X7-qP2-mN9-v4/MTS_Dialogue-Clinical_Note huggingface dataset:
Doctor: Around what time did the car crash take place? 
Patient: About forty five minutes ago. I think someone called nine one one shortly after it happened. 
Doctor: Do you happen to remember how fast you were driving at the time of the crash? 
Patient: I was driving about forty miles an hour.  
Doctor: What kind of car were you driving? 
Patient: A minivan. The car in front of me stopped suddenly and I hit them right from behind. The front of my car is pretty wrecked. 
Doctor: Were you wearing a seatbelt? And did the airbag deploy? 
Patient: Yes and yes. 
Doctor: Any passengers in the car with you? 
Patient: No, just me. 
Doctor: Did you hit your head anywhere? 
Patient: No, but I do have some pain on the left side of my neck. 
Doctor: Do you think you lost consciousness at any point in time? 
Patient: Actually, I do. Right after the crash. 
Doctor: Any pain elsewhere? 
Patient: Um I'm having some pain in my lower stomach area. I think it could be due to slamming into the airbag or steering wheel. 
Doctor: How would you rate this pain, ten being the worst pain ever? 
Patient: Um I'd give it a five out of ten right now. 
Doctor: Any knee, ankle, or foot pain? 
Patient: No.  
Doctor: How about pain in your shoulders, elbows, or wrists? 
Patient: Uh no, but I guess I do have a little bit of pain in my pelvic area. 
Doctor: Do you remember walking before or after the ambulance arrived? 
Patient: I don't think so. Someone told me that I was placed on the stretcher after they got me out of the car. 
Doctor: Just to confirm, no chest pain or difficulty breathing? 
Patient: No. 
Doctor: Have you noticed any cuts on your skin? 
Patient: No.  
Doctor: Any headache, nausea, or vomiting? 
Patient: No. 
Doctor: Fever or chills? 
Patient: No. 
Doctor: Any chance of pregnancy? 
Patient: No, I've been good at taking my birth control and I also have an I U D. 
Doctor: When was your last period? 
Patient: Um end of May I believe. 
Doctor: Are you taking anything besides birth control? 
Patient: Accutane for my pimples.

Clinical note:
Symptoms: Pain in the left side of the neck, pain in the lower abdomen, mild pain in the pelvic area.
Diagnosis: N/A.
History of Patient: Involved in a motor vehicle collision, rear-ended another vehicle while driving a minivan, wearing a seatbelt with airbag deployment, experienced mild neck pain and possible loss of consciousness, no chest pain or difficulty breathing, denies cuts, headache, nausea, vomiting, fever, or chills, last menstrual period at the end of May, taking birth control pills and Accutane.
Plan of Action: N/A.
Doctor: Any known allergies?
Patient: No. 
Doctor: Any allergy to any drug? 
Patient: No.

Clinical note:
Symptoms: N/A.
Diagnosis: N/A.
History of Patient: She has no known drug allergies.
Plan of Action: N/A.
Doctor: Let's talk about your family history. Did anyone in your family have any medical issues that you were aware of? 
Patient: I don't think so. My family has been pretty healthy. Both my parents died of old age. 
Doctor: What about your siblings? Any kind of thyroid issue or diabetes or blood pressure issue there? 
Patient: I have one older brother. He's into weightlifting and all. I would say he's pretty healthy.

Clinical note:
Symptoms: N/A.
Diagnosis: N/A.
History of Patient: N/A.
Plan of Action: N/A.
Doctor: Can you tell me more about your parents, please? How are they doing? 
Patient: Thank you for asking, they're both doing very well. They're very healthy. 
Doctor: That's great to hear. How old are they?
Patient: My mom is fifty, and my dad is forty. 
Doctor: Wonderful, do you have any siblings? 
Patient: Yeah, I have two sisters, one is a half sister, and the other we have the same mom and dad. 
Doctor: How old are they? 
Patient: My half sister and I have the same mom, and she's thirty four. My other sister is ten. 
Doctor: Do they have any history of medical conditions that you know about?
Patient: My half sister, um, no. My other sister has had some yeast infections.

Clinical note:
Symptoms: N/A.
Diagnosis: N/A.
History of Patient: N/A.
Plan of Action: N/A.
Doctor: Hello sir, what brings you here today? Also, please confirm your age for the records.
Patient: I am seventy years old. I am here for nothing particular but I just have discomfort on the right side. 
Doctor: We did electromyography study. This was to assess the health of muscles and the nerves in your body. When did you first notice this discomfort? 
Patient: About five years ago. After my stroke. I've been to a neurologist before. 
Doctor: Yeah, I can see that you have taken different kinds of medications, but nothing seems to help you. 
Patient: That sounds right. Nothing seems to help me to get rid of this discomfort.
Doctor: How often do you check your sugar levels? 
Patient: I do it at home. Mainly two to three times a day. I increase or decrease the amount of insulin that I take based on my numbers.
Doctor: Don't you consult anyone before doing that? 
Patient: It's been so many years now. I do it all by myself. 
Doctor: We did reevaluations of your symptoms. It turned out to be all negative. Do you smoke? 
Patient: I used to chew tobacco a lot and then there were drinks. I used to drink at least half a bottle of single malt in one night. I quit everything five years ago after my stroke.

