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The dataset generation failed because of a cast error
Error code: DatasetGenerationCastError
Exception: DatasetGenerationCastError
Message: An error occurred while generating the dataset
All the data files must have the same columns, but at some point there are 2 new columns ({'drop_justification', 'drop_reasons'})
This happened while the csv dataset builder was generating data using
hf://datasets/galgantar/MTS-Dialog-cleaned/artifacts/testset1-cleaned.removed.csv (at revision 09e6365d62a4304a0f963ff7ce2bfea6a35bcfb5), [/tmp/hf-datasets-cache/medium/datasets/53467544242100-config-parquet-and-info-galgantar-MTS-Dialog-clea-f7ba213d/hub/datasets--galgantar--MTS-Dialog-cleaned/snapshots/09e6365d62a4304a0f963ff7ce2bfea6a35bcfb5/artifacts/testset1-cleaned.csv (origin=hf://datasets/galgantar/MTS-Dialog-cleaned@09e6365d62a4304a0f963ff7ce2bfea6a35bcfb5/artifacts/testset1-cleaned.csv), /tmp/hf-datasets-cache/medium/datasets/53467544242100-config-parquet-and-info-galgantar-MTS-Dialog-clea-f7ba213d/hub/datasets--galgantar--MTS-Dialog-cleaned/snapshots/09e6365d62a4304a0f963ff7ce2bfea6a35bcfb5/artifacts/testset1-cleaned.removed.csv (origin=hf://datasets/galgantar/MTS-Dialog-cleaned@09e6365d62a4304a0f963ff7ce2bfea6a35bcfb5/artifacts/testset1-cleaned.removed.csv), /tmp/hf-datasets-cache/medium/datasets/53467544242100-config-parquet-and-info-galgantar-MTS-Dialog-clea-f7ba213d/hub/datasets--galgantar--MTS-Dialog-cleaned/snapshots/09e6365d62a4304a0f963ff7ce2bfea6a35bcfb5/artifacts/testset2-cleaned.csv (origin=hf://datasets/galgantar/MTS-Dialog-cleaned@09e6365d62a4304a0f963ff7ce2bfea6a35bcfb5/artifacts/testset2-cleaned.csv), /tmp/hf-datasets-cache/medium/datasets/53467544242100-config-parquet-and-info-galgantar-MTS-Dialog-clea-f7ba213d/hub/datasets--galgantar--MTS-Dialog-cleaned/snapshots/09e6365d62a4304a0f963ff7ce2bfea6a35bcfb5/artifacts/testset2-cleaned.removed.csv (origin=hf://datasets/galgantar/MTS-Dialog-cleaned@09e6365d62a4304a0f963ff7ce2bfea6a35bcfb5/artifacts/testset2-cleaned.removed.csv), /tmp/hf-datasets-cache/medium/datasets/53467544242100-config-parquet-and-info-galgantar-MTS-Dialog-clea-f7ba213d/hub/datasets--galgantar--MTS-Dialog-cleaned/snapshots/09e6365d62a4304a0f963ff7ce2bfea6a35bcfb5/testset-merged-cleaned.csv (origin=hf://datasets/galgantar/MTS-Dialog-cleaned@09e6365d62a4304a0f963ff7ce2bfea6a35bcfb5/testset-merged-cleaned.csv)]
Please either edit the data files to have matching columns, or separate them into different configurations (see docs at https://hf.co/docs/hub/datasets-manual-configuration#multiple-configurations)
Traceback: Traceback (most recent call last):
File "/usr/local/lib/python3.12/site-packages/datasets/builder.py", line 1800, in _prepare_split_single
writer.write_table(table)
File "/usr/local/lib/python3.12/site-packages/datasets/arrow_writer.py", line 765, in write_table
self._write_table(pa_table, writer_batch_size=writer_batch_size)
File "/usr/local/lib/python3.12/site-packages/datasets/arrow_writer.py", line 773, in _write_table
pa_table = table_cast(pa_table, self._schema)
^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^
File "/usr/local/lib/python3.12/site-packages/datasets/table.py", line 2321, in table_cast
return cast_table_to_schema(table, schema)
^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^
File "/usr/local/lib/python3.12/site-packages/datasets/table.py", line 2249, in cast_table_to_schema
raise CastError(
datasets.table.CastError: Couldn't cast
dialogue_id: string
testset_index: int64
dialogue_index: int64
drop_reasons: string
drop_justification: string
ID: int64
section_header: string
section_text: string
dialogue: string
-- schema metadata --
pandas: '{"index_columns": [{"kind": "range", "name": null, "start": 0, "' + 1360
to
{'dialogue_id': Value('string'), 'testset_index': Value('int64'), 'dialogue_index': Value('int64'), 'ID': Value('int64'), 'section_header': Value('string'), 'section_text': Value('string'), 'dialogue': Value('string')}
because column names don't match
During handling of the above exception, another exception occurred:
Traceback (most recent call last):
File "/src/services/worker/src/worker/job_runners/config/parquet_and_info.py", line 1347, in compute_config_parquet_and_info_response
parquet_operations = convert_to_parquet(builder)
^^^^^^^^^^^^^^^^^^^^^^^^^^^
File "/src/services/worker/src/worker/job_runners/config/parquet_and_info.py", line 980, in convert_to_parquet
builder.download_and_prepare(
File "/usr/local/lib/python3.12/site-packages/datasets/builder.py", line 882, in download_and_prepare
self._download_and_prepare(
File "/usr/local/lib/python3.12/site-packages/datasets/builder.py", line 943, in _download_and_prepare
self._prepare_split(split_generator, **prepare_split_kwargs)
File "/usr/local/lib/python3.12/site-packages/datasets/builder.py", line 1646, in _prepare_split
for job_id, done, content in self._prepare_split_single(
^^^^^^^^^^^^^^^^^^^^^^^^^^^
File "/usr/local/lib/python3.12/site-packages/datasets/builder.py", line 1802, in _prepare_split_single
raise DatasetGenerationCastError.from_cast_error(
datasets.exceptions.DatasetGenerationCastError: An error occurred while generating the dataset
All the data files must have the same columns, but at some point there are 2 new columns ({'drop_justification', 'drop_reasons'})
This happened while the csv dataset builder was generating data using
