jshargo/medical-interview-conversations2 huggingface dataset:
user: No. 

assistant: And have you had any urinary problems like painful or frequency?
user: No. 

assistant: OK and have you had any night sweats over the last several weeks to months?
user: No, nothing like that. 

assistant: And, uhm, have you had any weight changes over the last little while?
user: No. 

assistant: OK. And have you noticed any skin changes or rashes? 

user: Uh, no, I, I do have just like the general, like, eczema, that I use a cream for, but that's just normal for me. 

assistant: OK. And any muscle aches or, or joint pains?
user: No. 

assistant: Have you had any fatigue? 

user: No. 

assistant: OK, alright you mentioned asthma as part of your past medical history. Have you been diagnosed with any other conditions?
user: No, it's just asthma and it was diagnosed, I think when I was like, probably 11 or 12 years old. 

assistant: OK, and do you use inhalers for that?
user: Yeah, I have two inhalers, uh, like one, one is like a blue one, one is like an, like an orange one, uh, it's, so I think it's one of them is just like, I take whenever I really need to and the other one I take every day. Uhm, and I haven't been taking the one, uh, I think it's called Ventolin. But I took it like, uh, had to take it like three or four times last night and like, throughout the day yesterday. And it, it did help, but it didn't really relieve some of my symptoms. 

assistant: OK, and prior to that, how often have you been using, uhm, the blue one.
user: The blue one before yesterday, probably the last time I used it was probably like a month ago. 

assistant: OK, so you don't need it that that often then?
user: No. 

assistant: Do you have any triggers for asthma that you're aware of, like exercising or going out into the cold or even like allergies like dust or, or, or pollen? 

user: Uhm, I do have allergies in the spring. I think it's to pollen and in the winter, it does, like my symptoms do get a bit worse and I have to use the ventil more. But recently for the last few months at least, it's been pretty stable. I haven't really had to use, use it too much. 

assistant: OK, and, and do you use any other medications?
user: Uh, just when I have allergies. I, I just use over the counter allergy meds. 

assistant: OK, and you use a cream for, for your skin too like, yeah?
user: Yeah, I use, like it's, it's, I think it's like a mixture of like a steroid cream. 

assistant: OK, and do you have any allergies to medications?
user: Not that I know of. 

assistant: OK, and are your immunizations up to date? 

user: Yeah. 

assistant: Alright, and right now, who are you living with, and whereabouts are you living?
user: Yeah, so I'm just living with a couple roommates. I just go to college and I'm living with three other roommates. 

assistant: OK, and has anybody been sick?
user: Uhm, I decided, like, I, yesterday I went home like, to my parents house and helped my dad, that's where I was cleaning the basement. But besides that, that was, that was uh, that was it? 

assistant: OK, and  sorry, just had to backtrack a little bit. Have you had any hospitalizations, either due to asthma or for any other reason? 

user: Uhm, I think when I was 15, I, I had to go to the emergency department, but I, I wasn't hospitalized. 

assistant: OK, and was this, uh, did you have similar symptoms at that time?
user: Yeah, it was, uh, it was for asthma and like, uh, that time it was definitely much much worse and I remember like I was breathing a lot, uh, the shortness of breath was really bad and the ventolin like puffers weren't even helping me at that time. 

assistant: OK yeah, OK, and have you had any surgeries before?
user: No. 

assistant: Alright, so yeah, you mentioned that you're, you're cleaning up the basement yesterday? Was there a lot of dust down there or anything like that, that might have triggered it?
user: Yeah, we were like just moving boxes. There were books here and there that definitely there would have been dust. I should have been more careful, like wore a mask, but I didn't think about it at that time. 

assistant: OK yeah for sure, uh, and do you smoke cigarettes?
user: No, like I can't even stand cigarette smoke. 

assistant: OK, that's good. And do you smoke marijuana or use any cannabis products?
user: Uh, no if I, if I really want marijuana, I would have to go with edibles, I, I can't take the smoke. 

