galgantar/MTS-Dialog-cleaned huggingface dataset:
Clinical note section (GENHX): The patient is a 5-year, 5-month-old male who sustained a both-bone forearm fracture in September 2007.  The fracture healed uneventfully, but then the patient subsequently suffered a refracture one month ago.  The patient had shortening in arms, noted in both bones.  The parents opted for surgical stabilization with nailing.  This was performed one month ago on return visit.  His ulnar nail was quite prominent underneath the skin.  It was decided to remove the ulnar nail early and place the patient in another cast for 3 weeks. Risks and benefits of the surgery were discussed with the mother.  Risk of surgery incudes risks of anesthesia, infection, bleeding, changes in sensation in most of the extremity, need for longer casting.  All questions were answered and mother agreed to above plan.

Dialogue:
Doctor: Good morning, young man. Is this your mother?
Patient: Yes, doctor.
Doctor: Good, nice to mee you. Can you tell me more about your son, please? 
Guest_family: Good morning to you too, doctor. Well, he's about five and a half now, and he broke both the bones in his forearm in September of two thousand seven. 
Doctor: How did the fracture heal? Generally, children heal very well. 
Guest_family: Well, yes, until he also rebroke it about a month ago. 
Doctor: Yes, I see now, there's an ulnar nail pretty prominently visible under the skin, did he have surgery for this? 
Guest_family: Yes, about a month ago now. Should we remove the nail?
Doctor: We'll have to, even though its early.
Guest_family: What will we do after the nail is removed? 
Doctor: After that, we'll put him back in a cast for about another three weeks. We'll evaluate him and see how he's doing.  
Guest_family: Okay. What are the risks of infection for this surgery?
Doctor: The risk of infection is overall very low, honestly its less than one percent. We use antibiotics to control for infection the entire time. Other risks include bleeding, changes in sensation in most of the extremity, or need for longer casting. I would not worry too much about these risks. I have not seen anything bad happen before.
Guest_family_1: Will he be asleep for the surgery?
Doctor: Yes, he won't feel a thing.
Clinical note section (MEDICATIONS): In Spanish label.  They are the diabetic medication, and also blood pressure medication.  She also takes aspirin a day.

Dialogue:
Doctor: Does she take any medicine? 
Guest_family: Um, let me check. She usually keeps them in her purse. Okay, so here we have three medicine bottles. The labels are all in Spanish, but I can translate for you. She takes one Aspirin a day along with her blood pressure and diabetes medicine. 
Doctor: Do you mind if I take a look as well? 
Guest_family: Sure, here you go.
Clinical note section (GENHX): A 2-week-old who at this point has otherwise been doing well.  He has a relatively unremarkable foreskin.  At this point in time, he otherwise seems to be doing reasonably well.  The question is about the foreskin.  He otherwise has no other significant issues.  Severity low, ongoing since birth two weeks.  Thank you for allowing me to see this patient in consultation.

Dialogue:
Doctor: How is your two week old newborn son doing today?
Guest_family: He's been doing very well. 
Doctor: Great, what brings you in for a visit today?
Guest_family: We just have a question about his foreskin. It's not a severe issue, but we are still concerned. 
Doctor: Other than the foreskin, which appears to not be out of the ordinary upon exam, does he have any other problems? 
Guest_family: No, not really, he's been doing pretty well.
Clinical note section (GENHX): This is an 18-month-old white male here with his mother for complaint of intermittent fever for the past five days.  Mother states he just completed Amoxil several days ago for a sinus infection.  Patient does have a past history compatible with allergic rhinitis and he has been taking Zyrtec serum.  Mother states that his temperature usually elevates at night.  Two days his temperature was 102.6.  Mother has not taken it since, and in fact she states today he seems much better.  He is cutting an eye tooth that causes him to be drooling and sometimes fussy.  He has had no vomiting or diarrhea.  There has been no coughing.  Nose secretions are usually discolored in the morning, but clear throughout the rest of the day.  Appetite is fine.

