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 pleasant but demented 80-year-old male, who lives in board and care, who presented with acute onset of abdominal pain.  In the emergency room, the patient was found to have a CT scan with dilated bladder with thick wall suggesting an outlet obstruction as well as bilateral hydronephrosis and hydroureter.  The patient is unable to provide further history.  The patient's son is at the bedside and confirmed his history.  The patient was given IV antibiotics in the emergency room.  He was also given some hydration.

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: He started complaining of stomach aches. Luckily, I was there. It was very sudden at one moment he was talking to me nicely and then all of a sudden he started complaining of severe pain in his stomach area. That's when I decided to bring him here in the emergency room.

assistant: Do you have any previous reports?

user: I have these reports.

assistant: Do you remember when was this scan done?
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 pleasant but demented 80-year-old male, who lives in board and care, who presented with acute onset of abdominal pain.  In the emergency room, the patient was found to have a CT scan with dilated bladder with thick wall suggesting an outlet obstruction as well as bilateral hydronephrosis and hydroureter.  The patient is unable to provide further history.  The patient's son is at the bedside and confirmed his history.  The patient was given IV antibiotics in the emergency room.  He was also given some hydration.

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 these reports.

assistant: Do you remember when was this scan done?

user: I have no idea. I just had these reports with me.

assistant: Do you remember of any medical issues before?
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 pleasant but demented 80-year-old male, who lives in board and care, who presented with acute onset of abdominal pain.  In the emergency room, the patient was found to have a CT scan with dilated bladder with thick wall suggesting an outlet obstruction as well as bilateral hydronephrosis and hydroureter.  The patient is unable to provide further history.  The patient's son is at the bedside and confirmed his history.  The patient was given IV antibiotics in the emergency room.  He was also given some hydration.

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 no idea. I just had these reports with me.

assistant: Do you remember of any medical issues before?

user: Huh uh.

assistant: Okay, let me see what your scan says. I am reading the C T Scan report provided by the patient. It states that patient has dilated bladder with thick wall suggesting an outlet obstruction as well as bilateral hydronephrosis and hydroureter.
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 pleasant but demented 80-year-old male, who lives in board and care, who presented with acute onset of abdominal pain.  In the emergency room, the patient was found to have a CT scan with dilated bladder with thick wall suggesting an outlet obstruction as well as bilateral hydronephrosis and hydroureter.  The patient is unable to provide further history.  The patient's son is at the bedside and confirmed his history.  The patient was given IV antibiotics in the emergency room.  He was also given some hydration.

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: Huh uh.

assistant: Okay, let me see what your scan says. I am reading the C T Scan report provided by the patient. It states that patient has dilated bladder with thick wall suggesting an outlet obstruction as well as bilateral hydronephrosis and hydroureter.

user: Hm.

assistant: I see that you have already been given some I V fluid along with antibiotics by the emergency room doctor.
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 pleasant but demented 80-year-old male, who lives in board and care, who presented with acute onset of abdominal pain.  In the emergency room, the patient was found to have a CT scan with dilated bladder with thick wall suggesting an outlet obstruction as well as bilateral hydronephrosis and hydroureter.  The patient is unable to provide further history.  The patient's son is at the bedside and confirmed his history.  The patient was given IV antibiotics in the emergency room.  He was also given some hydration.

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: Hm.

assistant: I see that you have already been given some I V fluid along with antibiotics by the emergency room doctor.

user: Yeah.

assistant: Did he ever complain of pain during urination or nausea and vomiting?
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 pleasant but demented 80-year-old male, who lives in board and care, who presented with acute onset of abdominal pain.  In the emergency room, the patient was found to have a CT scan with dilated bladder with thick wall suggesting an outlet obstruction as well as bilateral hydronephrosis and hydroureter.  The patient is unable to provide further history.  The patient's son is at the bedside and confirmed his history.  The patient was given IV antibiotics in the emergency room.  He was also given some hydration.

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: Yeah.

assistant: Did he ever complain of pain during urination or nausea and vomiting?

user: Yes, he had fever a few days back. When we asked him about other symptoms, he said, it's hard to urinate and it is painful. Nausea and vomiting are something that I am not sure about. He was normally rushing to the restroom and every time used to say he didn't want to pee as it hurt him. He also had a few accidents in the last few days where he wet himself.

assistant: Thank you for providing me with all his history. It will be very helpful for me to treat him now.
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 pleasant but demented 80-year-old male, who lives in board and care, who presented with acute onset of abdominal pain.  In the emergency room, the patient was found to have a CT scan with dilated bladder with thick wall suggesting an outlet obstruction as well as bilateral hydronephrosis and hydroureter.  The patient is unable to provide further history.  The patient's son is at the bedside and confirmed his history.  The patient was given IV antibiotics in the emergency room.  He was also given some hydration.