hf://datasets/galgantar/MTS-Dialog-cleaned/artifacts/testset1-cleaned.removed.csv (at revision 09e6365d62a4304a0f963ff7ce2bfea6a35bcfb5), [/tmp/hf-datasets-cache/medium/datasets/53467544242100-config-parquet-and-info-galgantar-MTS-Dialog-clea-f7ba213d/hub/datasets--galgantar--MTS-Dialog-cleaned/snapshots/09e6365d62a4304a0f963ff7ce2bfea6a35bcfb5/artifacts/testset1-cleaned.csv (origin=hf://datasets/galgantar/MTS-Dialog-cleaned@09e6365d62a4304a0f963ff7ce2bfea6a35bcfb5/artifacts/testset1-cleaned.csv), /tmp/hf-datasets-cache/medium/datasets/53467544242100-config-parquet-and-info-galgantar-MTS-Dialog-clea-f7ba213d/hub/datasets--galgantar--MTS-Dialog-cleaned/snapshots/09e6365d62a4304a0f963ff7ce2bfea6a35bcfb5/artifacts/testset1-cleaned.removed.csv (origin=hf://datasets/galgantar/MTS-Dialog-cleaned@09e6365d62a4304a0f963ff7ce2bfea6a35bcfb5/artifacts/testset1-cleaned.removed.csv), /tmp/hf-datasets-cache/medium/datasets/53467544242100-config-parquet-and-info-galgantar-MTS-Dialog-clea-f7ba213d/hub/datasets--galgantar--MTS-Dialog-cleaned/snapshots/09e6365d62a4304a0f963ff7ce2bfea6a35bcfb5/artifacts/testset2-cleaned.csv (origin=hf://datasets/galgantar/MTS-Dialog-cleaned@09e6365d62a4304a0f963ff7ce2bfea6a35bcfb5/artifacts/testset2-cleaned.csv), /tmp/hf-datasets-cache/medium/datasets/53467544242100-config-parquet-and-info-galgantar-MTS-Dialog-clea-f7ba213d/hub/datasets--galgantar--MTS-Dialog-cleaned/snapshots/09e6365d62a4304a0f963ff7ce2bfea6a35bcfb5/artifacts/testset2-cleaned.removed.csv (origin=hf://datasets/galgantar/MTS-Dialog-cleaned@09e6365d62a4304a0f963ff7ce2bfea6a35bcfb5/artifacts/testset2-cleaned.removed.csv), /tmp/hf-datasets-cache/medium/datasets/53467544242100-config-parquet-and-info-galgantar-MTS-Dialog-clea-f7ba213d/hub/datasets--galgantar--MTS-Dialog-cleaned/snapshots/09e6365d62a4304a0f963ff7ce2bfea6a35bcfb5/testset-merged-cleaned.csv (origin=hf://datasets/galgantar/MTS-Dialog-cleaned@09e6365d62a4304a0f963ff7ce2bfea6a35bcfb5/testset-merged-cleaned.csv)]
Please either edit the data files to have matching columns, or separate them into different configurations (see docs at https://hf.co/docs/hub/datasets-manual-configuration#multiple-configurations)Need help to make the dataset viewer work? Make sure to review how to configure the dataset viewer, and open a discussion for direct support.
dialogue_id string | testset_index int64 | dialogue_index int64 | ID int64 | section_header string | section_text string | dialogue string |
|---|---|---|---|---|---|---|
1:0 | 1 | 0 | 0 | GENHX | The patient is a 55-year-old African-American male that was last seen in clinic on 07/29/2008 with diagnosis of new onset seizures and an MRI scan, which demonstrated right contrast-enhancing temporal mass. Given the characteristics of this mass and his new onset seizures, it is significantly concerning for a high-gra... | Doctor: Good afternoon, sir. Did you just have a birthday? I don't have my chart with me right now, the nurse is bringing it.
Patient: Good afternoon, sir. Yes, I just turned fifty five.
Doctor: You identify as African American, correct?
Patient: Yes, that's right.
Doctor: When was your last visit, sir?
Patient: U... |
1:1 | 1 | 1 | 1 | FAM/SOCHX | Positive for stroke and sleep apnea. | Doctor: Any medical issues running in your families?
Patient: Oh yes, stroke.
Doctor: Anything else?
Patient: Sleep apnea. |
1:3 | 1 | 3 | 3 | FAM/SOCHX | Noncontributory. | Doctor: Anyone in family with any blood or heart issues?
Patient: No.
Doctor: Anyone diabetic or with any other issues in family?
Patient: No. |
1:4 | 1 | 4 | 4 | FAM/SOCHX | Father died of a thoracic aortic aneurysm, age 71. Mother died of stroke, age 81. | Doctor: Can you tell me about your family? Did anyone in your family have any medical problems?
Patient: Oh yeah. My father died of thoracic aortic aneurysm. He was seventy one years old at that time.
Doctor: Anything for anyone else?
Patient: Yeah, my mom died of stroke. She was around eighty one. |
1:5 | 1 | 5 | 5 | FAM/SOCHX | Reviewed and remained unchanged. | Doctor: It is good to see you again. How have you been?
Patient: It is good to see you too. I have been good.
Doctor: Have anything changes to your medical history or social history since the last time I saw you?
Patient: No. No changes. |
1:7 | 1 | 7 | 7 | FAM/SOCHX | Two half-brothers, ages 26 and 28, both in good health. Parents are in good health. A maternal great-grandmother had a deep venous thrombosis (DVT) of leg in her 40s. A maternal great-uncle developed leukemia around age 50. A maternal great-grandfather had bone cancer around age 80. His paternal grandfather died o... | Doctor: What is your family medical history?
Patient: My parents do not have any health conditions. I have two half brothers that are in good health as well.
Doctor: How old are your brothers?
Patient: Twenty six and twenty eight. My grandmother on my mom's side had D V T in her leg. I think she was in her forty's.
... |
1:10 | 1 | 10 | 10 | GENHX | The patient is a 79-year-old African-American female with a self reported height of 5 foot 3 inches and weight of 197 pounds. She was diagnosed with type 2 diabetes in 1983. She is not allergic to any medicines. | Doctor: Good afternoon, ma'am. Can you tell me more about yourself, please?
Patient: Well, I'm seventy nine, and I'm an African American women.
Doctor: Did the nurses get your height?
Patient: No, they didn't.
Doctor: How tall are you?
Patient: I'm five foot three inches.
Doctor: Thank you, and how much do you we... |
1:12 | 1 | 12 | 12 | FAM/SOCHX | He is a tobacco user. He does not drink. He lives alone, but has family and social support to look on him. | Doctor: What's your living situation like?
Patient: I uh live alone, but I can count on my family and friends to keep me company.
Doctor: Do they serve as a good support system for you?
Patient: Yeah, I'd say so.
Doctor: And as for drinking and drugs, do you drink or use tobacco products?
Patient: I smoke, but I d... |
1:13 | 1 | 13 | 13 | ASSESSMENT | Generalized anxiety and hypertension, both under fair control. | Doctor: How've you been feeling lately?
Patient: Good, I guess.
Doctor: How've you been managing your anxiety?
Patient: I recently started therapy and I'm scheduled to see a psychiatrist sometime next week.
Doctor: Good, good. And any problems with your blood pressure?
Patient: I've been taking my blood pressure m... |
1:14 | 1 | 14 | 14 | GENHX | Negative for use of alcohol or tobacco. | Doctor: Hello, how are you today?
Patient: I am doing well.
Doctor: Great. What would you like to bring up today?
Patient: I have some questions about my liver.
Doctor: Alright. Let's start with the basics. Do you drink? Excessive drinking can cause issues with the liver.
Patient: No, I do not. I take a lot of Tyleno... |
1:15 | 1 | 15 | 15 | ROS | Not otherwise pertinent. | Doctor: Hello, I will ask you a few questions.
Patient: Hm.
Doctor: Any headaches or breathlessness?
Patient: Nope.
