galgantar/MTS-Dialog-cleaned huggingface dataset:
Dialogue:
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: Um, it was on July twenty ninth two thousand eight. 
Doctor: Yes, I see. Did we go over your M R I results? 
Patient: No, I was having those new seizures, remember?
Doctor: Yes, I do. Well, the M R I demonstrated right contrast temporal mass. 
Patient: What exactly does that mean, doctor? 
Doctor: Well, given this mass, and your new seizures, I am concerned that this could be a high grade glioma, we'll need to do more tests.

Clinical note section (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-grade glioma.
Dialogue:
Doctor: Any medical issues running in your families? 
Patient: Oh yes, stroke. 
Doctor: Anything else? 
Patient: Sleep apnea.

Clinical note section (FAM/SOCHX):
Positive for stroke and sleep apnea.
Dialogue:
Doctor: Anyone in family with any blood or heart issues?
Patient: No. 
Doctor: Anyone diabetic or with any other issues in family? 
Patient: No.

Clinical note section (FAM/SOCHX):
Noncontributory.
Dialogue:
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.

Clinical note section (FAM/SOCHX):
Father died of a thoracic aortic aneurysm, age 71. Mother died of stroke, age 81.
Dialogue:
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.

Clinical note section (FAM/SOCHX):
Reviewed and remained unchanged.
Dialogue:
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.
Doctor: Any family history of diabetes? 
Patient: I think my aunt from my dad's side of the family and my cousins on my mom's side of the family are diabetic? Oh. My great grandfather had bone cancer.  He was in his eighties. My mom's brother was recently diagnosed with leukemia. He is around fifty years old. Then my dad's dad had colon cancer at seventy three. He had it since he was sixty eight, though. I think that is it.

Clinical note section (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 of colon cancer at age 73, which he had had since age 68.  Adult-onset diabetes is present in distant relatives on both sides.
Dialogue:
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 weigh? 
Patient: Um, I'm about one hundred ninety seven pounds. 
Doctor: Great, and do you have any major medical conditions that I should know about?
Patient: I've had type two diabetes since nineteen eighty three. 
Doctor: Thank you, and do you have any allergies to any medicine? 
Patient: No, not that I know of.

Clinical note section (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.
Dialogue:
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 don't drink. 
Doctor: You know smoking is bad for you, right? 
Patient: Yeah, yeah. I've heard this talk one too many times. I'll try to quit eventually.

Clinical note section (FAM/SOCHX):
He is a tobacco user.  He does not drink.  He lives alone, but has family and social support to look on him.
Dialogue:
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 meds so it's been fine.

Clinical note section (ASSESSMENT):
Generalized anxiety and hypertension, both under fair control.
Dialogue:
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 Tylenol for pain and I am worried it is effecting my liver. 
Doctor: Okay, that is a common concern. We can address that today. Do you happen to smoke?
Patient: No, I do not smoke.

Clinical note section (GENHX):
Negative for use of alcohol or tobacco.
Dialogue:
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.

Clinical note section (ROS):
Not otherwise pertinent.
Dialogue:
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.

Clinical note section (EXAM):
EXTREMITIES: No cyanosis, clubbing or edema.
Dialogue:
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.

Clinical note section (PASTSURGICAL):
She has not had any prior surgeries.  Her general health has been excellent except for the above-indicated problems.
Dialogue:
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 getting him too stressed out. Also, I need to fill out the ethnicity section in your paperwork; it seems to be missing. What ethnicity do you identify as?
Patient: Oh, yes. I am white. 
Doctor: Thanks! Are you still working too? 
Patient: Yeah, I am. My secretary position has been super stressful lately. 
Doctor: I understand. How is your acne doing? 
Patient: I think it's been getting better, but I've had this rash for the last two months on my chest, stomach, neck, and back. 
Doctor: I see. Let me take a look at this rash. I see you have these small folliculitis lesions that are pus filled bumps centered on your hair. 
Patient: Oh, no. Is that bad? 
Doctor: It's treatable. It seems like it's happening because your acne is flaring up. 
Patient: Oh, really. Is it because I stopped my medication for the last three days? 
Doctor: I forgot what I prescribed you. Let me take a look at my notes. Oh, I see. I prescribed you five hundred milligrams of Amoxicillin to take twice a day and a point one Tazorac cream. Have those been working? 
Patient: Yeah, they have. I noticed my face started to get better. 
Doctor: Continue to take those and try not to stop it. Have you been trying anything else? 
Patient: I actually started going to Healing Waters to get photofacials. 
Doctor: I see. Has that been helpful? 
Patient: Yeah, it has, but I want a faster treatment. I'm only forty nine and want to look younger. Are there any procedures or skin care products that can be used to help my face look better?