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, he had fever a few days back. When we asked him about other symptoms, he said, it's hard to urinate and it is painful. Nausea and vomiting are something that I am not sure about. He was normally rushing to the restroom and every time used to say he didn't want to pee as it hurt him. He also had a few accidents in the last few days where he wet himself.

assistant: Thank you for providing me with all his history. It will be very helpful for me to treat him now.
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 pleasant but demented 80-year-old male, who lives in board and care, who presented with acute onset of abdominal pain.  In the emergency room, the patient was found to have a CT scan with dilated bladder with thick wall suggesting an outlet obstruction as well as bilateral hydronephrosis and hydroureter.  The patient is unable to provide further history.  The patient's son is at the bedside and confirmed his history.  The patient was given IV antibiotics in the emergency room.  He was also given some hydration.

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: Hello, how are you?

user: What?
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 pleasant but demented 80-year-old male, who lives in board and care, who presented with acute onset of abdominal pain.  In the emergency room, the patient was found to have a CT scan with dilated bladder with thick wall suggesting an outlet obstruction as well as bilateral hydronephrosis and hydroureter.  The patient is unable to provide further history.  The patient's son is at the bedside and confirmed his history.  The patient was given IV antibiotics in the emergency room.  He was also given some hydration.

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: Hello, how are you?

user: What?

assistant: How are you related to the patient?
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 pleasant but demented 80-year-old male, who lives in board and care, who presented with acute onset of abdominal pain.  In the emergency room, the patient was found to have a CT scan with dilated bladder with thick wall suggesting an outlet obstruction as well as bilateral hydronephrosis and hydroureter.  The patient is unable to provide further history.  The patient's son is at the bedside and confirmed his history.  The patient was given IV antibiotics in the emergency room.  He was also given some hydration.

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: Hello, how are you?

user: What?

assistant: How are you related to the patient?

user: Hello doctor, I am his son.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: Father passed away at 81; mother of multiple myeloma at 83.

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 is your family medical history?

user: My mother had cancer.  She had multiple myeloma.  She passed away at age eighty three.  My dad died when he was eighty one.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: The patient's parents are deceased.

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 your parents doing?

user: Unfortunately, they both passed away.

assistant: Oh no, I'm so sorry to hear that.

user: Thank you, its okay, I manage.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: The patient's parents are deceased.

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 your parents doing?

user: Unfortunately, they both passed away.

assistant: Oh no, I'm so sorry to hear that.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: CC
Patient Information: Chronic abdominal pain.

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's going on?

user: I am having a bellyache.

assistant: Since when?

user: Oh, it's been a while now.

assistant: Okay.

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

Section: CC
Patient Information: Chronic abdominal pain.

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's going on?

user: I am having a bellyache.

assistant: Since when?

user: Oh, it's been a while now.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: CC
Patient Information: Chest pain and fever.

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: Hey, what's going on with you today?

user: Oh, I have a chest pain.

assistant: You have fever too?

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

Section: ROS
Patient Information: She has moderate-to-severe dementia and is unable to give any information about history or review of systems.

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: Hi, how are you?

user: I am feeling not so good.

assistant: What happened and how long since it started?

user: Oh, I don't remember it. Just my head is hurting so much.

user: Hi doctor, she is my mother. Her dementia has progressed and most of the time she does not remember anything.

assistant: Oh, I see. Let me try and see if she can answer few questions

user: Sure.

assistant: Did you have any nausea or vomiting?

user: I don't know.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: ROS
Patient Information: She has moderate-to-severe dementia and is unable to give any information about history or review of systems.

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 feeling not so good.

assistant: What happened and how long since it started?

user: Oh, I don't remember it. Just my head is hurting so much.

user: Hi doctor, she is my mother. Her dementia has progressed and most of the time she does not remember anything.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: ROS
Patient Information: She has moderate-to-severe dementia and is unable to give any information about history or review of systems.

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 doctor, she is my mother. Her dementia has progressed and most of the time she does not remember anything.

assistant: Oh, I see. Let me try and see if she can answer few questions

user: Sure.

assistant: Did you have any nausea or vomiting?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: ROS
Patient Information: She has moderate-to-severe dementia and is unable to give any information about history or review of systems.

