X7-qP2-mN9-v4/MTS_Dialogue-Clinical_Note huggingface dataset:
Doctor: Did you had any medical issues in the past?
Patient: No, nothing major.
Doctor: You said nothing major, so, what was there?
Patient: I had a little curve in the spine. It was not major. Doctor said that it can be corrected by exercises.

Clinical note:
Symptoms: N/A
Diagnosis: N/A
History of Patient: history of mild scoliosis, curvature in the spine, considered not major by patient, advised corrective exercises by doctor
Plan of Action: N/A
Doctor: Do you have any medical conditions that I should know about? 
Patient: Yeah, I have chronic diarrhea, and C O P D. 
Doctor: Are you a smoker? 
Patient: Yes, I have been for a long time. 
Doctor: How would you characterize your smoking level?
Patient: Um, I'd say it's pretty heavy.

Clinical note:
Symptoms: chronic diarrhea, COPD (chronic obstructive pulmonary disease)
Diagnosis: N/A
History of Patient: chronic diarrhea, COPD secondary to heavy smoking
Plan of Action: N/A
Doctor: You have atrial fibrillation from the past?
Patient: Yes, rhythm problem is bad. 
Doctor: And no dizziness?
Patient: Yes. I do.
Doctor: Okay well...

Clinical note:
Symptoms: dizziness
Diagnosis: atrial fibrillation
History of Patient: N/A
Plan of Action: N/A
Doctor: Do you have any allergies? 
Patient: No allergies.
Doctor: Nothing? Cat dander, pollen?
Patient: Nope.

Clinical note:
Symptoms: N/A
Diagnosis: N/A
History of Patient: N/A
Plan of Action: N/A
Doctor: Do you live with your husband? 
Patient: Yes, we live on a ranch about twenty miles away. 
Doctor: Do you have children? 
Patient: We had six children all together, but two of them passed away suddenly. 
Doctor: I'm so sorry to hear that. How old were they? 
Patient: One was forty years old and the other was forty five. 
Doctor: Wow, they were quite young. I offer you my sincerest condolences. 
Patient: Thank you. It's been really hard on my family, but we're trying our best to get by. 
Doctor: That's all you can do. It's important to spend time with each other every chance you get. 
Patient: Exactly. 
Doctor: I have a few more questions to ask before we end today. 
Patient: Go ahead. 
Doctor: Do you have family history of any medical problems? 
Patient: No. 
Doctor: Do you smoke or drink? 
Patient: Never.

Clinical note:
Symptoms: N/A
Diagnosis: N/A
History of Patient: married, lives on a ranch with husband, had 6 children (2 deceased), surviving children, no history of tobacco or alcohol use, noncontributory family medical history
Plan of Action: N/A
Doctor: So let's see here. Any history of high blood pressure or diabetes? 
Patient: No, sir. 
Doctor: How about heart disease? 
Patient: No, no heart disease. 
Doctor: And no cancers? 
Patient: No and for that I'm thankful.

Clinical note:
Symptoms: N/A
Diagnosis: N/A
History of Patient: no history of hypertension, diabetes, heart disease, liver disease, or cancer
Plan of Action: N/A
Doctor: What is your family medical history? 
Patient: My dad had Alzheimer's disease. He is in a facility that cares for him now.
Doctor: I am sorry that must be hard. 
Patient: It is. My aunt, his sister helped me get everything set up for him. She had a stroke last month. 
Doctor: Oh no. How is she doing now? 
Patient: She is home now but her husband is having to help take care of her. The doctors said it looks good for her to have a full or almost full recovery. 
Doctor: That is a relief. 
Patient: Yes, it is! 
Doctor: Any other family health problems that you know of? 
Patient: No not that I know of.

Clinical note:
Symptoms: N/A
Diagnosis: N/A
History of Patient: paternal side family history of Alzheimer's disease and stroke
Plan of Action: N/A
Doctor: So, how much longer are you in juvie, young man?
Patient: I've got about three weeks left, sir. Twenty five days, if you want to be exact. 
Doctor: Good, time to make the best of getting out, right? 
Patient: Absolutely, I don't want to go back. 
Doctor: Good. Do you smoke, young man?
Patient: No sir, absolutely not.

Clinical note:
Symptoms: N/A
Diagnosis: N/A
History of Patient: in Juvenile Hall for about 25 more days, nonsmoker
Plan of Action: N/A
Doctor: Hello, I am Doctor Rez. I will ask you a few questions about your personal and family history, okay?
Patient: Yes, that's okay.
Doctor: Did any one in your family get diagnosed with any medical conditions? 
Patient: My mom has lumps in her breast but it is benign, however my granny on my father side had cancer. 
Doctor: What kind of cancer, do you know?
Patient: Well, it was breast cancer don't know if there are types for it. 
Doctor: No, that's fine. Did you ever have palpitations?
Patient: What do you mean by that?
Doctor: Um, Palpitations means the sensation when you feel that your heart is racing or pounding really fast even without doing any strenuous exercise or anything. 
Patient: Oh, got it. No, I never had that. 
Doctor: What about any uncontrolled urine leakage? Any accidents?
Patient: No.
Doctor: What about any recent sudden hair loss or any other concerns?
Patient: No, nothing like that. 
Doctor: Any other treatments in the past?
Patient: Yeah, I recently got treatment for my sinus.

Clinical note:
Symptoms: N/A
Diagnosis: N/A
History of Patient: mother has benign breast lumps, paternal grandmother had breast cancer, recent treatment for sinusitis
Plan of Action: N/A
Doctor: Any history of smoking? 
Patient: Uh yeah, but I quit in two thousand seven. 
Doctor: On average, how many packs per day did you smoke? 
Patient: Uh if I were to guess, I'd say one pack per day. 
Doctor: Any other drugs? 
Patient: I used to do coke, but I quit that in two thousand five. 
Doctor: And any history of drinking? 
Patient: Um I used to drink one pint per day, but I quit drinking more than ten years ago.

