| Chest pressure, tightness or pain | Especially with sweating, nausea, or pain spreading to the jaw, neck or left arm. | 911 or nearest ER | Time matters in an acute coronary syndrome. Chew aspirin only if a clinician tells you to. |
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| Sudden shortness of breath at rest | New breathlessness, blue lips, or breathing that makes it hard to finish a sentence. | 911 or nearest ER | Sudden dyspnoea can mean pulmonary embolism, severe asthma or heart failure. This is a 911 call. |
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| Cough with fever for three days | Fever under 102 degrees F, breathing comfortably, no chest pain. | Book with your physician | We can examine your chest, run a rapid influenza, COVID-19 and strep panel, and image if needed. |
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| Face drooping, arm weakness, slurred speech | Any one of these, even if it passes quickly. | 911 or nearest ER | Stroke treatment is time-limited. Note the time symptoms started and call 911. |
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| The worst headache of your life | Sudden, peaks within a minute, or with fever, neck stiffness or confusion. | 911 or nearest ER | A thunderclap headache needs imaging in an emergency department, not a clinic. |
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| Familiar migraine that is not responding | Same pattern as usual, but your abortive medication is not working this time. | Member line first | Often a medication timing or dosing conversation. We can send a rescue plan to your pharmacy. |
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| Severe abdominal pain with a rigid belly | Pain with vomiting, fever, or a stomach that is tender and hard to the touch. | 911 or nearest ER | Possible surgical abdomen. Do not eat or drink on the way. |
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| Pain that moved to the lower right | Started around the navel over 12 to 24 hours, now localised, worse on movement. | Urgent care or ER | Classic appendicitis pattern. Needs same-day labs and imaging, so we route you to imaging directly. |
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| Vomiting and diarrhoea, keeping fluids down | No blood, no severe pain, still urinating normally. | Home care, review in 48 hours | Oral rehydration, small frequent sips. Call if you cannot keep fluids down for 12 hours. |
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| Spreading rash with fever | Rash that does not fade when pressed, or skin that is peeling or blistering. | Urgent care or ER | A non-blanching rash with fever is treated as an emergency until proven otherwise. |
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| A mole that has changed | New asymmetry, irregular border, colour change, diameter over 6 mm, or evolving. | Book with your physician | We dermoscope in clinic and arrange a same-week dermatology referral when indicated. |
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| Home blood pressure reading over 180/120 | Repeated after five minutes of rest and still high, with chest pain, vision change or confusion. | 911 or nearest ER | With those symptoms this is a hypertensive emergency. Without them, call the member line the same day. |
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| You are running low on a regular medication | Chronic medication, no change in your condition, pharmacy on file. | Member line first | Refills are processed within one business day. See the refill workflow on the patient page. |
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| A lab value flagged outside the reference range | You feel well and the flag is mild. | Member line first | Your physician reviews every result before release and will tell you if it changes the plan. |
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| Thoughts of harming yourself | Any thought of suicide or self-harm, with or without a plan. | 911 or nearest ER | Call or text 988 for the Suicide and Crisis Lifeline, or call 911. You can also call our member line. |
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| Anxiety or low mood affecting sleep and work | Building over weeks, no thoughts of self-harm. | Book with your physician | A 45-minute visit, a PHQ-9 and GAD-7, and a referral to a psychologist within our network. |
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