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: Sure.

assistant: Did you have any nausea or vomiting?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: ROS
Patient Information: She has moderate-to-severe dementia and is unable to give any information about history or review of systems.

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: Hi, how are you?

user: I am feeling not so good.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: ROS
Patient Information: She has moderate-to-severe dementia and is unable to give any information about history or review of systems.

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: Hi, how are you?

user: I am feeling not so good.

assistant: What happened and how long since it started?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: ROS
Patient Information: She has moderate-to-severe dementia and is unable to give any information about history or review of systems.

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: Hi, how are you?

user: I am feeling not so good.

assistant: What happened and how long since it started?

user: Oh, I don't remember it. Just my head is hurting so much.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: ALLERGY
Patient Information: He has known history of allergy to clonidine, Medifast does fatigue.

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 have allergies to any medications?

user: Um I'm allergic to Clonidine and Medifast.

assistant: What happens when you take Clonidine?

user: I get a really bad rash.

assistant: And how about with Medifast?

user: I get very tired after taking it. The last time I took it, I had trouble getting out of bed.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: ALLERGY
Patient Information: He has known history of allergy to clonidine, Medifast does fatigue.

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'm allergic to Clonidine and Medifast.

assistant: What happens when you take Clonidine?

user: I get a really bad rash.

assistant: And how about with Medifast?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: ALLERGY
Patient Information: He has known history of allergy to clonidine, Medifast does fatigue.

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 get a really bad rash.

assistant: And how about with Medifast?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: ALLERGY
Patient Information: He has known history of allergy to clonidine, Medifast does fatigue.

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 have allergies to any medications?

user: Um I'm allergic to Clonidine and Medifast.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: ALLERGY
Patient Information: He has known history of allergy to clonidine, Medifast does fatigue.

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 have allergies to any medications?

user: Um I'm allergic to Clonidine and Medifast.

assistant: What happens when you take Clonidine?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: ALLERGY
Patient Information: He has known history of allergy to clonidine, Medifast does fatigue.

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 have allergies to any medications?

user: Um I'm allergic to Clonidine and Medifast.

assistant: What happens when you take Clonidine?

user: I get a really bad rash.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This is a 39-year-old female who has sustained a twisting injury to her knee while on trampoline in late August.  She was diagnosed per MRI.  An MRI confirmed the clinical diagnosis of anterior cruciate ligament tear.  She states she has had multiple episodes of instability to the patellofemoral joint throughout the years with multiple dislocations.  She elected to proceed with surgery to repair the anterior cruciate ligament as well as possibly plicate the medial retinaculum to help prevent further dislocations of the patellofemoral joint.  All risks and benefits of surgery were discussed with her at length.  She was in agreement with the treatment plan.

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: Good morning, ma'am. My nurses tell me that you're thirty nine years old, is that correct?

user: Good morning, Doctor. Yes, that's correct.

assistant: So, what seems to be the problem today, ma'am?

user: I hurt my knee while on the trampoline back in late August.

assistant: Do you remember the mechanism of injury to this knee?

user: What do you mean?

assistant: Well, was it a twisting, pulling, snapping kind of injury?

user: Oh, I twisted my knee.

assistant: Okay, have you seen another doctor for this?

user: Yeah, and I got an M R I.

assistant: Can I see the report?

user: Yes, here you go.

assistant: This M R I shows an A C L tear. Do you have any instability in this knee?

user: Yeah, I feel like my knee joint has been unstable for years.

assistant: Have there been any dislocations?

user: Yeah, there have been. What can be done about this?

assistant: Well, there's surgery to fix this. I can repair that A C L.

user: What are the risks of infection with the procedure?

assistant: Historically, it's less than one percent. We use antibiotics to control for infection.

user: Will I go under for this?

assistant: Yes, you won't feel a thing.

user: Okay, yes, I'd like the surgery done.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This is a 39-year-old female who has sustained a twisting injury to her knee while on trampoline in late August.  She was diagnosed per MRI.  An MRI confirmed the clinical diagnosis of anterior cruciate ligament tear.  She states she has had multiple episodes of instability to the patellofemoral joint throughout the years with multiple dislocations.  She elected to proceed with surgery to repair the anterior cruciate ligament as well as possibly plicate the medial retinaculum to help prevent further dislocations of the patellofemoral joint.  All risks and benefits of surgery were discussed with her at length.  She was in agreement with the treatment plan.