Clinical note:
Symptoms: N/A
Diagnosis: N/A
History of Patient: former smoker (quit in 2007), past cocaine use (quit in 2005), history of alcohol abuse (quit more than 10 years ago)
Plan of Action: N/A
Doctor: Can you tell me more about your family's medical history? Are there any conditions of note?  
Patient: Well, my dad died from prostate cancer, and my mom died as well, she was an alcoholic.
Doctor: I'm so sorry to hear that, ma'am, how old were they? 
Patient: Well, my father was eighty, and my mother was sixty seven. 
Doctor: I'm so sorry, do you have any siblings? 
Patient: Yeah, I had a brother, he passed away too, from bone and throat cancer. 
Doctor: I'm sorry, how old was he? 
Patient: He was seventy, doctor. 
Doctor: Do you have any children? 
Patient: I have four, two of each. 
Doctor: That's wonderful, how are your sons doing?
Patient: They're thirty seven and thirty eight, and they're both doing really well. 
Doctor: That's great, what about your daughters? 
Patient: Well, they're sixty and fifty eight, and they both have cancer. They're real fighters. 
Doctor: I'm sorry, that must be so hard to deal with. Are there any other conditions you're aware of?
Patient: Oh yeah, we have it all, nervous condition, high blood pressure, kidney and lung disease, depression, it's all there.

Clinical note:
Symptoms: N/A
Diagnosis: N/A
History of Patient: father died from prostate cancer at age 80, mother died at age 67 due to alcoholism, brother died from bone and throat cancer at age 70, two daughters (ages 60 and 58) have cancer, family history includes hypertension, nervous condition, kidney disease, lung disease, and depression
Plan of Action: N/A
Doctor: Are you married? 
Patient: Yes. 
Doctor: Where do you work? 
Patient: I work as a secretary in a law firm. 
Doctor: Do you smoke or drink? Have you ever tried any illegal drug? 
Patient: No, none of these.

Clinical note:
Symptoms: N/A
Diagnosis: N/A
History of Patient: married, works as a secretary in a law firm, no history of tobacco, alcohol, or illicit drug use
Plan of Action: N/A
Doctor: It looks like E M S found you in bad shape? 
Patient: What? 
Guest_family: My mother is hard of hearing. She is eighty five. They found her on the toilet.  
Doctor: Did your mother tell you anything about her condition before E M S arrived? 
Guest_family: She said she threw up right before they came and she had diarrhea. 
Doctor: Ma'am. How are you feeling now? 
Patient: I have been sick to my stomach.  My belly has been hurting. I threw up.  
Doctor: How many times did you vomit ma'am? 
Patient: I don't know. 
Doctor: Do you recall the color of the vomit? Did you see any blood or notice the color of the vomit? 
Patient: I don't know.

Clinical note:
Symptoms: sick to stomach, belly pain, vomiting (frequency unspecified)
Diagnosis: N/A
History of Patient: found by EMS on toilet with diarrhea, recent vomiting episode, poor historian, hard of hearing
Plan of Action: N/A
Doctor: Do you have kids, ma'am? 
Patient: Yes, I do. I have two sons and we adopted a girl.
Doctor: Where did you adopt?
Patient: Just here.
Doctor: and you are married right? Are you working?
Patient: Yes, I have been married a long time. I retired from Avon.
Doctor: Do you smoke cigarettes or drink? 
Patient: I do not smoke or drink alcohol.

Clinical note:
Symptoms: N/A
Diagnosis: N/A
History of Patient: two sons, one adopted daughter, married long term, retired from Avon, nonsmoker, nondrinker
Plan of Action: N/A
Doctor: How's the little dude?
Guest_family: He has fever and bad congestion for the last two days. He has had a fever for one. I try to suck the discharge out through nose. 
Doctor: I am guessing he has some mild problems with breathing while feeding.
Guest_family: Yes, that is correct. He is drinking milk every couple hours, only for ten minutes instead of twenty minutes.
Guest_family: He has fever too, so she gave him Tylenol.
Guest_family2: He is very fussy.
Doctor: Is he sleeping well? 
Guest_family: Yes, he sleeps. But he is not able to breath well even with albuterol.
Doctor: How about wet and dirty diapers?
Guest_family: He is peeing less I think because he used to have eight to ten wet diapers but now it's down to four in a day. And five dirty diapers.
Doctor: How about any diarrhea?
Guest_family: No, he doesn't have any diarrhea, they are soft and yellow.
Doctor: Any rashes or acne?
Guest_family: No. 
Doctor: How about vomiting?
Guest_family: No, he did not vomit.
Doctor: How old is he? And, sorry this is odd, but what ethnicity do you identify as? I need it foe the paperwork. 
Guest_family: Twenty one days old Caucasian male. 
Doctor: Do you notice him getting blue at all? Or does this area sink in when he tried to breathe?
Guest_family: No, neither. 
Doctor: Is he having any trouble breathing in general?
Guest_family: No.

Clinical note:
Symptoms: Fever, congestion, decreased urine output, decreased feeding duration, fussiness.
Diagnosis: Upper respiratory tract infection (URI).
History of Patient: 21-day-old Caucasian male with 2-day congestion, decreased feeding, fever, reduced urine output, fatigue, and fussiness. No respiratory distress or vomiting.
Plan of Action: 1. Continue suctioning nasal discharge.
2. Continue Tylenol for fever management.
3. Monitor feeding duration and frequency closely.
4. Monitor urine output and diaper count.
5. Monitor for any signs of respiratory distress.
6. Follow up if Symptoms persist or worsen.
Doctor: Are you taking Benicar?
Patient: Yes, twenty daily.
Doctor: And what else?
Patient:  I take some multivitamin, glucosamine, Vitamin B complex, Vitamin E and a low dose Aspirin. 
Doctor: Okay that's good information.

Clinical note:
Symptoms: N/A
Diagnosis: N/A
History of Patient: Benicar 20 mg daily; multivitamin; glucosamine; vitamin B complex; vitamin E; low-dose aspirin
Plan of Action: N/A
Doctor: Do you smoke? 
Patient: Nope. 
Doctor: How about alcohol intake? 
Patient: Nope. 
Doctor: What about any kind of drug usage? 
Patient: Nope.