Dialogue:
Guest_family: My baby is sick.
Doctor: Don't worry, I will help you.
Guest_family: He has had a fever for five days.
Doctor: How old is he?
Guest_family: Just eighteen months. He is a Swedish American. 
Doctor: You gave him medication?
Guest_family: Yes, he finished Amoxil several days ago for sinus infection.
Doctor: He takes Zyrtec as well right?
Guest_family: Yes. For allergies.
Doctor: Okay. Is the fever constant throughout the day or it fluctuates?
Guest_family: It is higher at night.
Doctor: Have you checked it?
Guest_family: Yes, it was one o two point six for two days. I have not checked it since then. But isn't it strange just when I thought to bring him to the doctor, he is better.
Doctor: Ha, that tends to happen? 
Guest_family: Yeah.
Doctor: His tooth is coming out.
Guest_family: No wonder! Maybe that's why he is fussy and drooling so much.
Doctor: Yeah. How about any diarrhea or vomiting?
Guest_family: No, he doesn't have that.
Doctor: Cough?
Guest_family: No coughing.
Doctor: Have you seen any change in the color of his mucous that is coming out of his nose?
Guest_family: Yes, his snots are discolored in the morning but not so much in the day.
Doctor: Is he eating well? He seems hungry?
Guest_family: Yeah, yeah.
Clinical note section (GENHX): XYZ was seen by Dr. ABC for an FCR tendinitis.  We do not have his reports, but by history she has had two cortisone shots.  She plays musical instruments, and it does bother her from time to time.  She was considering surgery, but she takes ibuprofen and it seems to be well-controlled.  She is here now for consultation.

Dialogue:
Doctor: Good morning, Miss XYZ.
Patient: Good morning, Doctor.
Doctor: So, I hear from my nurses you have F C R tendinitis. Have you seen another doctor for this?
Patient: Yes, I saw Doctor A B C, but what is F C R tendinitis? I don't have his notes with me today. 
Doctor:  That stands for flexor carpi radialis, it's a tendon in your forearm that has become inflamed. 
Patient: Okay, thank you for explaining that for me. 
Doctor: You're very welcome, my dear. So, you don't have his reports, but do you remember how this has been treated in the past? 
Patient: So far, I've had two cortisone shots. 
Doctor: I see. So, what do you do for fun? Do you have any hobbies?
Patient: Actually, I play a few instruments. 
Doctor: Does this make the pain worse?
Patient: Yes, but only from time to time. 
Doctor: I see. Do you take anti-inflammatories when the pain gets bad?
Patient: Yeah, I do. I was thinking about having surgery, but if it's managed with the anti-inflammatories would I even need it? I'd like your opinion on that.
Clinical note section (FAM/SOCHX): Positive for diabetes mellitus in his father, who is now deceased.

Dialogue:
Doctor: And does diabetes run in your family? 
Patient: Actually yes, my dad had it. He is no more.
Doctor: I am sorry.
Clinical note section (PASTMEDICALHX): Remarkable for chronic pain.  He has had multiple stab wounds, gunshot wounds, and a variety of other injuries that resulted him having chronic pain and he states that is what triggers of him getting on heroin to try to get out of pain.  He has previously been followed by ABC but has not seen him for several years.

Dialogue:
Patient: I am in pain! You have to help me. 
Doctor: Where is the pain? 
Patient: It is all over. My whole body hurts. I have been stabbed, shot, and injured multiple times that I have chronic pain and am in pain all the time. 
Doctor: I have your chart notes from Doctor X Y Z from several years ago. I see that you have been treated for heroin use. Are you using heroin again, sir? 
Patient: Yes! I have been trying to cope with the pain and I just keep going back. When the pain hits me hard the cravings start.
Clinical note section (PASTSURGICAL): None.

Dialogue:
Doctor: Have you ever had surgery in the past? 
Patient: No, not that I know of.
Doctor: So, there's no history of gallbladder or appendix removal, or joint replacements?
Doctor: No, I've never had any of that done.
Clinical note section (IMAGING): Two view x-rays were taken of the shoulder.  There are no osseous abnormalities or significant degenerative changes.

Dialogue:
Doctor: So, I am looking at your x ray here.
Patient: Oh yes please tell me if everything is fine.
Doctor: Yes so, we have a two view of you shoulder. I am not seeing any bone abnormalities or any degenerative changes, so no wear and tear.
Patient: Is that normal?
Doctor: Yes, it is normal.
Patient: That's good.
Clinical note section (PASTMEDICALHX): Parkinson disease.