Clinical note:
Symptoms: Discomfort on the right side.
Diagnosis: N/A.
History of Patient: Discomfort noticed since stroke about five years ago, reevaluation of Symptoms negative.
Plan of Action: N/A.
Doctor: It is nice to see you again, miss.  We are following up on a few things today. How is your arm feeling?  
Patient: My arm is all better. It is not in pain at all anymore.   
Doctor: How has your mood been? Are you feeling any relief from your symptoms since you have been on the Lexapro?  
Patient: It's helping a little bit.  
Doctor: How much Lexapro are you taking now?  
Patient: I am taking ten M G.  
Doctor: How long have you been taking the full dosage?  
Patient: About a week ago. I don't take it every day. I don't feel like I need it some days.   
Doctor: I want you to take the full dosage every day. This might be why you have not had much relief with your symptoms yet.   
Patient: Okay.   
Doctor: Your hands are a little shaky. Is this a normal occurrence for you?   
Patient: I didn't even notice.   
Doctor: It is very subtle. We will keep an eye on it for now. Your blood pressure is a little better today. Have you experienced any worsening joint or bone pain?  I want to check on your osteoporosis and osteoarthritis.
Patient: No.

Clinical note:
Symptoms: Improved right arm Symptoms, subtle tremor.
Diagnosis: Hypertension, depression (improved with Lexapro), osteoporosis, osteoarthritis.
History of Patient: Right arm Symptoms resolved, depression possibly improved with Lexapro (full dosage started about a week ago), occasional non-daily intake of Lexapro, subtle tremor observed.
Plan of Action: Monitor blood pressure, continue Lexapro at full dosage daily, monitor for worsening joint or bone pain related to osteoporosis and osteoarthritis.
Doctor: Do you have any past medical history? 
Patient: No.

Clinical note:
Symptoms: N/A.
Diagnosis: N/A.
History of Patient: N/A.
Plan of Action: N/A.
Doctor: How long it has been since these psychotic periods are going off and on? 
Patient: It has been around twenty years. 
Doctor: So, you were taking Clozaril and some other medications? 
Patient: Yes. 
Doctor: Were you feeling better with them, sir? 
Patient: Yes. It was better for some years.
Doctor: These antipsychotics, they were good on you, right? 
Patient: They were at times, but eventually there was a new episode.

Clinical note:
Symptoms: N/A.
Diagnosis: N/A.
History of Patient: Psychotic episodes recurring for about 20 years, responded well to Clozaril and other medications initially, but eventually experienced new psychotic episodes.
Plan of Action: N/A.
Doctor: Does anyone in your family ever have any neurological disorder? 
Patient: Not anything specific but, many of my family members had lazy eyes. 
Doctor: Who is in your family? 
Patient: My parents and my two little sisters. 
Doctor: How old are your sisters? 
Patient: One is nine, another one is five. 
Doctor: How are they both health wise? 
Patient: They both are healthy.

Clinical note:
Symptoms: N/A.
Diagnosis: N/A.
History of Patient: N/A.
Plan of Action: N/A.
Doctor: I have their surgical history if you'd like to go over it.
Guest_clinician: Go ahead.
Doctor: So they had an exploratory laparotomy in nineteen sixty seven.
Guest_clinician: Okay.
Doctor: They had a number of surgeries in nineteen seventy five, which include an L five S one lumbar laminectomy, anal fissure surgery, tonsillectomy, and adenoidectomy. 
Guest_clinician: Got it. Any complications that you know of?
Doctor: None were mentioned by the patient or their spouse.

Clinical note:
Symptoms: N/A.
Diagnosis: N/A.
History of Patient: L5-S1 lumbar laminectomy in 1975, exploratory laparotomy in 1967, tonsillectomy and adenoidectomy, and anal fissure surgery in 1975.
Plan of Action: N/A.
Doctor: How is your foot feeling? 
Patient: It feels good.  
Doctor: Any pain or discomfort when you walk around on it? 
Patient: No. I am good doc.

Clinical note:
Symptoms: N/A.
Diagnosis: N/A.
History of Patient: N/A.
Plan of Action: N/A.
Doctor: Are you married?
Patient: Yes, for almost twenty two years now.
Doctor: That is amazing! And are you working?
Patient: Ah yes, I drive a delivery truck in the town. 
Doctor: Okay. So, tell me do you smoke or drink? Yes, I do both.
Doctor: And how much would you say you smoke per day?
Patient: I smoke about two packs a day. 
Doctor: Hm, how much do you drink?
Patient: I drink three, oh wait, I drink two beers every day.
Doctor: And do you do any drugs like coke or anything?
Patient: No.

Clinical note:
Symptoms: N/A.
Diagnosis: N/A.
History of Patient: Married for almost twenty two years, working as a delivery truck driver. Smokes two packs of cigarettes per day, drinks two beers daily, denies drug use.
Plan of Action: N/A.
Doctor: Are you married?
Patient: No sir, I'm happily single.
Doctor: Where do you work?
Patient: I am a press worker, I work in a newspaper printing.
Doctor: Do you smoke? Have you ever taken any Illicit drug?
Patient: No, none of them. 
Doctor: What about alcohol? 
Patient: I don't take any now. I was a heavy drinker, but I quit in the seventies.

Clinical note:
Symptoms: N/A.
Diagnosis: N/A.
History of Patient: Single. Works as a newspaper printing press worker. Former heavy drinker, quit in the 1970s. Denies tobacco and illicit drug use.
Plan of Action: N/A.
Doctor: Ever reacted poorly to any medications taken in the past? 
Patient: Hm I don't think so. No reactions so far.

Clinical note:
Symptoms: N/A.
Diagnosis: N/A.
History of Patient: No known Medical Allergies.
Plan of Action: N/A.
Doctor: Are you taking any medications?
Patient: Yes I am taking thyroid meds and Lipitor.

Clinical note:
Symptoms: N/A.
Diagnosis: N/A.
History of Patient: Taking Thyroid oills and Lipitor.
Plan of Action: N/A.
Doctor: Any past medical history like any diabetes or high blood pressure or any heart disease? 
Patient: No, I don't remember any such thing. 
Doctor: How about any surgeries in the past? 
Patient: No. No surgeries at all.

