jshargo/mts-medical-trainset huggingface dataset:
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient is a 44-year-old white female who is here today with multiple problems.  The biggest concern she has today is her that left leg has been swollen.  It is swollen for three years to some extent, but worse for the past two to three months.  It gets better in the morning when she is up, but then through the day it begins to swell again.  Lately it is staying bigger and she somewhat uncomfortable with it being so large.  The right leg also swells, but not nearly like the left leg.  The other problem she had was she has had pain in her shoulder and back.  These occurred about a year ago, but the pain in her left shoulder is of most concern to her.  She feels like the low back pain is just a result of a poor mattress.  She does not remember hurting her shoulder, but she said gradually she has lost some mobility.  It is hard time to get her hands behind her back or behind her head.  She has lost strength in the left shoulder.  As far as the blood count goes, she had an elevated white count.  In April of 2005, Dr. XYZ had asked Dr. XYZ to see her because of the persistent leukocytosis; however, Dr. XYZ felt that this was not a problem for the patient and asked her to just return here for follow up.  She also complains of a lot of frequency with urination and nocturia times two to three.  She has gained weight; she thinks about 12 pounds since March.  She now weighs 284.  Fortunately, her blood pressure is staying stable.  She takes atenolol 12.5 mg per day and takes Lasix on a p.r.n. basis, but does not like to take it because it causes her to urinate so much.  She denies chest pain, but she does feel like she is becoming gradually more short of breath.  She works for the city of Wichita as bus dispatcher, so she does sit a lot, and just really does not move around much.  Towards the end of the day her leg was really swollen.  I reviewed her lab work.  Other than the blood count her lab work has been pretty normal, but she does need to have a cholesterol check.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

user: No chest pain, but I am gradually feeling short of breath.

assistant: What work you do?

user: I work for the city of Wichita as bus dispatcher. My work demands sitting a lot, and just really does not move around much.  But towards the end of the day my leg swells up.

assistant: Okay that's okay.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient is a 44-year-old white female who is here today with multiple problems.  The biggest concern she has today is her that left leg has been swollen.  It is swollen for three years to some extent, but worse for the past two to three months.  It gets better in the morning when she is up, but then through the day it begins to swell again.  Lately it is staying bigger and she somewhat uncomfortable with it being so large.  The right leg also swells, but not nearly like the left leg.  The other problem she had was she has had pain in her shoulder and back.  These occurred about a year ago, but the pain in her left shoulder is of most concern to her.  She feels like the low back pain is just a result of a poor mattress.  She does not remember hurting her shoulder, but she said gradually she has lost some mobility.  It is hard time to get her hands behind her back or behind her head.  She has lost strength in the left shoulder.  As far as the blood count goes, she had an elevated white count.  In April of 2005, Dr. XYZ had asked Dr. XYZ to see her because of the persistent leukocytosis; however, Dr. XYZ felt that this was not a problem for the patient and asked her to just return here for follow up.  She also complains of a lot of frequency with urination and nocturia times two to three.  She has gained weight; she thinks about 12 pounds since March.  She now weighs 284.  Fortunately, her blood pressure is staying stable.  She takes atenolol 12.5 mg per day and takes Lasix on a p.r.n. basis, but does not like to take it because it causes her to urinate so much.  She denies chest pain, but she does feel like she is becoming gradually more short of breath.  She works for the city of Wichita as bus dispatcher, so she does sit a lot, and just really does not move around much.  Towards the end of the day her leg was really swollen.  I reviewed her lab work.  Other than the blood count her lab work has been pretty normal, but she does need to have a cholesterol check.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

user: I work for the city of Wichita as bus dispatcher. My work demands sitting a lot, and just really does not move around much.  But towards the end of the day my leg swells up.

assistant: Okay that's okay.

user: I need cholesterol check right?