Doctor: Any skin problems?
Patient: Nope, nothing new.
Doctor: Any pain in the chest or anywhere else?
Patient: Nope.
Doctor: Any other problem that I should know.
Patient: I can't think of any. |
1:16 | 1 | 16 | 16 | EXAM | EXTREMITIES: No cyanosis, clubbing or edema. | Doctor: Did you ever see that your skin is turning blue or greyish in color?
Patient: Not that I notice.
Doctor: Any swelling like there is water filled inside?
Patient: Nope.
Doctor: Have you ever noticed any kind of swelling in your fingers or toes?
Patient: No. |
1:17 | 1 | 17 | 17 | PASTSURGICAL | She has not had any prior surgeries. Her general health has been excellent except for the above-indicated problems. | Doctor: Any health problems or health conditions?
Patient: No. I have never had any health issues. Other than why I am why I am her today.
Doctor: Lucky you. No prior surgeries?
Patient: I know right? No, I have never had any surgeries. |
1:19 | 1 | 19 | 19 | GENHX | The patient is a 49-year-old white female, established patient to Dermatology, last seen in the office on 08/10/2004. She comes in today for reevaluation of her acne plus she has had what she calls a rash for the past two months now on her chest, stomach, neck, and back. On examination, this is a flaring of her acne ... | Doctor: Nice to see you again, miss. I see your last visit was back on August tenth two thousand and four. How are you?
Patient: Hi, doctor. Nice to see you again as well. I've been doing fine.
Doctor: How is your husband doing?
Patient: He's doing fine. Just working a lot.
Doctor: Great! I hope the work isn't getti... |
1:20 | 1 | 20 | 20 | ROS | He says he has had numbness of toes for a long time. He denies any visual problems. His legs have been swelling up from time to time for a long time. He also has history of COPD and gets short of breath with minimal activity. He is also not able to walk due to his weight. He has had ulcers on his legs, which he ge... | Doctor: Hello! How are you doing today?
Patient: Hi! I am stuck in here, so I am not doing great.
Doctor: How long have your legs been swollen like this?
Patient: They swell up like this from time to time but it has been happening for a long time. I also can't feel my toes.
Doctor: How long has the numbness of your... |
1:21 | 1 | 21 | 21 | CC | Multiple problems, main one is chest pain at night. | Doctor: Is this chest pain new for you?
Patient: For the most part, yeah. It's been happening the last few nights.
Doctor: How would you describe the pain?
Patient: Like a gnawing sensation.
Doctor: How long does each episode last?
Patient: Few seconds I think.
Doctor: How would you rate the pain out of ten with t... |
1:25 | 1 | 25 | 25 | FAM/SOCHX | Positive for arthritis in his grandmother. No history of pediatric arthritis. There is history of psoriasis in his dad. | Doctor: Please, tell me more about your family's medical history. Are there any conditions I should know about?
Patient: I know that my grandma had arthritis.
Doctor: Good to know, did you have arthritis as a child?
Patient: No, I didn't have anything like that. I thought only old people got that.
Doctor: Generally, ... |
1:26 | 1 | 26 | 26 | GENHX | The patient is a 68-year-old man who returns for recheck. He has a history of ischemic cardiac disease, he did see Dr. XYZ in February 2004 and had a thallium treadmill test. He did walk for 8 minutes. The scan showed some mild inferior wall scar and ejection fraction was well preserved. He has not had difficulty w... | Doctor: Hello, sir. Welcome back. Looks like we are going to revaluate your heart issues. You have a history of ischemic cardiac disease, correct? Can you also state your age?
Patient: Sixty eight. Yes. I saw doctor X Y Z in February two thousand four and he made me walk on a treadmill for eight minutes. Do you have th... |
1:29 | 1 | 29 | 29 | PASTMEDICALHX | Prostate cancer with metastatic disease as previously described. | Doctor: What type of cancer again?
Patient: I had prostate cancer.
Doctor: Did it travel anywhere in your body?
Patient: Yes, it was metastatic. |
1:30 | 1 | 30 | 30 | FAM/SOCHX | The patient's father also suffered from bilateral hip osteoarthritis. | Doctor: Do you have any major medical conditions that run in your family that I should know about?
Patient: What exactly do you mean by that, doctor?
Doctor: Well, it could be anything from depression to high blood pressure, to cancer.
Patient: Oh, yeah, my dad also has arthritis in both of his hips. |
1:31 | 1 | 31 | 31 | GENHX | The patient is a 55-year-old gentleman who presents for further evaluation of right leg weakness. He has difficulty recollecting the exact details and chronology of his problem. To the best of his recollection, he thinks that about six months ago he developed weakness of his right leg. He describes that he is reachi... | Doctor: Hi there! I am Doctor Jones, sir.
Patient: Hello! It is nice to meet you.
Doctor: What brings you into see me today?
Patient: I have had this weakness in my right leg for quite some time now.
Doctor: How long has this been going on and do you know how you injured yourself?
Patient: I think that it was about ... |
1:34 | 1 | 34 | 34 | PASTMEDICALHX | He has diabetes, but this is well controlled. He also has hepatitis C and HIV. | Doctor: How are your sugar levels these days, sir?
Patient: Well, it is well under control.
Doctor: That's good. Do you have any other medical condition?
Patient: Yes, I have hepatitis C. I also have HIV. |
1:36 | 1 | 36 | 36 | GENHX | This is a 56-year-old female who fell on November 26, 2007 at 11:30 a.m. while at work. She did not recall the specifics of her injury but she thinks that her right foot inverted and subsequently noticed pain in the right ankle. She describes no other injury at this time. | Doctor: Good afternoon, ma'am.
Patient: Good afternoon, doctor.
Doctor: Before we get started, I just need some background information. How old are you?
Patient: I'm fifty six, doctor.
Doctor: Good, what's a young lady like you doing in my office? I hear you got hurt, what happened?
Patient: I don't remember exactl... |
1:39 | 1 | 39 | 39 | OTHER_HISTORY | Reviewed and unchanged. | Doctor: Hello, how are you doing today? Before we get started, I am going to do a basic review of your medical and social history.
Patient: Sounds good. Nothing has changed from last visit.
Doctor: On your chart we have that you are a non smoker, non drinker, and do not use drugs. We also have written that you do not... |
1:41 | 1 | 41 | 41 | CC | Congestion, tactile temperature. | Doctor: How can we help you today?
Patient: Oh doctor, I have congestion, and I think I might have a fever. When I touched my forehead earlier it felt much warmer than usual.
Doctor: Oh sorry to hear that. Let me see what we can do.
Patient: Thank you! |
1:42 | 1 | 42 | 42 | GENHX | This 68-year-old man presents to the emergency department for three days of cough, claims that he has brought up some green and grayish sputum. He says he does not feel short of breath. He denies any fever or chills. | Doctor: How are you?
Patient: I am well, I have a bad cough and some green, grey things are coming out.
Doctor: Oh I am sorry, is it causing any shortness of breath?
Patient: No, I don't feel short of breath.
Doctor: How about fever?
Patient: No I do not have any fever.
Doctor: Any chills?
