Prompt: I read that lung 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Yes, it changed — and outdated versions are still widely repeated, so this is worth getting right.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 (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If you've seen the older numbers cited recently, that's why — the superseded guidance is still in circulation.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 general screening-guideline information, not a diagnosis or personal medical advice — confirm with a clinician.


Prompt: I'm a 80-year-old with no family history of cancer and no symptoms. Do I need to start colon cancer screening yet?

Response:
At 80, screening is a Grade C recommendation — meaning it should be offered selectively rather than routinely. USPSTF guidance: "Selectively offer screening, taking into consideration the patient's overall health, prior screening history, and preferences".

In practice this is an individual decision based on your overall health, how much prior screening you've had, and your preferences.

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 44 with no family history of cancer and no symptoms. Am I due for colorectal cancer screening?

Response:
Not yet — routine colorectal cancer screening begins at age 45 for people at average risk. At 44, you are 1 year 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 describes population-level screening guidance, not individual medical advice. A clinician should confirm what applies to you.


Prompt: I'm a 55-year-old, I smoke and have about a 19 pack-year history. Do I qualify for lung cancer screening?

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


Prompt: I'm 29 and I have confirmed Lynch syndrome (MLH1 variant) — What's my screening schedule?

Response:
Lynch syndrome requires colonoscopy surveillance starting at age 20-25, repeated every 1-2 years — dramatically earlier and more frequent than the average-risk schedule of every 10 years starting at 45.

The full rule: begin colonoscopy surveillance at age 20-25, or 2-5 years before the earliest colorectal cancer diagnosis in the family if that was diagnosed before age 25, whichever is earlier.

At 29, surveillance should already be underway.

Source: NCCN Guidelines, Genetic/Familial High-Risk Assessment: Colorectal, Endometrial, and Gastric.

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


Prompt: I'm asking for my wife, who is 78, I have a 25 pack-year smoking history and quit 17 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 17 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:
Summarize in one sentence this article about a famous song.

"I'm an Old Cowhand (From the Rio Grande)" is a comic song written by Johnny Mercer for the Paramount Pictures release Rhythm on the Range and sung by its star, Bing Crosby. The Crosby commercial recording was made on July 17, 1936, with Jimmy Dorsey & his Orchestra for Decca Records. It was a huge hit in 1936, reaching the No. 2 spot in the charts of the day, and it greatly furthered Mercer's career. Crosby recorded the song again in 1954 for his album Bing: A Musical Autobiography.
Members of the Western Writers of America chose it as one of the Top 100 Western songs of all time.

Background
Mercer and his wife were driving across the US en route to his hometown, Savannah, Georgia, after having apparently failed to succeed in Hollywood. Mercer was amused by the sight of cowboys, with spurs and ten-gallon hats, driving cars and trucks instead of riding horses. Singing cowboys were popular in films and on the radio then, and within 15 minutes, writing on the back of an envelope, Mercer transferred the image he was seeing into a song whose satirical lyrics vented some of his own bitter frustration with Hollywood.

The lyrics, about a 20th-century cowboy who has little in common with the cowpunchers of old, have been included in some anthologies of light verse.

Response: I'm an Old Cowhand (From the Rio Grande), written by Johnny Mercer and recorded by Bing Crosby, is popular song from 1936 that satirizes cowboy culture of the time.


Prompt: I'm a 49-year-old, I have a 40 pack-year smoking history and quit 20 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 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. Also: having quit 20 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 general screening-guideline information, not a diagnosis or personal medical advice — confirm with a clinician.


Prompt: I'm 65 years old, I have a 40 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 65 falls within 50-80, your 40 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 a 80-year-old with no family history of cancer and no symptoms. Am I old enough for colorectal screening?

Response:
At 80, screening is a Grade C recommendation — meaning it should be offered selectively rather than routinely. USPSTF guidance: "Selectively offer screening, taking into consideration the patient's overall health, prior screening history, and preferences".

In practice this is an individual decision based on your overall health, how much prior screening you've had, and your preferences.

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: Quick question: I'm 48 with a lump in the neck. 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 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 guideline information for education, not a diagnosis. Discuss your specific situation with a healthcare provider.


Prompt: I'm asking for my wife, who is 65, I have a 18 pack-year smoking history and quit 10 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 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 is general screening-guideline information, not a diagnosis or personal medical advice — confirm with a clinician.


