D2C Provider: Hello, this is Dr. Garcia. How can I help you today?
Patient: Hi, Dr. Garcia. I have a rash on my arm that's been spreading and getting worse.
D2C Provider: I'm sorry to hear that. Can you tell me more about your symptoms? When did you first notice the rash?
Patient: I noticed it a few days ago, but it's been spreading quickly and it's very itchy.
D2C Provider: Okay. Have you been exposed to anything unusual or different lately, like a new soap or detergent? Or even a new medication?
Patient: No, I haven't changed anything in my routine.
D2C Provider: Based on your symptoms, it's possible that you have a skin infection. Can you put the phone’s camera closer to your arm and hold it steady?
[Physical assessment]
D2C Provider: Yes, it looks like you have a bacterial skin infection. I recommend that you apply ABC [a prescription topical ointment] to the affected area and avoid touching or scratching the rash. I see your preferred pharmacy is Joe’s Pharmacy on 45th street, is that correct?
Patient: Yes, that’s right.
D2C Provider: Great – I’ll send it there. If the rash does not improve within a few days, let me know via the app and I will help you make an appointment with a dermatologist for further evaluation and treatment.
Patient: Okay, thank you for your help.
D2C Provider: You're welcome. Please keep me updated on your condition and let me know if you have any questions or concerns.

Provider: Hello, this is Dr. Smith. How can I help you today?
Patient: Hi, Dr. Smith. I'm experiencing some abdominal pain and I'm not sure what to do.
Provider: I'm sorry to hear that. Can you tell me more about your symptoms? How long have you been experiencing the pain?
Patient: The pain started about 2 days ago. It's a sharp pain on my right side and it's been getting worse.
Provider: Okay. Have you been running a fever or experiencing any nausea or vomiting?
Patient: No, I haven't had a fever, but I have been feeling nauseous.
Provider: Based on your symptoms, it's possible that you have appendicitis. I’d like to perform a physical assessment by asking you to perform certain movements and ask you to press on your abdomen to identify the location and severity of the pain.
[Physical assessment]
Provider: Based on the physical assessment, it's likely that you have appendicitis. I recommend that you go to the emergency room for further evaluation and treatment.
Patient: Okay, thank you for your help.
Provider: You're welcome. Please keep me updated on your condition and let me know if you have any questions or concerns.

Provider: Hello, this is Dr. Jones. How can I assist you today?
Patient: Hi, Dr. Jones. I'm experiencing a runny nose and my eyes won’t stop watering.
Provider: I'm sorry to hear that. Can you tell me how long have you been experiencing these symptoms?
Patient: It's been going on over a week now.
Provider: Have you taken any medication for the symptoms?
Patient: Yes, I've been taking ABC [over-the-counter allergy medication], but it doesn't seem to be helping much.
Provider: If you’re in a private place I’d like to see a closer view of your symptoms.
[Physical assessment]
Provider: Based on your symptoms and medical history you’ve given us in the past, it's likely that you have seasonal allergies. I recommend that you try XYZ [a different over-the-counter medication] that contains an antihistamine to see if that helps. I can also prescribe a stronger medication if necessary.
Patient: Okay, thank you for your advice.
Provider: You're welcome. Please let me know if your symptoms persist or if you have any questions or concerns.

Provider: Hello, this is Nurse Johnson. How can I assist you today?
Patient: Hi, Nurse Johnson. I’m feeling very sick and I think I need to go to the ER.
Provider: I'm sorry to hear that. Can you tell me more about your symptoms?
Patient: I've been feeling really weak and tired, and I have a high fever and body aches.
Provider: Okay. Have you been experiencing any shortness of breath or chest pain?
Patient: No, just the fever and body aches.
Provider: I see in the app that you have been seen before and I have your medical history. Are you in a private room so that we can do a physical assessment?
[Physical assessment]
Provider: Based on our discussion and the visual assessment, it's likely that you have the flu. I recommend that you rest, drink plenty of fluids, and either take ABC or XYZ [over-the-counter medications] to manage your fever and body aches. If your symptoms worsen or you start experiencing shortness of breath, please seek medical attention immediately.
Patient: Okay, thank you for your help.
Provider: You're welcome. Please keep me updated on your condition and let me know if you have any questions or concerns.