X7-qP2-mN9-v4/MTS_Dialogue-Clinical_Note huggingface dataset:
Doctor: How is everything else?
Patient: Fine.
Doctor: Anything from head to toe?
Patient: I have a shoulder issue. Can you check?
Doctor: Okay, just to check back you do not have any heart, lung, stomach, hormonal issues?
Patient: Nope.
Doctor: Any other muscles or bone problems?
Patient: None.
Doctor: Okay. So, I think you have lateral side and back side cervical nerve problem going on. We call it radiculopathy, which is focal.
Patient: Okay.

Clinical note:
Symptoms: Focal lateral and posterior shoulder pain
Diagnosis: N/A
History of Complaint: Denies chronic cardiac, pulmonary, GI, GU, neurologic, musculoskeletal, endocrine abnormalities
Plan of Action: N/A
Doctor: Did you had any surgery in the past? 
Patient: Yes, I had this major trauma surgery some time back.

Clinical note:
Symptoms: N/A
Diagnosis: N/A
History of Complaint: Significant for trauma surgery
Plan of Action: N/A
Doctor: How old are you young man?
Patient: I am nineteen. 
Doctor: What happened? How did you get hurt?
Patient: I was in a fight. Some people are just rude. 
Doctor: Oh, that's bad! How did you hurt your right hand?
Patient: Ah, I punched that other guy in face or maybe his mouth, I don't remember exactly but he got a good one. Later, in anger I punched in a glass. It broke the glass and spilled all the drink. I think I got a cut as it was bleeding badly. 
Doctor: I see three cuts in your right hand. 
Doctor: When you came here in Emergency your wound was clean and looked like somebody tried to fix your cut. Do you remember any details about it?
Patient: Yeah, I remember there was a navy corpsman. He was very helpful; he cleaned my cut with the tap water. He also tried to close it up with gauze and superglue. He said it will stop bleeding, but nothing helped. They called for help and here I am in emergency.

Clinical note:
Symptoms: N/A
Diagnosis: N/A
History of Complaint: 19-year-old male involved in a fight, punched someone in the face or mouth, punched a glass resulting in three cuts on his right hand, wound cleaned with tap water and attempted closure with gauze and superglue by navy corpsman, wound continues to bleed prompting ED presentation
Plan of Action: N/A
Doctor: Hello, miss. How are you doing today? 
Patient: My skin has been going crazy. 
Doctor: Could you describe to me what's happening? 
Patient: I can't really describe it, but I can show you. Here's a report from my local doctor. 
Doctor: I see. It says you have hay fever, eczema, sinus problems, and hives, correct? 
Patient: Yeah, I guess so. 
Doctor: Does this run in your family? 
Patient: Uhm. I don't think so. I know my mom has some type of cancer in her mouth. 
Doctor: I see. Have you been screened for cancer before? 
Patient: Oh, yeah. Here's the report with all that information. 
Doctor: This looks good. It says you don't have melanoma or skin cancers or psoriasis. 
Patient: Sounds good to me. So, what's all this stuff on my skin? 
Doctor: Hm. Let me take a look. Have you been sunburned before? 
Patient: Oh, yeah. I had some and it burned a lot. 
Doctor: I see. Are you currently taking any medications? 
Patient: It's on the report from my local doctor. 
Doctor: Looks like you're taking benzoyl peroxide and Daypro. You're not smoking with these medications, right? 
Patient: Do I look like I smoke? I've never smoked in my life.

Clinical note:
Symptoms: Hay fever, eczema, sinus problems, hives
Diagnosis: N/A
History of Complaint: No melanoma or skin cancers or psoriasis, family history of oral cancer (mother), nonsmoker, had sunburn in the past, on benzoyl peroxide and Daypro
Plan of Action: N/A
Doctor: Has she had any surgeries in the past? 
Guest_family: I couldn't tell ya even if I wanted to. I have no clue, sorry.
Doctor: Is there someone we could call who might know?
Guest_family: I can't think of anyone off the top of my head. Maybe her daughter? But she's outta town right now.

Clinical note:
Symptoms: N/A
Diagnosis: N/A
History of Complaint: Unknown
Plan of Action: N/A
Doctor: Do you have a history of any surgical procedures? 
Patient: I had my gallbladder removed.  
Doctor: Did you have any complications with the surgery? 
Patient: No.