Prompt:
The album the ways to love a man by Tammy Wynette

The Ways to Love a Man is a studio album by American country artist, Tammy Wynette. It was released on January 26, 1970 via Epic Records and was the seventh studio album in Wynette's career. The disc consisted of 11 tracks which included both original material and cover recordings. Its title track was the album's only single included. It became a number one song on the North American country charts while also reaching chart positions in other musical genres as well. The album itself also reached chart positions on the country albums chart following its release. Critics and journalists gave the album a positive reception in the years that followed.

Response:
The Ways to Love a Man is a studio album by American country artist, Tammy Wynette. It was released on January 26, 1970 via Epic Records and was the seventh studio album in Wynette's career. The disc consisted of 11 tracks which included both original material and cover recordings.

Its title track was the album's only single included. It became a number one song on the North American country charts while also reaching chart positions in other musical genres as well. The album itself also reached chart positions on the country albums chart following its release. Critics and journalists gave the album a positive reception in the years that followed.


Prompt: I'm a 19-year-old 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 19, you would begin MRI surveillance in 6 years.

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 just turned 40 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: I'm a 55-year-old, I smoke and have about a 12 pack-year history. 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. 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: Quick question: I'm 70, I have a 25 pack-year smoking history and quit 15 years ago. Is lung cancer screening recommended for someone like me?

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


Prompt: Sally has 2 chickens, 3 cows and 2 motorcycles. Doug has 6 monkeys, 12 pigs and 2 tractors. Amy has 1 car, 10 cows and 6 ducks. How many farm animals do Sally, Doug and Amy have in total?

Response: Chickens, cows, ducks and pigs are commonly considered to be farm animals because they are commonly raised in farms and are grown for human consumption. Meanwhile, monkeys are not considered to be farm animals because they often grow up in the wild and are not often consumed by humans. Cars, motorcycles and tractors are not living things so they are not farm animals. Sally, Doug and Amy have 2 + 3 + 12 + 10 + 6 = 33 farm animals in total.


Prompt:
Which positions did Kamerion Wimbley play in High school?

Kamerion Wimbley (born October 13, 1983) is a former American football outside linebacker and defensive end in the National Football League (NFL). He was drafted by the Cleveland Browns in the first round of the 2006 NFL Draft with the 13th overall pick. He also played for the Oakland Raiders and Tennessee Titans before retiring in 2015. He played college football at Florida State University.

Early years
Attending Wichita Northwest High School in Kansas, Wimbley played defensive end, linebacker, quarterback, receiver and punter. He earned Parade and SuperPrep All-America honors during his senior season and was considered to be one of the top high school athletes in the nation. He played in the 2002 U.S. Army All-American Bowl.

Considered a four-star recruit by Rivals.com, Wimbley was ranked 58th overall among football prospects of the class of 2002. He selected Florida State over Notre Dame, Nebraska, Oklahoma and Tennessee. Wimbley graduated from Northwest High School in December 2001 (a semester early) and enrolled at Florida State in the spring of 2002.

Response: Kamerion Wimbley played Football in multiple positions in Wichita Northwest High School in Kansas, including: defensive end, linebacker, quarterback, receiver and punter.


Prompt: My wife is 23 with a cough that won't go away. Is this definitely nothing? I'd rather not go to the doctor.

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: My sister just turned 56. How do I check for ovarian cancer early?

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

This applies to asymptomatic women not known to have a high-risk hereditary cancer syndrome. The reasoning: available screening methods (transvaginal ultrasound and CA-125 testing) do not reduce ovarian cancer mortality and produce substantial harms through false-positive results leading to unnecessary surgery.

This is a case where 'is there a test' and 'should I get the test' have different answers — screening tests for ovarian 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 Ovarian Cancer: Screening, February 2018 (Grade D).

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


Prompt: I'm a 30-year-old. What's the screening test for ovarian cancer?

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

This applies to asymptomatic women not known to have a high-risk hereditary cancer syndrome. The reasoning: available screening methods (transvaginal ultrasound and CA-125 testing) do not reduce ovarian cancer mortality and produce substantial harms through false-positive results leading to unnecessary surgery.

This is a case where 'is there a test' and 'should I get the test' have different answers — screening tests for ovarian 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 Ovarian Cancer: Screening, February 2018 (Grade D).

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


Prompt: I'm 78 years old, I have a 21 pack-year smoking history and quit 16 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: 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 describes population-level screening guidance, not individual medical advice. A clinician should confirm what applies to you.


Prompt: Do George Lucas and Steven Spielberg know each other?