assistant: OK, I see and, do you drink alcohol?
user: Uh just, I would say probably on the weekends I might have four or five beers. 

assistant: OK, and, anybody else in the family have asthma or skin irritation like, like you have? 

user: Yeah so my, my older sister actually also was diagnosed with asthma. She also has the eczema that I have and my mom was also diagnosed with asthma when she was a child, but she's been completely fine since then. 

assistant: OK, well that's good that, that she's been OK. Does anybody in the family have any heart or, or lung conditions or any cancers that run in the family?
user: My grandfather died of lung cancer, but he was just, just smoked all throughout his life. 

assistant: OK, uhm, alright, so that was all of the questions that I wanted to ask today. So the next part we'll go on to do a physical exam, but did you have any thing else that maybe I forgot to ask about today?
user: Uh, no, I, I, I think I know what this was caused by, but yeah, let's, let's see. Thanks for your help. 

assistant: Oh you're welcome, so yeah, we'll, we'll, uhm,trial some more puffers and see what we could do, cause certainly it's sounding like an asthma exacerbation, and so definitely let somebody know if your, your breathing is getting more difficult.
user: I've just been having uh, this pain in my um right, right elbow, and it's just been getting worse over the last few days. I started having it around three days ago. Um, and it's just been getting worse with any kind of gripping motion or, yeah, so it's, it's been getting worse. 

assistant: Okay, so you said it started three days ago. Um, has it been persistent since, or has it been like on and off?
user: It's been pretty persistent, um, but it's mainly when I'm uh, doing some activities or lifting anything. Um, and yes, I've just been trying to rest it mostly. 

assistant: Okay, okay, that's good. And um, you said it's worse with activity and better with rest. Have you tried anything else for it?
user: Um, I've tried some Advil, it, it seemed to help a little bit, but uh, it just comes back. 

assistant: Okay, um, and if you were to describe the quality of this pain, would you say it's sharp, burning, throbbing, achy?
user: It's more um, like if I don't extend my wrist, it's kind of like achy, but then if I extend my wrist, I feel like a sharp pain at um, on the um, just on the outside of my elbow. 

assistant: Okay, alright. Um alright, and then um, in terms of severity, 1 to 10, 10 being the worst pain you've ever felt, how bad is the pain? 

user: Um, probably like a 6 or 7. 

assistant: Okay. Alright, um, and have you ever experienced this type of pain before?
user: No, I, I, I've never experienced any kind of pain there at least. 

assistant: Okay. Um, how about um, in terms of like timeline, is it getting worse?
user: Um, just over the past three days, I feel like it's, I have tried not to use it that much. Uh, like when I was at work, I have to use like tools a lot um, and I noticed that when I was using a screwdriver, like it, it hurt a lot. So it hasn't been getting worse, but if I try to do anything at work, it definitely hurts a lot more. 

assistant: Okay, um, alright. And then have you noticed any numbness or tingling? 

user: Um, no, no, nothing like that. 

assistant: No, okay. How about um, pain elsewhere on your body?
user: Sorry, what was that? 

assistant: Pain elsewhere on your body?
user: Oh no, no pain elsewhere. 

assistant: Okay, um, and have you noticed any muscle weakness?
user: Uh, no. 

assistant: No. Any headaches?
user: No. 

assistant: Dizziness? 

user: No. 

assistant: Uh, weight loss?
user: No. 

assistant: Fevers or chills? 

user: No. 

assistant: Rashes?
user: No. 

assistant: Uh, changes in your vision, hearing, smell, or taste? 

user: No. 

assistant: Uh, coughing, shortness of breath, or wheezing?
user: No. 

assistant: Chest pain or heart palpitations? 

user: No. 

assistant: Uh, changes in your bowel movements?
user: No. 

assistant: Nausea or vomiting? 

user: No. 

assistant: Changes in your voiding?
user: No. 

assistant: Okay, and are you otherwise healthy? Do you have any longstanding medical conditions?
user: Yeah no, I've been healthy, uh, no other issues in my Life. 