Clinical note:
Symptoms: N/A
Diagnosis: N/A
History of Patient: denies alcohol, illicit drug, and tobacco use
Plan of Action: N/A
Doctor:  Hi, how are you?
Patient: I am okay.
Doctor: Do you have any bone pain or issues around that? 
Patient: No, I do not.
Doctor: So, they gave you a dose of Tylenol here in the emergency department to treat your pain.  Is your pain under control? 
Patient: Yes, with medication I feel it is better, but I want to be removed from the backboard.
Doctor: Okay, let's get you off. Yeah, your C T scans of the abdomen appeared normal.  And there was no sign of bleeding.  I believe, you just have a contusion and abrasion to abdomen from the seatbelt and likely from the airbag as well.
Patient: Oh okay.
Doctor: It's good that you can stand and walk through the emergency department without difficulty. I do not see any abrasions or lacerations.
Patient: Yeah, nothing like that and I can walk.

Clinical note:
Symptoms: N/A
Diagnosis: contusion and abrasion to abdomen
History of Patient: Patient was given a dose of Tylenol in the emergency department for pain control. Pain is now better controlled with medication. Patient was removed from the backboard. CT scans of the abdomen appeared normal, with no signs of bleeding. Patient has no significant bony deformities or abnormalities. Patient is able to stand and walk through the emergency department without difficulty. No abrasions or lacerations observed.
Plan of Action: N/A
Doctor: Lets talk about your family history, does cancer run in your family ma'am?
Patient: Oh yes! My family has a history of lung, liver and prostate cancer.
Doctor: Oh wow!
Patient: Yeah. 
Doctor: And you mentioned that your mother had Alzheimer's?
Patient: Well, I am not sure about Alzheimer, but she had some dementing disease. It started when she was in her eighties. It was kind of mild case. 
Patient: And she actually passed away in her eighties due to old age. 
Doctor: Okay, how about your siblings, do they have any signs of Alzheimer? 
Patient: No, they are fine. 
Doctor: Okay.

Clinical note:
Symptoms: N/A
Diagnosis: N/A
History of Patient: family history of lung, liver, and prostate cancer, mother had mild dementing disease in her eighties, passed away in her eighties, no signs of Alzheimer's in siblings
Plan of Action: N/A
Guest_clinician: What's their medical history?
Doctor: I have here hypertension, diabetes, diabetic retinopathy, and elevated lipids. They're in post C V A.
Guest_clinician: Do you know their neurologist?
Doctor: I can have the nurse or scribe go in and ask again. 
Guest_clinician: Great.

Clinical note:
Symptoms: N/A
Diagnosis: N/A
History of Patient: hypertension, diabetes, diabetic retinopathy, elevated lipids, post CVA (stroke)
Plan of Action: N/A
Guest_clinician: Were you able to get a history from her? 
Doctor: I tried but was unsuccessful. She's very out of it. 
Guest_clinician: Does she have a history of alcohol abuse? 
Doctor: According to her records, she has a long history of alcohol abuse.

Clinical note:
Symptoms: N/A
Diagnosis: N/A
History of Patient: significant history of alcohol abuse
Plan of Action: N/A
Doctor: The patient has a history of C A D. 
Guest_clinician: Are they being followed by a cardiologist? 
Doctor: Not to my knowledge. I can check their electronic medical records. One sec.

Clinical note:
Symptoms: N/A
Diagnosis: N/A
History of Patient: positive for coronary artery disease (CAD)
Plan of Action: N/A
Doctor: Hi sir, how old are you?
Patient: I am thirty.
Doctor: We are following up today for your moderate to severe apnea, right?
Patient: Yes, that is correct, I still can't sleep.
Doctor:  Okay and you did the CPAP?
Patient: Yes.
Doctor: Okay, let's review it today.
Patient: Sure.

Clinical note:
Symptoms: N/A
Diagnosis: N/A
History of Patient: moderate to severe sleep apnea, follow-up for CPAP
Plan of Action: N/A
Doctor: Any smoking or alcohol? 
Patient: No, I don't smoke but I drink wine.
Doctor: Are you married?
Patient: Yes, I am. 
Patient: I have three stepchildren and one of my own and I work for A B C D.

Clinical note:
Symptoms: N/A
Diagnosis: N/A
History of Patient: N/A
Plan of Action: N/A
Doctor: Congratulations on your new baby! How are you doing today?
Patient: I'm doing well, no headaches, and I'm breastfeeding well. 
Doctor: Have you had any bleeding?
Patient: Nope, none. 
Doctor: Are you using a mini pad?
Patient: Yeah, I use it twice a day. 
Doctor: Do you have any cramping or clotting? 
Patient: No, thankfully I don't. 
Doctor: What color is your discharge, ma'am? 
Patient: Well, its turned from red to brown, and now its kind of yellowish. 
Doctor: Okay, have you had sex again yet?
Patient: No, we're waiting a little longer. 
Doctor: Are you going to the bathroom regularly? 
Patient: Regularly? Yes, but I'm having some pain with it, and then every once in a while I have some bright red bleeding. 
Doctor: Are you constipated?
Patient: No, I'm not. 
Guest_family: She hasn't been eating her vegetables like she should. 
Doctor: That'll also do it. 
Patient: Okay, well, my seasonal allergies are back too. 
Doctor: What symptoms do you have with your allergies? 
Patient: I get itchy watery eyes, a runny nose, I can't stop sneezing, and I have a lot of pressure in my ears.

Clinical note:
Symptoms:
- No headaches reported
- Breastfeeding well
- Minimal bleeding postpartum
- Discharge turning yellowish
- Occasional bright red bleeding with bowel movements
- Seasonal allergies: itchy watery eyes, runny nose, sneezing, pressure in ears

Diagnosis:
1. Postpartum recovery
2. Seasonal allergies

History of Patient:
- Patient reports minimal bleeding postpartum, with discharge turning from red to brown to yellowish
- Occasional bright red bleeding noted with bowel movements
- Patient also complains of seasonal allergies, presenting with itchy watery eyes, runny nose, sneezing, and pressure sensation in ears

Plan of Action:
1. Monitor postpartum bleeding and discharge
2. Recommend increasing intake of vegetables for better bowel health
3. Advise on managing seasonal allergies with antihistamines or other appropriate medications
Doctor: Do you have any major medical conditions that run in your family that I should know about? 
Patient: What do you mean by that? 
Doctor: Well, it could be anything from diabetes to high blood pressure to cancer. 
Patient: Oh, yeah. My brother had prostate cancer.

