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

Section: FAM/SOCHX
Patient Information: She had a baby five months ago.  She smokes a half pack a day.  She denies alcohol and drug use.

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 sure, I smoke half a pack a day.

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

Section: FAM/SOCHX
Patient Information: She had a baby five months ago.  She smokes a half pack a day.  She denies alcohol and drug use.

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: Do you smoke?

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

Section: FAM/SOCHX
Patient Information: She had a baby five months ago.  She smokes a half pack a day.  She denies alcohol and drug use.

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: Do you smoke?

user: Yes, I do.

assistant: How much? I mean can you tell me approximate amount?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: She had a baby five months ago.  She smokes a half pack a day.  She denies alcohol and drug use.

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: Do you smoke?

user: Yes, I do.

assistant: How much? I mean can you tell me approximate amount?

user: Yes sure, I smoke half a pack a day.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient rates her pain at 7/10 on a Pain Analog Scale, 0 to 10, 10 being worse.  The patient describes her pain as a deep aching, primarily on the right lower back and gluteal region.  Aggravating factors include stairs and prolonged driving, as well as general limitations with home tasks and projects.  The patient states she is a very active individual and is noticing extreme limitations with ability to complete home tasks and projects she used to be able to complete.

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: With ten being the worst pain imaginable, how would you rate your pain today out of ten, ma'am?

user: Well, out of ten, I'd say it's about a seven.

assistant: How would you describe your pain?

user: Um, I'd say it's deep, and it really aches.

assistant: Where is your pain located?

user: It's in my right lower back, and then into my butt.

assistant: What activities make your surgery worse?

user: I can't go up and down stairs without a lot of pain, and it hurts when I sit for a long time, like when I drive.

assistant: Before this pain, how would you describe your activity level?

user: I was very active before all this started.

assistant: Are you able to do any of your prior activities?

user: Not really, I'm having a lot of problems with stuff around the house, like all the chores and projects I used to be able to do.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient rates her pain at 7/10 on a Pain Analog Scale, 0 to 10, 10 being worse.  The patient describes her pain as a deep aching, primarily on the right lower back and gluteal region.  Aggravating factors include stairs and prolonged driving, as well as general limitations with home tasks and projects.  The patient states she is a very active individual and is noticing extreme limitations with ability to complete home tasks and projects she used to be able to complete.

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: Well, out of ten, I'd say it's about a seven.

assistant: How would you describe your pain?

user: Um, I'd say it's deep, and it really aches.

assistant: Where is your pain located?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient rates her pain at 7/10 on a Pain Analog Scale, 0 to 10, 10 being worse.  The patient describes her pain as a deep aching, primarily on the right lower back and gluteal region.  Aggravating factors include stairs and prolonged driving, as well as general limitations with home tasks and projects.  The patient states she is a very active individual and is noticing extreme limitations with ability to complete home tasks and projects she used to be able to complete.

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: Um, I'd say it's deep, and it really aches.

assistant: Where is your pain located?

user: It's in my right lower back, and then into my butt.

assistant: What activities make your surgery worse?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient rates her pain at 7/10 on a Pain Analog Scale, 0 to 10, 10 being worse.  The patient describes her pain as a deep aching, primarily on the right lower back and gluteal region.  Aggravating factors include stairs and prolonged driving, as well as general limitations with home tasks and projects.  The patient states she is a very active individual and is noticing extreme limitations with ability to complete home tasks and projects she used to be able to complete.

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's in my right lower back, and then into my butt.

assistant: What activities make your surgery worse?

user: I can't go up and down stairs without a lot of pain, and it hurts when I sit for a long time, like when I drive.

assistant: Before this pain, how would you describe your activity level?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient rates her pain at 7/10 on a Pain Analog Scale, 0 to 10, 10 being worse.  The patient describes her pain as a deep aching, primarily on the right lower back and gluteal region.  Aggravating factors include stairs and prolonged driving, as well as general limitations with home tasks and projects.  The patient states she is a very active individual and is noticing extreme limitations with ability to complete home tasks and projects she used to be able to complete.