Clinical note:
Symptoms: N/A
Diagnosis: N/A
History of Complaint: Cholecystectomy without complication
Plan of Action: N/A
Doctor: Any fever, chills?
Patient: No.
Doctor: How about cough cold symptoms?
Patient: Nope no problems like that.
Doctor: Okay. Any chest pain or breathlessness?
Patient: No, I don't have chest issues.
Doctor: Any problems with bowel or bladder?
Patient: No.
Doctor: Pain in neck or head or hand, feet or anywhere?
Patient: No everything is fine.

Clinical note:
Symptoms: N/A
Diagnosis: Denies fever, chills, cough, cold symptoms, chest pain, breathlessness, bowel or bladder problems, pain in neck, head, hand, feet, or anywhere else
History of Complaint: N/A
Plan of Action: N/A
Doctor: Are you allergic to anything, food or medicines?
Patient: No allergies that I know of.

Clinical note:
Symptoms: N/A
Diagnosis: N/A
History of Complaint: No known allergies to food or medicines
Plan of Action: N/A
Doctor: How many days has it been since your headaches started? 
Patient: About two days now. 
Doctor: How long do they normally last? 
Patient: A couple hours. 
Doctor: Any nausea or vomiting with the headaches? Any vision changes?
Patient: Yeah, it's been pretty consistent. No vision changes.
Doctor: Have you tried to take anything for it? 
Patient: No, nothing. Oh and I have some dizziness with the headaches, too. 
Doctor: How would you describe the dizziness? Room spinning? 
Patient: Um kind of. 
Doctor: Is this new for you? 
Patient: Yeah. I've never had headaches like this before. 
Doctor: Do you have any chest pains or an irregular heart beat?
Patient: No.
Doctor: Any numbness or tingling on any part of your body?
Patient: No. 
Doctor: Okay. How is your urine and feces? Any blood? Any diarrhea?
Patient: None, thankfully.

Clinical note:
Symptoms: Headaches for about two days, lasting a couple of hours, consistent nausea and vomiting, dizziness, no vision changes, no chest pain, irregular heartbeat, numbness, or tingling, no diarrhea, melena, hematemesis, no urinary or fecal blood
Diagnosis: HEENT: See has had headaches, and some dizziness. She denies any vision changes. CARDIAC: She denies any chest pain or palpitations. RESPIRATORY: She denies any shortness of breath. GI: She has had persistent nausea and vomiting. She denies diarrhea, melena or hematemesis. NEUROLOGICAL: She denies any neurological deficits. All other systems were reviewed and were negative unless otherwise mentioned in HPI.
History of Complaint: N/A
Plan of Action: N/A
Doctor: Do you have any medical conditions that I should know about? 
Patient: Actually yes, I have high blood pressure and, um, depression. 
Doctor: That's good to know, thank you. What about your bones? 
Patient: Um, yes, I have osteoporosis too.

Clinical note:
Symptoms: N/A
Diagnosis: Hypertension, depression, osteoporosis
History of Complaint: N/A
Plan of Action: N/A
Doctor: Hello, I will ask you a few basic questions, okay?
Patient: Okay. 
Doctor: What is your living status? Do you live alone or with family?
Patient: I am with my husband.  
Doctor: What is your education level?
Patient: I cleared my twelfth grade but never joined college after that.
Doctor: Um, did you ever take any kind of illicit drugs?
Patient: Nope. 
Doctor: Any chronic drinking habit or smoking?
Patient: No, I never smoked, and I do take two or three drinks daily but nothing like being alcoholic.

Clinical note:
Symptoms: N/A
Diagnosis: N/A
History of Complaint: Lives with husband, nonsmoker, no history of drug abuse, drinks two to three drinks daily, completed 12th grade
Plan of Action: N/A
Doctor: Hello, miss. What brings you into the practice today?
Patient: I have been missing a lot of periods and I am not sexually active. I do not bleed. Is something wrong with me? 
Doctor: What is your history with your reproductive parts? Have you had any surgeries?
Patient: I have everything still. I have both ovaries, I have a uterus, and I have a cervix still. 
Doctor: Are you on any type of hormonal therapies?
Patient: I am not taking anything. This is the first time I have brought this up to the doctor.

Clinical note:
Symptoms: Missing periods, no bleeding
Diagnosis: N/A
History of Complaint: Has both ovaries, uterus, and cervix, not on hormonal therapy, first time bringing up issue to doctor
Plan of Action: N/A
Doctor: How long have you been having this pain in your ear?
Patient: It's been three or four days. 
Doctor: Okay, let me check your ears, which side is in pain?
Patient: The left one.
Doctor: Okay let me check both ears. Well, you have lot of fluid accumulated in your left ear, which has caused infection in your middle part of the ear. It is called as Serous Otitis. 
Patient: Nothing to worry about?
Doctor: I will prescribe you some antibiotics, it should take care of it. 
Patient: Thank you!
Doctor: Anything else?
Patient: Ah yes, my eczema is also acting up. 
Doctor: Hm, you have a history of atopic dermatitis in other words eczema.
Patient: Yeah, I have had it since childhood.