Clinical note:
Symptoms: N/A
Diagnosis: N/A
History of Patient: brother had prostate cancer
Plan of Action: N/A
Doctor: Hi, how are you? 
Patient: Hi! I am okay other then this back pain. 
Doctor: I am so sorry. Tell me about your back. 
Patient: Three nights ago, I fell on my steps bringing in the groceries from the car. 
Doctor: How did you land when you fell? 
Patient: I fell and landed on my right hip. I hit my low back on the railing. 
Doctor: I would like to get some imaging done today. 
Patient: Okay.

Clinical note:
Symptoms: back pain
Diagnosis: N/A
History of Patient: fell on steps three nights ago while bringing in groceries, landed on right hip and hit low back on railing
Plan of Action: doctor wants to get imaging done
Doctor: Have you seen your lab results? 
Patient: No, do you have those in today? 
Doctor: Yes, I have them right here. They're essentially negative, except it appears that you had C difficile in the past. Do you remember that?
Patient: Yes, I got it when I worked at a hospital after graduating. 
Doctor: Yeah, its unfortunately more common there.

Clinical note:
Symptoms: N/A
Diagnosis: N/A
History of Patient: past C. difficile infection
Plan of Action: N/A
Doctor: Breath in breath out, let me tap it and see. Well, your lungs sound clear. 
Patient: Okay.

Clinical note:
Symptoms: N/A
Diagnosis: N/A
History of Patient: N/A
Plan of Action: N/A
Doctor: Are you still taking the Trizivir? 
Patient: Yes. 
Doctor: How much are you taking? 
Patient: I take one pill two times a day.  
Doctor: Are you taking any other medications? 
Patient: I take Ibuprofen for body aches from time to time but that's it.

Clinical note:
Symptoms: N/A
Diagnosis: N/A
History of Patient: N/A
Plan of Action: Trizivir: 1 tablet orally twice a day, Ibuprofen: over-the-counter as needed
Doctor: I just need to confirm some information before we begin sir, you're forty one, correct? 
Patient: Yes sir, that's correct. 
Doctor: Good, so what happened? 
Patient: Well, I work at A B C, and about two days ago I slipped on some oil that had spilled. 
Doctor: How did you fall? 
Patient: I fell with both my arms outstretched, but I fell mostly on my left shoulder. 
Doctor: Where is your left shoulder pain?
Patient: Mostly, it's in the back of my shoulder. 
Doctor: Going backwards a little, how about the right shoulder? 
Patient: It hurt really bad yesterday, but that's gone away now. 
Doctor: Good, do you have any pain in the front of the shoulder? 
Patient: No sir, I don't have anything there. 
Doctor: Good, how about weakness? Is there any shoulder weakness?
Patient: No, it's not really weak at all. 
Doctor: How have your symptoms progressed over the last two days? Have they gotten better, or worse? 
Patient: Um, overall, I'd say it's gotten better. I have a little better range of motion. 
Doctor: Have you been able to do any activities? 
Patient: I was able to get in the swimming pool with my kids, and I didn't really have any trouble. 
Doctor: Good, what medicines have you taken for this? 
Patient: I've just taken some Advil so far.

Clinical note:
Symptoms: left shoulder pain (mostly in the back)
Diagnosis: N/A
History of Patient: slipped on oil at work, fell with both arms outstretched, primarily landed on left shoulder, right shoulder was painful but now asymptomatic, no anterior shoulder pain, no weakness, some improvement in range of motion over the last two days, able to swim without difficulty
Plan of Action: N/A
Doctor: Hi there! It is good to see you both. How has everything been going for the both of you? 
Patient: Hi Doctor.  
Guest_family: Things have been pretty good. She has been having some new emotional outbursts. I made an appointment with the down syndrome behavioral specialist that you recommended from the last time we were here.  
Doctor: That is great. Keep me updated on her progress.  Her bloodwork came back showing an underactive thyroid. This explains the recent weight gain and fatigue. I would like to start her on a medication called levothyroxine. We will need to check her bloodwork again in one month to see how her thyroid respond to the medication. 
Guest_family: Okay.  
Doctor: Is there any other concerns you have today? 
Guest_family: Yes. She has this toenail that looks strange and discolored.  
Doctor: Let me look. Can you remove your socks for me? 
Patient: Yes.  
Doctor: Is it this nail? 
Guest_family: Yes.  
Doctor: This is very common. It is called Onychomycosis. It is nail fungus. Since only one nail is affected, I would recommend starting off with a topical treatment. I will send the drops to your pharmacy. You will put on drop on the affected nail, daily.

Clinical note:
Symptoms: emotional outbursts, recent weight gain, fatigue
Diagnosis: Down's syndrome, Onychomycosis, Hypothyroidism
History of Patient: N/A
Plan of Action: start levothyroxine for hypothyroidism, check bloodwork again in one month; topical treatment for onychomycosis
Doctor: Good afternoon, ma'am. 
Patient: Good afternoon, doctor. 
Doctor: Have you ever had surgery, ma'am? 
Patient: Actually, yes I have. I had pinning surgery done on both of my ears. 
Doctor: Do you remember how old you were when you had surgery? 
Patient: Um, I was five or six years old. It was when I was a kid, I know that for sure.

Clinical note:
Symptoms: N/A
Diagnosis: N/A
History of Patient: had pinning surgery on both ears at the age of five or six
Plan of Action: N/A
Doctor: Do you have any allergies?
Patient: 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: What is your family medical history? 
Patient: My dad has high blood pressure. My mom has had a ton of skin cancer removed. 
Doctor: Do you know what type of skin cancer she has removed? 
Patient: I have no idea.