Response: Yes, George Lucas and Steven Spielberg are long-time friends, dating back to their first meeting in 1967. They have collaborated and supported each other on a number of films and celebrated each others success in the field of filmmaking.


Prompt:
Who were the children of Bill 101

The children of Bill 101 (les enfants de la loi 101) is the name given to the generation of children whose parents immigrated to Quebec, Canada after the adoption of the 1977 Charter of the French Language (Bill 101).

One of the Charter's articles stipulates that all children under 16 must receive their primary and secondary education in French schools, unless one of the child's parents has received most of their education in English, in Canada, or the child or the child's sibling has already received a substantial part of their education in English, in Canada. If a child qualifies for a certificate of eligibility for instruction in English under one of those criteria, then the certificate is permanent and can be passed on to future generations even if the child ends up attending French instead of English school. The permanent certificate can only be granted if one of the child's parents is a Canadian citizen. In addition, children of foreign temporary residents living in Quebec on study or work permits, as well as children of diplomats, can also obtain a temporary certificate of eligibility that is only valid for the duration of their permit.

Response:
The children of Bill 101 (les enfants de la loi 101) is the name given to the generation of children whose parents immigrated to Quebec, Canada after the adoption of the 1977 Charter of the French Language (Bill 101).

One of the Charter's articles stipulates that all children under 16 must receive their primary and secondary education in French schools, unless one of the child's parents has received most of their education in English, in Canada, or the child or the child's sibling has already received a substantial part of their education in English, in Canada.


Prompt:
Based on the provided text, place the following books in chronological order:
The Fox in the Attic, In Hazard: A Sea Story, A High Wind in Jamaica, and The Wooden Shepherdess

"The Fox in the Attic" was originally published in 1961 by Chatto & Windus: London as v. 1 of The Human Predicament trilogy, and then in the United States by Harper & Brothers: New York. This was 23 years after Hughes's previous novel, In Hazard: A Sea Story, and 33 years after A High Wind in Jamaica, which was a best seller in the United Kingdom and America.It was published the following year in Sweden (Stockholm: Norstedt) as Räven på vinden.

The second novel in The Human Predicament trilogy, The Wooden Shepherdess, was published in 1973 by Chatto & Windus: London; it carries on the story to 1934 and the Night of the Long Knives. The third and final novel was left unfinished, but the completed twelve chapters were included in the 2000 New York Review of Books edition of The Wooden Shepherdess.

Response:
The order of the books are as follows:
1) A High Wind in Jamaica
2) In Hazard: A Sea Story
3) The Fox in the Attic
4) The Wooden Shepherdess


Prompt: I'm 65 years old, I smoke and have about a 20 pack-year history. 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 65 falls within 50-80, your 20 pack-year history meets the 20 pack-year minimum, and you currently smoke.

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: My brother just turned 80, I have a 20 pack-year smoking history and quit 17 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 17 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: I'm 37 years 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 37, 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 guideline information for education, not a diagnosis. Discuss your specific situation with a healthcare provider.


Prompt: My husband just turned 81, I have a 30 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: age 81 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 general screening-guideline information, not a diagnosis or personal medical advice — confirm with a clinician.


Prompt: What are three most commonly sung lyric soprano arias?

Response:
Three most commonly sung lyric soprano arias?
- "Quando m'en vo" from La Boheme by Puccini
- "O mio babbino caro" from Gianni Schicchi by Puccini
- "Deh! vieni non tardar" from Le Nozze di Figaro by Mozart


Prompt: Write  the first paragraph of an advertising brochure describing an hotel nearby the Annecy Lake in France

Response: This fantastic hotel is ideally located, minutes away from the Annecy Lake, one of the purest in Europe. The water temperature reaches 27 degrees celcius at the peak season, allowing the guests to swim and enjoy several water activities including wake surf and pedalo. Finally, this region is known for being the home of several cheese specialties like "Raclette" and "Tartiflette" to name a few.


Prompt: I'm a 36-year-old and I recently tested positive for a pathogenic BRCA1 variant. Do I start mammograms at 40 like everyone else?

Response:
No — carrying a pathogenic BRCA1 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 36, 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 sister is 49, I have a 20 pack-year smoking history and quit 17 years ago. Should I be getting a lung CT scan?

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


Prompt: My mom is 60, I have a 20 pack-year smoking history and quit 20 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: 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: What is the difference between a shrub and a tree?

Response: Some biologists maintain that there is no genetic difference between shrubs and trees - some species may have expressions in tree form and shrub form.  Other scientists believe that the physical form is essential and that shrubs are distinct from trees.