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: Good morning, Doctor. Yes, that's correct.

assistant: So, what seems to be the problem today, ma'am?

user: I hurt my knee while on the trampoline back in late August.

assistant: Do you remember the mechanism of injury to this knee?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This is a 39-year-old female who has sustained a twisting injury to her knee while on trampoline in late August.  She was diagnosed per MRI.  An MRI confirmed the clinical diagnosis of anterior cruciate ligament tear.  She states she has had multiple episodes of instability to the patellofemoral joint throughout the years with multiple dislocations.  She elected to proceed with surgery to repair the anterior cruciate ligament as well as possibly plicate the medial retinaculum to help prevent further dislocations of the patellofemoral joint.  All risks and benefits of surgery were discussed with her at length.  She was in agreement with the treatment plan.

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 hurt my knee while on the trampoline back in late August.

assistant: Do you remember the mechanism of injury to this knee?

user: What do you mean?

assistant: Well, was it a twisting, pulling, snapping kind of injury?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This is a 39-year-old female who has sustained a twisting injury to her knee while on trampoline in late August.  She was diagnosed per MRI.  An MRI confirmed the clinical diagnosis of anterior cruciate ligament tear.  She states she has had multiple episodes of instability to the patellofemoral joint throughout the years with multiple dislocations.  She elected to proceed with surgery to repair the anterior cruciate ligament as well as possibly plicate the medial retinaculum to help prevent further dislocations of the patellofemoral joint.  All risks and benefits of surgery were discussed with her at length.  She was in agreement with the treatment plan.

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: What do you mean?

assistant: Well, was it a twisting, pulling, snapping kind of injury?

user: Oh, I twisted my knee.

assistant: Okay, have you seen another doctor for this?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This is a 39-year-old female who has sustained a twisting injury to her knee while on trampoline in late August.  She was diagnosed per MRI.  An MRI confirmed the clinical diagnosis of anterior cruciate ligament tear.  She states she has had multiple episodes of instability to the patellofemoral joint throughout the years with multiple dislocations.  She elected to proceed with surgery to repair the anterior cruciate ligament as well as possibly plicate the medial retinaculum to help prevent further dislocations of the patellofemoral joint.  All risks and benefits of surgery were discussed with her at length.  She was in agreement with the treatment plan.

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: Oh, I twisted my knee.

assistant: Okay, have you seen another doctor for this?

user: Yeah, and I got an M R I.

assistant: Can I see the report?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This is a 39-year-old female who has sustained a twisting injury to her knee while on trampoline in late August.  She was diagnosed per MRI.  An MRI confirmed the clinical diagnosis of anterior cruciate ligament tear.  She states she has had multiple episodes of instability to the patellofemoral joint throughout the years with multiple dislocations.  She elected to proceed with surgery to repair the anterior cruciate ligament as well as possibly plicate the medial retinaculum to help prevent further dislocations of the patellofemoral joint.  All risks and benefits of surgery were discussed with her at length.  She was in agreement with the treatment plan.

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: Yeah, and I got an M R I.

assistant: Can I see the report?

user: Yes, here you go.

assistant: This M R I shows an A C L tear. Do you have any instability in this knee?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This is a 39-year-old female who has sustained a twisting injury to her knee while on trampoline in late August.  She was diagnosed per MRI.  An MRI confirmed the clinical diagnosis of anterior cruciate ligament tear.  She states she has had multiple episodes of instability to the patellofemoral joint throughout the years with multiple dislocations.  She elected to proceed with surgery to repair the anterior cruciate ligament as well as possibly plicate the medial retinaculum to help prevent further dislocations of the patellofemoral joint.  All risks and benefits of surgery were discussed with her at length.  She was in agreement with the treatment plan.

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, here you go.

assistant: This M R I shows an A C L tear. Do you have any instability in this knee?

user: Yeah, I feel like my knee joint has been unstable for years.

assistant: Have there been any dislocations?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This is a 39-year-old female who has sustained a twisting injury to her knee while on trampoline in late August.  She was diagnosed per MRI.  An MRI confirmed the clinical diagnosis of anterior cruciate ligament tear.  She states she has had multiple episodes of instability to the patellofemoral joint throughout the years with multiple dislocations.  She elected to proceed with surgery to repair the anterior cruciate ligament as well as possibly plicate the medial retinaculum to help prevent further dislocations of the patellofemoral joint.  All risks and benefits of surgery were discussed with her at length.  She was in agreement with the treatment plan.