Clinical note:
Symptoms: N/A
Diagnosis: N/A
History of Patient: dad has high blood pressure, mom has had multiple malignancies of unknown type
Plan of Action: N/A
Doctor: Hello, miss. Today we're going to do a recheck for your hypertension. Sound good?
Patient: Yes, of course. 
Doctor: I just want to check to see if you have any symptoms that can possibly raise alarm.
Patient: I have been coming to you for the last fifteen of my seventy eight years on Earth. I know how a follow up works.  
Doctor: You are a seasoned veteran. Alright. So how is your chest? Any pains or tightness?
Patient: No, luckily I do not have that. 
Doctor: Is your heart beating alright? Do you feel like it is beating too fast or hard?
Patient: No. I can't really feel my heart beat normally, but I guess that is better than feeling it beat constantly. 
Doctor: You are correct. You shouldn't notice it. How is sleeping?
Patient: Sleeping has been fine. I sleep through the night. 
Doctor: Great. Any shortness of breath that causes you to wake up?
Patient: None. I don't have shortness of breath at any other time of the day. 
Doctor: Are your legs doing well? Any swelling?
Patient: No. No swelling.

Clinical note:
Symptoms: N/A
Diagnosis: hypertension
History of Patient: patient is 78 years old, returning for recheck for hypertension, denies chest pain, palpations, orthopnea, nocturnal dyspnea, or edema
Plan of Action: N/A
Doctor: Hello, it's nice to meet you. 
Patient: It's nice to meet you as well. 
Doctor: My name is Doctor X and I will be taking care of you today. 
Patient: Thank you. 
Doctor: I've been told that you'd like a refill on your Xanax prescription and something to help you break your smoking habit. 
Patient: Yes, I feel like I've tried everything in the book and I still can't break the habit. One of my buddies was telling me about this medicine called Clantix or something like that. 
Doctor: Yes, I've heard of Chantix. We can look into it and see what's best fit. 
Patient: Okay, great. Since moving back home, I've ran out of Xanax. 
Doctor: How long have you been taking it? 
Patient: Almost a year now. I usually take it on days where my anxiety is really bad. 
Doctor: I see here that you also have mesothelioma in the lining of your stomach, is that correct? 
Patient: Yes, I need to find a new cancer specialist that's closer to where I live. 
Doctor: Are you currently experiencing any pain? 
Patient: Not at the moment, but I do get pain when I eat sometimes. Other times it's when I'm not even doing anything. It's been chronic so nothing new. 
Doctor: Do you take anything for the pain? 
Patient: I haven't in a while. 
Doctor: When were you diagnosed with mesothelioma? 
Patient: About six or so months ago.

Clinical note:
Symptoms: chronic pain, pain when eating
Diagnosis: mesothelioma
History of Patient: patient needs refills on Xanax, wants to quit smoking and interested in Chantix, has mesothelioma in the lining of her stomach causing problems with eating and chronic pain, recently moved back to the area and seeking a closer cancer specialist
Plan of Action: refill Xanax prescription, consider prescribing Chantix for smoking cessation, address chronic pain associated with mesothelioma, assist in finding a closer cancer specialist
Doctor: Are you allergic to anything?
Doctor: Like any medications?
Patient: No, I am not allergic to anything.
Doctor: Perfect!
Patient: Hm.

Clinical note:
Symptoms: N/A
Diagnosis: N/A
History of Patient: N/A
Plan of Action: N/A
Doctor: I mean, I am so happy to see your report today, your blood pressure looks much better. That's amazing given your past few visits your B P was out of control and even with changing your medications we were having tough time bringing it down. 
Patient: Yeah, I feel much better, I read about my condition and it is called something as um refraction or--
Doctor: Refractory hypertension.
Patient: Oh yeah that!
Doctor: But the good news is that it is getting better. 
Patient: Yes.
Doctor: Last time we talked about seeing the internal medicine doctor there at your senior center, right?
Patient: Yes, I made an appointment last week, um, no week before that, but I completely forgot about it.
Doctor: Hm, okay we need to reschedule that. 
Patient: Yes, I will do it today.
Doctor: Okay, your reports look fine. G F R is below sixty percent, that's a good sign.  Overall, Miss K, you look better, but we need to reschedule your appointment with the Internist. That's kind of important.
Patient: Okay, I will do that. Thank you!
Doctor: You are welcome.

Clinical note:
Symptoms: N/A.
Diagnosis: Refractory hypertension.
History of Patient: Patient has a history of refractory hypertension, with recent improvement in blood pressure readings. Missed appointment with internist at senior center, GFR below sixty percent.
Plan of Action: Reschedule appointment with internist at senior center.
Doctor: Did you ever visit any hospital for any kind of surgery?
Patient: No.

Clinical note:
Symptoms: N/A.
Diagnosis: N/A.
History of Patient: No history of hospital visits for surgery.
Plan of Action: N/A.
Doctor: Hi there! How are doing today? 
Patient: I am doing well.  
Doctor: How have you been doing with keeping your hemoglobin levels between four and five point six prercent? 
Patient: I have been doing well. I have been able to keep it within that range.

Clinical note:
Symptoms: N/A.
Diagnosis: Diabetes mellitus, type 1.
History of Patient: N/A.
Plan of Action: Follow up on maintaining hemoglobin levels between four and five point six percent.
Doctor: So, are you married, ma'am?
Patient: Well, no I'm not. My husband and I got a divorce. 
Doctor: I'm sorry to hear that, do you have any children? 
Patient: It's okay, it was for the best. Yes, I have two. 
Doctor: Do you live with either of them?
Patient: Yeah, um, I live with my son right now.
Doctor: Do you smoke or drink?
Patient: No I do not.

Clinical note:
Symptoms: N/A.
Diagnosis: N/A.
History of Patient: Divorced with 2 children, currently living with her son.
Plan of Action: N/A.
Doctor: Good afternoon, so, who is the patient today? 
Guest_family: Good afternoon, doctor. My granddaughter is your patient today. 
Doctor: What seems to be the problem today, young lady? 
Patient: Well, I'm having a lot of headaches, I feel it in my face. 
Doctor: Does it feel like pressure? 
Patient: That, and I have the sniffles. 
Doctor: What other symptoms have you had? 
Patient: Um, well, last night I had a sore throat, and I was coughing up phlegm. 
Doctor: Interesting, anything else? 
Patient: Um, I've had a rash on my face, back, and arms for the last three days or so. 
Doctor: Is it itchy? 
Patient: Yes, so we've been taking a lot of Benadryl.
Doctor: I see, are you going to school?
Patient: I have been, there's been a lot of fifth disease this year. 
Doctor: Okay, and have you been wheezing lately? 
Patient: No, I haven't been. 
Doctor: I see you have asthma, have you had any medication for this? 
Patient: No, I haven't had anything.

