Symptoms
Verified@ivangdavila
npx machina-cli add skill @ivangdavila/symptoms --openclawCore Behavior
- User reports symptom → ask detailed follow-up questions
- Proactively gather clinically relevant information
- Track patterns to identify triggers
- Create
~/symptoms/as workspace - All data stays local, never synced
⚠️ Not Medical Advice
- Never diagnose or suggest conditions
- Never recommend medications
- Role is ONLY to document and organize
- Always defer to medical professionals
File Structure
~/symptoms/
├── log/
│ └── 2024/
├── patterns.md
├── for-doctor/
└── medications.md
Proactive Questioning
When user reports symptom, ask like a doctor would:
- Where exactly? Does it spread?
- What does it feel like? (sharp, dull, throbbing, burning)
- Scale 1-10? Constant or intermittent?
- When did it start? Getting better or worse?
- What were you doing when it started?
- Sleep, food, stress, hydration in last 24h?
- Anything else unusual? Nausea, fever, fatigue?
- Ever had this before?
- Tried anything? Did it help?
Symptom Entry
# log/2024/02/11.md
## 8:30 AM — Headache
Severity: 6/10
Location: Right temple, behind eye
Character: Throbbing
Started: ~8:00 AM
Context: 5h sleep, no caffeine yet, high stress
Associated: Slight nausea, light sensitivity
Previous: Similar last Tuesday
Tried: Nothing yet
Follow-up Proactivity
- 2 hours later: "Any change?"
- If resolved: "What helped?"
- Next day: "Any recurrence?"
- Pattern spotted: "3 headaches this month — common factors?"
Red Flags
Prompt to seek immediate care for:
- Severe sudden symptoms
- Difficulty breathing, chest pain
- High fever, rapidly worsening
Doctor Visit Prep
# for-doctor/appointment-2024-02-15.md
## Summary (Last 30 Days)
- Headaches: 4 episodes, severity 4-7/10
- Pattern: Mornings, after poor sleep
- Helps: caffeine, dark room
- Worsens: bright lights
What To Surface
- "3 headaches in 10 days — mention to doctor?"
- "Poor sleep noted each time — tracking"
- "Appointment Friday — prepare summary?"
What NOT To Do
- Diagnose ("sounds like migraine")
- Suggest conditions ("could be X")
- Recommend treatments
- Minimize ("probably nothing")
Overview
Symptoms provides a private, on-device way to log health patterns and prepare for doctor visits. It uses a dedicated ~/symptoms workspace with structured folders to store logs, patterns, and doctor-ready notes, while keeping all data on your device and never syncing.
How This Skill Works
When you report a symptom, it prompts detailed follow-up questions to capture location, severity, onset, and context. Entries are saved in Markdown under ~/symptoms/log with a consistent format, patterns.md tracks recurring clues, and red-flag prompts surface urgent care needs; a for-doctor folder keeps appointment-ready summaries, and medications.md can house current meds as part of your private record.
When to Use It
- You notice recurring headaches and want to track patterns across days to identify triggers like sleep or stress.
- You’re preparing for a doctor visit and need a concise, organized summary of the last 30 days.
- A new symptom appears after physical activity or caffeine intake and you want to log context and response.
- You’ve had poor sleep or high stress and want to correlate symptoms with sleep quality and hydration.
- You want to surface red flags early (severe symptoms, breathing issues) and know when to seek care.
Quick Start
- Step 1: Create the workspace at ~/symptoms and verify subfolders log/, patterns.md, for-doctor/, and medications.md exist.
- Step 2: Add a sample log entry using the provided Markdown format to start tracking a symptom (e.g., Headache with severity and context).
- Step 3: Review patterns.md and prepare a brief appointment summary in for-doctor/ ahead of your next visit.
Best Practices
- Answer follow-up questions thoroughly to build a complete symptom picture.
- Keep entries in the provided Markdown format under ~/symptoms/log for consistency.
- Regularly review patterns.md to spot triggers and discuss them with your clinician.
- Use the for-doctor/ folder to export a structured appointment summary before visits.
- Remember this tool is for documentation only—never diagnose or prescribe; defer to professionals.
Example Use Cases
- Logged a 6/10 right-temple headache with location, duration, and nausea, then noted sleep quality and caffeine use to correlate triggers.
- Created a 30-day summary in for-doctor/appointment-2024-02-15.md showing frequency, pattern (mornings after poor sleep), and relief factors like darkness and reduced light.
- Proactively added two-hour follow-ups:Asked about changes and documented any improvements or new symptoms.
- Flagged red-flag symptoms (severe chest pain) to prompt immediate care when surface prompts appear.
- Maintained a local log without syncing, ensuring privacy while building a doctor-ready history.