Clinical note section (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 with small folliculitis lesions.  The patient has been taking amoxicillin 500 mg b.i.d. and using Tazorac cream 0.1, and her face is doing well, but she has been out of her medicine now for three days also.  She has also been getting photofacials at Healing Waters and was wondering about what we could offer as far as cosmetic procedures and skin care products, etc.  The patient is married.  She is a secretary.
Dialogue:
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 toes been going on? 
Patient: A long time. 
Doctor: Are you able to get up and move around?
Patient: I can't walk because of my weight. It is too much for me. When I try to get up, I get short of breath. I have C O P D. I can't do much but sit here. I am in a lot of pain all the time. 
Doctor: When you get up and try to walk around, do you experience any chest pain or visual problems?
Patient: No. I just feel out of breath.  
Doctor: Do you take anything for your pain? 
Patient: I take OxyContin for my back pain. 
Doctor: Do you ever experience any constipation, diarrhea, abdominal pain, nausea or vomiting? 
Patient: No. I have these sore on my legs, that ooze. 
Doctor: Okay. Let me look.

Clinical note section (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 gets discharge from.  He has chronic back pain and takes OxyContin.  He denies any constipation, diarrhea, abdominal pain, nausea or vomiting.  There is no chest pain.  He does get short of breath on walking.
Dialogue:
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 ten being the worst? 
Patient: I'd say it's about a five or six outta ten. 
Doctor: Have you tried taking anything for pain relief? 
Patient: No. 
Doctor: And are you having any other symptoms that I should know about? Like shortness of breath or leg swelling? 
Patient: No, mainly just the chest pain, and of course, everything else I follow up with you about.

Clinical note section (CC):
Multiple problems, main one is chest pain at night.
Dialogue:
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, but it can happen in children as well. What about psoriasis, is there any history of that anywhere? 
Patient: Yes, my dad has that. I see the commercials for the medicines all the time.

Clinical note section (FAM/SOCHX):
Positive for arthritis in his grandmother.  No history of pediatric arthritis.  There is history of psoriasis in his dad.
Dialogue:
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 the results from that?
Doctor: I do. The scan showed some wall scarring but also that the amount of blood leaving your heart per contraction was normal. Do you experience any chest pain, palpitations, difficulty sleeping at night, leg or arm swelling, or shortness of breath while lying flat?
Patient: I do not have any issues like that.

Clinical note section (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 with chest pain, palpitations, orthopnea, nocturnal dyspnea, or edema.
Dialogue:
Doctor: What type of cancer again? 
Patient: I had prostate cancer.
Doctor: Did it travel anywhere in your body?
Patient: Yes, it was metastatic.

Clinical note section (PASTMEDICALHX):
Prostate cancer with metastatic disease as previously described.
Dialogue:
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.

Clinical note section (FAM/SOCHX):
The patient's father also suffered from bilateral hip osteoarthritis.
Dialogue:
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.

Clinical note section (PASTMEDICALHX):
He has diabetes, but this is well controlled.  He also has hepatitis C and HIV.
Dialogue:
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 exactly what happened, but my foot twisted and there was so much pain right away. 
Doctor: When did this happen? 
Patient: Um, it was on November twenty sixth two thousand seven. I think it was around eleven thirty in the morning. 
Doctor: Okay, do you have any other injuries I should know about?
Patient: No, just this one right now.

