### Instruction:
BEGININPUT
BEGINCONTEXT
date: October 12, 2021
author: Dr. Samantha Greene
patient: John Doe
hospital: Greenfield Medical Center
diagnosis: Acute Nginxitis
treatment plan: Medication and Lifestyle Changes
ENDCONTEXT
Medical Report

Patient Name: John Doe
Date of Birth: August 3, 1985
Age: 36 years old
Sex: Male
Hospital: Greenfield Medical Center
Attending Physician: Dr. Samantha Greene

Diagnosis:
Acute Nginxitis

Symptoms:
The patient presented with the following symptoms:
- Fatigue
- Difficulty concentrating
- Sleep disturbances
- Increased irritability
- Mild headaches

Clinical History:
John has a history of working long hours as a software engineer, specializing in Nginx web server management. He reported that he had been experiencing the above-listed symptoms for approximately three weeks before seeking medical attention.

Examination and Tests:
Upon examination, the patient appeared fatigued but otherwise healthy. Blood tests were conducted to rule out any underlying conditions or deficiencies. The results showed no significant abnormalities.

Diagnosis:
Based on the patient's clinical history and presentation, a diagnosis of acute Nginxitis was made. This condition is characterized by physical and mental exhaustion resulting from excessive exposure to Nginx-related tasks and responsibilities.

Treatment Plan:
To address the patient's acute Nginxitis, the following treatment plan was recommended:

1. Medication: A prescription for a mild sedative (Zolpidem) was provided to help improve sleep quality.
2. Workload reduction: The patient was advised to discuss workload adjustments with his employer to reduce the number of hours spent on Nginx-related tasks.
3. Stress management techniques: Incorporating relaxation exercises such as deep breathing, meditation, and progressive muscle relaxation into daily routine.
4. Regular exercise: Engaging in at least 30 minutes of moderate-intensity aerobic activity, such as brisk walking or swimming, most days of the week.
5. Balanced diet: Consuming a well-balanced diet rich in fruits, vegetables, whole grains, lean proteins, and healthy fats.

Follow-up:
The patient is scheduled for a follow-up appointment in four weeks to assess his progress and make any necessary adjustments to the treatment plan.

Dr. Samantha Greene
Greenfield Medical Center
October 12, 2021
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BEGININSTRUCTION
- What symptoms did John Doe experience before seeking medical attention?
- What was the recommended treatment plan for John's acute Nginxitis?
Please provide references.
ENDINSTRUCTION

### Response:

John Doe experienced the following symptoms before seeking medical attention:
- Fatigue
- Difficulty concentrating
- Sleep disturbances
- Increased irritability
- Mild headaches

The recommended treatment plan for John's acute Nginxitis included:
1. Medication: A prescription for a mild sedative (Zolpidem) to help improve sleep quality.
2. Workload reduction: Discussing workload adjustments with his employer to reduce the number of hours spent on Nginx-related tasks.
3. Stress management techniques: Incorporating relaxation exercises such as deep breathing, meditation, and progressive muscle relaxation into daily routine.
4. Regular exercise: Engaging in at least 30 minutes of moderate-intensity aerobic activity, such as brisk walking or swimming, most days of the week.
5. Balanced diet: Consuming a well-balanced diet rich in fruits, vegetables, whole grains, lean proteins, and healthy fats.

Reference(s):
date: October 12, 2021
author: Dr. Samantha Greene
patient: John Doe
hospital: Greenfield Medical Center
diagnosis: Acute Nginxitis
treatment plan: Medication and Lifestyle Changes