Clinical note:
Symptoms: Headaches, pressure in face, sniffles, sore throat, coughing up phlegm, rash on face, back, and arms (itchy).
Diagnosis: N/A.
History of Patient: Patient experiencing headaches mostly in face, pressure in face, sniffles, sore throat, coughing up phlegm, and rash on face, back, and arms for the last three days. No wheezing. Exposed to fifth disease at school. Taking Benadryl for the rash. Not currently on medication for asthma.
Plan of Action: N/A.
Doctor: Did you have any surgeries in the past? 
Patient: Yes, I had a partial removal of my ovaries and then I also had my appendix removed. 
Doctor: Okay anything else?
Patient: Yeah, I also got my tummy tucked. 
Doctor: Okay.

Clinical note:
Symptoms: N/A.
Diagnosis: N/A.
History of Patient: Partial removal of ovaries, appendectomy, abdominoplasty.
Plan of Action: N/A.
Doctor: Good afternoon, young man. 
Patient: Hello, doctor. 
Doctor: How old are you, young man?
Patient: I'm thirteen, sir.
Doctor: Thank you, so, what happened?
Patient: I sliced my right ring finger with a piece of glass while I was playing around with my friends. 
Doctor: You need to be more careful, young man. What kind of symptoms do you feel in that finger?
Patient: You're right. I have a lot of, um, numbness and tingling in it.

Clinical note:
Symptoms: Numbness, tingling in right ring finger.
Diagnosis: N/A.
History of Patient: Sustained laceration from glass to right ring finger.
Plan of Action: N/A.
Doctor: Hello. How are you feeling today?
Patient: Not so well. I went to a party last night and my chest and body have been hurting a lot. 
Doctor: I see. Did you smoke at the party? 
Patient: Nope. I never smoked in my life. 
Doctor: Great. Where on your body does it hurt? 
Patient: Like my upper right side of my stomach area. 
Doctor: I see. Did you drink alcohol last night? 
Patient: I had to drive some people home, so I was sober. I also don't like the taste of alcohol, so I stay away from it.

Clinical note:
Symptoms: Chest and body pain, localized to upper right side of stomach area.
Diagnosis: N/A.
History of Patient: Experienced pain after attending a party last night, denies smoking or alcohol consumption.
Plan of Action: N/A.
Patient: And do I have to restrict my movement or activities?
Doctor: Um, I have taken the plaster off and your foot looks good. I don't want you to restrict your activities, but you are the best judge of the situation. So, I will advise you to take it slow and do as much as you can tolerate. 
Patient: Got it. Thank you, Doctor. Do I need a follow-up?
Doctor: As long as you are doing fine, having no pain, I think we are okay. 
Patient: Alright then bye.
Doctor: Bye.

Clinical note:
Symptoms: N/A.
Diagnosis: N/A.
History of Patient: N/A.
Plan of Action: Advised to take it slow and do activities as tolerated after plaster removal from foot. No follow-up needed if no pain and doing fine.
Doctor: What is your family medical history? 
Patient: My dad had stomach cancer.  
Doctor: How old was he when he was diagnosed? 
Patient: I think he was seventy something. My sister has breast cancer. She is in her fifty's. 
Doctor: Any family history of uterine, ovarian or colon cancer? 
Patient: No. Not that I am aware of.

Clinical note:
Symptoms: N/A.
Diagnosis: N/A.
History of Patient: Family history includes sister with breast carcinoma diagnosed in her 50s and father with gastric carcinoma diagnosed in his 70s. Denies family history of ovarian, uterine, or colon cancer.
Plan of Action: N/A.
Doctor: Do you drink or smoke? 
Patient: No I don't. I have to care for my daughter. She is a widow. 
Doctor: So you live with her?
Patient: Yes, she lives at home.

Clinical note:
Symptoms: N/A.
Diagnosis: N/A.
History of Patient: Denies alcohol or tobacco use. Acts as caretaker for widowed daughter who lives at home.
Plan of Action: N/A.
Doctor: Any known past medical history? 
Patient: I have high blood pressure. 
Doctor: Anything else? 
Patient: Yeah, I remember I also had higher number of fat in my blood.

Clinical note:
Symptoms: N/A.
Diagnosis: N/A.
History of Patient: N/A.
Plan of Action: N/A.
Doctor: Good morning, ma'am, welcome in. I believe this is our first time meeting. 
Patient: Good morning, doctor. Yes, this is my first time in. 
Doctor: Great, how old are you? 
Patient: I'm fifty five, doctor. 
Doctor: Thank you, what seems to be the problem today? 
Patient: Well, I'm having a laundry list of symptoms coinciding with my allergies. 
Doctor: Like what, ma'am? 
Patient: Well, my sense of taste is diminished, dry mouth, um, acid reflux, and G I issues, and then I have asthma, and reactions to things like aerosols. 
Doctor: I see, do you have any food allergies? 
Patient: Um, I think.

Clinical note:
Symptoms: Diminished sense of taste, dry mouth, acid reflux, gastrointestinal (GI) issues, asthma, reactions to aerosols.
Diagnosis: N/A.
History of Patient: 55-year-old female presenting with Symptoms coinciding with allergies, including diminished taste, dry mouth, acid reflux, GI issues, asthma, and reactions to aerosols. Possible food allergies and chronic GI irritability.
Plan of Action: Evaluation and treatment for allergies, review detailed medical history.
Doctor: What's your family history? 
Patient: Both my parents are deceased. 
Doctor: I'm so sorry to hear that. I offer you my sincerest condolences. 
Patient: Thank you. My dad passed away at seventy five from leukemia and my mom fell victim to heart problems and alcoholism at thirty eight. 
Doctor: Does anyone else in your family suffer from leukemia, cardiac problems, or alcohol abuse? 
Patient: One of my uncles on my dad's side was recently diagnosed with leukemia.  
Doctor: Oh, wow. I see.