Clinical note:
Symptoms: N/A.
Diagnosis: N/A.
History of Patient: N/A.
Plan of Action: N/A.
Doctor: Good morning, young lady, how old are you?
Patient: Good morning, doctor. I'm thirteen.
Doctor: Good, and what seems to be the problem today? Mom, can you explain for me? 
Guest_family: Well, if you look, doctor, her back posture is very rounded.
Doctor: I think, it's rounding about the thoracic spine. Is there a family history of this problem? 
Guest_family: Yes, on my side, my aunt and grandfather had, um, kyphosis. 
Doctor: Yes, that's what this is. This is thoracic kyphosis to be specific. Has she seen another doctor for this? 
Guest_family: Yes, we saw another orthopedist.
Doctor: What did they recommend? 
Guest_family: They recommended we come in for further observation, so we're here for a second opinion. 
Doctor: Good, is there any back pain, numbness or tingling?
Patient: No, I don't have any of that. 
Doctor: Is there any weakness, numbness or tingling in your legs and arms, my dear? 
Patient: No, I'm very strong, especially for my age. 
Doctor: Are you going to the bathroom with no problem? 
Patient: Yes, doctor, everything is regular there.

Clinical note:
Symptoms: Rounded back posture.
Diagnosis: Thoracic kyphosis.
History of Patient: Family history of kyphosis, previously seen orthopedist recommended observation, seeking second opinion.
Plan of Action: N/A.
Doctor: Are you allergic to anything?
Patient: No, I am not allergic to anything.
Doctor: Okay so no drug allergies.
Patient: Yeah.

Clinical note:
Symptoms: N/A.
Diagnosis: N/A.
History of Patient: No Known drug allergies.
Plan of Action: N/A.
Doctor: Are you married, ma'am. 
Patient: Yes, to my husband, I can't even remember how long my husband and I have been married. 
Doctor: That's wonderful. Do you drink or smoke?
Patient: Absolutely not, I've never have used that stuff.

Clinical note:
Symptoms: N/A.
Diagnosis: N/A.
History of Patient: Married, duration unknown, denies alcohol and tobacco use.
Plan of Action: N/A.
Doctor: Uh let's see here. Are there any diseases that run in your- 
Patient: Family? 
Doctor: Yes. 
Patient: Nope.

Clinical note:
Symptoms: N/A.
Diagnosis: N/A.
History of Patient: N/A.
Plan of Action: N/A.
Doctor: What happened to you? How did you get involved in this accident?
Patient: I was just trying to adjust cable that my brother's dog was tied to. All of a sudden, he attacked me out of nowhere. The injury to my leg is V shaped and the V is pointing towards my foot. 
Doctor: What kind of dog?
Patient: German shepherd. But he is up to date on his shots, and he is completely healthy. 
Patient: He bit me on my foot, and it looks like his teeth went into my skin. I went to my P C P.
Doctor: What did you do there?
Patient: They cleaned the wound and did some bandage along with it he gave me a tetanus shot.
Doctor: And he sent you to us?
Patient: Yes.
Doctor: Okay let me examine your wound.
Patient: Sure!
Doctor: It looks like there is a flap injury developed after puncture wound. It seems like a centimeter long and viable. How old are you sir? And what ethnicity do you identify with?
Patient: White male. I am fifty years old. Is my right leg going to be okay?
Doctor: The skin looks viable. We can save the tissue.

Clinical note:
Symptoms: Puncture wound with a flap injury on the right lower leg, V-shaped wound pointing towards the foot.
Diagnosis: Puncture wound with flap injury.
History of Patient: Patient bitten by a German shepherd while adjusting a cable, treated by PCP with wound cleaning, bandaging, and tetanus shot before referral.
Plan of Action: Further assessment and treatment to save tissue viability.
Doctor: Are you aware of any family medical history? 
Patient: Nope. Both of my parents, they died of old age. They were in their eighties. I cannot remember of any other medical issue in any of my relatives. 
Doctor: What about memory loss or stroke or high blood pressure, diabetes, or any other kind of mental illness? 
Patient: Nope. 
Doctor: Anyone sick in your family out of these things? 
Patient: Nope. 
Doctor: Do you have kids? 
Patient: Yeah, I have five children and they all are doing well in their life.

Clinical note:
Symptoms: N/A.
Diagnosis: N/A.
History of Patient: N/A.
Plan of Action: N/A.
Doctor: Do you have any significant medical conditions in your history that I should know about? 
Patient: What, like high blood pressure? 
Doctor: Well, it could be anything from high blood pressure, to depression, to something as serious as cancer. 
Patient: Oh, no, I don't have anything like that, at least not that I know if.

Clinical note:
Symptoms: N/A.
Diagnosis: N/A.
History of Patient: N/A.
Plan of Action: N/A.
Doctor: Hi! How are you two doing today? 
Guest_family: We are doing good. I am tired today. 
Doctor: Our records show that he is up to date on all of his two month old immunizations. 
Guest_family: That is right! He had his shots the last time we were here.  
Doctor: Does he have any health conditions or difficulties during childbirth?
Guest_family: Nope. He is healthy.

Clinical note:
Symptoms: N/A.
Diagnosis: N/A.
History of Patient: Had two month immunization.
Plan of Action: N/A.
Doctor: Hello! How are you all today? 
Guest_family: Not good. We are really worried about our daughter. 
Doctor: What happened? 
Guest_family: I turned my back for one second and I saw her under the counter in the cabinet. We have childproofing on that cabinet. I don't know how she got it open. I pulled her out from the cabinet, and she had the bottle of ant bait in her hands.  She had spilled the entire bottle all over her.  She had the liquid on her hands. I don't know if she drank any of it or put her hands in her mouth. 
Doctor: Do you know what the ant bait was called? 
Guest_family: No. I know it was the kind with Borax in it. 
Doctor: Do you know how big the container was? 
Guest_family: It was an eleven M L bottle. I am not sure if that stuff is toxic or not? 
Doctor: How old is she? 
Guest_family: She is fourteen months. 
Doctor: Have you noticed and strange behavior or vomiting? 
Guest_family: No.