Clinical note:
Symptoms: Pain in left ear, eczema flare-up
Diagnosis: Serous otitis, atopic dermatitis
History of Complaint: Pain in left ear for three or four days, history of atopic dermatitis since childhood
Plan of Action: Prescribe antibiotics for serous otitis
Doctor: When were you diagnosed with type two diabetes? 
Patient: Two years ago. 
Doctor: Does diabetes run in the family? 
Patient: Nope. I believe I'm the only one who has it. 
Doctor: How about heart disease, stroke, cancer, or high blood pressure? 
Patient: Nope. My family is pretty healthy for the most part.

Clinical note:
Symptoms: N/A
Diagnosis: N/A
History of Complaint: Diagnosed with type two diabetes two years ago, no family history of hypertension, coronary artery disease, stroke, cancer, or diabetes
Plan of Action: N/A
Doctor: Can you tell me some illness that might run in your family?
Patient: No I don't know.
Doctor: Are you sure?
Patient: Yes.

Clinical note:
Symptoms: N/A
Diagnosis: N/A
History of Complaint: Not obtainable
Plan of Action: N/A
Doctor: Do you drink or smoke? Or take any other kind of drugs? 
Patient: I used to smoke and drink, but I quit years ago. Maybe it was like in ninety two.
Doctor: How many cigarettes were you smoking then? 
Patient: You see that is a tough one to remember. It was anywhere around thirty packs per year.

Clinical note:
Symptoms: N/A
Diagnosis: N/A
History of Complaint: History of alcohol abuse (quit in '92), history of smoking approximately 30 packs per year (quit in '92)
Plan of Action: N/A
Guest_clinician: Has she taken anything for her symptoms? 
Doctor: She's tried Loratadine Beclomethasone Nasal Fluticasone and Salmeterol Inhaled Montelukast Cephalexin Hydrocode. 
Guest_clinician: Has she noticed any relief with these medications? 
Doctor: Um some relief.

Clinical note:
Symptoms: N/A
Diagnosis: N/A
History of Complaint: Medications tried include loratadine, beclomethasone nasal, fluticasone/salmeterol inhaler, montelukast, cephalexin, hydrocodone
Plan of Action: N/A
Doctor: Any past surgeries? 
Patient: Nah.

Clinical note:
Symptoms: N/A
Diagnosis: N/A
History of Complaint: No Past Surgeries
Plan of Action: N/A
Doctor: I hear someone just had a birthday! How young are you now, ma'am? 
Patient: Hello, doctor. I just turned fifty eight. 
Doctor: That's wonderful. You identify as white as well, correct? 
Patient: Yes, that's correct. 
Doctor: Is this right knee still bothering you?
Patient: Yes, and it's been going on for years now. 
Doctor: I've done two arthroscopies on this knee, right? 
Patient: Yeah, that's right.
Doctor: How have you handled conservative treatment? 
Patient: What does that mean?
Doctor: Well, that's the antiinflammatories, rest, and changes in activity you've been advised to do.
Patient: Honestly, there's been no improvement. 
Doctor: Okay, and I'm looking at your images, and they show collapsing type valgus degenerative osteoarthritis, and there's complete collapse and wear of the lateral compartment and degenerative changes noted to the femoral sulcus. 
Patient: Okay, I need you to explain that for me, doctor. 
Doctor: In summary, you have a pretty significant amount of arthritis in this knee. 
Patient: Lateral compartment, that's the outside of the knee, right? 
Doctor: Yes, that's correct. Your medial, or inside part of the knee, looks much better comparatively, but there's still some arthritis. 
Patient: Okay, thank you. 
Doctor: Are you able to flex and extend the knee all the way?
Patient: Yes, look. 
Doctor: Can I test your stability? Okay, yes, there's some laxity here on both sides of the knee.

Clinical note:
Symptoms: Increasing right knee pain for several years
Diagnosis: Collapsing-type valgus degenerative osteoarthritis with complete collapse and wear of the lateral compartment, degenerative changes noted to the femoral sulcus, mild laxity on both sides
History of Complaint: Two knee arthroscopies performed by the doctor in preceding years, refractory to conservative therapy
Plan of Action: N/A
Doctor: I reviewed all your systems, everything looks fine. 
Patient: Nice.