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 can't go up and down stairs without a lot of pain, and it hurts when I sit for a long time, like when I drive.

assistant: Before this pain, how would you describe your activity level?

user: I was very active before all this started.

assistant: Are you able to do any of your prior activities?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient rates her pain at 7/10 on a Pain Analog Scale, 0 to 10, 10 being worse.  The patient describes her pain as a deep aching, primarily on the right lower back and gluteal region.  Aggravating factors include stairs and prolonged driving, as well as general limitations with home tasks and projects.  The patient states she is a very active individual and is noticing extreme limitations with ability to complete home tasks and projects she used to be able to complete.

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 was very active before all this started.

assistant: Are you able to do any of your prior activities?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient rates her pain at 7/10 on a Pain Analog Scale, 0 to 10, 10 being worse.  The patient describes her pain as a deep aching, primarily on the right lower back and gluteal region.  Aggravating factors include stairs and prolonged driving, as well as general limitations with home tasks and projects.  The patient states she is a very active individual and is noticing extreme limitations with ability to complete home tasks and projects she used to be able to complete.

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: With ten being the worst pain imaginable, how would you rate your pain today out of ten, ma'am?

user: Well, out of ten, I'd say it's about a seven.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient rates her pain at 7/10 on a Pain Analog Scale, 0 to 10, 10 being worse.  The patient describes her pain as a deep aching, primarily on the right lower back and gluteal region.  Aggravating factors include stairs and prolonged driving, as well as general limitations with home tasks and projects.  The patient states she is a very active individual and is noticing extreme limitations with ability to complete home tasks and projects she used to be able to complete.

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: With ten being the worst pain imaginable, how would you rate your pain today out of ten, ma'am?

user: Well, out of ten, I'd say it's about a seven.

assistant: How would you describe your pain?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient rates her pain at 7/10 on a Pain Analog Scale, 0 to 10, 10 being worse.  The patient describes her pain as a deep aching, primarily on the right lower back and gluteal region.  Aggravating factors include stairs and prolonged driving, as well as general limitations with home tasks and projects.  The patient states she is a very active individual and is noticing extreme limitations with ability to complete home tasks and projects she used to be able to complete.

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: With ten being the worst pain imaginable, how would you rate your pain today out of ten, ma'am?

user: Well, out of ten, I'd say it's about a seven.

assistant: How would you describe your pain?

user: Um, I'd say it's deep, and it really aches.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTMEDICALHX
Patient Information: Significant only for hypertension and left temporal lobe epilepsy.

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: Welcome in!

user: Thank you.

assistant: Let us get a little background. What is your medical history?

user: I have some memory loss problems.

assistant: What kind of memory problems?

user: Well, I have seizures.

assistant: Do you know what kind of seizures that you have?

user: I have temporal lobe seizures.

assistant: Do you have any other health conditions?

user: I also have high blood pressure.

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

Section: PASTMEDICALHX
Patient Information: Significant only for hypertension and left temporal lobe epilepsy.

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: Thank you.

assistant: Let us get a little background. What is your medical history?

user: I have some memory loss problems.

assistant: What kind of memory problems?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTMEDICALHX
Patient Information: Significant only for hypertension and left temporal lobe epilepsy.

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 have some memory loss problems.

assistant: What kind of memory problems?

user: Well, I have seizures.

assistant: Do you know what kind of seizures that you have?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTMEDICALHX
Patient Information: Significant only for hypertension and left temporal lobe epilepsy.

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: Well, I have seizures.

assistant: Do you know what kind of seizures that you have?

user: I have temporal lobe seizures.

assistant: Do you have any other health conditions?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTMEDICALHX
Patient Information: Significant only for hypertension and left temporal lobe epilepsy.

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 have temporal lobe seizures.

assistant: Do you have any other health conditions?

user: I also have high blood pressure.

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

Section: PASTMEDICALHX
Patient Information: Significant only for hypertension and left temporal lobe epilepsy.

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: Welcome in!

user: Thank you.

assistant: Let us get a little background. What is your medical history?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTMEDICALHX
Patient Information: Significant only for hypertension and left temporal lobe epilepsy.

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: Welcome in!

user: Thank you.

assistant: Let us get a little background. What is your medical history?

user: I have some memory loss problems.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTSURGICAL
Patient Information: She has undergone no surgical procedures.