Patient: Nope.
Doctor: Okay... |
1:44 | 1 | 44 | 44 | PASTMEDICALHX | High blood pressure, obesity, right patellar fracture with pin in 1990, and history of blood clots. | Doctor: Do you have any health conditions that I should be aware of?
Patient: Well, as you can see, I'm obese, and I also have high blood pressure.
Doctor: Have you ever had surgery?
Patient: Yeah, I've fractured my right knee before, and they fixed it with a pin, that was in, um, nineteen ninety.
Doctor: Thank you,... |
1:45 | 1 | 45 | 45 | GENHX | The patient has NG tube in place for decompression. She says she is feeling a bit better. | Doctor: You were placed on nasogastric tube for decompression, right?
Patient: Yes.
Doctor: And how do you feel after that?
Patient: I am feeling bit better. |
1:46 | 1 | 46 | 46 | ASSESSMENT | 1. History of congestion, possibly enlarged adenoids, or just her anatomy. 2. Ingrown toenail, but slowly resolving on its own. | Doctor: Any medical problems?
Patient: Yeah, I've been suffering from congestion for a few years now.
Doctor: Have you seen an ENT for this?
Patient: I did a year or so ago. They think it could be due to enlarged adenoids or just my anatomy.
Doctor: Do you have plans to see the ENT in the near future?
Patient: No,... |
1:48 | 1 | 48 | 48 | FAM/SOCHX | She is married. She is a nonsmoker. | Doctor: Hello, miss. How are you doing today?
Patient: I was doing fine until my head started to hurt.
Doctor: Oh, no. When did it start?
Patient: Earlier today. I got really stressed because my husband was bothering me, and my kids kept running around.
Doctor: I see. Do you smoke to relieve the stress?
Patient: N... |
1:50 | 1 | 50 | 50 | GENHX | The patient has a previous history of a left traumatic wrist injury, which has left him with a chronic scapholunate problem and possibly other problems in his wrist. However, he was doing relatively fine and tolerating the wrist soreness that he had, which is day to day, but it has not gotten much worse until this inj... | Doctor: Hello, sir. How are you doing today?
Patient: I hurt my left wrist again.
Doctor: Oh, no. Again? Did you hurt it before?
Patient: Yeah, I did. I've actually hurt it a lot. The most recent one was probably the worst pain of my life.
Doctor: I see. How did you hurt it?
Patient: I was lifting some things out o... |
1:53 | 1 | 53 | 53 | FAM/SOCHX | He lives alone. He recently lost his partner. This happened about six months ago. He denies alcohol, tobacco, or illicit drug use. He is now retired. He is very active and walks about four miles every few days. | Doctor: I will ask you a few questions about your social history, sir.
Patient: That's okay. I have nothing to hide.
Doctor: Are you married?
Patient: I was, but I lost my wife six months ago. I live alone now.
Doctor: Do you smoke or drink? Have you ever tried any illegal drug?
Patient: No, none of these.
Doctor: A... |
1:54 | 1 | 54 | 54 | ASSESSMENT | 1. Hypercholesterolemia. 2. Diabetes mellitus. 3. Sinusitis. | Doctor: Have you been checking your blood sugar regularly?
Patient: Yes, I check it twice a day and I make sure to record the readings each time.
Doctor: That's great to hear. Do you mind if I take a look at the readings you brought with you today?
Patient: No, it's not a problem. Here, let me get my bag.
Doctor: H... |
1:55 | 1 | 55 | 55 | ROS | The patient has been complaining of diarrhea about 5 or 6 times a day for several weeks now. | Doctor: What brings you into the office today?
Patient: I have been having some stomach problems.
Doctor: What has been going on with your stomach? What are your symptoms?
Patient: I have been having diarrhea.
Doctor: When did the diarrhea start?
Patient: Several weeks ago.
Doctor: How many times of day do you hav... |
1:57 | 1 | 57 | 57 | CC | Mental changes today. | Doctor: What brings you into the office today?
Patient: I have been feeling strange lately.
Doctor: Strange, in what way?
Patient: Well, the other day I was driving and suddenly, I didn't know where I was or where I was driving to.
Doctor: That must have been very scary for you. How long did you feel disorien... |
1:58 | 1 | 58 | 58 | ROS | No fevers, no headaches, no shortness of breath currently. No chest pain or tightness. No abdominal pain, no heartburn, no constipation, diarrhea or dysuria. Occasional stress incontinence. No muscle or joint pain. No concerns about her skin. No polyphagia, polydipsia or polyuria. | Doctor: I'm going to run through a list of symptoms and if you're experiencing one or more of these, please let me know.
Patient: Okay.
Doctor: You had previously mentioned that you sometimes experience an overactive bladder. Are you having any pain with urination or other urinary symptoms along with it?
Patient: No... |
1:64 | 1 | 64 | 64 | CC | "I have had trouble breathing for the past 3 days" | Doctor: How're you feeling today?
Patient: Honestly, I've had way better days.
Doctor: I'm sorry. Why is that?
Patient: I've been getting short of breath a lot more than I'm used to.
Doctor: How long has this been going on?
Patient: Past three days.
Doctor: Are you experiencing any leg pain or swelling?
Patient:... |
1:65 | 1 | 65 | 65 | PROCEDURES | Cycle seven Ifosfamide, mesna, and VP-16 chemotherapy. | Doctor: Hi, how are you?
Patient: I am well. I am feeling a much better.
Doctor: That's good. I gave you cycle seven ifosphomide, mesna and VP 16 chemotherapy.
Patient: Okay I don't understand what that means. |
1:66 | 1 | 66 | 66 | ROS | General: No fever, chills, or night sweats. Weight stable. HEENT: No sudden blindness, diplopia, loss of vision, i.e., in one eye or other visual changes. No hearing changes or ear problems. No swallowing problems or mouth lesions. Endocrine: Hypothyroidism but no polyuria or polydipsia. She watches her blood su... | Doctor: You have hypothyroidism, correct?
Patient: Yes.
Doctor: Have you been watching your blood sugar?
Patient: Yes. It's been fine lately so has my anemia.
Doctor: Good to hear. I see here you were diagnosed with I B S and bowel abnormalities a few years ago.
Patient: My most recent bouts of diarrhea were likel... |
1:67 | 1 | 67 | 67 | GENHX | The patient is a 56-year-old right-handed female with longstanding intermittent right low back pain, who was involved in a motor vehicle accident in September of 2005. At that time, she did not notice any specific injury. Five days later, she started getting abnormal right low back pain. At this time, it radiates in... | Doctor: How old are you?
Patient: Fifty six.
Doctor: Are you right handed or left handed?
Patient: I'm right handed.
Doctor: So, you have this long standing on and off lower back pain on your right side. And it all happened after your motor vehicle accident in September of two thousand and five.
Patient: That's rig... |
1:68 | 1 | 68 | 68 | FAM/SOCHX | Married. Part-time farmer. Denied tobacco/ETOH/illicit drug use. | Doctor: Are you married?
Patient: Yes.
Doctor: Are you working?
Patient: I'm doing farming as a part time thing.