Clinical note section (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.
Dialogue:
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 have any past surgeries or medical conditions. Does that check out?
Patient: Yes. That's all the same as last time.

Clinical note section (OTHER_HISTORY):
Reviewed and unchanged.
Dialogue:
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!

Clinical note section (CC):
Congestion, tactile temperature.
Dialogue:
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 so that's why you came to E D?
Patient: Yes I have been having this for three days and with this sputum I got scared.
Doctor: I am sorry, we can help you. How old are you?
Patient: Sure, I am sixty eight years old.

Clinical note section (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.
Dialogue:
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, anything else you can remember?
Patient: Oh yeah, I have a history of blood clots.

Clinical note section (PASTMEDICALHX):
High blood pressure, obesity, right patellar fracture with pin in 1990, and history of blood clots.
Dialogue:
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.

Clinical note section (GENHX):
The patient has NG tube in place for decompression.  She says she is feeling a bit better.
Dialogue:
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, not as of right now. 
Doctor: If it's causing you discomfort, then I recommend scheduling another follow-up visit. Is there anything else that's bothering you today? 
Patient: Um my toenail has been bothering me a lot. 
Doctor: Mind if I take a look?  
Patient: I don't mind. 
Doctor: It looks like you have an ingrown nail. It seems to be improving on its own.

Clinical note section (ASSESSMENT):
1.  History of congestion, possibly enlarged adenoids, or just her anatomy. 2.  Ingrown toenail, but slowly resolving on its own.
Dialogue:
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: Nope. I've never smoked before.

Clinical note section (FAM/SOCHX):
She is married.  She is a nonsmoker.
Dialogue:
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 of the trunk of my car, and it started hurting. 
Doctor: Did it hurt before that? 
Patient: Yeah, it did. It was sore and stuff, but the pain wasn't bothering me too much. I kind of just lived with it. Some days it would be fine, but other days it would hurt a little more. 
Doctor: The recent injury made it worse?
Patient: Yeah, it did. The pain after the incident got worse. I kind of feel it now more near my pinky area than my thumb area. 
Doctor: I see. So, near your ulnar side and not as much the radial side. You said earlier your wrist was already sore, right? Why was that? 
Patient: Remember how I told you about the time I had the worst pain of my life? That's how. I have some old notes you can see. Here you go. 
Doctor: Thank you. Oh, wow. It says here you have chronic scapholunate problems and other problems too. 
Patient: My scapho- what? 
Doctor: It's just some ligament damage in your wrist. I'll see what we can do to get your wrist feeling better.

Clinical note section (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 injury.  Once he lifted the object out of the back of his car and it started to hurt, then he was significantly more affected than he was before, and now pain is more on the ulnar side of his wrist than on the radial side of his wrist.  He is here now for evaluation.
Dialogue:
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: Are you working? 
Patient: I'm retired now. 
Doctor: How active will you call yourself? 
Patient: Hm, I'll say very active. I walk around four miles every day.

Clinical note section (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.
Dialogue:
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: Have you been experiencing any dizziness, excessive urination, fatigue, weight loss, or any other symptoms? 
Patient: No. 
Doctor: I have a copy of your blood work right here and it looks like your cholesterol is still pretty high. I'd like you to continue taking the cholesterol medication I prescribed and monitoring your cholesterol intake. 
Patient: I need to do a better job of watching my cholesterol. 
Doctor: For this reason, I'd like to schedule another follow up appointment and get you in in a few weeks after another blood draw. 
Patient: I'll make an appointment today before I leave. 
Doctor: Great, good. And how are your sinus symptoms since starting the Z Pak? 
Patient: Much better. I feel almost as good as new. 
Doctor: Wonderful. Okay then. Let me have a look at your sinuses and you'll be on your way.

Clinical note section (ASSESSMENT):
1.  Hypercholesterolemia. 2.  Diabetes mellitus. 3.  Sinusitis.
Dialogue:
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 have diarrhea? 
Patient: About five to six times a day.