Prompt: I'm 23 years old and I have confirmed Lynch syndrome (MSH2 variant). When should I start colonoscopies and how often?

Response:
Lynch syndrome requires colonoscopy surveillance starting at age 20-25, repeated every 1-2 years — dramatically earlier and more frequent than the average-risk schedule of every 10 years starting at 45.

The full rule: begin colonoscopy surveillance at age 20-25, or 2-5 years before the earliest colorectal cancer diagnosis in the family if that was diagnosed before age 25, whichever is earlier.

At 23, surveillance should already be underway.

Source: NCCN Guidelines, Genetic/Familial High-Risk Assessment: Colorectal, Endometrial, and Gastric.

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


Prompt: My mom just turned 49 and my mother was diagnosed with colorectal cancer at 66. 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 66 − 10 = 56 — and since 56 is later than 40, the age-40 rule applies. This is the step that's easy to miss: subtracting 10 alone would give 56, 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 describes population-level screening guidance, not individual medical advice. A clinician should confirm what applies to you.


Prompt: Quick question: I'm 48, I smoke and have about a 40 pack-year history. Do I qualify for lung cancer 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. 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: Give me a list of the most recent Men's Indian Cricket Team captains in ODIs

Response:
- Hardik Pandya
- KL Rahul
- Shikhar Dhawan
- Rohit Sharma
- Ajinkya Rahane
- Virat Kohli
- Gautam Ganbhir
- Suresh Raina
- MS Dhoni


Prompt: Quick question: I'm 78, I have a 40 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: I'm a 45-year-old and I recently tested positive for a pathogenic BRCA1 variant. What screening do I need and when?

Response:
No — carrying a pathogenic BRCA1 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 45, 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 guideline information for education, not a diagnosis. Discuss your specific situation with a healthcare provider.


Prompt: List some of the great houses that appear in the series "A Song of Ice and Fire."

Response: Stark, Lannister, Baratheon, Tyrell, Arryn, Martell, Karstark, Mormont.


Prompt: I just turned 27. 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 describes population-level screening guidance, not individual medical advice. A clinician should confirm what applies to you.


Prompt: Quick question: I'm 20 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 20, you would begin MRI surveillance in 5 years.

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: Quick question: I'm 79, I smoke and have about a 18 pack-year history. Do I qualify for lung cancer screening?

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


Prompt: I'm 48 with no family history of breast cancer — Am I due for a mammogram?

Response:
Yes — at 48 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: What's the differences of the Wing Chun kongfu and the traditional Shaolin Kongfu?

Response:
Wing chun was invented by a Buddhist nun who watched a snake and crane fighting. She adopted principles from both styles. She equated that to yin vs yang in terms of fighting style.
It's all about economy of movement, small quick strikes and close quarters combat.
It's meant to be effective for people of all ages and sizes and does not emphasize force. The crane stood there motionless and waded off the snakes quick strikes. It wasn't phased by the attacks. The posture and mindset of the crane and the quick strikes of the snake.

Shaolin was developed to ward off invaders. Usually enemies riding horses so they do a lot of high jumping kicks which were used to kick people off horses.
It's usually associated with tiger or dragon styles which can operate at more distance and use power. It's also very flashy and used in demonstrations and many king fu movies .
It's actually counterintuitive to many martial arts where you strike hard or from a distance and move around a lot ducking blocking etc. Wing chun is just small subtle blocks to divert attacks off center and then you strike back concurrently


Prompt: I'm 65, I have a 25 pack-year smoking history and quit 17 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 17 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: What was the first modern trading card game created?

Response: On August 5th 1993, Magic: The Gathering was released to the world as the first modern trading card game. The game was published by Wizards of the Coast and created by Richard Garfield. Magic: The Gathering is a card game where two wizards battle casting spells, summoning creatures, and use magical objects to defeat their opponents. The Limited Edition Alpha set was the first set Magic: The Gathering set ever released.


Prompt: Quick question: I'm 30 and I recently tested positive for a pathogenic BRCA1 variant. When should I start breast cancer screening?

Response:
No — carrying a pathogenic BRCA1 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 30, 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 guideline information for education, not a diagnosis. Discuss your specific situation with a healthcare provider.


Prompt: I'm a 36-year-old 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 4 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: I'm 34 years old and my parent was diagnosed with colorectal cancer at 41. When should I start getting screened?

Response:
You should begin colonoscopy screening at age 31.