Dialogue:
Doctor: Welcome to the clinic.  Let start with your medical history. 
Patient: I was diagnosed with Parkinson disease by Doctor Johnson five years ago.
Clinical note section (PASTMEDICALHX): Remarkable for tonsillectomies.

Dialogue:
Doctor: Can you tell me if you ever had chronic issues? Like any illnesses?
Patient: Let me think, um, yeah they took my tonsils out for recurrent infections.
Clinical note section (GENHX): This 58 y/o RHF was in her usual healthy state, until 4:00PM, 1/8/93, when she suddenly became blind. Tongue numbness and slurred speech occurred simultaneously with the loss of vision. The vision transiently improved to "severe blurring" enroute to a local ER, but worsened again once there. While being evaluated she became unresponsive, even to deep noxious stimuli. She was transferred to UIHC for further evaluation. Upon arrival at UIHC her signs and symptoms were present but markedly improved.

Dialogue:
Doctor: We have a fifty eight year old female who was allegedly in her typical healthy state until four o'clock P M on January eighth, nineteen ninety three when she suddenly became blind.
Guest_clinician: Did she experience any slurred speech or other neurological symptoms?
Doctor: She complained of tongue numbness and slurred speech in conjunction with vision loss. She explained that her vision improved slightly on her way to the local E R. She noticed severe blurring right before arrival, but the vision problems worsened shortly after.
Guest_clinician: Is this the first time she had experienced any of these symptoms?
Doctor: Yes. While being evaluated, she became unresponsive. She wasn't responding to deep noxious stimuli. 
Guest_clinician: Did they transfer her?
Doctor: Yes. She was transferred to U I H C. Her symptoms improved markedly upon her arrival.
Clinical note section (FAM/SOCHX): The patient had a second-degree relative with a history of depression and "nervous breakdown".

Dialogue:
Doctor: So tell me something, does depression or depression like symptoms run in your family?
Patient: Hm, not in my immediate family, but I have a second cousin who had depression. He later had a nervous breakdown. 
Doctor: I see.
Clinical note section (GENHX): The patient presents today for followup, recently noted for E. coli urinary tract infection.  She was treated with Macrobid for 7 days, and only took one nighttime prophylaxis.  She discontinued this medication to due to skin rash as well as hives.  Since then, this had resolved.  Does not have any dysuria, gross hematuria, fever, chills.  Daytime frequency every two to three hours, nocturia times one, no incontinence, improving stress urinary incontinence after Prometheus pelvic rehabilitation. Renal ultrasound, August 5, 2008, reviewed, no evidence of hydronephrosis, bladder mass or stone.  Discussed. Previous urine cultures have shown E. coli, November 2007, May 7, 2008 and July 7, 2008.

Dialogue:
Doctor: Has your E coli improved since your last visit, ma'am?
Patient: Yes, but I had some complications with the medicine.
Doctor: You were taking the Macrobid, correct?
Patient: Yes, I took it once a day at night for about seven days. 
Doctor: What complications did you have?
Patient: Well, I had a skin rash and hives, so I discontinued the medicine.
Doctor: Since stopping the medicine, have these symptoms gone away?
Patient: Yes, since I stopped taking the medicine.
Doctor: Do you have any pain with urination or blood in your urine?
Patient: No, nothing to report there.
Doctor: What about fever or chills?
Patient: No, nothing there either.
Doctor: Good, how many times a day do you urinate?
Patient: Well, it's about every two or three hours, and then maybe once at night.
Doctor: Are you controlling your urine well?
Patient: Yes, I'm having no problems there. It's getting better under stress too, with the pelvic exercises and rehab.
Doctor: Are you familiar with the results of this renal ultrasound from August fifth two thousand eight?
Patient: It was normal, right?
Doctor: Basically, yes. There's nohydronephrosis, masses, or stones.
Patient: That's good to hear. 
Doctor: I hear that you've had E coli few times, once in November of two thousand seven, and then in May and July of two thousand eight.
Patient: Yes, that sounds familiar.
Clinical note section (GENHX): This 37y/o LHM was seen one month prior to this presentation for HA, nausea and vomiting. Gastrointestinal evaluation at that time showed no evidence of bowel obstruction and he was released home. These symptoms had been recurrent since onset. At presentation he complained of mild blurred vision (OU), difficulty concentrating and HA which worsened upon sitting up. The headaches were especially noticeable in the early morning. He described them as non-throbbing headaches. They begin in the bifrontal region and radiate posteriorly. They occurred up to 6 times/day. The HA improved with lying down or dropping the head down between the knees towards the floor. The headaches were associated with blurred vision, nausea,vomiting, photophobia, and phonophobia. He denied any scotomata or positive visual phenomena. He denies any weakness, numbness, tingling, dysarthria or diplopia. His weight has fluctuated from 163# to 148# over the past 3 months and at present he weighs 154#. His appetite has been especially poor in the past month.