Doctor: Do you drink or smoke or have taken any kind of drugs?
Patient: Nope. |
1:70 | 1 | 70 | 70 | MEDICATIONS | Morphine, Darvocet, Flomax, Avodart and ibuprofen. | Doctor: Are you taking any medication?
Patient: Yes, they have it in the chart.
Doctor: Okay, let me take a look.
Patient: Nurse just updated them.
Doctor: Yes I see Morphine, Darvocet, Flomax, Avodart and Ibuprofen.
Patient: That's right. |
1:74 | 1 | 74 | 74 | GENHX | The patient is a 68-year-old female with a history of knee pain for 13 years. She had previous total knee arthroplasty and revision at an outside facility. She had continued pain, snapping, malalignment, difficulty with ambulation, and giving away and wished to undergo additional revision surgery. | Doctor: Good morning, ma'am.
Patient: Good morning, doctor.
Doctor: What's a young lady like you doing in my office today?
Patient: Well, I'm not as young as I used to be, I'm sixty eight years old now.
Doctor: So, what seems to be the problem today?
Patient: Well, I've had knee pain for about thirteen years now. ... |
1:75 | 1 | 75 | 75 | GENHX | The patient has been doing quite well since he was last seen. He comes in today with his daughter. He has had no symptoms of CAD or CHF. He had followup with Dr. X and she thought he was doing quite well as well. He has had no symptoms of hyperglycemia or hypoglycemia. He has had no falls. His right knee does pai... | Doctor: Good afternoon, sir, and who is this with you today?
Patient: How are you doing, doctor? This is my daughter.
Doctor: I'm doing well, but how are you? How have you been doing since I last saw you?
Patient: I've been doing quite well, doctor.
Doctor: So, no symptoms of heart disease, or failure?
Patient: No... |
1:78 | 1 | 78 | 78 | ROS | GENERAL: No recent fever, chills. No recent weight loss. PULMONARY: No cough, chest congestion. CARDIAC: No chest pain, shortness of breath. GI: No abdominal pain, nausea, vomiting. No constipation. No bleeding per rectum or melena. GENITOURINARY: She has had frequent urinary tract infection but does not have a... | Doctor: I see here that you have a history of frequent U T I's. Are you currently experiencing any urinary symptoms?
Patient: Nope. I've been drinking a lot more water and taking preventative measures to reduce my chances of getting another one anytime soon. I'm being even more conscious of it since I'm now bed bound.... |
1:82 | 1 | 82 | 82 | FAM/SOCHX | Significant for diabetes and hypertension. | Doctor: Does anyone else in your family suffer from high blood pressure?
Patient: Oh yeah, quite a few relatives actually.
Doctor: How about diabetes?
Patient: Yeah, sadly. |
1:84 | 1 | 84 | 84 | ASSESSMENT | Local reaction secondary to insect sting. | Doctor: How're you feeling after the Prednisone?
Patient: Much better than before. It looks like the redness and swelling has calmed down a bit.
Doctor: This was your first wasp sting, correct?
Patient: Yeah, and I really hope it's my last. It definitely did a number on me. |
1:86 | 1 | 86 | 86 | GENHX | Unremarkable. | Doctor: Do you have any history of psychiatric disorders, sir?
Patient: What, like depression?
Doctor: Well, it could be anything like depression, or mood disorders. Does anything like that ring any bells?
Patient: Oh, no, I don't have anything like that. |
1:88 | 1 | 88 | 88 | ROS | Otherwise noncontributory. He has no gastrointestinal, cardiopulmonary, genitourinary or musculoskeletal symptomatology. No symptoms. | Doctor: Have you had any G I issues?
Patient: Nope.
Doctor: So no symptoms other than what we discussed earlier?
Patient: You got it.
Doctor: Looks like you're in good shape. We're almost done. I just need to confirm a few more things. Seems like they all will be negative.
Patient: No worries.
Doctor: Any heart iss... |
1:89 | 1 | 89 | 89 | FAM/SOCHX | Thee patient is on disability. He does not smoke. He does not drink alcohol. He is single. He lives with a girlfriend. He has minimal activities of daily living. The patient cannot recollect when last a urine drug screen was done. | Doctor: I just need a few pieces of background information, before we get started.
Patient: Absolutely, doctor.
Doctor: What do you do for a living, sir?
Patient: Actually, right now I'm on disability.
Doctor: Okay, and do you drink or smoke?
Patient: No, doctor. I don't do either of those.
Doctor: Good, are you m... |
1:91 | 1 | 91 | 91 | GENHX | The patient is a 75-year-old, Caucasian female who comes in today with complaint of feeling weak and shaky. When questioned further, she described shortness of breath primarily with ambulation. She denies chest pain. She denies cough, hemoptysis, dyspnea, and wheeze. She denies syncope, presyncope, or palpitations.... | Doctor: How old are you madam?
Patient: I am seventy-five. I have been feeling very weak and shaky.
Doctor: Can you tell me how this all started?
Patient: I cannot catch a breath when I walk. It is getting harder to move around.
Doctor: Hm, how about chest pain or palpitations?
Patient: No, I am not having any.
Doctor:... |
1:92 | 1 | 92 | 92 | ASSESSMENT | Migraine headache. | Doctor: How're you feeling?
Patient: My head still hurts.
Doctor: How often do you get migraine headaches?
Patient: Once in a while. I think it's worse when the weather changes.
Doctor: I understand. Do you see a neurologist?
Patient: Not at this moment, but I should find one.
Doctor: I can write you a referral b... |
1:93 | 1 | 93 | 93 | ROS | CARDIAC: He denies any chest pain or shortness of breath. ENDOCRINE: He denies any bleeding disorders. | Doctor: So, tell me any chest pain or shortness of breath?
Patient: No, none of those.
Doctor: Any bleeding disorder, prolonged bleeding or anything?
Patient: No.
Doctor: And I already have G I and urinary tract reports. Anything else?
Patient: No, I don't think so. |
1:98 | 1 | 98 | 98 | GENHX | CORONARY RISK FACTORS: History of hypertension. No history of diabetes mellitus. Nonsmoker. Cholesterol status is borderline elevated. No history of established coronary artery disease. Family history noncontributory. | Doctor: Do you have any personal history of heart disease or diabetes?
Patient: No, but I do have high blood pressure.
Doctor: Any family history of heart disease, diabetes or hypertension?
Patient: No, none that I know of.
Doctor: Your bloodwork came back with borderline elevated cholesterol levels. I would like ... |
1:103 | 1 | 103 | 103 | GENHX | The patient had several episodes where she felt like her face was going to twitch, which she could suppress it with grimacing movements of her mouth and face. She reports she is still having right posterior head pressure like sensations approximately one time per week. These still are characterized by a tingling, pre... | Doctor: How's everything going on?
Patient: I'm having this weird feeling where I feel that my face is going to twitch and I start doing these grimacing actions on my face, mouth, and then it kind of suppresses it, but I'm not sure what's happening. I'm still having a fear of feeling of pressure in the backside of my ... |
1:104 | 1 | 104 | 104 | PASTSURGICAL | Foot surgery, abdominal surgery, and knee surgery. | Doctor: Have you ever had surgery on any of your extremities, like your arms or legs?