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: Did you have any medical issues?

user: Nope.

assistant: What about surgery.

user: No, I never had a surgery.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This 73 y/o RHF presented on 1/12/95, with progressive memory and cognitive decline since 11/94. Her difficulties were first noted by family the week prior to Thanksgiving, when they were taking her to Vail, Colorado to play "Murder She Wrote" at family gathering. Unbeknownst to the patient was the fact that she had been chosen to be the "assassin." Prior to boarding the airplane her children hid a toy gun in her carry-on luggage. As the patient walked through security the alarm went off and within seconds she was surrounded, searched and interrogated. She and her family eventually made their flight, but she seemed unusually flustered and disoriented by the event. In prior times they would have expected her to have brushed off the incident with a "chuckle." While in Colorado her mentation seemed slow and she had difficulty reading the lines to her part while playing "Murder She Wrote." She needed assistance to complete the game. The family noted no slurring of speech, difficulty with vision, or focal weakness at the time. She returned to work at a local florist shop the Monday following Thanksgiving, and by her own report, had difficulty carrying out her usual tasks of flower arranging and operating the cash register. She quit working the next day and never went back. Her mental status appeared to remain relatively stable throughout the month of November and December and during that time she was evaluated by a local neurologist. Serum VDRL, TFTs, GS, B12, Folate, CBC, CXR, and MRI of the Brain were all reportedly unremarkable. The working diagnosis was "Dementia of the Alzheimer's Type." One to two weeks prior to her 1/12/95 presentation, she became repeatedly lost in her own home. In addition, she, and especially her family, noticed increased difficulty with word finding, attention, and calculation. Furthermore, she began expressing emotional lability unusual for her. She also tended to veer toward the right when walking and often did not recognize the location of people talking to her.

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 seventy three.

assistant: Are you right handed or left handed?

user: Right.

assistant: So, I see the chief complaint is memory loss and cognitive decline. Tell me what exactly happened, and how did you notice the symptoms? Let me document that today is January twelfth of nineteen ninety five.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This 73 y/o RHF presented on 1/12/95, with progressive memory and cognitive decline since 11/94. Her difficulties were first noted by family the week prior to Thanksgiving, when they were taking her to Vail, Colorado to play "Murder She Wrote" at family gathering. Unbeknownst to the patient was the fact that she had been chosen to be the "assassin." Prior to boarding the airplane her children hid a toy gun in her carry-on luggage. As the patient walked through security the alarm went off and within seconds she was surrounded, searched and interrogated. She and her family eventually made their flight, but she seemed unusually flustered and disoriented by the event. In prior times they would have expected her to have brushed off the incident with a "chuckle." While in Colorado her mentation seemed slow and she had difficulty reading the lines to her part while playing "Murder She Wrote." She needed assistance to complete the game. The family noted no slurring of speech, difficulty with vision, or focal weakness at the time. She returned to work at a local florist shop the Monday following Thanksgiving, and by her own report, had difficulty carrying out her usual tasks of flower arranging and operating the cash register. She quit working the next day and never went back. Her mental status appeared to remain relatively stable throughout the month of November and December and during that time she was evaluated by a local neurologist. Serum VDRL, TFTs, GS, B12, Folate, CBC, CXR, and MRI of the Brain were all reportedly unremarkable. The working diagnosis was "Dementia of the Alzheimer's Type." One to two weeks prior to her 1/12/95 presentation, she became repeatedly lost in her own home. In addition, she, and especially her family, noticed increased difficulty with word finding, attention, and calculation. Furthermore, she began expressing emotional lability unusual for her. She also tended to veer toward the right when walking and often did not recognize the location of people talking to her.

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: Right.

assistant: So, I see the chief complaint is memory loss and cognitive decline. Tell me what exactly happened, and how did you notice the symptoms? Let me document that today is January twelfth of nineteen ninety five.

user: We noticed it the week prior to Thanksgiving last year in nineteen ninety four. We have a family tradition where we play a game and this time, we were taking her to Vail, Colorado to play "Murder She Wrote" at one of our family gatherings. She was chosen to be the assassin.

