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 presented initially to the Pulmonary Clinic with dyspnea on minimal exertion.  At that time, she was evaluated and found to have evidence for sleep disruption and daytime fatigue.  She also complained of nocturnal choking episodes that have since abated over the past several months.  In the meantime, she had been scheduled for an overnight sleep study performed to evaluate her for sleep apnea, returns today to review her study results. The patient's sleep patterns consist of going to bed between 9.00 and 10.00 p.m. and awakening in the morning between 5.00 and 6.00 a.m.  She reports difficulty in initiating sleep and then recurrent awakenings every 1 to 2 hours throughout the night.  She reports tossing and turning throughout the night and awakening with the sheets in disarray.  She reports that her sleep was much better quality in the sleep laboratory as compared to home.  When she awakens, she might have a dull headache and feels tired in the morning.  Her daughter reports that she has heard the patient talking during sleep and snoring.  There are no apneic episodes.  The patient reports that she used to cough a lot in the middle of the night, but has no longer been doing so in recent weeks. During the daytime, the patient reports spending a lot of sedentary time reading and watching TV.  She routinely dozes off during these sedentary activities.  She also might nap between 2.00 and 3.00 p.m., and nods off in the evening hours. The patient smokes perhaps one to two packs of cigarettes per day, particularly after dinner. She reports that her weight has fluctuated and peaked at 260 pounds approximately 1 year ago.  Since that time, her weight is down by approximately 30 pounds. The patient is managed in Outpatient Psychiatry and at her Maintenance Clinic.  She takes methadone, trazodone, and Seroquel.

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 spent a lot of time reading and watching T V. Sometimes I doze off while doing that. Not regular, but I do take nap sometimes in between two to three in afternoon and also in the evening hours.

assistant: Do you smoke?

user: Oh yes, I take around one to two packs of cigarettes each day mainly after dinner.

assistant: Have you noticed any change in your weight?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient presented initially to the Pulmonary Clinic with dyspnea on minimal exertion.  At that time, she was evaluated and found to have evidence for sleep disruption and daytime fatigue.  She also complained of nocturnal choking episodes that have since abated over the past several months.  In the meantime, she had been scheduled for an overnight sleep study performed to evaluate her for sleep apnea, returns today to review her study results. The patient's sleep patterns consist of going to bed between 9.00 and 10.00 p.m. and awakening in the morning between 5.00 and 6.00 a.m.  She reports difficulty in initiating sleep and then recurrent awakenings every 1 to 2 hours throughout the night.  She reports tossing and turning throughout the night and awakening with the sheets in disarray.  She reports that her sleep was much better quality in the sleep laboratory as compared to home.  When she awakens, she might have a dull headache and feels tired in the morning.  Her daughter reports that she has heard the patient talking during sleep and snoring.  There are no apneic episodes.  The patient reports that she used to cough a lot in the middle of the night, but has no longer been doing so in recent weeks. During the daytime, the patient reports spending a lot of sedentary time reading and watching TV.  She routinely dozes off during these sedentary activities.  She also might nap between 2.00 and 3.00 p.m., and nods off in the evening hours. The patient smokes perhaps one to two packs of cigarettes per day, particularly after dinner. She reports that her weight has fluctuated and peaked at 260 pounds approximately 1 year ago.  Since that time, her weight is down by approximately 30 pounds. The patient is managed in Outpatient Psychiatry and at her Maintenance Clinic.  She takes methadone, trazodone, and Seroquel.

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 yes, I take around one to two packs of cigarettes each day mainly after dinner.

assistant: Have you noticed any change in your weight?

user: My weight always keeps fluctuating. I remember I was at my maximum weight of two hundred and sixty pounds around one year ago.