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: Yeah, I feel like my knee joint has been unstable for years.

assistant: Have there been any dislocations?

user: Yeah, there have been. What can be done about this?

assistant: Well, there's surgery to fix this. I can repair that A C L.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This is a 39-year-old female who has sustained a twisting injury to her knee while on trampoline in late August.  She was diagnosed per MRI.  An MRI confirmed the clinical diagnosis of anterior cruciate ligament tear.  She states she has had multiple episodes of instability to the patellofemoral joint throughout the years with multiple dislocations.  She elected to proceed with surgery to repair the anterior cruciate ligament as well as possibly plicate the medial retinaculum to help prevent further dislocations of the patellofemoral joint.  All risks and benefits of surgery were discussed with her at length.  She was in agreement with the treatment plan.

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: Yeah, there have been. What can be done about this?

assistant: Well, there's surgery to fix this. I can repair that A C L.

user: What are the risks of infection with the procedure?

assistant: Historically, it's less than one percent. We use antibiotics to control for infection.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This is a 39-year-old female who has sustained a twisting injury to her knee while on trampoline in late August.  She was diagnosed per MRI.  An MRI confirmed the clinical diagnosis of anterior cruciate ligament tear.  She states she has had multiple episodes of instability to the patellofemoral joint throughout the years with multiple dislocations.  She elected to proceed with surgery to repair the anterior cruciate ligament as well as possibly plicate the medial retinaculum to help prevent further dislocations of the patellofemoral joint.  All risks and benefits of surgery were discussed with her at length.  She was in agreement with the treatment plan.

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: What are the risks of infection with the procedure?

assistant: Historically, it's less than one percent. We use antibiotics to control for infection.

user: Will I go under for this?

assistant: Yes, you won't feel a thing.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This is a 39-year-old female who has sustained a twisting injury to her knee while on trampoline in late August.  She was diagnosed per MRI.  An MRI confirmed the clinical diagnosis of anterior cruciate ligament tear.  She states she has had multiple episodes of instability to the patellofemoral joint throughout the years with multiple dislocations.  She elected to proceed with surgery to repair the anterior cruciate ligament as well as possibly plicate the medial retinaculum to help prevent further dislocations of the patellofemoral joint.  All risks and benefits of surgery were discussed with her at length.  She was in agreement with the treatment plan.

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: Will I go under for this?

assistant: Yes, you won't feel a thing.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This is a 39-year-old female who has sustained a twisting injury to her knee while on trampoline in late August.  She was diagnosed per MRI.  An MRI confirmed the clinical diagnosis of anterior cruciate ligament tear.  She states she has had multiple episodes of instability to the patellofemoral joint throughout the years with multiple dislocations.  She elected to proceed with surgery to repair the anterior cruciate ligament as well as possibly plicate the medial retinaculum to help prevent further dislocations of the patellofemoral joint.  All risks and benefits of surgery were discussed with her at length.  She was in agreement with the treatment plan.

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: Good morning, ma'am. My nurses tell me that you're thirty nine years old, is that correct?

user: Good morning, Doctor. Yes, that's correct.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This is a 39-year-old female who has sustained a twisting injury to her knee while on trampoline in late August.  She was diagnosed per MRI.  An MRI confirmed the clinical diagnosis of anterior cruciate ligament tear.  She states she has had multiple episodes of instability to the patellofemoral joint throughout the years with multiple dislocations.  She elected to proceed with surgery to repair the anterior cruciate ligament as well as possibly plicate the medial retinaculum to help prevent further dislocations of the patellofemoral joint.  All risks and benefits of surgery were discussed with her at length.  She was in agreement with the treatment plan.

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: Good morning, ma'am. My nurses tell me that you're thirty nine years old, is that correct?

user: Good morning, Doctor. Yes, that's correct.

assistant: So, what seems to be the problem today, ma'am?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This is a 39-year-old female who has sustained a twisting injury to her knee while on trampoline in late August.  She was diagnosed per MRI.  An MRI confirmed the clinical diagnosis of anterior cruciate ligament tear.  She states she has had multiple episodes of instability to the patellofemoral joint throughout the years with multiple dislocations.  She elected to proceed with surgery to repair the anterior cruciate ligament as well as possibly plicate the medial retinaculum to help prevent further dislocations of the patellofemoral joint.  All risks and benefits of surgery were discussed with her at length.  She was in agreement with the treatment plan.