Clinical note:
Symptoms: N/A.
Diagnosis: N/A.
History of Patient: N/A.
Plan of Action: N/A.
Doctor: Any fever or chills?
Patient: No.
Doctor: Any headache or body pains? 
Patient: No.
Doctor: Any nausea vomiting? 
Patient: I had vomiting a few times. 
Doctor: Did you observe any blood?
Patient: No.
Doctor: Okay, any diarrhea?
Patient: No, on the contrary I am having constipation every now and then, it's really bothering me now. I feel bloated all the time and don't feel fresh in the morning or throughout the day.
Doctor: Oh, how long have you had this problem? 
Patient: Couple of months now. 
Doctor: Hm, I see, does it hurt you to pass stool? Did you notice any blood?
Patient: No. I use suppositories.
Doctor: Oh, that's great. You are doing the right thing. In addition to that I will prescribe you some strong laxative you can drink that in morning it should help.
Patient: Okay! 
Doctor: Any complains of heart burn or acidity or stomach pain?
Patient: No, not really. I do get this twisty pain in my stomach sometimes which I think is mainly due to my constipation.
Doctor: Yeah, you can get that kind of pain with constipation. Any cough or cold like symptoms? Any cough with sputum? 
Patient: No, I feel fine. 
Doctor: Okay, basically I don't think you have any stomach ulcer or anything, but we need to treat your constipation because I know it can be really uncomfortable.

Clinical note:
Symptoms: Vomiting (occasional), constipation, bloating, feeling not fresh in the morning or throughout the day, twisty pain in stomach.
Diagnosis: N/A.
History of Patient: Experiencing intermittent constipation for a couple of months, occasional vomiting. No fever, chills, blood in stool, heartburn, or cough with sputum.
Plan of Action: Prescribed strong laxative for constipation, no indications of stomach ulcer or gastrointestinal bleeding.
Doctor: Do you take Diovan, estradiol, Norvasc, Wellbutrin?
Patient: Yes, and the Wellbutrin is an inhaler. 
Doctor: Okay so inhaler SR?
Patient: Yes.
Doctor: Do you take oxygen therapy at home?
Patient: Yes.
Doctor: Okay.

Clinical note:
Symptoms: N/A.
Diagnosis: N/A.
History of Patient: N/A.
Plan of Action: N/A.
Doctor: Good afternoon, ma'am. 
Patient: Good afternoon, doctor. 
Doctor: How long have you and your husband been married? 
Patient: Oh, at this point I don't even know how long its been.
Doctor: I assume you live together? 
Patient: Yes, we do. 
Doctor: What do you do for a living? 
Patient: I'm a school nurse for the School Department. I love working with the children. 
Doctor: That's wonderful. Do you drink or smoke?
Patient: No, I don't drink, and I quit smoking cigarettes about twenty five years ago.
Doctor: Good for you.

Clinical note:
Symptoms: N/A.
Diagnosis: N/A.
History of Patient: N/A.
Plan of Action: N/A.
Guest_clinician: Any past surgeries? 
Doctor: It looks like she had an appendectomy along with a total abdominal hysterectomy and bilateral salpingo oophorectomy sometime ago. 
Guest_clinician: Okay, noted. 
Doctor: Oh and it looks like she had a right hip fracture back in O five after a fall.

Clinical note:
Symptoms: N/A.
Diagnosis: N/A.
History of Patient: Appendectomy, right hip fracture from a fall in 2005, total abdominal hysterectomy (TAH) with bilateral salpingo-oophorectomy (BSO).
Plan of Action: N/A.
Doctor: Any other allergies besides Penicillin? 
Patient: Um no. 
Doctor: I see here that you've previously tolerated Cephalosporins without any problems. Do you remember when you were last prescribed a Penicillin like antibiotic?

Clinical note:
Symptoms: N/A.
Diagnosis: N/A.
History of Patient: PCN, but has tolerated cephalosporins in the past.
Plan Of Action: N/A.
Doctor: Where are you having pain? 
Patient: My left elbow. I hit it against a railing when I was trying to do a new trick on my skateboard. 
Doctor: Did the pain come on gradually?  
Patient: Yeah. I even tried icing it, but I think it's only gotten worse. 
Doctor: Did you injure any other parts of your body? 
Patient: Only my elbow. 
Doctor: How long ago did this happen? 
Patient: About a week ago. 
Doctor: I see. Have you taken anything for it, such as Advil or Tylenol? 
Patient: No. I try to deal with the pain as best as I can before resorting to medicine.

Clinical note:
Symptoms: Left elbow pain.
Diagnosis: N/A.
History of Patient: Injured left elbow by hitting it against a railing while attempting a new trick on a skateboard about a week ago, pain came on gradually, no other body parts injured, hasn't taken any medication for the pain.
Plan Of Action: N/A.
Doctor: Do you drink? 
Patient: No, doc. 
Doctor: How about smoke? 
Patient: That I do. 
Doctor: How long have you been smoking? 
Patient: I long time.
Doctor: Have you tried to quit or reduce how much you smoke? 
Patient: Truly, I have no interest in doing that with my age. 
Doctor: I see. I'd recommend you consider nicotine patches because smoking brings with it many health problems. 
Patient: Tell me something I don't know. 
Doctor: I understand. How about any other drug use? 
Patient: I know you're not going to like hearing this, but I'm big on weed. I know, I know, I'm going to regret all of this at some point in time. It's just become a habit that's incredibly hard to break.
Doctor: Okay. I'd rather you smoke weed than cigs. How many packs a year do you think you smoke on average?
Patient: I go through a pack around every two weeks. Let's go with around twenty seven.

Clinical note:
Symptoms: N/A.
Diagnosis: N/A.
History of Patient: 27 pack year smoking history, denies alcohol use, history of chronic marijuana use, unwillingness to quit smoking due to age.
Plan Of Action: Doctor recommends considering nicotine patches for smoking cessation.
Doctor: How about any surgeries?
Patient: No, I have not had any surgeries.
Doctor: Are you sure?
Patient: Yes.