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

Section: GENHX
Patient Information: This 73 y/o RHF presented on 1/12/95, with progressive memory and cognitive decline since 11/94. Her difficulties were first noted by family the week prior to Thanksgiving, when they were taking her to Vail, Colorado to play "Murder She Wrote" at family gathering. Unbeknownst to the patient was the fact that she had been chosen to be the "assassin." Prior to boarding the airplane her children hid a toy gun in her carry-on luggage. As the patient walked through security the alarm went off and within seconds she was surrounded, searched and interrogated. She and her family eventually made their flight, but she seemed unusually flustered and disoriented by the event. In prior times they would have expected her to have brushed off the incident with a "chuckle." While in Colorado her mentation seemed slow and she had difficulty reading the lines to her part while playing "Murder She Wrote." She needed assistance to complete the game. The family noted no slurring of speech, difficulty with vision, or focal weakness at the time. She returned to work at a local florist shop the Monday following Thanksgiving, and by her own report, had difficulty carrying out her usual tasks of flower arranging and operating the cash register. She quit working the next day and never went back. Her mental status appeared to remain relatively stable throughout the month of November and December and during that time she was evaluated by a local neurologist. Serum VDRL, TFTs, GS, B12, Folate, CBC, CXR, and MRI of the Brain were all reportedly unremarkable. The working diagnosis was "Dementia of the Alzheimer's Type." One to two weeks prior to her 1/12/95 presentation, she became repeatedly lost in her own home. In addition, she, and especially her family, noticed increased difficulty with word finding, attention, and calculation. Furthermore, she began expressing emotional lability unusual for her. She also tended to veer toward the right when walking and often did not recognize the location of people talking to her.

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: When we were in Colorado, she seemed slow. She had difficulty reading her lines to her part when we were playing that game. She needed assistance to complete the whole game.

assistant: Was she slurring?

user: Nope.

assistant: Was there any difficulty with vision? Or any weakness?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This 73 y/o RHF presented on 1/12/95, with progressive memory and cognitive decline since 11/94. Her difficulties were first noted by family the week prior to Thanksgiving, when they were taking her to Vail, Colorado to play "Murder She Wrote" at family gathering. Unbeknownst to the patient was the fact that she had been chosen to be the "assassin." Prior to boarding the airplane her children hid a toy gun in her carry-on luggage. As the patient walked through security the alarm went off and within seconds she was surrounded, searched and interrogated. She and her family eventually made their flight, but she seemed unusually flustered and disoriented by the event. In prior times they would have expected her to have brushed off the incident with a "chuckle." While in Colorado her mentation seemed slow and she had difficulty reading the lines to her part while playing "Murder She Wrote." She needed assistance to complete the game. The family noted no slurring of speech, difficulty with vision, or focal weakness at the time. She returned to work at a local florist shop the Monday following Thanksgiving, and by her own report, had difficulty carrying out her usual tasks of flower arranging and operating the cash register. She quit working the next day and never went back. Her mental status appeared to remain relatively stable throughout the month of November and December and during that time she was evaluated by a local neurologist. Serum VDRL, TFTs, GS, B12, Folate, CBC, CXR, and MRI of the Brain were all reportedly unremarkable. The working diagnosis was "Dementia of the Alzheimer's Type." One to two weeks prior to her 1/12/95 presentation, she became repeatedly lost in her own home. In addition, she, and especially her family, noticed increased difficulty with word finding, attention, and calculation. Furthermore, she began expressing emotional lability unusual for her. She also tended to veer toward the right when walking and often did not recognize the location of people talking to her.

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: Nope.

assistant: Was there any difficulty with vision? Or any weakness?

user: Nope. Nothing that we noticed.

assistant: How was it after returning from there?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This 73 y/o RHF presented on 1/12/95, with progressive memory and cognitive decline since 11/94. Her difficulties were first noted by family the week prior to Thanksgiving, when they were taking her to Vail, Colorado to play "Murder She Wrote" at family gathering. Unbeknownst to the patient was the fact that she had been chosen to be the "assassin." Prior to boarding the airplane her children hid a toy gun in her carry-on luggage. As the patient walked through security the alarm went off and within seconds she was surrounded, searched and interrogated. She and her family eventually made their flight, but she seemed unusually flustered and disoriented by the event. In prior times they would have expected her to have brushed off the incident with a "chuckle." While in Colorado her mentation seemed slow and she had difficulty reading the lines to her part while playing "Murder She Wrote." She needed assistance to complete the game. The family noted no slurring of speech, difficulty with vision, or focal weakness at the time. She returned to work at a local florist shop the Monday following Thanksgiving, and by her own report, had difficulty carrying out her usual tasks of flower arranging and operating the cash register. She quit working the next day and never went back. Her mental status appeared to remain relatively stable throughout the month of November and December and during that time she was evaluated by a local neurologist. Serum VDRL, TFTs, GS, B12, Folate, CBC, CXR, and MRI of the Brain were all reportedly unremarkable. The working diagnosis was "Dementia of the Alzheimer's Type." One to two weeks prior to her 1/12/95 presentation, she became repeatedly lost in her own home. In addition, she, and especially her family, noticed increased difficulty with word finding, attention, and calculation. Furthermore, she began expressing emotional lability unusual for her. She also tended to veer toward the right when walking and often did not recognize the location of people talking to her.