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 41 − 10 = 31 — and since 31 is earlier than 40, the 10-years-before rule applies, giving 31.

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


Prompt: My friend said the age for mammography 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 (April 30, 2024): screening mammography (digital mammography or digital breast tomosynthesis) every 2 years (biennial) for ages 40-74, Grade B.

What changed: 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 (previous version: 2016).

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

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: I'm 38 years old and I've noticed unexplained rectal bleeding. Do I need to see someone about this?

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 80-year-old, I have a 19 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 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. 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 general screening-guideline information, not a diagnosis or personal medical advice — confirm with a clinician.


Prompt: Do i need a colonoscopy? I'm not sure if I need one.

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'm 40 with blood in the stool — 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: 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 guideline information for education, not a diagnosis. Discuss your specific situation with a healthcare provider.


Prompt:
With given text as a reference, Please jot down some details about Central Michigan University

Central Michigan University (CMU) is a public research university in Mount Pleasant, Michigan. Established in 1892 as the Central Michigan Normal School and Business Institute, the private normal school became a state institution and renamed Central State Normal School in 1895 after the Michigan State Board of Education took over governance of the school. The institution came into its own as a university and gained its current name Central Michigan University in 1959 under the university's 6th president Judson W. Foust.

Response:
1. Located in Mount Pleasant, Michigan, Central Michigan University (CMU) is a public research university.
2. The private normal school, which had been founded in 1892 as the Central Michigan Normal School and Business Institute, changed its name to Central State Normal School in 1895 after the Michigan State Board of Education assumed control of the institution's management.
3. Under the leadership of Judson W. Foust, the university's sixth president, the institution began to take shape as a university and adopted its present name in 1959.


Prompt: My brother just turned 48, I have a 18 pack-year smoking history and quit 16 years ago. Should I be getting a lung CT scan?

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


Prompt: My wife just turned 35 and my father was diagnosed with colorectal cancer at 61. 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 61 − 10 = 51 — and since 51 is later than 40, the age-40 rule applies. This is the step that's easy to miss: subtracting 10 alone would give 51, 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 general screening-guideline information, not a diagnosis or personal medical advice — confirm with a clinician.


Prompt: I'm a 30-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 30, you are 15 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 describes population-level screening guidance, not individual medical advice. A clinician should confirm what applies to you.


Prompt: My husband is 42 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 42, you are 3 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 general screening-guideline information, not a diagnosis or personal medical advice — confirm with a clinician.


Prompt: I'm a 49-year-old, I have a 30 pack-year smoking history and quit 5 years ago. Should I be getting a lung CT scan?

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 partner is 47 and I've had persistent hoarseness for 12 weeks. Do I need to see a doctor about this?

Response:
Yes — get this evaluated. Persistent hoarseness lasting more than 3 weeks is a recognised red-flag duration, and you're at 12 weeks. Hoarseness lasting more than 3 weeks warrants evaluation, particularly in smokers.

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: Name 10 colors

Response: Fuschia, magenta, orange, green, blue, red, yellow, chartreuse, aquamarine, sienna


Prompt: I'm 60, I have a 12 pack-year smoking history and quit 5 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. 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 just turned 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 describes population-level screening guidance, not individual medical advice. A clinician should confirm what applies to you.


Prompt: I'm 53 and I've had persistent cough for 5 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 5 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: I'm a 34-year-old and I have confirmed Lynch syndrome (MSH2 variant). When should I start colonoscopies and how often?

Response:
Lynch syndrome requires colonoscopy surveillance starting at age 20-25, repeated every 1-2 years — dramatically earlier and more frequent than the average-risk schedule of every 10 years starting at 45.

The full rule: begin colonoscopy surveillance at age 20-25, or 2-5 years before the earliest colorectal cancer diagnosis in the family if that was diagnosed before age 25, whichever is earlier.

At 34, surveillance should already be underway.

Source: NCCN Guidelines, Genetic/Familial High-Risk Assessment: Colorectal, Endometrial, and Gastric.

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


Prompt: I'm 25 years old. Should I be screened for cervical cancer?

Response:
Yes — at 25 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 describes population-level screening guidance, not individual medical advice. A clinician should confirm what applies to you.


Prompt: What are brambles?

Response: A bramble is any rough, tangled, prickly shrub, usually in the genus Rubus, which grows blackberries, raspberries, or dewberries. "Bramble" is also used to describe other prickly shrubs, such as roses (Rosa species). The fruits include blackberries, arctic brambleberries, or raspberries, depending on the species, and are used to make jellies, jams, and preserves.