Clinical note:
Symptoms: N/A
Diagnosis: N/A
History of Complaint: Otherwise negative
Plan of Action: N/A
Doctor: Let me give you some medication in your I V. 
Patient: Please make this all go away. I am feeling really sick like I am going to throw up.
Doctor: Sure, sure. Nurse, please give him Norflex sixty M G, Zofran four M G, morphine sulfate four M G.
Patient: Will I feel better after that?
Doctor: Yes.
Patient: I am feeling better after couple hours.

Clinical note:
Symptoms: Feeling sick, nausea
Diagnosis: N/A
History of Complaint: Significant improvement after receiving IV Norflex 60 mg, Zofran 4 mg, and morphine sulfate 4 mg
Plan of Action: N/A
Doctor: It seems like you are not feeling very well today? 
Patient: Yeah.  I have had diarrhea and pain in my stomach.  
Doctor: Have you experienced any vomiting? 
Patient: Yes.  I threw up this morning.

Clinical note:
Symptoms: Diarrhea, vomiting, abdominal pain
Diagnosis: N/A
History of Complaint: N/A
Plan of Action: N/A
Doctor: Do you know about any medical problems running in your family? 
Patient: No, I don't know anything. I was never close to my family.

Clinical note:
Symptoms: N/A
Diagnosis: N/A
History of Complaint: Unknown
Plan of Action: N/A
Doctor: Have you had any thoughts of harming yourself or others? 
Patient: I've had thoughts of not wanting to be alive anymore but no plans of actually hurting myself. And absolutely no desire to hurt others. 
Doctor: Are you feeling suicidal right now? 
Patient: No, not right now. 
Doctor: Do you see a therapist or psychiatrist for this? 
Patient: No. 
Doctor: Are you having any other symptoms, such as chest pain or shortness of breath? 
Patient: Nah. 
Doctor: Any nausea or vomiting? 
Patient: No. 
Doctor: How about numbness, weakness, or any tingling?  
Patient: No. 
Doctor: Okay, let me see how we can help you today. Have you spoken to anyone else about these thoughts? And what do you think triggers these emotions for you?

Clinical note:
Symptoms: Suicidal thoughts (no plans), no desire to harm others, no chest pain, no shortness of breath, no nausea or vomiting, no numbness, weakness, or tingling
Diagnosis: N/A
History of Complaint: Psychiatric: Suicidal thoughts with no plans, denies current suicidality; Cardiopulmonary: Denies chest pain or shortness of breath; GI: Denies nausea or vomiting; Neurological: Denies numbness, weakness, or tingling
Plan of Action: N/A
Doctor: So, tell me what is going on?
Patient: Well, I have this wound on my thigh from my surgery and its not healing and honestly, I am a little worried.
Doctor: Okay, let me have a look, which side?
Patient: It's on the back of my left thigh.

Clinical note:
Symptoms: Non-healing surgical wound
Diagnosis: N/A
History of Complaint: Wound located on the back of the left thigh from previous surgery
Plan of Action: N/A
Doctor: Any medication intolerances? 
Patient: No.

Clinical note:
Symptoms: N/A
Diagnosis: N/A
History of Complaint: No known medication intolerances
Plan of Action: N/A
Doctor: Good morning, young man. 
Patient: Hello, doctor. 
Doctor: So, before we get started here, how old are you?
Patient: I'm seventeen, sir. 
Doctor: Thank you, um, what happened?
Patient: Um, so I got into a fight at juvie, and I hurt my left elbow during it. 
Doctor: I see, do you have any other pain?
Patient: Well, I have some in my left ankle too.
Doctor: Is this pain messing with your walking, or no?
Patient: No, I can walk and everything just fine. I used to have some knee pain too, but that was in the past.
Doctor: Did you get knocked out during the fight?
Patient: No, I held my own, but I did get hit in the head. 
Doctor: So, your neck doesn't hurt from the fight?
Patient: Nope, just my elbow and ankle. 
Doctor: Were any weapons used in the fight, like guns or knives?
Patient: No sir, just fists.
Doctor: Do you have any chest or abdominal pain?
Patient: No, sir.