assistant: If that was your maximum how is your weight now?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient presented initially to the Pulmonary Clinic with dyspnea on minimal exertion.  At that time, she was evaluated and found to have evidence for sleep disruption and daytime fatigue.  She also complained of nocturnal choking episodes that have since abated over the past several months.  In the meantime, she had been scheduled for an overnight sleep study performed to evaluate her for sleep apnea, returns today to review her study results. The patient's sleep patterns consist of going to bed between 9.00 and 10.00 p.m. and awakening in the morning between 5.00 and 6.00 a.m.  She reports difficulty in initiating sleep and then recurrent awakenings every 1 to 2 hours throughout the night.  She reports tossing and turning throughout the night and awakening with the sheets in disarray.  She reports that her sleep was much better quality in the sleep laboratory as compared to home.  When she awakens, she might have a dull headache and feels tired in the morning.  Her daughter reports that she has heard the patient talking during sleep and snoring.  There are no apneic episodes.  The patient reports that she used to cough a lot in the middle of the night, but has no longer been doing so in recent weeks. During the daytime, the patient reports spending a lot of sedentary time reading and watching TV.  She routinely dozes off during these sedentary activities.  She also might nap between 2.00 and 3.00 p.m., and nods off in the evening hours. The patient smokes perhaps one to two packs of cigarettes per day, particularly after dinner. She reports that her weight has fluctuated and peaked at 260 pounds approximately 1 year ago.  Since that time, her weight is down by approximately 30 pounds. The patient is managed in Outpatient Psychiatry and at her Maintenance Clinic.  She takes methadone, trazodone, and Seroquel.

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

user: My weight always keeps fluctuating. I remember I was at my maximum weight of two hundred and sixty pounds around one year ago.

assistant: If that was your maximum how is your weight now?

user: Now it is down by approximately thirty pounds.

assistant: So, for your health care, you are coming here in the outpatient psychiatry and also going to your maintenance clinic, right?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient presented initially to the Pulmonary Clinic with dyspnea on minimal exertion.  At that time, she was evaluated and found to have evidence for sleep disruption and daytime fatigue.  She also complained of nocturnal choking episodes that have since abated over the past several months.  In the meantime, she had been scheduled for an overnight sleep study performed to evaluate her for sleep apnea, returns today to review her study results. The patient's sleep patterns consist of going to bed between 9.00 and 10.00 p.m. and awakening in the morning between 5.00 and 6.00 a.m.  She reports difficulty in initiating sleep and then recurrent awakenings every 1 to 2 hours throughout the night.  She reports tossing and turning throughout the night and awakening with the sheets in disarray.  She reports that her sleep was much better quality in the sleep laboratory as compared to home.  When she awakens, she might have a dull headache and feels tired in the morning.  Her daughter reports that she has heard the patient talking during sleep and snoring.  There are no apneic episodes.  The patient reports that she used to cough a lot in the middle of the night, but has no longer been doing so in recent weeks. During the daytime, the patient reports spending a lot of sedentary time reading and watching TV.  She routinely dozes off during these sedentary activities.  She also might nap between 2.00 and 3.00 p.m., and nods off in the evening hours. The patient smokes perhaps one to two packs of cigarettes per day, particularly after dinner. She reports that her weight has fluctuated and peaked at 260 pounds approximately 1 year ago.  Since that time, her weight is down by approximately 30 pounds. The patient is managed in Outpatient Psychiatry and at her Maintenance Clinic.  She takes methadone, trazodone, and Seroquel.

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: Now it is down by approximately thirty pounds.

assistant: So, for your health care, you are coming here in the outpatient psychiatry and also going to your maintenance clinic, right?

user: Yes, that's right.

assistant: Your current medications include Methadone, Trazodone, and Seroquel.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient presented initially to the Pulmonary Clinic with dyspnea on minimal exertion.  At that time, she was evaluated and found to have evidence for sleep disruption and daytime fatigue.  She also complained of nocturnal choking episodes that have since abated over the past several months.  In the meantime, she had been scheduled for an overnight sleep study performed to evaluate her for sleep apnea, returns today to review her study results. The patient's sleep patterns consist of going to bed between 9.00 and 10.00 p.m. and awakening in the morning between 5.00 and 6.00 a.m.  She reports difficulty in initiating sleep and then recurrent awakenings every 1 to 2 hours throughout the night.  She reports tossing and turning throughout the night and awakening with the sheets in disarray.  She reports that her sleep was much better quality in the sleep laboratory as compared to home.  When she awakens, she might have a dull headache and feels tired in the morning.  Her daughter reports that she has heard the patient talking during sleep and snoring.  There are no apneic episodes.  The patient reports that she used to cough a lot in the middle of the night, but has no longer been doing so in recent weeks. During the daytime, the patient reports spending a lot of sedentary time reading and watching TV.  She routinely dozes off during these sedentary activities.  She also might nap between 2.00 and 3.00 p.m., and nods off in the evening hours. The patient smokes perhaps one to two packs of cigarettes per day, particularly after dinner. She reports that her weight has fluctuated and peaked at 260 pounds approximately 1 year ago.  Since that time, her weight is down by approximately 30 pounds. The patient is managed in Outpatient Psychiatry and at her Maintenance Clinic.  She takes methadone, trazodone, and Seroquel.