Clinical note section (ROS):
The patient has been complaining of diarrhea about 5 or 6 times a day for several weeks now.
Dialogue:
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 disoriented?  
Patient: It seemed to last about ten or fifteen minutes.  
Doctor: Has anything like this happened before?  
Patient: It has happened two times before this, but I was not driving.  
Doctor: I would like to send you to a specialist to get some cognitive tests done.   
Patient: Okay.

Clinical note section (CC):
Mental changes today.
Dialogue:
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. Just occasionally, when I am really stressed, I start having trouble controlling my bladder.
Doctor: How about abdominal pain, excessive thirst or eating?
Patient: No. 
Doctor: And no constipation, diarrhea, or heartburn? 
Patient: No. 
Doctor: How about chest pain or tightness, shortness of breath, headaches, or fever? 
Patient: No. 
Doctor: Any problems with your skin, muscles, or joints? 
Patient: No. 
Doctor: I see. I'd like to order an ultrasound of your kidneys and run a urine test here in our lab.

Clinical note section (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.
Dialogue:
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: Eh no.  
Doctor: How about chest pain or anything like it? 
Patient: No to that either. 
Doctor: I must say, this is concerning. I'd like you to get a C T scan of your chest so we can see what's going on. For now, your pulse ox is in the high nineties so you won't be needing supplemental oxygen at this moment in time. Do you notice the shortness of breath getting worse when you're moving around? 
Patient: Yeah, mostly when I exert myself. 
Doctor: Okay, I see. And the frequency by which your're short of breath is new for you, correct? 
Patient: Yes. 
Doctor: Do you happen to have a history of asthma? 
Patient: No asthma.

Clinical note section (CC):
"I have had trouble breathing for the past 3 days"
Dialogue:
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.

Clinical note section (PROCEDURES):
Cycle seven Ifosfamide, mesna, and VP-16 chemotherapy.
Dialogue:
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 likely due to C diff and they seem to have gotten better. 
Doctor: I see my nurse didn't have the chance to go through the review of systems with you, so I will go through them now.
Patient: Okay.
Doctor: Any fever, chills, or night sweats?
Patient: Nope.
Doctor: Any unusual weight gain or loss?
Patient: No, my weight has been stable.
Doctor: Any visual changes, in one or both eyes?
Patient: No. 
Doctor: Any hearing changes or ear problems?
Patient: Nope.
Doctor: I know I already asked you about your hypothyroidism, but I wanted to check if you are having any excessive thirst or frequent urination?
Patient: Nope, none of that.
Doctor: Any shortness of breath, cough, coughing up excessive mucus or blood, or breathing problems?
Patient: Thankfully none of that.
Doctor: Okay, how about any kind of chest pain or discomfort, trouble breathing at night or when lying down, palpitations or heart attacks?
Patient: No, none of that.
Doctor: Any urinary problems, anything with your kidneys?
Patient: No. 
Doctor: Any abnormal vaginal bleeding or discharge?
Patient: Nope.
Doctor: Good, I know you have had some anemia in the past, any new problems with that? Any blackouts, convulsions, seizures, paralysis, strokes, or headaches?
Patient: No, I have not had anemic labs in a while. And, no to any of those things you just listed as well.
Doctor: Alright, good. That is it for all of my symtom questions. Thank you for bearing with me for that.
Patient: No problem, I am just glad to not be experiencing a lot of those.