Dialogue:
Doctor: Hello nurse, who do we have here today?
Guest_clinician: This is a thirty-seven-year-old, left-handed male. He visited us one month ago for headaches, nausea, and vomiting. His exams from that time showed no evidence of bowel obstruction and he was released home.
Doctor: Was there any improvement after your discharge, sir?
Patient: No, I had the same symptoms on and off after that. 
Doctor: What problems are you facing now?
Patient: I am seeing things blurred and having difficulty concentrating. My headaches are worse when sitting up. I notice them first thing in the morning. 
Doctor: How would you describe your headaches? 
Patient: They're dull, constant, and it feels like as if my head is wrapped in a tight band. 
Doctor: Your headache starts from which part of your head? 
Patient: It normally starts on the forehead and then it kind of goes to the back. It happens like six times a day. Lying down or putting my head down between my knees helps.
Doctor: What else do you feel along with your headaches? 
Patient: Like I told the Nurse here before, I get blurry eyesight, nausea and there is vomiting. Any kind of bright light hurts. I'm just afraid of loud sounds. 
Guest_clinician: I discussed with him about any blind spots, positive visual phenomena, weakness, numbness, tingling or double vision or any speech disorder, but he denies everything.
Doctor: How about your weight? 
Patient: It has been going up and down like for over past three months. I was one hundred and sixty three and then I know it was one hundred and forty eight at a point. 
Guest_clinician: Today his weight is one hundred and fifty four pounds.
Doctor: How are you eating habits in the last, let's say, one month? 
Patient: It has been bad. I don't feel like eating anymore. Looks like I have lost my appetite.
Clinical note section (FAM/SOCHX): The patient states she lives in a single-level home with her husband, who is in good health and is able to assist with any tasks or activities the patient is having difficulty with.  The patient rates her general health as excellent and denies any smoking and reports very occasional alcohol consumption.  The patient does state that she has completed exercises on a daily basis of one to one and a half hours a day.  However, has not been able to complete these exercise routine since approximately June 2008, secondary to back pain.  The patient is working full-time as a project manager, and is required to do extensive walking at various periods during a workday.

Dialogue:
Doctor: Good morning, ma'am. Are you married? 
Patient: Good morning, doctor. Yes, my husband and I have been married for a while now. 
Doctor: That's great, do you have stairs in your home?
Patient: No, we don't. It's a single level home. 
Doctor: Great, well, how are you feeling today? 
Patient: I'm feeling well, doctor. I'm in good health.
Doctor: What about your husband? 
Patient: He's doing well too, he helps me around the house and with things I need help with. 
Doctor: That's great, do you smoke? 
Patient: Absolutely not. 
Doctor: What about alcohol, do you drink?
Patient: Yeah, I have the occasional glass of wine with dinner. 
Doctor: Do you exercise? 
Patient: I used to daily and for an hour or an hour and a half.
Doctor: Why aren't you still doing this? 
Patient: Well, I haven't been able to do this since about June of two thousand eight, because of this back pain. 
Doctor: I see. What do you do for a living? 
Patient: Right now, I work full time as a project manager. 
Doctor: What does this entail?
Patient: I have to walk a lot for long periods of time throughout the day.
Clinical note section (FAM/SOCHX): Denies any recent travel overseas

Dialogue:
Doctor: Do you like to travel?
Patient: I do. In fact, I have been to more than six countries.
Doctor: Have you travelled outside the country recently?
Patient: No not recently, it's been couple years now, but I plan to.
Doctor: That's great.
Patient: Yeah.
Clinical note section (ROS): He denies any chest pain.  He does admit to exertional shortness of breath.  He denies any GI or GU problems.  He denies any bleeding disorders.

