diff --git a/src/data/.medical_procedures.csv.swp b/src/data/.medical_procedures.csv.swp
new file mode 100644
index 0000000..661751b
Binary files /dev/null and b/src/data/.medical_procedures.csv.swp differ
diff --git a/src/data/database b/src/data/database
index 8062965..5c76342 100644
Binary files a/src/data/database and b/src/data/database differ
diff --git a/src/data/diseases.csv b/src/data/diseases.csv
new file mode 100644
index 0000000..8709165
--- /dev/null
+++ b/src/data/diseases.csv
@@ -0,0 +1,108 @@
+AIDS
+alkhurma
+anaplasmosis
+anthrax
+arenavirus
+babesiosis
+bordetella
+pertussis
+borreliosis
+botulism
+brucellosis
+campylobacteriosis
+chickenpox
+varicella
+chikungunya
+chlamydia
+cholera
+ciguatera
+clostridium
+rubella
+syphilis
+coronavirus
+covid
+cowpox
+coxsackievirus
+cjd
+cchf
+cryptosporidiosis
+cutaneous warts
+dengue
+dhf
+diphtheria
+ebola
+echinococcosis
+enteric
+ehec
+enterovirus
+typhus
+ecoli
+flu
+measles
+rubella
+giardiasis
+gonorrhoea
+haemophilus
+haemorrhagic
+haemorrhagic
+hantavirus
+hepatitis
+hiv
+hpv
+haemophilus
+meningococcal
+pneumococcal
+encephalitis
+lassa
+legionnaires’
+leishmaniasis
+leptospirosis
+listeriosis
+lyme
+borreliosis
+lymphogranuloma
+malaria
+meningococcal
+mpox
+monkeypox
+mumps
+nephropathia
+nipah
+norovirus
+paratyphoid
+pertussis
+piroplasmosis
+plague
+pneumococcal
+poliomyelitis
+rabies
+rickettsiosis
+rotavirus
+rubella
+salmonellosis
+sars-cov-2
+schmallenberg
+sbv
+sars
+shigellosis
+sindbis
+smallpox
+streptococcus
+syphilis
+tetanus
+encephalitis
+tbe
+tbrf
+toscana
+toxoplasmosis
+trichinellosis
+tuberculosis
+b
+tularaemia
+typhoid
+paratyphoid
+vcjd
+varicella
+hepatitis
+yersiniosis
+zoonosis
diff --git a/src/data/medical_procedures.csv b/src/data/medical_procedures.csv
new file mode 100644
index 0000000..9f1ef23
--- /dev/null
+++ b/src/data/medical_procedures.csv
@@ -0,0 +1,74 @@
+mastectomy
+biopsy
+cesarean
+abortion
+miscarriage
+hysterectomy
+hysteroscopy
+colectomy
+prostatectomy
+colonoscopy
+cystoscopy
+electrocardiography
+electrocorticography
+electroencephalography
+electromyography
+electroneuronography
+electronystagmography
+electrooculography
+electroretinography
+endoscopy
+colonoscopy
+colposcopy
+cystoscopy
+gastroscopy
+laparoscopy
+laryngoscopy
+ophthalmoscopy
+otoscopy
+sigmoidoscopy
+magnetoencephalography
+angiography
+aortography
+lymphangiography
+ventriculography
+computed tomography
+echocardiography
+fluoroscopy
+radiography
+scintillography
+spect
+ultrasonography
+thermography
+neuroimaging
+posturography
+politzerization
+hemodialysis
+hemofiltration
+plasmapheresis
+apheresis
+immunotherapy
+chemotherapy
+phototerapy
+hydrotherapy
+electrotherapy
+psychotherapy
+acupuncture
+antivenom
+intubation
+nebulization
+ablation
+amputation
+biopsy
+cryosurgery
+hemilaminectomy
+image-guided surgery
+laminectomy
+lithotomy
+lithotriptor
+lobotomy
+neovaginoplasty
+radiosurgery
+radiosurgery
+vaginoplasty
+xenotransplantation
diff --git a/src/getNewPrompt.mjs b/src/getNewPrompt.mjs
index 72b18bb..e197295 100644
--- a/src/getNewPrompt.mjs
+++ b/src/getNewPrompt.mjs
@@ -1,7 +1,11 @@
 import { db } from "./db.mjs"
 
-const badWords = db('bad_words')
-        .select('word')
+const blocklist = db.union([
+    db('bad_words').select('word'),
+    db('medical_procedures').select('name'),
+    db('diseases').select('name')
+])
+
 
 export default async function getNewPrompt({ minCount = 200000, maxCount = 30000000, rarityBias = 0.5 }) {
     
@@ -14,7 +18,7 @@ export default async function getNewPrompt({ minCount = 200000, maxCount = 30000
         })
         .andWhere('count', '<', maxCount)
         .andWhere('count', '>', minCount)
-        .andWhere('word', 'not in', badWords)
+        .andWhere('word', 'not in', blocklist)
         .whereNotNull('pronunciation')
         .orderByRaw('count desc')
 
@@ -42,5 +46,5 @@ export default async function getNewPrompt({ minCount = 200000, maxCount = 30000
 
 //console.dir(await getNewPrompt({}))
 
-
+console.log(await blocklist)