assistant: Yes, you do, but all the other labs are normal.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient is a 44-year-old white female who is here today with multiple problems.  The biggest concern she has today is her that left leg has been swollen.  It is swollen for three years to some extent, but worse for the past two to three months.  It gets better in the morning when she is up, but then through the day it begins to swell again.  Lately it is staying bigger and she somewhat uncomfortable with it being so large.  The right leg also swells, but not nearly like the left leg.  The other problem she had was she has had pain in her shoulder and back.  These occurred about a year ago, but the pain in her left shoulder is of most concern to her.  She feels like the low back pain is just a result of a poor mattress.  She does not remember hurting her shoulder, but she said gradually she has lost some mobility.  It is hard time to get her hands behind her back or behind her head.  She has lost strength in the left shoulder.  As far as the blood count goes, she had an elevated white count.  In April of 2005, Dr. XYZ had asked Dr. XYZ to see her because of the persistent leukocytosis; however, Dr. XYZ felt that this was not a problem for the patient and asked her to just return here for follow up.  She also complains of a lot of frequency with urination and nocturia times two to three.  She has gained weight; she thinks about 12 pounds since March.  She now weighs 284.  Fortunately, her blood pressure is staying stable.  She takes atenolol 12.5 mg per day and takes Lasix on a p.r.n. basis, but does not like to take it because it causes her to urinate so much.  She denies chest pain, but she does feel like she is becoming gradually more short of breath.  She works for the city of Wichita as bus dispatcher, so she does sit a lot, and just really does not move around much.  Towards the end of the day her leg was really swollen.  I reviewed her lab work.  Other than the blood count her lab work has been pretty normal, but she does need to have a cholesterol check.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

user: I need cholesterol check right?

assistant: Yes, you do, but all the other labs are normal.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient is a 44-year-old white female who is here today with multiple problems.  The biggest concern she has today is her that left leg has been swollen.  It is swollen for three years to some extent, but worse for the past two to three months.  It gets better in the morning when she is up, but then through the day it begins to swell again.  Lately it is staying bigger and she somewhat uncomfortable with it being so large.  The right leg also swells, but not nearly like the left leg.  The other problem she had was she has had pain in her shoulder and back.  These occurred about a year ago, but the pain in her left shoulder is of most concern to her.  She feels like the low back pain is just a result of a poor mattress.  She does not remember hurting her shoulder, but she said gradually she has lost some mobility.  It is hard time to get her hands behind her back or behind her head.  She has lost strength in the left shoulder.  As far as the blood count goes, she had an elevated white count.  In April of 2005, Dr. XYZ had asked Dr. XYZ to see her because of the persistent leukocytosis; however, Dr. XYZ felt that this was not a problem for the patient and asked her to just return here for follow up.  She also complains of a lot of frequency with urination and nocturia times two to three.  She has gained weight; she thinks about 12 pounds since March.  She now weighs 284.  Fortunately, her blood pressure is staying stable.  She takes atenolol 12.5 mg per day and takes Lasix on a p.r.n. basis, but does not like to take it because it causes her to urinate so much.  She denies chest pain, but she does feel like she is becoming gradually more short of breath.  She works for the city of Wichita as bus dispatcher, so she does sit a lot, and just really does not move around much.  Towards the end of the day her leg was really swollen.  I reviewed her lab work.  Other than the blood count her lab work has been pretty normal, but she does need to have a cholesterol check.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

assistant: Okay I am looking at you for multiple issues today. One of the biggest being swelling on your left leg. Can you tell me more about that?

user: Yes sure. I got this swelling for almost three years now, and it has been worse for the past two to three months. Sometimes it gets better in the morning when I get up, but then throughout the day it begins to swell again.  Lately it is staying bigger, and it feel uncomfortable with it being so large.  The right leg also swells, but not nearly like the left leg.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient is a 44-year-old white female who is here today with multiple problems.  The biggest concern she has today is her that left leg has been swollen.  It is swollen for three years to some extent, but worse for the past two to three months.  It gets better in the morning when she is up, but then through the day it begins to swell again.  Lately it is staying bigger and she somewhat uncomfortable with it being so large.  The right leg also swells, but not nearly like the left leg.  The other problem she had was she has had pain in her shoulder and back.  These occurred about a year ago, but the pain in her left shoulder is of most concern to her.  She feels like the low back pain is just a result of a poor mattress.  She does not remember hurting her shoulder, but she said gradually she has lost some mobility.  It is hard time to get her hands behind her back or behind her head.  She has lost strength in the left shoulder.  As far as the blood count goes, she had an elevated white count.  In April of 2005, Dr. XYZ had asked Dr. XYZ to see her because of the persistent leukocytosis; however, Dr. XYZ felt that this was not a problem for the patient and asked her to just return here for follow up.  She also complains of a lot of frequency with urination and nocturia times two to three.  She has gained weight; she thinks about 12 pounds since March.  She now weighs 284.  Fortunately, her blood pressure is staying stable.  She takes atenolol 12.5 mg per day and takes Lasix on a p.r.n. basis, but does not like to take it because it causes her to urinate so much.  She denies chest pain, but she does feel like she is becoming gradually more short of breath.  She works for the city of Wichita as bus dispatcher, so she does sit a lot, and just really does not move around much.  Towards the end of the day her leg was really swollen.  I reviewed her lab work.  Other than the blood count her lab work has been pretty normal, but she does need to have a cholesterol check.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

assistant: Okay I am looking at you for multiple issues today. One of the biggest being swelling on your left leg. Can you tell me more about that?