Dialogue:
Doctor: Any chest pain or shortness of breath?
Patient: No chest pain, but I tend to have shortness of breath after any type of exertion.
Doctor: How about bladder and bowel issues?
Patient: No, that is fine.
Doctor: Any excessive or unstoppable bleeding issues?
Patient: No, I do not have any bleeding issues.
Doctor: Oh.
Patient: Yeah.
Clinical note section (FAM/SOCHX): The patient's mother died from gastric cancer.  She had a brother who died from mesothelioma.  He did have a positive asbestos exposure working in the shipyards.  The patient's father died from motor vehicle accident.  She had a sister who succumbed to pneumonia as a complication to Alzheimer disease.

Dialogue:
Doctor: Tell me about your family medical history.  
Patient: My mother died from cancer.   
Doctor: Do you know what kind of cancer she passed from?  
Patient: She had cancer in her stomach. My sister had Alzheimer and she passed away for complication after getting pneumonia. 
Doctor: What about your fathers' medical history?  
Patient: He died in a car accident when I was a teenager.
Doctor: Any other siblings or just your sister?
Patient: My brother died from mesothelioma. He had positive asbestos exposure from working in the shipyards.
Clinical note section (ALLERGY): To cephalexin.

Dialogue:
Doctor: Any allergies to any drugs?
Patient: Ah, yes, what is called, cepro-
Guest_family: Oh, you are allergic to Cephalexin mother! 
Patient:  Yep, thank you honey.
Clinical note section (FAM/SOCHX): Negative for smoking and drinking.

Dialogue:
Doctor: Do you smoke cigarettes?
Patient: I did way back in the past when I was young, but not now.
Doctor: How about alcohol?
Patient: No, I do not drink.
Doctor: Never?
Patient: Nope.
Clinical note section (PASTMEDICALHX): Asthma.

Dialogue:
Doctor: Do you have any medical conditions or illnesses?
Patient: I have asthma.
Clinical note section (FAM/SOCHX): Strong family history for Huntington disease as per the HPI.  Mother and grandmother died of Huntington disease.  Two young brothers also had Huntington disease.

Dialogue:
Doctor: How are you doing today? 
Patient: I am doing okay. 
Doctor: I see in your note that you told the nurse that you have a strong family history of Huntington disease. 
Patient: Yes, I do. 
Doctor: Who in your family had Huntington disease? 
Patient: My mother, grandmother, and my two younger brothers. 
Doctor: How is everyone doing? 
Patient: My grandmother and my mother both died of Huntington disease. 
Doctor: I am so sorry to hear that. What about your brothers? 
Patient: My brothers are doing okay. One of my brothers just started a neurological treatment. I am not sure what it is called. 
Doctor: Okay.
Clinical note section (ALLERGY): No known drug allergies.

Dialogue:
Guest_clinician: Does the patient have any drug allergies? 
Doctor: None that I'm aware of. Let me check his chart again to confirm.  
Guest_clinician: Thanks. 
Doctor: Yeah, it looks like he's not allergic to anything.
Clinical note section (ALLERGY): No known drug allergies.

Dialogue:
Doctor: So, let's see what we have here. I have down that you're not allergic to any medications. 
Patient: Correct, no drug allergies.  
Doctor: Good, great.
Clinical note section (CC): This is a 66-year-old patient who came to the emergency room because she was feeling dizzy and was found to be tachycardic and hypertensive.

Dialogue:
Doctor: Ma'am, are you feeling okay?
Patient: No not really, I feel dizzy.
Doctor: Who brought you to emergency?
Patient: My husband, he is trying to find parking outside. 
Doctor: Okay.
Doctor: Let me check your blood pressure and this will monitor your heartbeat. 
Doctor: Well, your blood pressure looks quite high and so does your heartbeat. Do you have a history of hypertension or tachycardia, how old are you?
Patient: I am sixty six.
Clinical note section (EXAM): HEENT: Eyes:  EOMI.  PERRLA.  Sclerae nonicteric.  No lesions lids, lashes, brows, or conjunctivae noted.  Funduscopic examination unremarkable.  No papilledema, glaucoma, or cataracts.  Ears:  Normal set and shape with normal hearing and normal TMs. Nose and Sinus:  Unremarkable.  Mouth, Tongue, Teeth, and Throat:  Negative except for dental work.