Clinical note section (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 sugars.  They have been doing quite well. Respiratory:  No shortness of breath, cough, sputum production, hemoptysis or breathing problems. Cardiovascular:  No chest pain or chest discomfort.  No paroxysmal nocturnal dyspnea, orthopnea, palpitations, or heart attacks. GI:  As mentioned, has had diarrhea though thought to be possibly due to Clostridium difficile colitis that now has gotten better.  She has had some irritable bowel syndrome and bowel abnormalities for years. GU:  No urinary problems, dysuria, polyuria or polydipsia, kidney stones, or recent infections.  No vaginal bleeding or discharge. Musculoskeletal:  As above. Hematological:  She has had some anemia in the past. Neurological:  No blackouts, convulsions, seizures, paralysis, strokes, or headaches.
Dialogue:
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 right. Right after accident. At that time, I did not feel anything, but five days later I started getting this abnormal like pain in the lower side of my back, especially on the right side. It kind of like moved from there to my buttocks on the posterior side on my thigh and on outside of my calf. 
Doctor: Does anything elevate your pain or decreases it? 
Patient: It gets worse when I'm sitting for a longer period, such as like driving or if I'm walking for a long period of time. It is a little less bad when walking, but still, it is there. Lying down relieves the pain for a bit and also standing helps. 
Doctor: Is there any symptom like weakness or pain in your left leg or your right leg? 
Patient: Nope. 
Doctor: Any change in your bowel movement or your urine function?
Patient: Nope. 
Doctor: Were your symptoms sudden or were they increasing gradually? 
Patient: They increased slowly. I had the pain killers, Medrol but, it has not been very effective. I also had that big injection in my back. It helped me for a few hours but then next day it was all same for me. 
Doctor: When did this happen? When did you get the injection? 
Patient: This was done four and a half weeks ago. 
Doctor: Okay, let me just quickly check your legs. They look full in strength, and they also seem symmetric to me. Can you raise your leg? Like straight up? 
Patient: Yeah sure. 
Doctor: Yeah, yes. Straight leg raising is also normal.

Clinical note section (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 into the buttocks down the posterior aspect of her thigh and into the right lateral aspect of her calf.  Symptoms are worse when sitting for any length of time, such as driving a motor vehicle.  Mild symptoms when walking for long periods of time.  Relieved by standing and lying down.  She denies any left leg symptoms or right leg weakness.  No change in bowel or bladder function.  Symptoms have slowly progressed.  She has had Medrol Dosepak and analgesics, which have not been very effective.  She underwent a spinal epidural injection, which was effective for the first few hours, but she had recurrence of the pain by the next day.  This was done four and a half weeks ago. On examination, lower extremities strength is full and symmetric.  Straight leg raising is normal.
Dialogue:
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.

Clinical note section (FAM/SOCHX):
Married. Part-time farmer. Denied tobacco/ETOH/illicit drug use.
Dialogue:
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.

Clinical note section (MEDICATIONS):
Morphine, Darvocet, Flomax, Avodart and ibuprofen.
Dialogue:
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. 
Doctor: I see, how have you been treated for this in the past? 
Patient: I actually had a knee replacement at another facility, but I'd like to have another surgery. 
Doctor: What kind of symptoms are you having? 
Patient: I have so much pain, and I feel snapping, I'm also having trouble walking. It feels like my knee is giving away. 
Doctor: Okay, did they do any x rays today? 
Patient: Yeah, the tech just brought me back. 
Doctor: Good, well, these show some malalignment of the hardware from your previous surgery.

Clinical note section (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.
Dialogue:
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: Nope, absolutely not. 
Doctor: Did you follow up with Doctor X? 
Patient: Yes, she said I was doing well, too. 
Doctor: Great! How has your blood sugar been? 
Patient: It's been in a normal range, which I'm thankful for. 
Doctor: Have you had any falls since your last visit? 
Patient: Nope, I've been doing really well. 
Doctor: How is your knee doing? 
Patient: Well, my right knee is having some pain at times. 
Doctor: How are you managing this pain? 
Patient: Um, I just take Tylenol occasionally as needed for the pain. Do you think a knee brace would be good for this? 
Doctor: We could look into it. I'm glad to see your spirits are high. 
Patient: They really are, sir. 
Doctor: Are you going to the bathroom regularly, no incontinence? 
Patient: Correct. 
Doctor: Any memory issues? 
Patient: No sir, my memory is really clear.