user: Yes sure. I got this swelling for almost three years now, and it has been worse for the past two to three months. Sometimes it gets better in the morning when I get up, but then throughout the day it begins to swell again.  Lately it is staying bigger, and it feel uncomfortable with it being so large.  The right leg also swells, but not nearly like the left leg.

assistant: How old are you, miss?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient is a 44-year-old white female who is here today with multiple problems.  The biggest concern she has today is her that left leg has been swollen.  It is swollen for three years to some extent, but worse for the past two to three months.  It gets better in the morning when she is up, but then through the day it begins to swell again.  Lately it is staying bigger and she somewhat uncomfortable with it being so large.  The right leg also swells, but not nearly like the left leg.  The other problem she had was she has had pain in her shoulder and back.  These occurred about a year ago, but the pain in her left shoulder is of most concern to her.  She feels like the low back pain is just a result of a poor mattress.  She does not remember hurting her shoulder, but she said gradually she has lost some mobility.  It is hard time to get her hands behind her back or behind her head.  She has lost strength in the left shoulder.  As far as the blood count goes, she had an elevated white count.  In April of 2005, Dr. XYZ had asked Dr. XYZ to see her because of the persistent leukocytosis; however, Dr. XYZ felt that this was not a problem for the patient and asked her to just return here for follow up.  She also complains of a lot of frequency with urination and nocturia times two to three.  She has gained weight; she thinks about 12 pounds since March.  She now weighs 284.  Fortunately, her blood pressure is staying stable.  She takes atenolol 12.5 mg per day and takes Lasix on a p.r.n. basis, but does not like to take it because it causes her to urinate so much.  She denies chest pain, but she does feel like she is becoming gradually more short of breath.  She works for the city of Wichita as bus dispatcher, so she does sit a lot, and just really does not move around much.  Towards the end of the day her leg was really swollen.  I reviewed her lab work.  Other than the blood count her lab work has been pretty normal, but she does need to have a cholesterol check.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

assistant: Okay I am looking at you for multiple issues today. One of the biggest being swelling on your left leg. Can you tell me more about that?

user: Yes sure. I got this swelling for almost three years now, and it has been worse for the past two to three months. Sometimes it gets better in the morning when I get up, but then throughout the day it begins to swell again.  Lately it is staying bigger, and it feel uncomfortable with it being so large.  The right leg also swells, but not nearly like the left leg.

assistant: How old are you, miss?

user: I am forty four. My biggest problem is this pain in my left shoulder. I feel as if this low back pain is due to a poor mattress.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: He is employed as a United States Marine officer, artillery repair specialist. He was a social drinker in the past but quit altogether two years ago. He never used tobacco products or illicit/intravenous drugs.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

assistant: What do you do for living?

user: I am an officer at United States Marine office, artillery repair specialist.

assistant: Do you drink alcohol?

user: I use to drink socially but stopped two years back.

assistant: How about smoking and drugs?

user: No not that.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: He is employed as a United States Marine officer, artillery repair specialist. He was a social drinker in the past but quit altogether two years ago. He never used tobacco products or illicit/intravenous drugs.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

user: I am an officer at United States Marine office, artillery repair specialist.

assistant: Do you drink alcohol?

user: I use to drink socially but stopped two years back.

assistant: How about smoking and drugs?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: He is employed as a United States Marine officer, artillery repair specialist. He was a social drinker in the past but quit altogether two years ago. He never used tobacco products or illicit/intravenous drugs.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

user: I use to drink socially but stopped two years back.

assistant: How about smoking and drugs?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: He is employed as a United States Marine officer, artillery repair specialist. He was a social drinker in the past but quit altogether two years ago. He never used tobacco products or illicit/intravenous drugs.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

assistant: What do you do for living?

user: I am an officer at United States Marine office, artillery repair specialist.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: He is employed as a United States Marine officer, artillery repair specialist. He was a social drinker in the past but quit altogether two years ago. He never used tobacco products or illicit/intravenous drugs.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

assistant: What do you do for living?

