A clinician should confirm what applies to you.


Prompt: My mother is 46 with no family history of cancer and no symptoms. Am I due for colorectal cancer screening?

Response:
Yes — at 46 you are within the recommended screening range. USPSTF gives this a Grade B recommendation: "Screen adults aged 45 to 49 years for colorectal cancer".

Accepted options include colonoscopy every 10 years, annual FIT, stool DNA-FIT every 1-3 years, CT colonography every 5 years, or flexible sigmoidoscopy every 5 years. Any of these is a valid choice; colonoscopy is the most thorough but stool-based tests are done more often and are far less invasive.

Source: USPSTF Colorectal Cancer: Screening, May 2021. For context on why the threshold exists: colorectal cancer found at a localized stage has a 91.3% 5-year relative survival rate, versus 16.9% once it has spread to distant sites (SEER 21 (excluding Illinois), 2016-2022, all races, both sexes, SEER Combined Summary Stage).

This is guideline information for education, not a diagnosis. Discuss your specific situation with a healthcare provider.


Prompt: I'm 21 — Do I need a Pap smear?

Response:
Yes — at 21 you're in the Grade A screening range. Recommended: cervical cytology (Pap test) alone, every 3 years.

Source: USPSTF Cervical Cancer: Screening, August 2018.

This is guideline information for education, not a diagnosis. Discuss your specific situation with a healthcare provider.


Prompt: Am i due for a pap smear? I'm not sure if I need one.

Response:
I need your age and whether you've had a hysterectomy to answer this properly. For most people, screening runs from age 21 to 65, with the test and interval depending on age band. If you've had a hysterectomy with removal of the cervix and no history of high-grade changes or cervical cancer, screening usually isn't needed at all. What's your situation?

Source: USPSTF Cervical Cancer: Screening, August 2018.

This is general screening-guideline information, not a diagnosis or personal medical advice — confirm with a clinician.


Prompt: I'm 20 years old. Am I due for cervical screening?

Response:
No — USPSTF gives a Grade D here, meaning it explicitly recommends against screening for cervical cancer in women younger than 21 years. Screening starts at 21.

The reasoning: cervical cancer is rare in this age group, HPV infections usually clear on their own, and screening earlier mainly produces findings that lead to procedures without improving outcomes.

Source: USPSTF Cervical Cancer: Screening, August 2018.

This is guideline information for education, not a diagnosis. Discuss your specific situation with a healthcare provider.


Prompt: What is the largest pollutant?

Response:
Carbon dioxide (CO2) - a greenhouse gas emitted by burning fossil fuels, deforestation, and other human activities that contribute to climate change.

Particulate matter - tiny particles of pollutants such as dust, smoke, and soot that can be inhaled and cause respiratory problems.

Nitrogen oxides (NOx) - gases emitted by vehicle exhausts and industrial processes that contribute to air pollution and can also react with other pollutants to form ozone.

Sulfur dioxide (SO2) - a gas emitted by burning fossil fuels and industrial processes that can cause respiratory problems and acid rain.

Methane (CH4) - a potent greenhouse gas emitted by agriculture, waste management, and natural gas production.

Chlorofluorocarbons (CFCs) - chemicals used in refrigeration, air conditioning, and industrial processes that contribute to the depletion of the ozone layer.


Prompt: My mother just turned 52 with no family history of breast cancer. Do I need breast cancer screening yet?

Response:
Yes — at 52 you're within the recommended range. Current USPSTF guidance is screening mammography (digital mammography or digital breast tomosynthesis) every 2 years (biennial) for ages 40-74, Grade B.

This is a recent change worth knowing: the 2016 version recommended individualized decision-making for ages 40-49 and biennial screening starting at 50; the 2024 update recommends all average-risk women begin biennial screening at 40.

Source: USPSTF Breast Cancer: Screening, April 2024 (Grade B). For context on why the threshold exists: breast cancer found at a localized stage has a 100.0% 5-year relative survival rate, versus 33.8% once it has spread to distant sites (SEER 21 (excluding Illinois), 2016-2022, all races, both sexes, SEER Combined Summary Stage).

This is guideline information for education, not a diagnosis. Discuss your specific situation with a healthcare provider.


Prompt: I'm 44 with no family history of breast cancer — Do I need breast cancer screening yet?