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, that's right.

assistant: Your current medications include Methadone, Trazodone, and Seroquel.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient presented initially to the Pulmonary Clinic with dyspnea on minimal exertion.  At that time, she was evaluated and found to have evidence for sleep disruption and daytime fatigue.  She also complained of nocturnal choking episodes that have since abated over the past several months.  In the meantime, she had been scheduled for an overnight sleep study performed to evaluate her for sleep apnea, returns today to review her study results. The patient's sleep patterns consist of going to bed between 9.00 and 10.00 p.m. and awakening in the morning between 5.00 and 6.00 a.m.  She reports difficulty in initiating sleep and then recurrent awakenings every 1 to 2 hours throughout the night.  She reports tossing and turning throughout the night and awakening with the sheets in disarray.  She reports that her sleep was much better quality in the sleep laboratory as compared to home.  When she awakens, she might have a dull headache and feels tired in the morning.  Her daughter reports that she has heard the patient talking during sleep and snoring.  There are no apneic episodes.  The patient reports that she used to cough a lot in the middle of the night, but has no longer been doing so in recent weeks. During the daytime, the patient reports spending a lot of sedentary time reading and watching TV.  She routinely dozes off during these sedentary activities.  She also might nap between 2.00 and 3.00 p.m., and nods off in the evening hours. The patient smokes perhaps one to two packs of cigarettes per day, particularly after dinner. She reports that her weight has fluctuated and peaked at 260 pounds approximately 1 year ago.  Since that time, her weight is down by approximately 30 pounds. The patient is managed in Outpatient Psychiatry and at her Maintenance Clinic.  She takes methadone, trazodone, and Seroquel.

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: So, you are here to review your sleep study results, right?

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

Section: GENHX
Patient Information: The patient presented initially to the Pulmonary Clinic with dyspnea on minimal exertion.  At that time, she was evaluated and found to have evidence for sleep disruption and daytime fatigue.  She also complained of nocturnal choking episodes that have since abated over the past several months.  In the meantime, she had been scheduled for an overnight sleep study performed to evaluate her for sleep apnea, returns today to review her study results. The patient's sleep patterns consist of going to bed between 9.00 and 10.00 p.m. and awakening in the morning between 5.00 and 6.00 a.m.  She reports difficulty in initiating sleep and then recurrent awakenings every 1 to 2 hours throughout the night.  She reports tossing and turning throughout the night and awakening with the sheets in disarray.  She reports that her sleep was much better quality in the sleep laboratory as compared to home.  When she awakens, she might have a dull headache and feels tired in the morning.  Her daughter reports that she has heard the patient talking during sleep and snoring.  There are no apneic episodes.  The patient reports that she used to cough a lot in the middle of the night, but has no longer been doing so in recent weeks. During the daytime, the patient reports spending a lot of sedentary time reading and watching TV.  She routinely dozes off during these sedentary activities.  She also might nap between 2.00 and 3.00 p.m., and nods off in the evening hours. The patient smokes perhaps one to two packs of cigarettes per day, particularly after dinner. She reports that her weight has fluctuated and peaked at 260 pounds approximately 1 year ago.  Since that time, her weight is down by approximately 30 pounds. The patient is managed in Outpatient Psychiatry and at her Maintenance Clinic.  She takes methadone, trazodone, and Seroquel.