user: I am an officer at United States Marine office, artillery repair specialist.

assistant: Do you drink alcohol?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: He is employed as a United States Marine officer, artillery repair specialist. He was a social drinker in the past but quit altogether two years ago. He never used tobacco products or illicit/intravenous drugs.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

assistant: What do you do for living?

user: I am an officer at United States Marine office, artillery repair specialist.

assistant: Do you drink alcohol?

user: I use to drink socially but stopped two years back.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTMEDICALHX
Patient Information: Essentially noncontributory.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

assistant: How are you today?

user: I am good.

assistant: What is your past medical history?

user: I don't have any health problems. Not yet at least.

assistant: Let's keep try to keep it that way.

user: Yes please.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTMEDICALHX
Patient Information: Essentially noncontributory.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

user: I am good.

assistant: What is your past medical history?

user: I don't have any health problems. Not yet at least.

assistant: Let's keep try to keep it that way.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTMEDICALHX
Patient Information: Essentially noncontributory.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

assistant: How are you today?

user: I am good.

assistant: What is your past medical history?

user: I don't have any health problems. Not yet at least.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: LABS
Patient Information: The only significant finding in the ultrasound of the area is that it shows this to be related to bone.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

assistant: Well, I am looking at your ultrasound report and honestly the only significant finding of this area is that it shows to be related to bone.

user: Oh okay.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: Father alive age 69 with h/o TIAs. Mother died age 62 and had CHF, A-Fib, CAD. Maternal Grandfather died of an MI and had h/o SVT. Maternal Grandmother had h/o SVT.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

assistant: Tell me about your family. Did anyone have any medical issues?

user: My father is alive. He is sixty nine right now. He did have some strokes in the past. My mom on the other hand died at the age of sixty two of many kinds of heart diseases.

assistant: What about your grandparents?

user: My maternal grandfather he also had heart issues and he died of a heart attack. Both he and my maternal grandma had some heart diseases. Their heart use to beat pretty fast.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: Father alive age 69 with h/o TIAs. Mother died age 62 and had CHF, A-Fib, CAD. Maternal Grandfather died of an MI and had h/o SVT. Maternal Grandmother had h/o SVT.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

user: My father is alive. He is sixty nine right now. He did have some strokes in the past. My mom on the other hand died at the age of sixty two of many kinds of heart diseases.

assistant: What about your grandparents?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: Father alive age 69 with h/o TIAs. Mother died age 62 and had CHF, A-Fib, CAD. Maternal Grandfather died of an MI and had h/o SVT. Maternal Grandmother had h/o SVT.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

assistant: Tell me about your family. Did anyone have any medical issues?

user: My father is alive. He is sixty nine right now. He did have some strokes in the past. My mom on the other hand died at the age of sixty two of many kinds of heart diseases.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: Father alive age 69 with h/o TIAs. Mother died age 62 and had CHF, A-Fib, CAD. Maternal Grandfather died of an MI and had h/o SVT. Maternal Grandmother had h/o SVT.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

assistant: Tell me about your family. Did anyone have any medical issues?

user: My father is alive. He is sixty nine right now. He did have some strokes in the past. My mom on the other hand died at the age of sixty two of many kinds of heart diseases.

assistant: What about your grandparents?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient is a very pleasant 57-year old white female, a native of Cuba, being seen for evaluation and treatment of sores in her mouth that she has had for the last 10-12 days.  The patient has a long history of severe and debilitating rheumatoid arthritis for which she has had numerous treatments, but over the past ten years she has been treated with methotrexate quite successfully.  Her dosage has varied somewhere between 20 and 25 mg per week.  About the beginning of this year, her dosage was decreased from 25 mg to 20 mg, but because of the flare of the rheumatoid arthritis, it was increased to 22.5 mg per week.  She has had no problems with methotrexate as far as she knows.  She also took an NSAID about a month ago that was recently continued because of the ulcerations in her mouth.  About two weeks ago, just about the time the stomatitis began she was placed on an antibiotic for suspected upper respiratory infection.  She does not remember the name of the antibiotic.  Although she claims she remembers taking this type of medication in the past without any problems.  She was on that medication three pills a day for three to four days.  She notes no other problems with her skin.  She remembers no allergic reactions to medication.  She has no previous history of fever blisters.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

user: Hi! I have had these sores in my mouth.

assistant: How long have you had the sores?