Clinical note:
Symptoms: Pain in left elbow and left ankle, previous pain in left knee
Diagnosis: N/A
History of Complaint: 17-year-old male experienced pain in left elbow and left ankle during a fight in Juvenile Hall, denies neck pain despite being hit in the head, no chest or abdominal pain, no weapons involved
Plan of Action: N/A
Doctor: Do you drink alcohol or smoke cigarettes?
Patient: No, I do not.
Doctor: Are you sure?
Patient: Yes.

Clinical note:
Symptoms: N/A
Diagnosis: N/A
History of Complaint: Denies alcohol or tobacco use
Plan of Action: N/A
Doctor: I will do some examinations on you. I will check your chest and then I will talk to you as I move forward, okay? 
Patient: I'm okay with that. 
Doctor: So, let's see what we have here. Hm, Yeah, just looks good. I do not find anything abnormal.

Clinical note:
Symptoms: N/A
Diagnosis: CHEST: The chest examination is unremarkable.
History of Complaint: N/A
Plan of Action: N/A
Doctor: And you mentioned that you have a history of migraine?
Patient: Yes, that's correct.

Clinical note:
Symptoms: N/A
Diagnosis: N/A
History of Complaint: History of migraine
Plan of Action: N/A
Doctor: What medications are you taking currently? 
Patient: Well, I'm taking Remeron for depression and Ziac for high blood pressure.

Clinical note:
Symptoms: N/A
Diagnosis: N/A
History of Complaint: His only medications are Ziac and Remeron
Plan of Action: N/A
Guest_clinician: Did you get a chance to review patient's chart? 
Doctor: Yes, I reviewed his past medical history and family and social history. 
Doctor: There are no changes, right Mister Jay?
Patient: Yes, nothing changed. 
Guest_clinician: Okay, sounds good.

Clinical note:
Symptoms: N/A
Diagnosis: N/A
History of Complaint: Reviewed, no changes
Plan of Action: N/A
Doctor: How are you feeling?  
Patient: I am well.
Doctor: So, we have placed a permanent pacemaker and removed your temporary internal pacemaker.
Patient: Yes.

Clinical note:
Symptoms: N/A
Diagnosis: N/A
History of Complaint: Permanent pacemaker placement after removal of temporary internal pacemaker
Plan of Action: N/A
Doctor: How has our little man being doing?
Guest_family: Before today he has been doing well, but yesterday he threw up at night and has been very nauseous. He did not complain of stomach issues prior. He is not eating either. 
Doctor: How is his appetite? 
Guest_family: Low. He has no fever, chills, or weakness. 
Doctor: What about coughing, sore throat?
Guest_family: No. 
Doctor: Any chest pain or trouble breathing?
Guest_family: No. 
Doctor: Any changes in his urination, maybe in color?
Guest_family: No.
Doctor: Any changes in skin color?
Guest_family: No. No rash or anything either.

Clinical note:
Symptoms: Nausea, vomiting, low appetite
Diagnosis: N/A
History of Complaint: Patient previously well, experienced symptoms of nausea and vomiting yesterday, low appetite, no fever, chills, weakness, headache, congestion, coughing, sore throat, chest pain, trouble breathing, changes in urination or skin color, rash
Plan of Action: N/A
Doctor: Well, I have your E K G report, shows you have sinus tachycardia. In other words, your heart is beating faster than normal due to rapid firing of sinus node.
Patient: Okay.
Doctor: Well, there are no S T changes.
Patient: Hm.

Clinical note:
Symptoms: N/A
Diagnosis: Sinus tachycardia
History of Complaint: N/A
Plan of Action: No acute ST changes
Doctor: Good news! No need for any shots today. He is up to date on his immunizations. 
Guest_family: Good! He hates shots.

Clinical note:
Symptoms: N/A
Diagnosis: N/A
History of Complaint: Up-to-date on immunizations
Plan of Action: N/A
Doctor: I'm glad to hear that your Afib is under control. I'd like for you to start taking baby aspirin again. 
Patient: Should I continue taking Nexium? 
Doctor: Yes, I'd like you to also take Nexium forty M G once a day in order to reduce the risk of an upper G I bleed. 
Patient: Sounds good.  
Doctor: And I ask that you call me immediately if you notice coffee like grounds in your vomit or bloody stool. 
Patient: Okay.  
Doctor: If you have either of these symptoms, then we'll need to put a stop to aspirin.

Clinical note:
Symptoms: N/A
Diagnosis: Chronic atrial fibrillation
History of Complaint: Patient restarted on aspirin 81 mg at discharge, instructed to continue with Nexium 40 mg once daily to prevent upper GI bleed. If coffee-ground emesis or melena occurs, aspirin should be discontinued.
Plan of Action: N/A