Dialogue:
Doctor: Let me quickly examine your eyes nose and ears. 
Patient: Sure.
Doctor: Well, eyes look fine no lesion seen on lids, brows or corner of the eyes. Extra ocular movements are intact. Sclerae look great. Pupils look fine. Can you open your eyes wide for me I am going to check with this instrument. Everything looks fine here.
Patient: Okay.
Doctor: I don't see any swelling or glaucoma. No cataracts. Let me check your ears, Looks perfectly normal. Ears normal set and shape with normal hearing and tympanic membrane. No hearing problem or tinnitus or anything?
Patient: Nope. 
Doctor: No cough or cold or sinus congestion, right?
Patient: No. 
Doctor: Open your mouth for me, stick your tongue out, say "ahhhhh" for me. Everything looks normal here. 
Doctor: Do you regularly visit your dentist?
Patient: Yes, I recently got some dental work done.
Doctor: Okay.
Clinical note section (ASSESSMENT): A 2-year-old with chronic lung disease, doing the sprints, some bowel difficulties, also just weight gain issues because of the high-energy expenditure with the sprints that she is doing.

Dialogue:
Doctor: How has she been since the last time we saw you both?  
Guest_family: She has been in good spirits.  She has so much energy. She has had some constipation issues lately.  
Doctor: How has her breathing been? Any changes?  
Guest_family: No. Everything is the same.  
Doctor: According to her chart she has not gained any weight since her last visit. I am sure it is due to her high energy level, but it is something we need to keep a close eye on.  
Guest_family: What can I do to help her gain weight? 
Doctor: I would like you to focus on making sure she is getting enough protein in her daily diet. Here is a handout on meal suggestions and tips for keeping meal times on a consistent schedule.  
Guest_family: Thank you.
Clinical note section (GENHX): Briefly, the patient is a very pleasant 72-year-old female with previous history of hypertension and also recent diagnosis of C. diff for which she was admitted here in 5/2009, who presents to the hospital on 6/18/2009 with abdominal pain, cramping, and persistent diarrhea.  After admission, she had a CT of the abdomen done, which showed evidence of diffuse colitis and she was started on IV Flagyl and also on IV Levaquin.  She was also placed on IV Reglan because of nausea and vomiting.  In spite of the above, her white count still continues to be elevated today.  On questioning the patient, she states the nausea and vomiting has resolved, but the diarrhea still present, but otherwise denies any other specific complaints except for some weakness.

Dialogue:
Doctor: Hi there, I love that dress, very pretty! 
Patient: Thank you for complementing a seventy-two-year-old patient.
Doctor: No, I mean it, seriously. Okay, so you were admitted here in May two thousand nine. You have a history of hypertension, and on June eighteenth two thousand nine you had bad abdominal pain diarrhea and cramps.
Patient: Yes, they told me I might have C Diff? They did a CT of my abdomen and that is when they thought I got the infection.
Doctor: Yes, it showed evidence of diffuse colitis, so I believe they gave you IV antibiotics?
Patient: Yes they did. 
Doctor: Yeah I see here, Flagyl and Levaquin. They started IV Reglan as well for your vomiting.
Patient: Yes, I was very nauseous. Vomited as well.
Doctor: After all this I still see your white blood cells high. Are you still nauseous? 
Patient: No, I do not have any nausea or vomiting, but still have diarrhea. Due to all that diarrhea I feel very weak.
Doctor: Okay. Anything else any other symptoms?
Patient: Actually no. Everything's well.
Doctor: Great.
Patient: Yeah.
Clinical note section (PASTMEDICALHX): Past medical history is unremarkable.

Dialogue:
Doctor: Are there any major medical conditions that you know of that I should be aware of?
Patient: What do you mean by that, doctor?
Doctor: Well, anything from depression, to cancer.
Patient: No, none of that rings any bells.
Clinical note section (IMMUNIZATIONS): Immunizations were up to date for influenza, negative for Pneumovax.

Dialogue:
Doctor: Have you had your flu or Pneumonia vaccination this year? 
Patient: I got my flu shot this year, but I did not get the one for Pneumonia.