user: They started about ten to twelve days ago.

assistant: We have been currently treating your rheumatoid arthritis with methotrexate. How much have you been taking?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient is a very pleasant 57-year old white female, a native of Cuba, being seen for evaluation and treatment of sores in her mouth that she has had for the last 10-12 days.  The patient has a long history of severe and debilitating rheumatoid arthritis for which she has had numerous treatments, but over the past ten years she has been treated with methotrexate quite successfully.  Her dosage has varied somewhere between 20 and 25 mg per week.  About the beginning of this year, her dosage was decreased from 25 mg to 20 mg, but because of the flare of the rheumatoid arthritis, it was increased to 22.5 mg per week.  She has had no problems with methotrexate as far as she knows.  She also took an NSAID about a month ago that was recently continued because of the ulcerations in her mouth.  About two weeks ago, just about the time the stomatitis began she was placed on an antibiotic for suspected upper respiratory infection.  She does not remember the name of the antibiotic.  Although she claims she remembers taking this type of medication in the past without any problems.  She was on that medication three pills a day for three to four days.  She notes no other problems with her skin.  She remembers no allergic reactions to medication.  She has no previous history of fever blisters.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

user: They started about ten to twelve days ago.

assistant: We have been currently treating your rheumatoid arthritis with methotrexate. How much have you been taking?

user: Yes, we have tried lots of different treatments and methotrexate has been working well.  I have been on it for ten years now. I have been taking about twenty or twenty five M G of per week.

assistant: Did we recently increase your dosage? I see in your chart that we have changed your dosage a few times.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient is a very pleasant 57-year old white female, a native of Cuba, being seen for evaluation and treatment of sores in her mouth that she has had for the last 10-12 days.  The patient has a long history of severe and debilitating rheumatoid arthritis for which she has had numerous treatments, but over the past ten years she has been treated with methotrexate quite successfully.  Her dosage has varied somewhere between 20 and 25 mg per week.  About the beginning of this year, her dosage was decreased from 25 mg to 20 mg, but because of the flare of the rheumatoid arthritis, it was increased to 22.5 mg per week.  She has had no problems with methotrexate as far as she knows.  She also took an NSAID about a month ago that was recently continued because of the ulcerations in her mouth.  About two weeks ago, just about the time the stomatitis began she was placed on an antibiotic for suspected upper respiratory infection.  She does not remember the name of the antibiotic.  Although she claims she remembers taking this type of medication in the past without any problems.  She was on that medication three pills a day for three to four days.  She notes no other problems with her skin.  She remembers no allergic reactions to medication.  She has no previous history of fever blisters.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

user: Yes, we have tried lots of different treatments and methotrexate has been working well.  I have been on it for ten years now. I have been taking about twenty or twenty five M G of per week.

assistant: Did we recently increase your dosage? I see in your chart that we have changed your dosage a few times.

user: About a year ago we lowered the dosage for twenty five M G to twenty but my arthritis flared up so we went to twenty two point five.

assistant: Have you ever had any side effects from the methotrexate in the past?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient is a very pleasant 57-year old white female, a native of Cuba, being seen for evaluation and treatment of sores in her mouth that she has had for the last 10-12 days.  The patient has a long history of severe and debilitating rheumatoid arthritis for which she has had numerous treatments, but over the past ten years she has been treated with methotrexate quite successfully.  Her dosage has varied somewhere between 20 and 25 mg per week.  About the beginning of this year, her dosage was decreased from 25 mg to 20 mg, but because of the flare of the rheumatoid arthritis, it was increased to 22.5 mg per week.  She has had no problems with methotrexate as far as she knows.  She also took an NSAID about a month ago that was recently continued because of the ulcerations in her mouth.  About two weeks ago, just about the time the stomatitis began she was placed on an antibiotic for suspected upper respiratory infection.  She does not remember the name of the antibiotic.  Although she claims she remembers taking this type of medication in the past without any problems.  She was on that medication three pills a day for three to four days.  She notes no other problems with her skin.  She remembers no allergic reactions to medication.  She has no previous history of fever blisters.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

user: About a year ago we lowered the dosage for twenty five M G to twenty but my arthritis flared up so we went to twenty two point five.

assistant: Have you ever had any side effects from the methotrexate in the past?

user: No. I don't think so.