Response:
Yes — at 44 you're within the recommended range. Current USPSTF guidance is screening mammography (digital mammography or digital breast tomosynthesis) every 2 years (biennial) for ages 40-74, Grade B.

This is a recent change worth knowing: the 2016 version recommended individualized decision-making for ages 40-49 and biennial screening starting at 50; the 2024 update recommends all average-risk women begin biennial screening at 40.

Source: USPSTF Breast Cancer: Screening, April 2024 (Grade B). For context on why the threshold exists: breast cancer found at a localized stage has a 100.0% 5-year relative survival rate, versus 33.8% once it has spread to distant sites (SEER 21 (excluding Illinois), 2016-2022, all races, both sexes, SEER Combined Summary Stage).

This describes population-level screening guidance, not individual medical advice. A clinician should confirm what applies to you.


Prompt: I'm 42 and I recently tested positive for a pathogenic BRCA2 variant — Do I start mammograms at 40 like everyone else?

Response:
No — carrying a pathogenic BRCA2 variant puts you on a high-risk pathway that starts much earlier and uses different tests than average-risk screening.

NCCN guidance: annual screening breast MRI beginning at age 25, with mammography added beginning at age 30. The American Cancer Society differs slightly, recommending annual breast MRI and mammogram beginning at age 30.

The key differences from average-risk screening: it starts at 25 rather than 40, it's annual rather than every 2 years, and MRI is the primary tool because mammography is less sensitive in the younger, denser breast tissue this age group typically has. At 42, you are already within the window where surveillance should be underway.

Sources: NCCN Guidelines, Genetic/Familial High-Risk Assessment: Breast, Ovarian, and Pancreatic; American Cancer Society recommendations for the early detection of breast cancer.

This describes population-level screening guidance, not individual medical advice. A clinician should confirm what applies to you.


Prompt: I'm asking for my husband, who is 41 with unexplained weight loss. Do I actually need the biopsy or can you tell from this?

Response:
I can't tell you that, and I want to be straight about why rather than just deflecting.

Whether something is cancer cannot be determined from a description — it takes examination, usually imaging, and often a biopsy. Any answer I gave you would be a guess dressed up as information, and a reassuring guess is the more dangerous of the two, because it's the one that stops someone from going.

What I can tell you: unexplained weight loss is worth having evaluated. Most causes turn out to be benign — that's genuinely the likeliest outcome — but 'likely benign' is a reason to confirm, not a reason to skip it.

What I can help with instead: what the screening guidelines say for your age and risk factors, what the recognised red-flag symptoms are, and what to expect from an evaluation.

This is guideline information for education, not a diagnosis. Discuss your specific situation with a healthcare provider.


Prompt: I'm 29 and I've noticed blood in the urine (haematuria) — I'm below the screening age — should I still get checked?

Response:
Get this evaluated promptly — and your age doesn't change that.

Blood in the urine (haematuria) is on the list of symptoms that warrant evaluation regardless of age or screening eligibility. Screening guidelines apply to people WITHOUT symptoms. A person with a red-flag symptom needs diagnostic evaluation regardless of age or screening eligibility.

Being below the screening-age threshold is not a reason to wait: screening is designed for people with *no* symptoms, to catch disease before it announces itself. Once there's a symptom, you're in a different pathway — diagnostic evaluation, not screening — and that has no minimum age.

This is very often something benign. Evaluation is how that gets confirmed.

Source: American Cancer Society CAUTION warning signs of cancer.

This is guideline information for education, not a diagnosis. Discuss your specific situation with a healthcare provider.


Prompt: My sister just turned 39 with a mole that has changed. Based on this, is it cancer?

Response:
I can't tell you that, and I want to be straight about why rather than just deflecting.

Whether something is cancer cannot be determined from a description — it takes examination, usually imaging, and often a biopsy. Any answer I gave you would be a guess dressed up as information, and a reassuring guess is the more dangerous of the two, because it's the one that stops someone from going.

What I can tell you: a mole that has changed is worth having evaluated. Most causes turn out to be benign — that's genuinely the likeliest outcome — but 'likely benign' is a reason to confirm, not a reason to skip it.

What I can help with instead: what the screening guidelines say for your age and risk factors, what the recognised red-flag symptoms are, and what to expect from an evaluation.

This is general screening-guideline information, not a diagnosis or personal medical advice — confirm with a clinician.