Clinical note:
Symptoms: N/A.
Diagnosis: N/A.
History of Patient: No prior surgeries.
Plan Of Action: N/A.
Doctor: Welcome to the clinic. 
Patient: Thank you. 
Doctor: It looks like you were referred to us by Doctor Jones. 
Patient: Yes I was. 
Doctor: Great! The chart notes that Doctor Jones sent over says you are currently twenty weeks pregnant. Is that correct? 
Patient: Yes, I am. 
Doctor: Do you have any other children? 
Patient: Yes. I have a two year old son. 
Doctor: Have you ever had any pregnancies? Including miscarriages or abortions. 
Patient: Yes. I had a miscarriage before my son was born. 
Doctor: I am so sorry to hear that. 
Patient: Thank you.

Clinical note:
Symptoms: N/A.
Diagnosis: N/A.
History of Patient: G3 (gravida 3, meaning total number of pregnancies including current one), P1 (para 1, meaning number of live births), history of one previous miscarriage before the birth of her son, currently 5 months' pregnant.
Plan Of Action: N/A.
Doctor: Are you married?
Patient: Yes. 
Doctor: Who do you have in your family?
Patient: Me, my spouse and three happy kids. One of them is ready to go to college.
Doctor: Are you working? 
Patient: Yes and no. 
Doctor: What does that mean?
Patient: I was an attorney but retired from my official post two years back. I just couldn't stay back home and do nothing, so I just joined a private company and am working there part time.
Doctor: Sounds great. Do you smoke or drink?
Patient: No. 
Doctor: I am guessing no drugs either?
Patient: Correct.

Clinical note:
Symptoms: N/A.
Diagnosis: N/A.
History of Patient: Married with three children, one of whom is ready to go to college, semi-retired attorney currently working part-time at a private company, denied history of tobacco, alcohol, or illicit drug use.
Plan Of Action: N/A.
Doctor: When did you stop smoking?
Patient: About thirty years back.
Doctor: Okay. How about any alcohol or drugs?
Patient: No never. 
Guest_family: Mom, please let the doctor know about the time when you had it in the past.
Doctor: Yes, please tell me son.
Guest_family: She used to drink a long time back and used to take a lot of prescription medication.
Patient: Okay. Yes, that.
Doctor: Thank you for that information. How long ago?
Patient: I don't remember maybe more than twenty years.

Clinical note:
Symptoms: N/A.
Diagnosis: N/A.
History of Patient: Patient used to smoke but quit approximately 30 years ago. Patient denies current alcohol or drug use, but her son reports a long history of alcohol use and past abuse of prescription medication.
Plan Of Action: N/A.
Doctor: Have you ever had surgery, ma'am?
Patient: No, not that I can remember, and I have a good memory. 
Doctor: Not even a C section when you had your son? 
Patient: No, I had all my children naturally.

Clinical note:
Symptoms: N/A.
Diagnosis: N/A.
History of Patient: Unremarkable surgical history, no C-sections or other surgeries, all children delivered naturally.
Plan Of Action: N/A.
Doctor: Any sudden weight gain or loss?
Patient: No.
Doctor: Any headaches, nose bleeds, coarse voice, blurry vision or loss or change of vision?
Patient: No, not at all.
Doctor: No fever or chills, right?
Patient: Yeah, no fever or anything.
Doctor: Any chest pain, shortness of breath or shortness of breath while sleeping? 
Patient: No.
Doctor: Any palpitation, swelling or varicose veins or pain in your legs?
Patient: No.
Doctor: Any sore throat or cough or cough with mucous or blood sputum?
Patient: I have this prolonged cough, but other than that nothing.
Doctor: No wheezing?
Patient: No, no wheezing.
Doctor: Any heart burn, nausea or vomiting? 
Patient: No.
Doctor: Loss of appetite or blood in stool or abdominal pain?
Patient: No.
Doctor: Constipation?
Patient: No.
Doctor: How is the color of your urine? Is it dark or cloudy?
Patient: No.
Doctor: Any pain while urinating or burning sensation?
Patient: No.
Doctor: Any flank or groin pain?
Patient: No.
Doctor: So, any joint pain, muscle stiffness or pain? Any backache? Ligament, tendon pain or strain? 
Patient: Nothing.
Doctor: Did you experience any blackouts or seizures lately?
Patient: No.
Doctor: Any hallucinations or memory loss? 
Patient: No.
Doctor: Any weakness? Numbness or tingling? 
Patient: No.
Doctor: Tremors or loss of sensation like paralysis or-
Patient: No.
Doctor: Any anxiety, irritability, apathy or depression like feeling?
Patient: No. 
Doctor: How is your sleep?
Patient: It is fine.
Doctor: And how is your appetite?
Patient: It's good.
Doctor: How is your mental state? Any suicidal thoughts crossing your mind?
Patient: No, nothing like that. 
Doctor: Sorry, I have to ask these questions. 
Patient: It's okay.
Doctor: Just a few more and we will be done.
Patient: Sure.
Doctor: Any unusual hair loss or hair or nail breakage?
Patient: No.
Doctor: Did you notice any skin lesion or discoloration?
Patient: Nope.
Doctor: Alright then.

Clinical note:
Symptoms: Chronic cough.
Diagnosis: N/A.
History of Patient: Denies weight loss/gain, fever, chills, headaches, nosebleeds, voice changes, blurry vision, chest pain, shortness of breath, palpitations, edema, varicose veins, leg pains, heartburn, blood in stools, loss of appetite, abdominal pain, constipation, painful/burning urination, cloudy/dark urine, flank pain, groin pain, joint pain/stiffness, backaches, tendon/ligaments/muscle pains/strains, bone aches/pains, muscle weakness, blackouts, seizures, memory loss, hallucinations, weakness, numbness, tremors, paralysis, anxiety, irritability, apathy, depression, sleep disturbances, appetite disturbances, suicidal thoughts, unusual hair loss/breakage, skin lesions/discoloration, unusual nail breakage/discoloration.
Plan Of Action: N/A.