assistant: Are you taking any other medications?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient is a very pleasant 57-year old white female, a native of Cuba, being seen for evaluation and treatment of sores in her mouth that she has had for the last 10-12 days.  The patient has a long history of severe and debilitating rheumatoid arthritis for which she has had numerous treatments, but over the past ten years she has been treated with methotrexate quite successfully.  Her dosage has varied somewhere between 20 and 25 mg per week.  About the beginning of this year, her dosage was decreased from 25 mg to 20 mg, but because of the flare of the rheumatoid arthritis, it was increased to 22.5 mg per week.  She has had no problems with methotrexate as far as she knows.  She also took an NSAID about a month ago that was recently continued because of the ulcerations in her mouth.  About two weeks ago, just about the time the stomatitis began she was placed on an antibiotic for suspected upper respiratory infection.  She does not remember the name of the antibiotic.  Although she claims she remembers taking this type of medication in the past without any problems.  She was on that medication three pills a day for three to four days.  She notes no other problems with her skin.  She remembers no allergic reactions to medication.  She has no previous history of fever blisters.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

user: No. I don't think so.

assistant: Are you taking any other medications?

user: I had a sinus infection and the doctor put me on an antibiotic. That was about two weeks ago.

assistant: Do you know what the antibiotic the doctor gave you?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient is a very pleasant 57-year old white female, a native of Cuba, being seen for evaluation and treatment of sores in her mouth that she has had for the last 10-12 days.  The patient has a long history of severe and debilitating rheumatoid arthritis for which she has had numerous treatments, but over the past ten years she has been treated with methotrexate quite successfully.  Her dosage has varied somewhere between 20 and 25 mg per week.  About the beginning of this year, her dosage was decreased from 25 mg to 20 mg, but because of the flare of the rheumatoid arthritis, it was increased to 22.5 mg per week.  She has had no problems with methotrexate as far as she knows.  She also took an NSAID about a month ago that was recently continued because of the ulcerations in her mouth.  About two weeks ago, just about the time the stomatitis began she was placed on an antibiotic for suspected upper respiratory infection.  She does not remember the name of the antibiotic.  Although she claims she remembers taking this type of medication in the past without any problems.  She was on that medication three pills a day for three to four days.  She notes no other problems with her skin.  She remembers no allergic reactions to medication.  She has no previous history of fever blisters.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

user: I had a sinus infection and the doctor put me on an antibiotic. That was about two weeks ago.

assistant: Do you know what the antibiotic the doctor gave you?

user: I don't remember the name of the antibiotic, but I know that I have taken antibiotics before and I didn't have a problem.

assistant: How long was your antibiotic course?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient is a very pleasant 57-year old white female, a native of Cuba, being seen for evaluation and treatment of sores in her mouth that she has had for the last 10-12 days.  The patient has a long history of severe and debilitating rheumatoid arthritis for which she has had numerous treatments, but over the past ten years she has been treated with methotrexate quite successfully.  Her dosage has varied somewhere between 20 and 25 mg per week.  About the beginning of this year, her dosage was decreased from 25 mg to 20 mg, but because of the flare of the rheumatoid arthritis, it was increased to 22.5 mg per week.  She has had no problems with methotrexate as far as she knows.  She also took an NSAID about a month ago that was recently continued because of the ulcerations in her mouth.  About two weeks ago, just about the time the stomatitis began she was placed on an antibiotic for suspected upper respiratory infection.  She does not remember the name of the antibiotic.  Although she claims she remembers taking this type of medication in the past without any problems.  She was on that medication three pills a day for three to four days.  She notes no other problems with her skin.  She remembers no allergic reactions to medication.  She has no previous history of fever blisters.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

user: I don't remember the name of the antibiotic, but I know that I have taken antibiotics before and I didn't have a problem.

assistant: How long was your antibiotic course?

user: It was three or four days long. I had to take it three times a day.

assistant: Have you ever had any allergic reactions to medications?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient is a very pleasant 57-year old white female, a native of Cuba, being seen for evaluation and treatment of sores in her mouth that she has had for the last 10-12 days.  The patient has a long history of severe and debilitating rheumatoid arthritis for which she has had numerous treatments, but over the past ten years she has been treated with methotrexate quite successfully.  Her dosage has varied somewhere between 20 and 25 mg per week.  About the beginning of this year, her dosage was decreased from 25 mg to 20 mg, but because of the flare of the rheumatoid arthritis, it was increased to 22.5 mg per week.  She has had no problems with methotrexate as far as she knows.  She also took an NSAID about a month ago that was recently continued because of the ulcerations in her mouth.  About two weeks ago, just about the time the stomatitis began she was placed on an antibiotic for suspected upper respiratory infection.  She does not remember the name of the antibiotic.  Although she claims she remembers taking this type of medication in the past without any problems.  She was on that medication three pills a day for three to four days.  She notes no other problems with her skin.  She remembers no allergic reactions to medication.  She has no previous history of fever blisters.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

user: It was three or four days long. I had to take it three times a day.