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: Nope. Nothing that we noticed.

assistant: How was it after returning from there?

user: She returned to work. She used to work in a local florist shop. She returned on the Monday following Thanksgiving. And she had difficulty.

user: I was not able to take on with my usual task of flower arrangements or dealing with the cash at the cash register.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This 73 y/o RHF presented on 1/12/95, with progressive memory and cognitive decline since 11/94. Her difficulties were first noted by family the week prior to Thanksgiving, when they were taking her to Vail, Colorado to play "Murder She Wrote" at family gathering. Unbeknownst to the patient was the fact that she had been chosen to be the "assassin." Prior to boarding the airplane her children hid a toy gun in her carry-on luggage. As the patient walked through security the alarm went off and within seconds she was surrounded, searched and interrogated. She and her family eventually made their flight, but she seemed unusually flustered and disoriented by the event. In prior times they would have expected her to have brushed off the incident with a "chuckle." While in Colorado her mentation seemed slow and she had difficulty reading the lines to her part while playing "Murder She Wrote." She needed assistance to complete the game. The family noted no slurring of speech, difficulty with vision, or focal weakness at the time. She returned to work at a local florist shop the Monday following Thanksgiving, and by her own report, had difficulty carrying out her usual tasks of flower arranging and operating the cash register. She quit working the next day and never went back. Her mental status appeared to remain relatively stable throughout the month of November and December and during that time she was evaluated by a local neurologist. Serum VDRL, TFTs, GS, B12, Folate, CBC, CXR, and MRI of the Brain were all reportedly unremarkable. The working diagnosis was "Dementia of the Alzheimer's Type." One to two weeks prior to her 1/12/95 presentation, she became repeatedly lost in her own home. In addition, she, and especially her family, noticed increased difficulty with word finding, attention, and calculation. Furthermore, she began expressing emotional lability unusual for her. She also tended to veer toward the right when walking and often did not recognize the location of people talking to her.

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: She quit the next day, and she never went back.

assistant: How was it after that?

user: She seemed to be doing fine and stable throughout November and December, and we were visiting a local neurologist as well, who was evaluating her. He did a few blood tests and did uh, M R I of the brain. He gave us all clear. He said there's nothing there.

assistant: Yeah, I see the working diagnosis of dementia of the Alzheimer's Type. When did these symptoms increase? Like when did you started noticing them more?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This 73 y/o RHF presented on 1/12/95, with progressive memory and cognitive decline since 11/94. Her difficulties were first noted by family the week prior to Thanksgiving, when they were taking her to Vail, Colorado to play "Murder She Wrote" at family gathering. Unbeknownst to the patient was the fact that she had been chosen to be the "assassin." Prior to boarding the airplane her children hid a toy gun in her carry-on luggage. As the patient walked through security the alarm went off and within seconds she was surrounded, searched and interrogated. She and her family eventually made their flight, but she seemed unusually flustered and disoriented by the event. In prior times they would have expected her to have brushed off the incident with a "chuckle." While in Colorado her mentation seemed slow and she had difficulty reading the lines to her part while playing "Murder She Wrote." She needed assistance to complete the game. The family noted no slurring of speech, difficulty with vision, or focal weakness at the time. She returned to work at a local florist shop the Monday following Thanksgiving, and by her own report, had difficulty carrying out her usual tasks of flower arranging and operating the cash register. She quit working the next day and never went back. Her mental status appeared to remain relatively stable throughout the month of November and December and during that time she was evaluated by a local neurologist. Serum VDRL, TFTs, GS, B12, Folate, CBC, CXR, and MRI of the Brain were all reportedly unremarkable. The working diagnosis was "Dementia of the Alzheimer's Type." One to two weeks prior to her 1/12/95 presentation, she became repeatedly lost in her own home. In addition, she, and especially her family, noticed increased difficulty with word finding, attention, and calculation. Furthermore, she began expressing emotional lability unusual for her. She also tended to veer toward the right when walking and often did not recognize the location of people talking to her.