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: Good morning, ma'am. My nurses tell me that you're thirty nine years old, is that correct?

user: Good morning, Doctor. Yes, that's correct.

assistant: So, what seems to be the problem today, ma'am?

user: I hurt my knee while on the trampoline back in late August.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: Her father died from leukemia.  Her mother died from kidney and heart failure.  She has two brothers; five sisters, one with breast cancer; two sons; and a daughter.  She describes cancer, hypertension, nervous condition, kidney disease, high cholesterol, and depression in her family.

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: Can you tell me more about your family history, ma'am? How is your father doing?

user: Well, doctor, my father passed away from leukemia a while back.

assistant: I'm so sorry to hear that. What about your mother? How is she doing?

user: She died too. She had kidney and heart failure.

assistant: I'm sorry, ma'am.

user: Oh, it's okay doctor, thank you.

assistant: Do you have any siblings?

user: Yes, I have two brothers and five sisters.

assistant: That's a big family, do they have any conditions that you know about?

user: One of my sisters has breast cancer.

assistant: Okay, thank you. Do you have any children?

user: Yeah, I have two sons and a daughter.

assistant: That's great. Do you have any other conditions I should know about?

user: Well, in addition to all of that, there's some high cholesterol, um, depression, and a nervous condition.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: Her father died from leukemia.  Her mother died from kidney and heart failure.  She has two brothers; five sisters, one with breast cancer; two sons; and a daughter.  She describes cancer, hypertension, nervous condition, kidney disease, high cholesterol, and depression in her family.

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, doctor, my father passed away from leukemia a while back.

assistant: I'm so sorry to hear that. What about your mother? How is she doing?

user: She died too. She had kidney and heart failure.

assistant: I'm sorry, ma'am.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: Her father died from leukemia.  Her mother died from kidney and heart failure.  She has two brothers; five sisters, one with breast cancer; two sons; and a daughter.  She describes cancer, hypertension, nervous condition, kidney disease, high cholesterol, and depression in her family.

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 died too. She had kidney and heart failure.

assistant: I'm sorry, ma'am.

user: Oh, it's okay doctor, thank you.

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

Section: FAM/SOCHX
Patient Information: Her father died from leukemia.  Her mother died from kidney and heart failure.  She has two brothers; five sisters, one with breast cancer; two sons; and a daughter.  She describes cancer, hypertension, nervous condition, kidney disease, high cholesterol, and depression in her family.

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: Oh, it's okay doctor, thank you.

assistant: Do you have any siblings?

user: Yes, I have two brothers and five sisters.

assistant: That's a big family, do they have any conditions that you know about?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: Her father died from leukemia.  Her mother died from kidney and heart failure.  She has two brothers; five sisters, one with breast cancer; two sons; and a daughter.  She describes cancer, hypertension, nervous condition, kidney disease, high cholesterol, and depression in her family.

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, I have two brothers and five sisters.

assistant: That's a big family, do they have any conditions that you know about?

user: One of my sisters has breast cancer.

assistant: Okay, thank you. Do you have any children?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: Her father died from leukemia.  Her mother died from kidney and heart failure.  She has two brothers; five sisters, one with breast cancer; two sons; and a daughter.  She describes cancer, hypertension, nervous condition, kidney disease, high cholesterol, and depression in her family.

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: One of my sisters has breast cancer.

assistant: Okay, thank you. Do you have any children?

user: Yeah, I have two sons and a daughter.

assistant: That's great. Do you have any other conditions I should know about?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: Her father died from leukemia.  Her mother died from kidney and heart failure.  She has two brothers; five sisters, one with breast cancer; two sons; and a daughter.  She describes cancer, hypertension, nervous condition, kidney disease, high cholesterol, and depression in her family.

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: Yeah, I have two sons and a daughter.

assistant: That's great. Do you have any other conditions I should know about?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: Her father died from leukemia.  Her mother died from kidney and heart failure.  She has two brothers; five sisters, one with breast cancer; two sons; and a daughter.  She describes cancer, hypertension, nervous condition, kidney disease, high cholesterol, and depression in her family.

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: Can you tell me more about your family history, ma'am? How is your father doing?

user: Well, doctor, my father passed away from leukemia a while back.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: Her father died from leukemia.  Her mother died from kidney and heart failure.  She has two brothers; five sisters, one with breast cancer; two sons; and a daughter.  She describes cancer, hypertension, nervous condition, kidney disease, high cholesterol, and depression in her family.

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: Can you tell me more about your family history, ma'am? How is your father doing?

user: Well, doctor, my father passed away from leukemia a while back.

assistant: I'm so sorry to hear that. What about your mother? How is she doing?