Clinical note:
Symptoms: Possible exposure to ant bait with Borax, spilled liquid on hands, uncertain ingestion.
Diagnosis: N/A.
History of Patient: Possible ingestion of ant bait by a 14-month-old child, spilled entire bottle (11 mL) over her, unsure if she drank any, no observed vomiting or strange behavior.
Plan of Action: N/A.
Doctor: Hello. Are you ready for your surgery today? 
Patient: I'm ready as can be. This isn't my first rodeo. 
Doctor: I see. Have you had surgeries before? 
Patient: Yeah, I have. I think it's in my report that you have with you. 
Doctor: You're right. It says here you've had some stripping of veins in your legs, a tonsillectomy, and a adenoidectomy.

Clinical note:
Symptoms: N/A.
Diagnosis: N/A.
History of Patient: Previous surgeries include stripping of veins in the legs, tonsillectomy, and adenoidectomy.
Plan of Action: N/A.
Doctor: Is she married? 
Guest_family: Um no, she's divorced. 
Doctor: Any history of tobacco, alcohol or drug use?  
Guest_family: I think she used to drink? But I'm not positive.

Clinical note:
Symptoms: N/A.
Diagnosis: N/A.
History of Patient: Divorced marital status, uncertain history of alcohol use.
Plan of Action: N/A.
Doctor: And tell me, are you allergic to any medications? 
Patient: No. Not that I know of. 
Doctor: Okay.

Clinical note:
Symptoms: N/A.
Diagnosis: N/A.
History of Patient: N/A.
Plan of Action: N/A.
Doctor: I'd like to get her in to see you sometime next week for her enlarged thyroid. 
Guest_clinician: Is she symptomatic? 
Doctor: Yes, she's experiencing increased difficulty swallowing. She's also reporting throat tightness on an off. 
Guest_clinician: What's her medical record number?

Clinical note:
Symptoms: Difficulty swallowing, throat tightness.
Diagnosis: Enlarged thyroid.
History of Patient: N/A.
Plan of Action: Schedule appointment for next week to address enlarged thyroid, Symptoms of difficulty swallowing and throat tightness.
Doctor: Hi! How are you today? 
Patient: I am doing well. I start a new job on Monday. I have been unemployed for about a year now. It is going to be nice to get back to work.
Doctor: Congratulations. Do you use tobacco products, drink alcohol or recreational drugs? 
Patient: I used to smoke a little bit, but I quit ten years ago.  
Doctor: Great! 
Patient: I don't drink or do drugs.

Clinical note:
Symptoms: N/A.
Diagnosis: N/A.
History of Patient: Unemployed for about a year, starting a new job on Monday, former smoker (quit ten years ago), denies current tobacco, alcohol, or recreational drug use.
Plan of Action: N/A.
Doctor: So, tell me about your family's medical history.
Patient: Hm, my mother passed away due to cancer.
Doctor: Oh, what type? 
Patient: Actually, I don't know that. 
Doctor: Okay.
Patient: And my dad died due to heart attack.
Doctor: Oh.
Patient: Yeah. 
Doctor: Okay, I don't see your vaccination record here, do you have it?
Patient: No, I don't have it. I moved here from a different country a long time ago with barely anything. I don't have any medical records from my past. 
Doctor: I see.

Clinical note:
Symptoms: N/A.
Diagnosis: N/A.
History of Patient: Mother passed away from cancer (specific type unknown), father died from a heart attack. Patient moved from another country long ago and lacks medical records.
Plan of Action: N/A.
Doctor: Welcome back to the clinic, Miss A B C. 
Patient: Thank you. 
Doctor: It looks like we last saw you June twenty first, this year. Doctor X and Y referred you for the evaluation of your pinched nerve in the C six regain on the left side. I also see that we are following up on the significant rotator cuff tear on the left side.  Did you get scheduled for the surgery with Doctor Yen yet? 
Patient: Yes. I believe the surgery is scheduled for July twentieth. 
Doctor: How is your shoulder feeling? 
Patient: My shoulder is the same. I am still in a significant amount of pain. 
Doctor: I am sorry to hear that. Your surgery is coming up soon and that should help. 
Patient: I hope so. 
Doctor: We are also following up the pinched nerve in your upper left extremity C six. How are you feeling? 
Patient: I have had some pain starting in that same spot, and it goes down the left arm into my wrist.
Doctor: Have you had any weakness associated with your upper extremities on the left side? 
Patient: It is mild and it is about the same as the last time. 
Doctor: Is it about the same as the last time you were here? We have it noted in the last note that it was mild as well. 
Patient: Yes. It has been the same.  
Doctor: Any weakness or symptoms on the right side? 
Patient: No, not really. 
Doctor: Any difficulty with mobility or moving around on either side? 
Patient: No. 
Doctor: Have you been experiencing any bowel or, bladder dysfunction. 
Patient: No. 
Doctor: I see in the chart for our last visit, I only had a report of a prior cervical spine M R I.  I don't have any recent images. I going to refer you for a cervical spine M R I. Are you able to get the imaging done today and I will have you return to the clinic at the end of today?
Patient: Yes. I can do that. I took the whole day off of work today. 
Doctor: Great! I will put the order in right now.