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: She seemed to be doing fine and stable throughout November and December, and we were visiting a local neurologist as well, who was evaluating her. He did a few blood tests and did uh, M R I of the brain. He gave us all clear. He said there's nothing there.

assistant: Yeah, I see the working diagnosis of dementia of the Alzheimer's Type. When did these symptoms increase? Like when did you started noticing them more?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This 73 y/o RHF presented on 1/12/95, with progressive memory and cognitive decline since 11/94. Her difficulties were first noted by family the week prior to Thanksgiving, when they were taking her to Vail, Colorado to play "Murder She Wrote" at family gathering. Unbeknownst to the patient was the fact that she had been chosen to be the "assassin." Prior to boarding the airplane her children hid a toy gun in her carry-on luggage. As the patient walked through security the alarm went off and within seconds she was surrounded, searched and interrogated. She and her family eventually made their flight, but she seemed unusually flustered and disoriented by the event. In prior times they would have expected her to have brushed off the incident with a "chuckle." While in Colorado her mentation seemed slow and she had difficulty reading the lines to her part while playing "Murder She Wrote." She needed assistance to complete the game. The family noted no slurring of speech, difficulty with vision, or focal weakness at the time. She returned to work at a local florist shop the Monday following Thanksgiving, and by her own report, had difficulty carrying out her usual tasks of flower arranging and operating the cash register. She quit working the next day and never went back. Her mental status appeared to remain relatively stable throughout the month of November and December and during that time she was evaluated by a local neurologist. Serum VDRL, TFTs, GS, B12, Folate, CBC, CXR, and MRI of the Brain were all reportedly unremarkable. The working diagnosis was "Dementia of the Alzheimer's Type." One to two weeks prior to her 1/12/95 presentation, she became repeatedly lost in her own home. In addition, she, and especially her family, noticed increased difficulty with word finding, attention, and calculation. Furthermore, she began expressing emotional lability unusual for her. She also tended to veer toward the right when walking and often did not recognize the location of people talking to her.

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 old are you?

user: I am seventy three.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This 73 y/o RHF presented on 1/12/95, with progressive memory and cognitive decline since 11/94. Her difficulties were first noted by family the week prior to Thanksgiving, when they were taking her to Vail, Colorado to play "Murder She Wrote" at family gathering. Unbeknownst to the patient was the fact that she had been chosen to be the "assassin." Prior to boarding the airplane her children hid a toy gun in her carry-on luggage. As the patient walked through security the alarm went off and within seconds she was surrounded, searched and interrogated. She and her family eventually made their flight, but she seemed unusually flustered and disoriented by the event. In prior times they would have expected her to have brushed off the incident with a "chuckle." While in Colorado her mentation seemed slow and she had difficulty reading the lines to her part while playing "Murder She Wrote." She needed assistance to complete the game. The family noted no slurring of speech, difficulty with vision, or focal weakness at the time. She returned to work at a local florist shop the Monday following Thanksgiving, and by her own report, had difficulty carrying out her usual tasks of flower arranging and operating the cash register. She quit working the next day and never went back. Her mental status appeared to remain relatively stable throughout the month of November and December and during that time she was evaluated by a local neurologist. Serum VDRL, TFTs, GS, B12, Folate, CBC, CXR, and MRI of the Brain were all reportedly unremarkable. The working diagnosis was "Dementia of the Alzheimer's Type." One to two weeks prior to her 1/12/95 presentation, she became repeatedly lost in her own home. In addition, she, and especially her family, noticed increased difficulty with word finding, attention, and calculation. Furthermore, she began expressing emotional lability unusual for her. She also tended to veer toward the right when walking and often did not recognize the location of people talking to her.

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 old are you?

user: I am seventy three.