Prompt: Quick question: I'm 56. 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: I'm 49, I smoke and have about a 12 pack-year history — Should I be getting a lung CT scan?

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. Also: a 12 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: I'm 51, I smoke and have about a 25 pack-year history — 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 51 falls within 50-80, your 25 pack-year history meets the 20 pack-year minimum, and you currently smoke.

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 60 with a 30 pack-year smoking history (quit 6 years ago) and a parent diagnosed with colorectal cancer at 62. Which screenings do I qualify 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:** 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 60 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 is guideline information for education, not a diagnosis. Discuss your specific situation with a healthcare provider.


Prompt: How would I get from an upstairs apartment to the parking garage?

Response: If I needed to get from an upstairs apartment to the parking garage, I first would need to know where the parking garage is located.  Most parking garages at apartment complexes are located underground; however, some are above-ground.  Once I've determined where the parking garage is, I would exit my apartment by opening the door, stepping out into the hallway, and then locking the door, and then walk down the hallway in the direction of the elevator or stairs.  I would take the elevator or stairs to the appropriate floor and then exit into the parking garage.  I'm probably in the parking garage because I'm going to my car, so the next step would be to locate my car.  One trick for locating a car in a parking garage is to click the alarm or door lock button on your car's remote to make a sound.


Prompt: What sport is Ruud Gullit known for

Response: Ruud Gullit is best known for his career in professional football, most notably for his time with Dutch club Ajax.


Prompt: Quick question: I'm 46 with a 30 pack-year smoking history (quit 6 years ago) and a parent diagnosed with colorectal cancer at 52. 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 — age 46 is outside the eligible range of 50-80. (USPSTF Lung Cancer: Screening, 2021 (Grade B))

**Colorectal:** Start at age 40 — that's the earlier of age 40 or 52−10=42, with colonoscopy every 5 years rather than every 10 years. At 46 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 is general screening-guideline information, not a diagnosis or personal medical advice — confirm with a clinician.


Prompt: I just turned 47 and my parent was diagnosed with colorectal cancer at 49. When should I start getting screened?

Response:
You should begin colonoscopy screening at age 39.

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 49 − 10 = 39 — and since 39 is earlier than 40, the 10-years-before rule applies, giving 39.

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 read that lung 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 (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 70-year-old, I have a 40 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: having quit 17 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: What are people from Wisconsin also referred to as?

Response: Some people refer to people from Wisconsin as Cheeseheads because of the amount of dairy that is produced by the state.  It was a derogatory term set in from a local sports rivalry with people from Illinois, however the Cheeseheads from Wisconsin embraced it, and now wear Cheesehead hats to local sporting events.


Prompt: should I get checked for lung cancer?

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


Prompt: I would like to get a camper for the family vacations.  What things do I need to be aware of when buying one?

Response: Top considerations for a camper would be budget, size, weight, & payload required by the tow vehicle.  Payload is usually the most overlooked factor as many times trailers can go well over the payload shown by the manufacturer.  It is usually best to have a tow vehicle that has a buffer of payload over so that you can safely tow a trailer.  Most car/truck manufacturers share must higher towing capabilities than actual since options can bring down the amount of payload and tow capacity.


Prompt: Quick question: I'm 40 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 40, 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: Which is a bird or fish: Black-necked grebe, Black tetra

Response: Black tetra is a fish, Black-necked grebe is a bird


Prompt: I'm asking for my father, who is 27 and I've had a sore that does not heal for 8 weeks. Should I get this checked?

Response:
Yes — get this evaluated. A sore that does not heal lasting more than 3 weeks is a recognised red-flag duration, and you're at 8 weeks. A non-healing sore or ulcer persisting beyond 3 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 guideline information for education, not a diagnosis. Discuss your specific situation with a healthcare provider.


Prompt:
What are the main considerations for chick care when raising backyard chickens?

Purchasing chickens - Chicken owners need to find a place to purchase chickens. Oftentimes, people purchase chickens at local feed stores, or through a hatchery.