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: So, you are here to review your sleep study results, right?

user: That's right.

assistant: First let's go back to your medical history a little bit and then we will continue with the result. Patient: Sure.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient presented initially to the Pulmonary Clinic with dyspnea on minimal exertion.  At that time, she was evaluated and found to have evidence for sleep disruption and daytime fatigue.  She also complained of nocturnal choking episodes that have since abated over the past several months.  In the meantime, she had been scheduled for an overnight sleep study performed to evaluate her for sleep apnea, returns today to review her study results. The patient's sleep patterns consist of going to bed between 9.00 and 10.00 p.m. and awakening in the morning between 5.00 and 6.00 a.m.  She reports difficulty in initiating sleep and then recurrent awakenings every 1 to 2 hours throughout the night.  She reports tossing and turning throughout the night and awakening with the sheets in disarray.  She reports that her sleep was much better quality in the sleep laboratory as compared to home.  When she awakens, she might have a dull headache and feels tired in the morning.  Her daughter reports that she has heard the patient talking during sleep and snoring.  There are no apneic episodes.  The patient reports that she used to cough a lot in the middle of the night, but has no longer been doing so in recent weeks. During the daytime, the patient reports spending a lot of sedentary time reading and watching TV.  She routinely dozes off during these sedentary activities.  She also might nap between 2.00 and 3.00 p.m., and nods off in the evening hours. The patient smokes perhaps one to two packs of cigarettes per day, particularly after dinner. She reports that her weight has fluctuated and peaked at 260 pounds approximately 1 year ago.  Since that time, her weight is down by approximately 30 pounds. The patient is managed in Outpatient Psychiatry and at her Maintenance Clinic.  She takes methadone, trazodone, and Seroquel.

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: So, you are here to review your sleep study results, right?

user: That's right.

assistant: First let's go back to your medical history a little bit and then we will continue with the result. Patient: Sure.

assistant: So, you first came to our Pulmonary Clinic, and you were suffering with dyspnea even on minimal exertion. At that time, we evaluated you and we realized that there was some evidence of irregular sleep and daytime fatigue. At that time you also complained of nighttime choking episodes which got less intense over the past many months.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTMEDICALHX
Patient Information: GERD, hypertension times 20 years, arthritis, Parkinson's, TIA, chronic atrial fibrillation, on Coumadin three years.

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: So, I see you were diagnosed with an acid reflux problem and high blood pressure twenty years back?

user: Yes.

assistant: And then you also have arthritis and Parkinson's.

user: Yes, both.

assistant: Also, you had a brain stroke?

user: Yes, mini stroke!

assistant: Ah, yes. We also call it as T I A.

user: Okay.

assistant: And currently are you on any medications?

user: Just Coumadin, for my chronic A Fib. I have been on it three years.

assistant: Yeah, atrial fibrillation.

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

Section: PASTMEDICALHX
Patient Information: GERD, hypertension times 20 years, arthritis, Parkinson's, TIA, chronic atrial fibrillation, on Coumadin three years.

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.

assistant: And then you also have arthritis and Parkinson's.

user: Yes, both.

assistant: Also, you had a brain stroke?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTMEDICALHX
Patient Information: GERD, hypertension times 20 years, arthritis, Parkinson's, TIA, chronic atrial fibrillation, on Coumadin three years.

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, both.

assistant: Also, you had a brain stroke?

user: Yes, mini stroke!

assistant: Ah, yes. We also call it as T I A.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTMEDICALHX
Patient Information: GERD, hypertension times 20 years, arthritis, Parkinson's, TIA, chronic atrial fibrillation, on Coumadin three years.

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, mini stroke!

assistant: Ah, yes. We also call it as T I A.

user: Okay.

assistant: And currently are you on any medications?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTMEDICALHX
Patient Information: GERD, hypertension times 20 years, arthritis, Parkinson's, TIA, chronic atrial fibrillation, on Coumadin three years.

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: Okay.

assistant: And currently are you on any medications?

user: Just Coumadin, for my chronic A Fib. I have been on it three years.

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

Section: PASTMEDICALHX
Patient Information: GERD, hypertension times 20 years, arthritis, Parkinson's, TIA, chronic atrial fibrillation, on Coumadin three years.

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: Just Coumadin, for my chronic A Fib. I have been on it three years.