assistant: Are you right handed or left handed?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This 73 y/o RHF presented on 1/12/95, with progressive memory and cognitive decline since 11/94. Her difficulties were first noted by family the week prior to Thanksgiving, when they were taking her to Vail, Colorado to play "Murder She Wrote" at family gathering. Unbeknownst to the patient was the fact that she had been chosen to be the "assassin." Prior to boarding the airplane her children hid a toy gun in her carry-on luggage. As the patient walked through security the alarm went off and within seconds she was surrounded, searched and interrogated. She and her family eventually made their flight, but she seemed unusually flustered and disoriented by the event. In prior times they would have expected her to have brushed off the incident with a "chuckle." While in Colorado her mentation seemed slow and she had difficulty reading the lines to her part while playing "Murder She Wrote." She needed assistance to complete the game. The family noted no slurring of speech, difficulty with vision, or focal weakness at the time. She returned to work at a local florist shop the Monday following Thanksgiving, and by her own report, had difficulty carrying out her usual tasks of flower arranging and operating the cash register. She quit working the next day and never went back. Her mental status appeared to remain relatively stable throughout the month of November and December and during that time she was evaluated by a local neurologist. Serum VDRL, TFTs, GS, B12, Folate, CBC, CXR, and MRI of the Brain were all reportedly unremarkable. The working diagnosis was "Dementia of the Alzheimer's Type." One to two weeks prior to her 1/12/95 presentation, she became repeatedly lost in her own home. In addition, she, and especially her family, noticed increased difficulty with word finding, attention, and calculation. Furthermore, she began expressing emotional lability unusual for her. She also tended to veer toward the right when walking and often did not recognize the location of people talking to her.

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 old are you?

user: I am seventy three.

assistant: Are you right handed or left handed?

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

Section: ALLERGY
Patient Information: None.

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: You are not allergic to anything?

user: No, I am not.

assistant: Any food or other pollen?

user: No, I am not allergic to anything.

assistant: Great!
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: ALLERGY
Patient Information: None.

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: You are not allergic to anything?

user: No, I am not.

assistant: Any food or other pollen?

user: No, I am not allergic to anything.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: MEDICATIONS
Patient Information: Her list of medicines is as noted on 04/22/03.  There is a morning and evening lift.

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: April twenty two three we checked your list of medications.

assistant: We saw that it lifts up in the morning and evening.

assistant: Yeah.

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

Section: MEDICATIONS
Patient Information: Her list of medicines is as noted on 04/22/03.  There is a morning and evening lift.

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: April twenty two three we checked your list of medications.

assistant: We saw that it lifts up in the morning and evening.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: MEDICATIONS
Patient Information: Her list of medicines is as noted on 04/22/03.  There is a morning and evening lift.

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: April twenty two three we checked your list of medications.

assistant: We saw that it lifts up in the morning and evening.

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

Section: GENHX
Patient Information: This 21 month old male presented for delayed motor development, "jaw quivering" and "lazy eye." He was an 8 pound 10 ounce product of a full term, uncomplicated pregnancy-labor-spontaneous vaginal delivery to a G3P3 married white female mother. There had been no known toxic intrauterine exposures. He had no serious illnesses or hospitalizations since birth. He sat independently at 7 months, stood at 11 months, crawled at 16 months, but did not cruise until 18 months. He currently cannot walk and easily falls. His gait is reportedly marked by left "intoeing." His upper extremity strength and coordination reportedly appear quite normal and he is able to feed himself, throw and transfer objects easily. He knows greater than 20 words and speaks two-word phrases. No seizures or unusual behavior were reported except for "quivering" movement of his jaw. This has occurred since birth. In addition the parents have noted transient left exotropia.

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 old is the baby?

user: He is twenty one months old.

assistant: What brings you here today?

user: I have concerns about his motor development. Many times he seems to have lazy eyes and sometimes I can notice his jaw quivering.

assistant: How was your pregnancy?

user: I had no complications in my pregnancy with him. My labor was very spontaneous, and it was a normal delivery.

assistant: Is this the only child?

user: No, I have two more kids.

assistant: How much did he weigh at birth?

user: He was around eight pounds and ten ounces.

assistant: Did you remember his milestones?

user: Yes, I have all of it written down for all of my three kids and I brought this with me. He sat on his own by seven months. He was able to stand by eleven months and crawled around sixteen months but he was not walking until eighteen months.

assistant: What issues are he facing right now?

user: He falls a lot. He cannot walk properly. He is kind of in toeing on his left. He's able to feed himself properly. He also throws, um, he picks up the things and throws them. His upper body looks strong.

assistant: How about his speech? How many words do you think he knows?

user: He knows more than twenty words for sure.

assistant: Is he able to speak two word phrases?

user: Yes. He says things like ,”give me,” and, “come here.”

assistant: Any other unusual behavior that you noticed? Any seizures or just the quivering movement of the jaw?

user: No, it was only this and we have noticed this since birth. I don't know if it is related but I did notice that his left eye deviates outside.