assistant: Have you ever had any allergic reactions to medications?

user: No.

assistant: Any history of mouth sores?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient is a very pleasant 57-year old white female, a native of Cuba, being seen for evaluation and treatment of sores in her mouth that she has had for the last 10-12 days.  The patient has a long history of severe and debilitating rheumatoid arthritis for which she has had numerous treatments, but over the past ten years she has been treated with methotrexate quite successfully.  Her dosage has varied somewhere between 20 and 25 mg per week.  About the beginning of this year, her dosage was decreased from 25 mg to 20 mg, but because of the flare of the rheumatoid arthritis, it was increased to 22.5 mg per week.  She has had no problems with methotrexate as far as she knows.  She also took an NSAID about a month ago that was recently continued because of the ulcerations in her mouth.  About two weeks ago, just about the time the stomatitis began she was placed on an antibiotic for suspected upper respiratory infection.  She does not remember the name of the antibiotic.  Although she claims she remembers taking this type of medication in the past without any problems.  She was on that medication three pills a day for three to four days.  She notes no other problems with her skin.  She remembers no allergic reactions to medication.  She has no previous history of fever blisters.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

user: No.

assistant: Any history of mouth sores?

user: No.

assistant: Are you taking anything to help with the pain of the mouth sores?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient is a very pleasant 57-year old white female, a native of Cuba, being seen for evaluation and treatment of sores in her mouth that she has had for the last 10-12 days.  The patient has a long history of severe and debilitating rheumatoid arthritis for which she has had numerous treatments, but over the past ten years she has been treated with methotrexate quite successfully.  Her dosage has varied somewhere between 20 and 25 mg per week.  About the beginning of this year, her dosage was decreased from 25 mg to 20 mg, but because of the flare of the rheumatoid arthritis, it was increased to 22.5 mg per week.  She has had no problems with methotrexate as far as she knows.  She also took an NSAID about a month ago that was recently continued because of the ulcerations in her mouth.  About two weeks ago, just about the time the stomatitis began she was placed on an antibiotic for suspected upper respiratory infection.  She does not remember the name of the antibiotic.  Although she claims she remembers taking this type of medication in the past without any problems.  She was on that medication three pills a day for three to four days.  She notes no other problems with her skin.  She remembers no allergic reactions to medication.  She has no previous history of fever blisters.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

user: No.

assistant: Are you taking anything to help with the pain of the mouth sores?

user: I took Aspirin a month ago. I started taking it again because my mouth was sore.

assistant: Have you had any other problems with your skin? Any new rashes?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient is a very pleasant 57-year old white female, a native of Cuba, being seen for evaluation and treatment of sores in her mouth that she has had for the last 10-12 days.  The patient has a long history of severe and debilitating rheumatoid arthritis for which she has had numerous treatments, but over the past ten years she has been treated with methotrexate quite successfully.  Her dosage has varied somewhere between 20 and 25 mg per week.  About the beginning of this year, her dosage was decreased from 25 mg to 20 mg, but because of the flare of the rheumatoid arthritis, it was increased to 22.5 mg per week.  She has had no problems with methotrexate as far as she knows.  She also took an NSAID about a month ago that was recently continued because of the ulcerations in her mouth.  About two weeks ago, just about the time the stomatitis began she was placed on an antibiotic for suspected upper respiratory infection.  She does not remember the name of the antibiotic.  Although she claims she remembers taking this type of medication in the past without any problems.  She was on that medication three pills a day for three to four days.  She notes no other problems with her skin.  She remembers no allergic reactions to medication.  She has no previous history of fever blisters.

Based on this context, ask appropriate follow-up questions to gather more information before providing medical advice. Use the questioning patterns that doctors typically employ.

user: I took Aspirin a month ago. I started taking it again because my mouth was sore.

assistant: Have you had any other problems with your skin? Any new rashes?

user: No.

assistant: Sorry to side track, but where is your accent from? My family is Cuban and my mom and you speak the same.