Clinical note:
Symptoms: Left-sided shoulder pain, pain radiating down the left arm into the wrist, mild weakness in the left upper extremity.
Diagnosis: Left-sided rotator cuff tear, left-sided C6 radiculopathy.
History of Patient: Continuing Symptoms of left shoulder pain and left upper extremity radiculopathy, scheduled for surgery for rotator cuff repair, no recent changes in Symptoms, no significant right upper extremity Symptoms, no bowel or bladder dysfunction, no difficulty with ambulation.
Plan of Action: Refer for cervical spine MRI to further evaluate radiculopathy, scheduled for surgery with Dr. Y for rotator cuff repair.
Doctor: Are you on any medications at this time? 
Patient: None whatsoever. 
Doctor: Got it.

Clinical note:
Symptoms: N/A.
Diagnosis: N/A.
History of Patient: N/A.
Plan of Action: N/A.
Doctor: Hey, how is the patient doing? 
Guest_clinician: I actually don't know, I was not able to examine him. He is having special procedures done for the past two hours for some medical management. 
Doctor: Oh, I see.

Clinical note:
Symptoms: N/A.
Diagnosis: N/A.
History of Patient: N/A.
Plan of Action: N/A.
Guest_family: So, you mean it is something simple?
Doctor: Yes, it is probably sinus infection and then cough secondary to that infection.
Guest_family: Will that be treatable?
Doctor:  Yes, it is. 
Guest_family: Okay nice.

Clinical note:
Symptoms: Sinus infection, cough.
Diagnosis: Clinical sinusitis, secondary cough.
History of Patient: N/A.
Plan of Action: N/A.
Doctor: You have an infection that has become septic. We are going to have to start you on intravenous antibiotics. 
Patient: Okay. 
Doctor: We also need to address the blood clotting. I am going to give you an anticoagulant to prevent any further clotting issues. Do you have any questions? 
Patient: No.

Clinical note:
Symptoms: N/A.
Diagnosis: Disseminated intravascular coagulation, Streptococcal pneumonia with sepsis.
History of Patient: N/A.
Plan of Action: Start intravenous antibiotics, administer anticoagulant to address blood clotting.
Doctor: So, what do you do for a living, sir? 
Patient: Right now, I'm a truck driver, sir. 
Doctor: Wow, that's hard work. Are you working right now?
Patient: No, I can't right now, I'm on sick leave. 
Doctor: Are you married? 
Patient: Yes, to my wonderful wife. She's helping to take care of me. 
Doctor: Do you two have any children?
Patient: Yes, we have three. We all live together, and for that I'm very thankful. 
Doctor: Do you smoke, sir? 
Patient: Yeah, I smoke about two packs a day. 
Doctor: How about alcohol? Do you drink?
Patient: No, just smoking for me. 
Doctor: How about more illicit substances, have you used illegal or prescription drugs inappropriately? 
Patient: Oh, absolutely not. 
Doctor: That's good. Do you have any other medical conditions that run in your family that I should know about? 
Patient: No, not that I know of.

Clinical note:
Symptoms: N/A.
Diagnosis: N/A.
History of Patient: N/A.
Plan of Action: N/A.
Doctor: Hello there, how are you? 
Patient: I am good, thank you for asking.
Doctor: So, what brings you in today?
Patient: Well, I think I am suffering from memory loss, like short term memory loss.
Doctor: Okay, and why do you say so? 
Patient: I have been under tremendous stress for the last five to ten years. I am currently working for T mobile customer service and my work is really hectic. It requires a lot of technical knowledge with project deadlines which is adding to my stress. 
Patient: Sometimes I have trouble absorbing all the technical knowledge and computer skills or customer issues.
Doctor: Hm.
Patient: I did my M B A in business for a reason, I wanted to make a good career, but this job is very demanding and stressful. I previously worked at a bank in Conway Springs, Norwich. I have worked many jobs around accounting and management services, but my current job is a high stress one.
Doctor: I see, are you married? 
Patient: I have been widowed for past eleven years. My husband died in a car accident, he was hit by drunk driver. It was not the time for my husband to go! After he left, I had to take care of everything and that's another reason for my stress from the past several years. 
Doctor: I am so sorry to hear that.
Patient: Yeah.
Doctor: Okay, so tell me any weakness or dizziness or lethargy in the past or now?
Patient: No.
Doctor: Any history of stroke?
Patient: No.

Clinical note:
Symptoms: short-term memory loss, trouble absorbing information
Diagnosis: N/A
History of Patient: exceeding amount of stress over the last 5 to 10 years, widow over the last 11 years, husband died in an MVA from a drunk driver accident, previously worked at the bank in Conway Springs in Norwich and had several other jobs related to accounting or management services, currently works at T-Mobile Customer Service with demanding and high-stress job
Plan of Action: N/A
Doctor: Hi there! Welcome to the clinic.  
Patient: Thank you. 
Doctor: Doctor Murphy sent your records over. I reviewed the ultrasound, and we did find a kidney stone that has become stuck in the ureter on the left side. The stone is large enough to block the flow of urine from the kidney to the bladder.  How much pain are you having and where is the pain located? 
Patient: I am in a great deal of pain. It is coming from my left side right here. 
Doctor: Okay. Let use discuss your treatment options. 
Patient: Okay.

Clinical note:
Symptoms: pain in the left side
Diagnosis: kidney stone stuck in the left ureter
History of Patient: N/A
Plan of Action: discuss treatment options
Doctor: Any allergies?
Patient: What do you mean?
Doctor: Are you allergic to anything?
Patient: No no, oh no.

Clinical note:
Symptoms: N/A
Diagnosis: N/A
History of Patient: N/A
Plan of Action: N/A
Doctor: You have type two Diabetes? 
Patient: Yes.
Doctor: And High Cholesterol?
Patient: Yes.
Doctor: Your diabetes is poorly controlled.
Patient: I will keep an eye on it.