Patient: Yes actually, I've had surgery on my foot, as well as my knee.
Doctor: Good, have you had any other surgeries on anywhere else?
Patient: Now that I remember, yes, I had a tummy surgery. |
1:105 | 1 | 105 | 105 | OTHER_HISTORY | Per health summary sheet, unchanged. | Doctor: Hello. It has been a long time. Nice to see you again. How can I help?
Patient: I am here for a physical. Nothing new and nothing has changed, but I think it's good to be seen once a year.
Doctor: Great! You are absolutely right. Prevention is key. Are your social history and medical conditions the same as las... |
1:107 | 1 | 107 | 107 | GENHX | This is a 56-year-old white male who has been complaining of having had a lump in the chest for the past year or so and it has been getting larger and tender according to the patient. It is tender on palpation and also he feels like, when he takes a deep breath also, it hurts. | Doctor: Hi, I'm the doctor that'll be treating you today.
Patient: Hiya. Sounds good.
Doctor: What's bringing you in?
Patient: A big ol lump in my chest.
Doctor: How long since you first noticed it?
Patient: It's been there for at least a year.
Doctor: Where on your chest?
Patient: On the left side.
Doctor: Is i... |
1:111 | 1 | 111 | 111 | FAM/SOCHX | unremarkable except for ETOH abuse | 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?
Doctor: Well, it could be anything from A D H D to substance abuse to epilepsy.
Patient: Oh, yeah my grandfather was an alcoholic. |
1:113 | 1 | 113 | 113 | ALLERGY | SULFA drugs. | Doctor: And you're allergic to Sulfa drugs, correct?
Patient: Yes, ma'am.
Doctor: What happens when you take Sulfa drugs?
Patient: I get incredibly dizzy and I can't stop vomiting. |
1:115 | 1 | 115 | 115 | CC | Joints are hurting all over and checkup. | Doctor: So what brings you in today?
Patient: Um I think I'm due for a checkup. While I'm here, I also wanted to figure out why I'm having so much joint pain all over.
Doctor: When did you first notice the pain?
Patient: It's been a couple weeks now. I thought it'd go away on its own. I've taken Advil for it, which ... |
1:118 | 1 | 118 | 118 | FAM/SOCHX | He denies tobacco or alcohol consumption. | Doctor: Do you smoke, sir?
Patient: No, that never appealed to me.
Doctor: How about alcohol, do you drink?
Patient: Nope, I don't do that either. |
1:120 | 1 | 120 | 120 | GENHX | This patient presents to the office today because of some problems with her right hand. It has been going tingling and getting numb periodically over several weeks. She just recently moved her keyboard down at work. She is hoping that will help. She is worried about carpal tunnel. She does a lot of repetitive type... | Doctor: So, what's going on with your hand, miss? Is it right or left?
Patient: It's the right one. It's been on and off and it's been happening for the last several weeks.
Doctor: Can you elaborate what's happening?
Patient: Sometimes I feel like a lot of pins and needles are hurting my hand while other times it is... |
1:123 | 1 | 123 | 123 | FAM/SOCHX | Unremarkable. No h/o ETOH abuse. | Doctor: Is there any relevant medical history or medical issues going on in your family in present or in past?
Patient: No, nothing that I could remember.
Doctor: Do you drink or smoke?
Patient: Nope. |
1:126 | 1 | 126 | 126 | GENHX | This is a 46-year-old female with a history of events concerning for seizures. The patient has a history of epilepsy and has also had non-epileptic events in the past. Video EEG monitoring is performed to assess whether it is epileptic seizures or non-epileptic events. | Doctor: Welcome to the clinic, miss.
Patient: Thank you.
Doctor: What brings you to the clinic today?
Patient: I am concerned that I have been having small seizures again.
Doctor: Do you have a history of epilepsy?
Patient: Yes, I do. I also have had non epileptic issues in the past.
Doctor: Okay. What makes you ... |
1:129 | 1 | 129 | 129 | PASTMEDICALHX | History of urticaria, history of renal failure with hypertension possible source of renal failure, history of dialysis times 2 years and a history of hypertension. | Doctor: Hello. I see you're here for a follow up.
Patient: Yeah, I am. I've been having some problems on my right side under my ribs.
Doctor: I see. Is it fine if I go over your medical history?
Patient: Yeah, that's fine.
Doctor: Great. I see you had a history of hives before, right?
Patient: Yeah, that's correct... |
1:135 | 1 | 135 | 135 | GENHX | The patient is a 26-year-old African-American male who states that he was stepping off a hilo at work when he felt a sudden pop in the posterior aspect of his left leg. The patient was placed in posterior splint and followed up at ABC orthopedics for further care. | Doctor: Good afternoon, sir, before we begin, how old are you?
Patient: I'm twenty-six years old, sir.
Doctor: Good, and what race do you identify with?
Patient: I'm an African American, sir.
Doctor: Great, so how did you get hurt?
Patient: I stepped off a hilo at work, and I felt this pop in my left leg.
Doctor: Wh... |
1:137 | 1 | 137 | 137 | CC | Coronary artery disease (CAD), prior bypass surgery. | Doctor: Hm so it looks like you saw your cardiologist last week, correct?
Patient: Yeah.
Doctor: How did your visit go?
Patient: It went well. I was in for a follow up. I underwent bypass surgery a few months ago so she wanted to see how I was doing.
Doctor: I'm glad to hear that it went well. Does heart disease ru... |
1:138 | 1 | 138 | 138 | MEDICATIONS | None. | Doctor: Are you on any meds?
Patient: No why?
Doctor: I am asking for the EHR.
Patient: Oh ok. Nurse already asked me that.
Doctor: Ok, let me update it here.
Patient: Sure. Take your time.
Doctor: Thanks.
Patient: Anytime. |
1:143 | 1 | 143 | 143 | FAM/SOCHX | Significant for two brothers and father who have cancer. | Doctor: Hello. How are you doing today?
Patient: Not fine. I want to see if I can get my cancer treated.
Doctor: I see. Does cancer run in your family?
Patient: My two brothers and dad have some type of cancer. |
1:144 | 1 | 144 | 144 | FAM/SOCHX | The patient is married. She uses no ethanol, no tobacco and no illicits. She has a very support family unit. | Doctor: Do you have anyone that lives at home with you?
Patient: My husband lives at home with me. My daughter and her husband live next door to us. They come and check on us every day.
Doctor: Do you use ethanol, tobacco or illicits?
Patient: No. |
1:149 | 1 | 149 | 149 | FAM/SOCHX | Mother died of a stroke at age 58. Father had CAD and HTN. The patient quit smoking in 1991, but was a heavy smoker (2-3ppd) for many years. He had been a feed salesman all of his adult life. | Doctor: Are you aware of any medical issues running in your family?
Patient: Well, my mom died of a stroke. She was in her late fifties. My dad had some heart issues. He also had high blood pressure.
Doctor: Do you smoke?
Patient: I was a heavy smoker before many years ago, but then I quit in nineteen ninety.