Creating a brooder - Chickens not being raised by a mother hen need assistance from their owner to survive. Chickens are raised in a brooder, which can look like a variety of things. Many individuals create their own brooder out of cardboard, plastic or wood. Different sources identify a variety of different square feet per bird needed, but a rule of thumb can be two square feet per chicken. This number can be lowered when the chick is young, but as they grow they will need at least two square feet per bird. It is important that chicken owners place their brooder in a draft-free place, yet still allow holes in the brooder for ventilation.[citation needed]

Heating and bedding - Chicks require a warm environment. In a brooder, this warm environment is created artificially with a heat lamp. My Pet Chicken recommends a red heat lamp, because a white heat lamp can create a harsh and uncomfortable environment for the baby chicks. During the first week of the chicks' life, a temperature of 95 degrees Fahrenheit is required. The temperature can be decreased by 5 degrees F. each week of the chicks life, until they reach week 6. At week 6, the birds should have enough feathers grown to be moved into their chicken coop. Checking on chicks often is important, as chicks that are too cold will huddle together to attempt to retain warmth, and chicks that are too hot will spread out in the brooder in attempts to cool down. Temperature can be adjusted accordingly by lowering and raising the heat lamp in the chick's brooder. Temperature can also be monitored by the use of a thermometer.[citation needed] Wooden chips are often used in the bottom of the brooder as a bedding.

Food and water - Chicks require different food than adult chickens. Chicks need a mash or dust food so that they are able to digest it without grit. Adult chickens are able to digest grit, which allows them to eat bigger food pellets. Purchasing chick food from a local feed store that is specifically for baby chicks will ensure that all nutritional requirements are being met. There are different types of food for different types of chicks. Chicks that are grown for egg-laying purposes require a lower protein level than chicks that are grown as a source of meat. Chicks should be fed and given water out of containers that ensure the chicks' safety, as some containers can injure the chicks or cause easy drowning.

Response: When raising backyard chickens, there are several considerations for chick care.  First of all, you have to purchase the chicks.  Then, you have to create a brooder to keep the chicks in.  Next, you have to address heating and bedding.  Finally, you have to provide them with the appropriate food and water.


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: what is REST API

Response:
REST API is an architectural style for building network APIs. In practice, most REST APIs are using JSON over HTTP. REST APIs have several properties that make them very popular.

HTTP is the foundational and the most popular network protocol across the internet. By using HTTP, REST APIs can fully utilize the internet infrastructure, which greatly reduce the complexity and operational costs. For example, using HTTPS for transport security, and using URL for request routing.

JSON is a simple, stable, and intuitive data format , which is not expected to change ever. This offers great ease of use and stability to REST APIs. For high performance applications, binary formats can be used instead, such as protobuf or thrift.

REST APIs are often designed as CRUD APIs, where API operations are commonly expressed as Create, Retrieve, Update, and Delete operations on resources. CRUD operations are naturally mapped to HTTP methods (POST, GET, PUT/PATCH, and DELETE), and API resources can be naturally identified using URLs.


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

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


Prompt: My sister is 31 and I've noticed blood in the urine (haematuria). Do I need to see someone about this?

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


Prompt: I'm 27 years old and I have confirmed Lynch syndrome. What's my screening schedule?

Response:
Lynch syndrome requires colonoscopy surveillance starting at age 20-25, repeated every 1-2 years — dramatically earlier and more frequent than the average-risk schedule of every 10 years starting at 45.

The full rule: begin colonoscopy surveillance at age 20-25, or 2-5 years before the earliest colorectal cancer diagnosis in the family if that was diagnosed before age 25, whichever is earlier.

At 27, surveillance should already be underway.

Source: NCCN Guidelines, Genetic/Familial High-Risk Assessment: Colorectal, Endometrial, and Gastric.

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


Prompt: I'm 21 and I recently tested positive for a pathogenic BRCA1 variant — Do I start mammograms at 40 like everyone else?

Response:
No — carrying a pathogenic BRCA1 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 21, you would begin MRI surveillance in 4 years.

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: My father just turned 80, I have a 30 pack-year smoking history and quit 10 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 80 falls within 50-80, your 30 pack-year history meets the 20 pack-year minimum, and you quit 10 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: Who wrote the Great Gatsby?

Response: The Great Gatsby was written by F. Scott Fitzgerald


Prompt: Quick question: I'm 50 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 is guideline information for education, not a diagnosis. Discuss your specific situation with a healthcare provider.


Prompt: Quick question: I'm 48, I have a 30 pack-year smoking history and quit 17 years ago. Should I be getting a lung CT scan?

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


Prompt: I'm asking for my mother, who is 24 and I've noticed unexplained weight loss. Do I need to see someone about this?

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

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


Prompt: I just turned 60, I have a 19 pack-year smoking history and quit 20 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 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. Also: having quit 20 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 general screening-guideline information, not a diagnosis or personal medical advice — confirm with a clinician.