assistant: Okay, that's good. Um, how about, um, medications, are you on any?
user: No, no medications. I've just been taking some Advil for this pain. 

assistant: Okay, I see. And how about immunizations? Are you up-to-date? 

user: Yeah. 

assistant: Do you have any allergies?
user: Uh, no. 

assistant: Family history of any musculoskeletal issues?
user: No, just uh, I guess my dad, he's, he's getting some knee pain and hip pain now, starting now. But like that's about it. 

assistant: How old is he? 

user: My dad, he's 60. 

assistant: Okay, and any lung or heart conditions?
user: No. 

assistant: Autoimmmune condition?
user: Uh, not that I know of. 

assistant: Okay, and how about cancers? 

user: Um, I think my aunt on my mother's side, um, she, she had, uh, uterine cancer. 

assistant: Okay, I see, alright. Um any allergies, or sorry, you answered that. Do you, do you smoke?
user: Uh, no. 

assistant: No. Um, do you consume any marijuana?
user: Uh, no. 

assistant: Do you drink alcohol? 

user: Um, just, like maybe some wine on uh, wine, beer every couple days. 

assistant: Okay, um, and where do you live right now? And who do you live with?
user: Um, I live with my wife and uh, four year old daughter. 

assistant: Okay. Um, any concerns for STIs? 

user: No. 

assistant: Any sick contacts recently?
user: No. 

assistant: Okay, well um, let's move on to the physical exam part of this interview then. Um, so I'm going to get you to look at both your uh, arms and hands and you let me know if you see any redness or swelling in uh, your right arm compared to your left.
user: Okay. Um, so like, with movement? 

assistant: Uh no, uh, just on inspection, do you see any redness or swelling?
user: Um, no, I don't really see anything that's too different, no. 

assistant: No, okay. Uh, do you see any deformities, atrophy, or skin changes in your right compared to your left arm or hand?
user: No, they look pretty similar to me. 

assistant: Okay. Alright, and then I'm gonna get you to press down on certain areas of your right arm. So you can start with the back of your elbow. Does that hurt?
user: Uh, just like right on the elbow, it doesn't hurt, but when I go on the outside part, it does hurt on the back. 

assistant: Okay, so like the lateral aspect of your elbow? 

user: Yeah, it's like sore if I press down. 

assistant: Okay, how about the medial aspect of your elbow?
user: Um, so yeah, on the inside, not so much. Maybe a little bit, not, not that much. 

assistant: Okay, how about when you press down on your biceps or triceps?
user: Uh, nothing. 

assistant: Nothing. How about when you um, press down on your like, forearm extensor muscle group? 

user: Um, just, yeah, so just on the outside of my forearm, close to where the elbow pain is, if I go down a little bit and press down, it does definitely feel sore. 

assistant: Okay, and then how about with your forearm uh, flexor, flexors.
user: So on the inside, um, not so much, no. 

assistant: No, okay. And now I'm gonna get you to walk through some movements with me. Um, can you uh, get a piece of paper and, actually can you get a pencil and grip it as tight as you can. Um, do you find that you feel weak when you do that?
user: Um, not weak, but it does definitely like um, when I picked up the pencil and moved my wrist up, it did, it did uh, cause some, some pain. 

assistant: Okay, alright. So would you mind extending or like straightening out your elbow all the way and then also straightening out your wrists. Um, does that hurt? 

user: Uh, straightening out, no, it doesn't hurt. 

assistant: Even with uh, like the wrist um, straightened out?
user: Um, yeah if I, if I completely straighten out my wrist uh, then like I just feel a bit of uh, soreness, but not as much pain as when I, um, am lifting something with my wrist or just raising my wrist upwards. 

assistant: Okay. Okay, how about when you flex your wrist all the way? 

user: Um, that hurts a little bit, but not nearly as much as when I extend it. 

assistant: Okay. Okay, um, those are all the questions I had for you today, and did you have any questions of your own for myself?