Clinical note:
Symptoms: N/A
Diagnosis: type two Diabetes, High Cholesterol
History of Patient: N/A
Plan of Action: Diabetes poorly controlled, patient will keep an eye on it
Doctor: Can you tell me more about your daughter's injury? 
Guest_family: Well, we came in in November, and she was diagnosed with an acute on chronic right slipped capital femoral epiphysis. 
Doctor: Did she have surgery on this? 
Guest_family: Yes, let me look at my notes, I have it written down here, um, a situ pinning. 
Doctor: Remind me, how old are you, dear? 
Patient: I'm thirteen now. 
Doctor: Okay, thank you. So, um, if you look her at the x rays, it appears that the screw is now going into the hip joint. 
Guest_family: They didn't see that before. What can we do about this? 
Doctor: We'll need to do another operation in order to remove this screw and put a shorter one in. We need to do the surgery because this can cause further joint damage.
Guest_family: Are there any risks of infection from this surgery? 
Doctor: Overall, the risk of infection is very low, honestly its less than one percent. 
Guest_family: That's good to hear, will she go to sleep during surgery? 
Doctor: Yes, we'll use anesthesia the entire time. She won't feel a thing. 
Guest_family: What does recovery look like for this surgery? 
Doctor: I expect her to heal up very well, but there's always a risk of some changes in sensation and motion, and she may be stiff for some time following everything. Other risks include bleeding, but I would not worry about these things. 
Guest_family: Okay, how does that sound, honey? Would you like to do this?
Patient: Yeah, I want to get back to playing sports with my friends.
Guest_family: I agree, Doctor, we'll do the surgery.

Clinical note:
Symptoms: N/A
Diagnosis: acute on chronic right slipped capital femoral epiphysis
History of Patient: presented in November
Plan of Action: underwent in situ pinning, screw exchange discussed
Doctor: What brings you in today? 
Patient: Um a number of different things. I don't even know where to start to be honest. 
Doctor: I understand. What's bothering you the most? 
Patient: Lemme think. I'm uh having really bad pain. 
Doctor: Where's the pain located? 
Patient: Hm. It's in a tricky spot. 
Guest_family: Hi. Husband here. Let me help explain. She's been having severe lower back pain. It started off mild and got worse over the course of a few days. She's also a lot more sluggish as a result.  
Doctor: Any recent injuries or falls? 
Guest_family: None. She spends most of her time in bed.

Clinical note:
Symptoms: severe lower back pain, sluggishness
Diagnosis: N/A
History of Patient: pain started off mild and got worse over a few days, spends most of her time in bed
Plan of Action: N/A
Doctor: Hello, I want you to meet my assistant. She will be helping me out with your case today. 
Doctor: Please represent the patient's case.
Guest_clinician: Patient is a seventy six year old male. He complains of generalized weakness and malaise for several months. He has a two week history of worsening orthostatic dizziness. He denies any recent symptoms of fever or shortness of breath, cough, vomiting, diarrhea, hemoptysis, melena, hematochezia, bright red blood per rectum, polyuria, night sweats, visual changes, or syncopal episodes. 
Doctor: You said you are feeling dizziness, so what makes it worse? 
Patient: It's bad whenever I try to stand straight. I also have these intermittent headaches where it feels like somebody is hammering inside. 
Doctor: Do these headaches change with changing the positions or standing straight? 
Patient: No. 
Doctor: Does the patient have any known medical history? 
Guest_clinician: Yes, he has a history of sinusitis. 
Doctor: So, your headaches-- how long has this been going on? 
Patient: Many weeks now. 
Doctor: Do you smoke? 
Patient: I used to smoke a hundred and even more packs per year. Now it's just one to two packs each day.
Doctor: Has there been any weight loss?
Patient: I lost forty pounds.

Clinical note:
Symptoms: generalized weakness, malaise, worsening orthostatic dizziness, intermittent throbbing holocranial headaches
Diagnosis: sinusitis
History of Patient: Symptoms present for several months, worsening orthostatic dizziness for two weeks, intermittent headaches for several weeks, weight loss of forty pounds over the past year
Plan of Action: N/A
Doctor: Have you ever had jaundice?
Patient: Um, no.
Doctor: Any rash or anything?
Patient: Nope.

Clinical note:
Symptoms: N/A
Diagnosis: N/A
History of Patient: N/A
Plan of Action: Negative rash, negative jaundice
Doctor: Good morning, ma'am, before we begin, how old are you?
Patient: Good morning, doctor, I'm twenty five. 
Doctor: Good, thank you. So, how are you feeling today? 
Patient: I'm okay, but I have this rash and itching over my right arm. It's so itchy and I scratch all the time. 
Doctor: Is this your dominant hand? 
Patient: Yes, so this had especially been bothering me. 
Doctor: When did you first notice these symptoms? 
Patient: Um, I think it was in October of nineteen ninety two. I think it was the twenty third. 
Doctor: Have you had any symptoms in any other parts of your body? 
Patient: Um, yeah, I've had tingling in both my legs, like in the front, and then it goes into my toes too. 
Doctor: Did this tingling sensation go away?  
Patient: Yes, it went away the next day without me doing anything. 
Doctor: Have these symptoms returned at any point? 
Patient: Well, two days later, so that'd be the twenty fifth, I noticed that my legs felt like they were asleep. I really couldn't feel anything.
Doctor: Have these symptoms spread to any other part of the body? 
Patient: Yeah, I couldn't really feel anything in the middle of my chest. I also have started having pain in my right shoulder blade. 
Doctor: Do these symptoms interfere with your ability to move? 
Patient: Yes, I don't really feel comfortable standing on my own, and I can't walk very well. 
Doctor: Do you have any cold or flu like symptoms? 
Patient: No, heat and cold don't bother me
Doctor: Do you feel any significant fatigue? 
Patient: No, not really. 
Doctor: Have you had any significant weight loss? 
Patient: No.