Prompt:
When did Virgin Australia start operating?

Virgin Australia, the trading name of Virgin Australia Airlines Pty Ltd, is an Australian-based airline. It is the largest airline by fleet size to use the Virgin brand. It commenced services on 31 August 2000 as Virgin Blue, with two aircraft on a single route. It suddenly found itself as a major airline in Australia's domestic market after the collapse of Ansett Australia in September 2001. The airline has since grown to directly serve 32 cities in Australia, from hubs in Brisbane, Melbourne and Sydney.

Response: Virgin Australia commenced services on 31 August 2000 as Virgin Blue, with two aircraft on a single route.


Prompt: My husband just turned 38 and I've noticed coughing up blood (haemoptysis). Is this urgent or can it wait?

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

Coughing up blood (haemoptysis) 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'm 41 years old 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: Quick question: I'm 44 and I've noticed postmenopausal vaginal bleeding. I'm below the screening age — should I still get checked?

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

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

Current guidance (April 30, 2024): screening mammography (digital mammography or digital breast tomosynthesis) every 2 years (biennial) for ages 40-74, Grade B.

What changed: 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 (previous version: 2016).

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

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: How many keys are in a standard piano?

Response: There are 88 keys in a standard piano. It has been the standard since Steinway built their pianos in the 1880s. There are 52 white keys and 36 black keys.


Prompt: Where do bears live?

Response: Bears are native to every continent on earth besides Antarctica. Polar bears live in the Arctic, black bears live in North America and Asia, brown bears live in North America, Asia, and Europe, and Panda bears live in Asia.


Prompt: I'm asking for my mom, who is 55. Is there a test I should get for ovarian cancer?

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

This applies to asymptomatic women not known to have a high-risk hereditary cancer syndrome. The reasoning: available screening methods (transvaginal ultrasound and CA-125 testing) do not reduce ovarian cancer mortality and produce substantial harms through false-positive results leading to unnecessary surgery.

This is a case where 'is there a test' and 'should I get the test' have different answers — screening tests for ovarian 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 Ovarian Cancer: Screening, February 2018 (Grade D).

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


Prompt: I'm 31 years old and my parent had colon cancer diagnosed at 52. Does my parent's diagnosis change when I start screening?

Response:
You should begin at age 40 — not 42.

This is a common miscalculation. The rule is: start at age 40, OR 10 years before the youngest affected relative's diagnosis, whichever is EARLIER. Here, 52 − 10 = 42, but 40 comes earlier than 42, so 40 is the answer. Applying only the subtraction step would delay screening by two years.

Interval: colonoscopy every 5 years.

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

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


Prompt: What are some of the benefits of learning flute as a child

Response: It improves cognitive skills, helps develop fine motor skills, promotes social interaction,  provides a creative outlet. It can be a lifelong hobby. Children who learn the flute often continue to play it throughout their lives. They may even become professional musicians.


Prompt: Quick question: I'm 21 and I have confirmed Lynch syndrome (MLH1 variant). When should I start colonoscopies and how often?

Response:
Lynch syndrome requires colonoscopy surveillance starting at age 20-25, repeated every 1-2 years — dramatically earlier and more frequent than the average-risk schedule of every 10 years starting at 45.

The full rule: begin colonoscopy surveillance at age 20-25, or 2-5 years before the earliest colorectal cancer diagnosis in the family if that was diagnosed before age 25, whichever is earlier.

At 21, surveillance should already be underway.

Source: NCCN Guidelines, Genetic/Familial High-Risk Assessment: Colorectal, Endometrial, and Gastric.

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


Prompt: I'm 36 and my father was diagnosed with colorectal cancer at 45 — When should I start getting screened?

Response:
You should begin colonoscopy screening at age 35.

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 45 − 10 = 35 — and since 35 is earlier than 40, the 10-years-before rule applies, giving 35.

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: Quick question: I'm 58 with a 30 pack-year smoking history (quit 6 years ago) and a parent diagnosed with colorectal cancer at 58. 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:** Yes — you meet criteria. (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 58 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 a 86-year-old with no family history of cancer and no symptoms. Do I need to start colon cancer screening yet?

Response:
Routine screening is generally not recommended past age 85. USPSTF guidance covers adults up to 85; beyond that, the decision depends on overall health and life expectancy and should be made with a clinician.

Source: USPSTF Colorectal Cancer: Screening, May 2021.

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