Doctor: ... |
1:151 | 1 | 151 | 151 | PASTSURGICAL | Lumbar diskectomy, which is approximately 7 to 8 years ago, otherwise negative. | Doctor: Did you ever have any surgery?
Patient: Oh yes, around seven or eight years ago.
Doctor: What was it about?
Patient: It was about my disc in the back.
Doctor: Anything else?
Patient: Not that I remember. |
1:155 | 1 | 155 | 155 | GENHX | This 47-year-old white female presents with concern about possible spider bite to the left side of her neck. She is not aware of any specific injury. She noticed a little tenderness and redness on her left posterior shoulder about two days ago. It seems to be getting a little bit larger in size, and she saw some red... | Doctor: Hello, miss how can I help today? Do you mind stating your age and ethnicity for documentation purposes?
Patient: Okay. I am a white forty seven year old female. I am concerned about a spider bite on the back left side of my shoulder. I don't remember how it happened, I just noticed a bump near my shoulder two ... |
1:157 | 1 | 157 | 157 | FAM/SOCHX | The patient lives at home with mother, father, and 2 other siblings. There are no ill contacts. | Doctor: What is your living status? Do you live alone or with your family?
Patient: I live with my family.
Doctor: Who all is there in your family?
Patient: My mom, my dad and my two little sisters. We are a happy family. We love to spend time together. Every Friday it is a game night. Many times, we go on a hike on we... |
1:159 | 1 | 159 | 159 | GENHX | This 51-year-old male presents to ABCD General Hospital. The patient states that he has had degenerative joint disease in his left first MPJ for many years that has been progressively getting worse and more painful over time. The patient desires surgical treatment. | Doctor: How old are you, sir?
Patient: I'm fifty one years old, doctor.
Doctor: Welcome to A B C D General Hospital, what seems to be the problem today, sir?
Patient: I have been diagnosed with, um, let me look at my notes, um, degenerative joint disease of the big toe.
Doctor: Yes, looking at these x rays, the arthrit... |
1:162 | 1 | 162 | 162 | GENHX | This 57-year-old female who presented today for evaluation and recommendations regarding facial rhytids. In summary, the patient is a healthy 57-year-old female, nonsmoker with no history of skin disease, who has predominant fullness in the submandibular region and mid face region and prominent nasolabial folds. | Doctor: Hello, miss. How are you doing today?
Patient: I have so many wrinkles on my face. I'm fifty seven right now, but I want to look younger. Can you help me?
Doctor: Of course! Before I talk about any procedures with you, I have to ask a few questions. Do you currently smoke?
Patient: Nope. I never have.
Docto... |
1:163 | 1 | 163 | 163 | GENHX | The patient is a 38-year-old woman presenting to our clinic for the first time for evaluation of hip pain, right greater than left, of greater than 2 years duration. The patient states that she began with right hip pain getting steadily worse over the last 2 years and has now developed some pain in the left hip. The ... | Doctor: Good afternoon, ma'am, I see you're a new patient with us.
Patient: Yep, this is my first time in.
Doctor: Well, welcome. Before we get started, how old are you?
Patient: I'm only thirty eight.
Doctor: Thank you, what seems to be the problem today.
Patient: I have pain in my hips, but my right hurts more th... |
1:164 | 1 | 164 | 164 | GENHX | The patient is a 53-year-old female with a history of right thoracic rib pain related to a herniated nucleus pulposus at T8-T9. She has failed conservative measures and sought operative intervention for relief of her symptoms. | Doctor: How old are you, ma'am, twenty?
Patient: You flatter me doctor, I'm fifty three.
Doctor: I see here that you have a herniated disc at T eight T nine, does that sound familiar?
Patient: Yes, that's it. It's the cause of my rib pain!
Doctor: How have you managed this?
Patient: So far, I've taken antiinflammat... |
1:165 | 1 | 165 | 165 | PASTMEDICALHX | Hypertension. | Doctor: Do you have any chronic diseases that you think I should know about?
Patient: What do you mean by chronic disease?
Doctor: Anything like high blood pressure, diabetes, depression, or arthritis. Do any of those ring any bells?
Patient: Um, actually yes, I have high blood pressure. |
1:169 | 1 | 169 | 169 | MEDICATIONS | The patient takes Tylenol PM for insomnia, Lasix, Coumadin, Norvasc, Lanoxin, Diovan, atenolol, and folic acid. | Doctor: Tylenol?
Patient: I take P M for sleeplessness.
Doctor: Okay. What other medications do you take?
Patient: Water pill and blood thinner. Then some multivitamins and folic.
Doctor: Okay I see Norvasc and Lanoxin too.
Patient: Yes, and my blood pressure medications should be there as well.
Doctor: Yes, I see, Dio... |
1:177 | 1 | 177 | 177 | GENHX | This is a 55-year-old female with a history of stroke, who presents today for followup of frequency and urgency with urge incontinence. This has been progressively worsening, and previously on VESIcare with no improvement. She continues to take Enablex 50 mg and has not noted any improvement of her symptoms. The nur... | Doctor: Good afternoon, and who is this with you today?
Patient: This is my power of attorney, doctor.
Doctor: Do you have any major medical conditions that I should know about, ma'am?
Patient: Well, I'm fifty five, and I've had a stroke.
Doctor: Okay, thank you. So, what brings you in for a visit today?
Patient: I... |
1:179 | 1 | 179 | 179 | GENHX | The patient is a 41-year-old white male with a history of HIV disease. His last CD4 count was 425, viral load was less than 50 in 08/07. He was recently hospitalized for left gluteal abscess, for which he underwent I&D and he has newly diagnosed diabetes mellitus. He also has a history of hypertension and hypertrigl... | Doctor: Good afternoon, sir, did you just have your forty first birthday?
Patient: Yes, I just had it.
Doctor: Happy birthday! Just to confirm my charts, you identify as White, correct?
Patient: Yes, doctor. That's correct.
Doctor: Great, thank you. So, we've treated you for H I V in the past. I have your lab resul... |
1:180 | 1 | 180 | 180 | PASTMEDICALHX | Unremarkable. | Doctor: Do you have any medical conditions in your past that I should know about?
Patient: No, not that I know of.
Doctor: So, there's no history of depression, high blood pressure, or anything like that?
Patient: Oh, no. I can't remember anything. |
1:184 | 1 | 184 | 184 | GENHX | He is married. Nonsmoker. Does not consume alcohol. No history of recreational drug use. | Doctor: Are you married?
Patient: Yes, I have been married for ten years.
Doctor: Are you a smoker? Do you drink alcohol and if so, how many times a week do drink?
Patient: I do not smoke or drink.
Doctor: Any recreational drug use?
Patient: No. |
1:185 | 1 | 185 | 185 | FAM/SOCHX | Father died at the age of 84. He had a prior history of cancer of the lung and ischemic cardiac disease. Mother died in her 80s from congestive heart failure. He has two brothers and six sisters living who remain in good health. | Doctor: Hello, sir. What are we doing today?
Patient: Hello. I am here for a regular physical. Both of my parents died from medical issues, and I want to make sure when I go that it is just from old age.