Clinical note section (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 pain him at times and he is using occasional doses of Tylenol for that.  He wonders whether he could use a knee brace to help him with that issue as well.  His spirits are good.  He has had no incontinence.  His memory is clear, as is his thinking.
Dialogue:
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.
Doctor: That's good news. Are you having other symptoms, such as fever or chills? 
Patient: Nope.
Doctor: How has your weight been? Has it been pretty stable since you have been bed bound?
Patient: Weight is stable. 
Doctor: Okay, now for the routine stuff. Any coughing, chest congestion or chest pain?
Patient: No. 
Doctor: What abut shortness of breath? Any type of bleeding in your feces or rectum?
Patient: Nothing. 
Doctor: Great to hear. Any constipation, stomach pain, nausea, or vomiting?
Patient: Nothing as of late.

Clinical note section (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 any symptoms with it.  ENDOCRINE:  Unable to assess because of patient's bed-bound status.
Dialogue:
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.

Clinical note section (FAM/SOCHX):
Significant for diabetes and hypertension.
Dialogue:
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.

Clinical note section (ASSESSMENT):
Local reaction secondary to insect sting.
Dialogue:
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.

Clinical note section (GENHX):
Unremarkable.
Dialogue:
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 issues or genital or urinary tract issues?
Patient: None that I have discovered. 
Doctor: Great. And lastly, how is your range of motion?
Patient: Normal I think. I want to be more flexible, but nothing seems out of the ordinary. Like, I don't have any muscle or movement issues.

Clinical note section (ROS):
Otherwise noncontributory.  He has no gastrointestinal, cardiopulmonary, genitourinary or musculoskeletal symptomatology.  No symptoms.
Dialogue:
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 married?
Patient: Not married yet, but I've been dating my girlfriend for a while now. 
Doctor: Do you two live together? 
Patient: Yes, doctor, we do.
Doctor: How would you describe your activity level day to day?
Patient: Do you mean like exercise?
Doctor: Well, anything from bathing, dressing, feeding, etc. We call these activities of daily living, how would you rate that?
Patient: To be honest with you doctor, I'd have to say it's minimal. My girlfriend has to help me with most of it right now. 
Doctor: Okay, and do you remember when you had your last drug test?
Patient: No, doctor. I really can't remember.

Clinical note section (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.
Dialogue:
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: Do you have any cough, bloody sputum or any wheezing sensation?
Patient: No, I do not haveany of that.
Doctor: How about any fainting spells, feeling like you are going to pass out?
Patient: Nope.
Doctor: How long have you been feeling like this?
Patient: Oh, it's been a while now but it is getting worse lately.

Clinical note section (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.  Her symptoms are fairly longstanding but have been worsening as of late.
Dialogue:
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 because it's always best to get a second opinion or a brain scan. 
Patient: Gotcha. I'll plan to make an appointment in the near future.

Clinical note section (ASSESSMENT):
Migraine headache.
Dialogue:
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.

Clinical note section (ROS):
CARDIAC:  He denies any chest pain or shortness of breath. ENDOCRINE:  He denies any bleeding disorders.
Dialogue:
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 to just keep any eye on this for now. Let's have you come back in one month. We will check your cholesterol levels again.

Clinical note section (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.
Dialogue:
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.

Clinical note section (PASTSURGICAL):
Foot surgery, abdominal surgery, and knee surgery.
Dialogue:
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 last visit? Here, you can look at the chart.
Patient: Yeah, that looks right. It's all the same.

Clinical note section (OTHER_HISTORY):
Per health summary sheet, unchanged.
Dialogue:
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 it causing you pain? 
Patient: Um kind of it. It's gotten a lot more tender, and it hurts when I take deep breaths.
Doctor: Has it grown in size? 
Patient: It has. 
Doctor: And just to confirm what is in your chart, can you confirm your age, race, and gender.
Patient: Sure, I am a 56-year-old white man.

Clinical note section (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.
Dialogue:
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.

Clinical note section (FAM/SOCHX):
unremarkable except for ETOH abuse
Dialogue:
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.

Clinical note section (ALLERGY):
SULFA drugs.
Dialogue:
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 helps a tiny bit.

Clinical note section (CC):
Joints are hurting all over and checkup.
Dialogue:
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.

Clinical note section (FAM/SOCHX):
He denies tobacco or alcohol consumption.