Clinical note:
Symptoms: rash and itching over right arm, tingling in both legs extending into toes, legs feeling asleep, loss of sensation in middle of chest, pain in right shoulder blade, discomfort standing and walking
Diagnosis: N/A
History of Patient: rash and itching noticed in October 1992, tingling in legs and toes noticed in October 1992, tingling sensation resolved next day, legs felt asleep on October 25th, loss of sensation in chest on October 25th, pain in right shoulder blade present, discomfort standing and walking reported
Plan of Action: N/A
Doctor: How's it going? 
Patient: Good, can't complain. 
Doctor: Glad to hear. So today we're going to do a comprehensive eval. It'll be a bit different than our usual visits together. Would you like your mom to step in the room, too? 
Patient: Yeah, that's not a problem.  
Doctor: Alright. I'll grab her from the waiting room. I'll be right back.

Clinical note:
Symptoms: N/A
Diagnosis: N/A
History of Patient: N/A
Plan of Action: N/A
Guest_clinician: I was not able to get her complete history and review of systems. But she is scheduled for a bladder distension surgery.
Doctor: Okay.
Guest_clinician: Also, I am not sure if she is off Coumadin because of the surgery. 
Doctor: Oh yeah, she has chronic AFib and she is on Coumadin. Not sure if she has stopped the medicine due to upcoming surgery.
Guest_clinician: The only thing she could tell was that she was having tremors for the past three to four years and was diagnosed with early Parkinson's disease.
Doctor: Alright.

Clinical note:
Symptoms: tremors for the past three to four years
Diagnosis: early Parkinson's disease
History of Patient: N/A
Plan of Action: scheduled for bladder distension surgery, uncertainty regarding continuation of Coumadin due to surgery
Doctor: Hello. What is the reason for your visit today? 
Patient: I keep having this dry cough and it gets hard to breathe at times. 
Doctor: Were you exposed to anything recently? 
Patient: Here's a note from a contractor that worked on my house recently. I wasn't sure what it meant. 
Doctor: I see. It looks like you may have been exposed to asbestos. 
Patient: Oh, no! Am I going to be fine? 
Doctor: I'll take a look, but I want to ask you a quick question. Did you have any family living with you at the time? 
Patient: Nope. I live alone, so my family wasn't there to be exposed.

Clinical note:
Symptoms: dry cough, difficulty breathing
Diagnosis: potential exposure to asbestos
History of Patient: N/A
Plan of Action: N/A
Doctor: How are you feeling today, ma'am? 
Patient: Honestly, overall, I'm feeling a lot better. 
Doctor: Are you still having the diarrhea and decreased appetite? 
Patient: Yes, but I'm still feeling better though. 
Doctor: Have you been peeing a normal amount? 
Patient: Yeah, no problems there. I measured it like you told me to—six hundred M L. 
Doctor: When was the last time you peed? 
Patient: Um, it was about seven this morning.
Doctor: Are you having any fever symptoms? 
Patient: No, I feel pretty well.

Clinical note:
Symptoms: feeling better overall, diarrhea, decreased appetite
Diagnosis: N/A
History of Patient: Good urine output of 600 mL since 7 o'clock in the morning, afebrile
Plan of Action: N/A
Doctor: Do you smoke, sir? 
Patient: No. 
Doctor: Do you drink? 
Patient: No. I was a boxer before so that's why I was always stayed away from these things. 
Doctor: How is your living condition? Are you living alone or with family? 
Patient: Mostly I'm by myself during the daytime. Family comes to help with me on and off. I just love it that way. I wasn't to be in an independent home setting soon.

Clinical note:
Symptoms: N/A
Diagnosis: N/A
History of Patient: Prior boxer, living in a home where he would need to be independent during the day, family relatives intermittently available, goal is to return home to an independent fashion to that home setting
Plan of Action: N/A
Doctor: Do you smoke cigarettes?
Patient: Yes. 
Doctor: Do you drink alcohol or use recreational drugs? 
Patient: Yes, I have been in and out of treatment. I am not doing so well with staying clean. 
Doctor: What substances do you use? 
Patient: I drink, and I did some coke today. I have been in treatment for heroin and alcohol.

Clinical note:
Symptoms: N/A
Diagnosis: N/A
History of Patient: Noncontributory
Plan of Action: N/A
Doctor: Hello how are you? Doctor Mina is an intern working with me. She will be taking notes and discussing your case today. 
Patient: That's okay. 
Doctor: So, tell me Doctor Mina, what brings this young man today here?
Guest_clinician: This is a sixteen year old right handed boy. He is studying in eleventh grade. He is having some difficulties with vision like blurring and focusing. He was diagnosed with a suprasellar tumor. Later on, January fourth, he underwent a surgery for his tumor. Biopsy reports said that it was craniopharyngioma. Even after the surgery, there was some residual disease left and his visual apparatus was decompressed. 
Doctor: Thank you Doctor.  Tell me how are you doing young man? Are there any difficulties going back to school? 
Patient: I am doing fine. I do get some headaches and it feels like somebody is ringing bells in my ears. My eyesight has improved a lot.

Clinical note:
Symptoms: blurred vision, difficulty focusing, headaches, tinnitus
Diagnosis: suprasellar tumor (craniopharyngioma)
History of Patient: diagnosed with suprasellar tumor, underwent surgery on January fourth, residual disease after surgery, visual apparatus decompressed, occasional headaches and tinnitus, improved vision
Plan of Action: N/A
Doctor: Remind me, please, when was your surgery? 
Patient: Well, it's been about two and a half months now.
Doctor: Great, we repaired that slipped capital femoral epiphysis on both sides, we call it S C F E.
Patient: Thank you for reminding me, I forgot the names of everything.

Clinical note:
Symptoms: N/A
Diagnosis: slipped capital femoral epiphysis (SCFE) bilaterally
History of Patient: post-surgery, 2-1/2 months
Plan of Action: N/A
Doctor: Any medications I should know about? 
Patient: Nah, no daily meds.