Doctor: What did your parents have?
Patient: My father died from lung cancer and ischemic cardiac disease. He was e... |
1:186 | 1 | 186 | 186 | GENHX | The patient is a 78-year-old female with the problem of essential hypertension. She has symptoms that suggested intracranial pathology, but so far work-up has been negative. She is taking hydrochlorothiazide 25-mg once a day and K-Dur 10-mEq once a day with adequate control of her blood pressure. She denies any chest... | Doctor: Hello ma'am. How are you doing today? Can you state your age please?
Patient: I was born in nineteen forty three and am seventy eight years young. I am doing well other than the hypertension issue.
Doctor: Luckily, all of the intercranial lab work has come back negative. Are you still on the hydrochlorothiazid... |
1:188 | 1 | 188 | 188 | GENHX | This is a return visit to the renal clinic for the patient where she is followed up for diabetes and kidney disease management. Her last visit to this clinic was approximately three months ago. Since that time, the patient states that she has had some variability in her glucose control too largely to recent upper and... | Doctor: Remind me, please, when was your last appointment, miss?
Patient: Um, it was about three months ago.
Doctor: How have your diabetes and kidney disease progressed since?
Patient: Well, I've had a lot of variability in my glucose control too largely, and recent upper and lower respiratory illnesses.
Doctor: Who ... |
1:189 | 1 | 189 | 189 | MEDICATIONS | The patient takes Synthroid and aspirin. Aspirin had been discontinued about 1 week ago. He used to be on atenolol, lisinopril, and terazosin, both of which have been discontinued by his cardiologist, Dr. X several months ago. | Doctor: What medications are you taking currently?
Patient: I take Synthroid for my low thyroid and I used to take Aspirin, but I stopped that about a week ago.
Doctor: I see. And you're no longer taking Terazosin, Lisinopril, or Atenolol?
Patient: Yeah. My cardiologist, Doctor X, told me to stop taking them weeks ... |
1:191 | 1 | 191 | 191 | FAM/SOCHX | He stopped using drugs when he was 25. He has got a lapse, but he was more than 10 years and he has been clean ever since then. He smokes cigarettes quite heavily and which has been a problem for his health since he also has chronic bronchitis. | Doctor: When did you stop using all the drugs, sir?
Patient: I think I was twenty five.
Doctor: So, everything is clean after that? No more accidents?
Patient: I think I had a relapse once. It has been like more than 10 years. I have been clear since then.
Doctor: Are you still smoking cigarettes at the same level? ... |
1:193 | 1 | 193 | 193 | FAM/SOCHX | Patient is married and is a nonsmoker and lives with his wife. Nursing notes were reviewed with which I agree. | Doctor: Okay, let me ask you few questions.
Patient: Sure.
Doctor: Are you married?
Patient: Yes I am.
Doctor: So, you live with your wife, sir?
Patient: Yes, that's right.
Doctor: And do you smoke?
Patient: No I don't.
Doctor: I think the nurse had already asked you some of these questions, so I would just agree with ... |
1:194 | 1 | 194 | 194 | FAM/SOCHX | The patient is divorced and is a homemaker. No smoking or alcohol. | "Doctor: Are you married?
Patient: Yeah, I'm divorced.
Doctor: Where do you work?
Patient: I'm a homemaker.
Doctor: Do you smoke or drink?
Patient: No." |
1:196 | 1 | 196 | 196 | ROS | NOSE AND THROAT: Negative postnasal drip, negative sore throat. | Doctor: Any uncomfortable feeling in the back of your throat, like excess mucous accumulation or something like that?
Patient: Uh, no. I don't think so.
Doctor: Um, any soreness in your throat?
Patient: No. |
1:197 | 1 | 197 | 197 | GENHX | The patient is alert and oriented x3 and sitting up in bed. The patient has been ambulating without difficulty. The patient is still NPO. The patient denies any new symptomatology from 6/10/2009. The patient has complaints of incisional tenderness. The patient was given a full explanation about her clinical condi... | Doctor: It's good to see you sitting up in the bed, ma'am.
Patient: I've been walking around without any difficulty too.
Doctor: Have you eaten anything yet?
Patient: No, I've remained, um, NPO, just like you told me.
Doctor: Good, do you have any new symptoms since June tenth two thousand nine?
Patient: No, but I ... |
1:2 | 1 | 2 | 2 | ROS | MSK: Negative myalgia, negative joint pain, negative stiffness, negative weakness, negative back pain. | Doctor: Any pain in your muscles?
Patient: No, no pain.
Doctor: How about joint pain?
Patient: Um no, I don't feel any joint pain.
Doctor: Okay, good.
Doctor: Do you feel any stiffness or weakness in your muscle?
Patient: Um, nothing like that.
Doctor: Do you have any back pain?
Patient: No.
Doctor: Okay. |
1:6 | 1 | 6 | 6 | GENHX | The patient is a 77-year-old female who is unable to give any information. She has been sedated with Ativan and came into the emergency room obtunded and unable to give any history. On a chest x-ray for what appeared to be shortness of breath she was found to have what was thought to be free air under the right diaph... | Guest_clinician: How old is the patient?
Doctor: Seventy seven.
Guest_clinician: She was sedated with Ativan, correct?
Doctor: Yeah, we had to sedate her. She wasn't doing so well upon arrival and appeared short of breath. She couldn't give us a history and we immediately had Xray come in to scan her lungs.
Guest_c... |
1:8 | 1 | 8 | 8 | FAM/SOCHX | He is retired from the social security administration x 20 years. He travels a lot and is extremely active. He does not smoke. He consumes alcohol socially only. He does not use illicit drugs. He is married. | Doctor: Are you still working, sir?
Patient: No, I am retired now. I worked for twenty years in social security administration.
Patient: Now I just enjoy my life with my wife, we travel a lot. I like to be extremely active.
Doctor: That's awesome.
Doctor: Do you drink?
Patient: Yes, but only socially.
Doctor: How ... |
1:9 | 1 | 9 | 9 | ALLERGY | No known drug allergies. | Doctor: Do you know about any allergies from any medications?
Patient: No. |
1:11 | 1 | 11 | 11 | ROS | Non-contributory. The patient denied fever, chills, ulcers, liver disease or history of gallstones. Vaccines: The patient was vaccinated with BCG before starting elementary school in the Philippines. | Doctor: Did he get his B C G vaccine?
Guest_family: Yes, he did back in the Philippines before starting his elementary school.
Doctor: Okay, did you have his immunization records?
Guest_family_2: Yes, we submitted it at the front desk.
Doctor: Okay, how long has he been complaining of uneasiness in his stomach?
Guest_... |
1:18 | 1 | 18 | 18 | ASSESSMENT | 1. Hypertension. 2. Hypercholesterolemia. 3. Osteoarthritis. 4. Fatigue. | Patient: I am always tired, I don't know what to do.
Doctor: Yeah, your fatigue can be due to so many reasons. You have many underlying conditions. You have hypertension, high cholesterol, and osteoarthritis. All this can add up and lead to fatigue. I think you need to really take care of your health. |
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