Clinical note:
Symptoms: N/A
Diagnosis: N/A
History of Patient: N/A
Plan of Action: N/A
Doctor: Is your husband still around, ma'am?
Patient: No, he passed away a few years ago. 
Doctor: I'm so sorry to hear that. 
Patient: Oh, it's quite all right. 
Doctor: Do you drink or smoke?
Patient: No, I don't do either of those. 
Doctor: Good, so where are you living now?
Patient: I'm living at Kansas Christian Home. 
Doctor: Do you live independently there? 
Patient: Yes, thankfully. But, I can't do a lot of things. I have to be sure to take my medicines. 
Doctor: Did you drive yourself today?
Patient: No, I had a driver today. Can we speed this up, I need to get to the noon meal.

Clinical note:
Symptoms: N/A
Diagnosis: N/A
History of Patient: widow, living independently at Kansas Christian Home, requires assistance with medications, had a driver bring her to the appointment, needs to attend noon meal
Plan of Action: N/A
Doctor: Welcome in, Miss A! 
Patient: Thank you. 
Doctor: How have you been doing? 
Patient: I am good today! 
Doctor: Have you not been feeling good other days? 
Patient: I have been feeling nervous and having some anxiety lately. 
Doctor: Is your feelings of nervousness or anxiousness triggered by anything specific? 
Patient: It varies. I feel anxious when I think about retuning to work or this upcoming trip that I have planned. 
Doctor: How often do you feel this way? 
Patient: It comes and goes. 
Doctor: Have you ever had any treatment or history of depression, anxiety, or mood disorders? 
Patient: No.

Clinical note:
Symptoms: feelings of nervousness, anxiety
Diagnosis: N/A
History of Patient: occasional feelings of anxiety triggered by thoughts of returning to work, upcoming trip, and other events, Symptoms "come and go"
Plan of Action: N/A
Doctor: Who lives with you, miss?
Patient: I live with my boyfriend.
Doctor: Do you smoke cigarettes?
Patient: Yes, I do.
Doctor: How about drugs?
Patient: Sometimes, but I don't want to talk about it.
Doctor: Okay. Anything else you want to talk about?
Patient: Pardon?

Clinical note:
Symptoms: N/A
Diagnosis: tobacco abuse, illicit drug abuse
History of Patient: lives with boyfriend
Plan of Action: N/A
Doctor: Do you have a family history of neurological conditions that I should know about? 
Patient: What exactly do you mean by that, doctor? 
Doctor: Well, it could be anything from A D H D, to epilepsy, to Alzheimer's. 
Patient: Oh, no.

Clinical note:
Symptoms: N/A
Diagnosis: N/A
History of Patient: N/A
Plan of Action: N/A
Doctor: Are you on any medications? 
Patient: Yeah. I take Abilify to help with my mood. 
Doctor: Do you find that it's helping? 
Patient: A little, yeah.

Clinical note:
Symptoms: N/A
Diagnosis: N/A
History of Patient: N/A
Plan of Action: Abilify
Doctor: Your culture results came back positive for Streptococcus pneumoniae. This is a bacterial infection. I would like to take a course of antibiotics.  This should start to improve your symptoms with in three to four days.  
Patient: Okay. 
Doctor: Please let me know if your symptoms have not improved or becomes worse. 
Patient: I will. Thank you.

Clinical note:
Symptoms: N/A
Diagnosis: Streptococcus pneumoniae bacterial infection (upper respiratory infection)
History of Patient: N/A
Plan of Action: course of antibiotics
Patient: I had a lung transplant in two thousand and four because of Pulmonary Fibrosis. 
Doctor: Okay, how are you now? It was, was that for both lungs?
Patient: Yes, both sides. 
Doctor: You do have irregular heart rhythm, right?
Patient: Yes, I do.

Clinical note:
Symptoms: N/A
Diagnosis: pulmonary fibrosis, atrial fibrillation
History of Patient: bilateral lung transplant in 2004 due to pulmonary fibrosis
Plan of Action: N/A
Doctor: How are you?
Patient: Look at this fifth fingernail on my left hand, doctor.
Doctor: Oh what is stuck here?
Patient: I think it's wood splinter.
Doctor: Oh, must be painful!
Patient: Yes a lot.

Clinical note:
Symptoms: pain in left fifth fingernail
Diagnosis: foreign body (wooden splinter) in left fifth fingernail
History of Patient: N/A
Plan of Action: N/A
Doctor: Can you move your arms? I would like to see how your range of motion is.
Patient: Sure, see. Like that?
Doctor: Yes, yes, looks good for both arms and legs.
Patient: Great.
Doctor: I do not see any obvious deformities in head neck or in extremities.
Patient: Yes, no problems.
Doctor: Okay?
Patient: Okay.

Clinical note:
Symptoms: N/A
Diagnosis: N/A
History of Patient: N/A
Plan of Action: N/A
Doctor: Are you allergic to anything?
Patient: Yes, I am allergic to eggs and peanuts.
Doctor: Oh, okay.
Doctor: Anything else? Any medication?
Patient: No, nothing else.
Doctor: Alright.

Clinical note:
Symptoms: N/A
Diagnosis: N/A
History of Patient: N/A
Plan of Action: N/A
Doctor: Do you smoke, sir? 
Patient: No. 
Doctor: Do you drink? 
Patient: Sometimes I take a beer or two. 
Doctor: Are you married? 
Patient: For last ten years. 
Doctor: What do you do for living? 
Patient: I install floor. I am associated with a construction company and my main work is flooring installation.

Clinical note:
Symptoms: N/A
Diagnosis: N/A
History of Patient: N/A
Plan of Action: N/A