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

Section: PASTMEDICALHX
Patient Information: GERD, hypertension times 20 years, arthritis, Parkinson's, TIA, chronic atrial fibrillation, on Coumadin three years.

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: So, I see you were diagnosed with an acid reflux problem and high blood pressure twenty years back?

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

Section: PASTMEDICALHX
Patient Information: GERD, hypertension times 20 years, arthritis, Parkinson's, TIA, chronic atrial fibrillation, on Coumadin three years.

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: So, I see you were diagnosed with an acid reflux problem and high blood pressure twenty years back?

user: Yes.

assistant: And then you also have arthritis and Parkinson's.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTMEDICALHX
Patient Information: GERD, hypertension times 20 years, arthritis, Parkinson's, TIA, chronic atrial fibrillation, on Coumadin three years.

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: So, I see you were diagnosed with an acid reflux problem and high blood pressure twenty years back?

user: Yes.

assistant: And then you also have arthritis and Parkinson's.

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

Section: GENHX
Patient Information: The patient states she is feeling a bit better.

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.

user: Good morning, doctor.

assistant: How are you feeling today?

user: Honestly, I'm feeling a little bit better.

assistant: That's good to hear, ma'am.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient states she is feeling a bit better.

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.

assistant: How are you feeling today?

user: Honestly, I'm feeling a little bit better.

assistant: That's good to hear, ma'am.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient states she is feeling a bit better.

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.

user: Good morning, doctor.

assistant: How are you feeling today?

user: Honestly, I'm feeling a little bit better.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: CC
Patient Information: Questionable need for antibiotic therapy for possible lower extremity cellulitis.

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: I see here that he may need antibiotic therapy for possible cellulitis of his lower extremities.

assistant: According to the patient, his symptoms started getting progressively worse over the past two days.

assistant: Does he have a history of cellulitis?

assistant: No.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: CC
Patient Information: Questionable need for antibiotic therapy for possible lower extremity cellulitis.

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: I see here that he may need antibiotic therapy for possible cellulitis of his lower extremities.

assistant: According to the patient, his symptoms started getting progressively worse over the past two days.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: CC
Patient Information: Questionable need for antibiotic therapy for possible lower extremity cellulitis.

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: I see here that he may need antibiotic therapy for possible cellulitis of his lower extremities.

assistant: According to the patient, his symptoms started getting progressively worse over the past two days.

assistant: Does he have a history of cellulitis?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: The patient was born and raised in North Carolina.  She was the sixth of nine siblings.  Her father was a chef.  He completed third grade and died at 60 due to complications of diabetes.  Her mother is 93 years old.  Her last job was as a janitor.  She completed fourth grade.  She reported that she has no cognitive problems at this time.  Family medical history is significant for diabetes, heart disease, hypertension, thyroid problems, sarcoidosis, and possible multiple sclerosis and depression.  The patient completed a Bachelor of Science in Nursing through State University in 1979.  She denied any history of problems in school such as learning disabilities, attentional problems, difficulty learning to read, failed grades, special help in school or behavioral problems.  She was married for two years.  Her ex-husband died in 1980 from acute pancreatitis secondary to alcohol abuse.  She has two children ages 43 and 30.  Her son whose age is 30 lives nearby and is in consistent contact with her and she is also in frequent contact and has a close relationship with her daughter who lives in New York.  In school, the patient reported obtaining primarily A's and B's.  She said that her strongest subject was math while her worst was spelling, although she reported that her grades were still quite good in spelling.  The patient worked for Hospital Center for four years.  Prior to that, she worked for an outpatient mental health center for 2-1/2 years.  She was reportedly either terminated or laid off and was unsure of the reason for that.  Prior to that, she worked for Walter P. Carter Center reportedly for 21 years.  She has also worked as an OB nurse in the past.  She reported that other than the two instances reported above, she had never been terminated or fired from a job.  In her spare time, the patient enjoys reading, participating in women's groups doing puzzles, playing computer games.

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: Are you from the area?

user: No. I was born and raised in North Carolina. I am the sixth of nine siblings.

assistant: Tell me about you family medical history.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: The patient was born and raised in North Carolina.  She was the sixth of nine siblings.  Her father was a chef.  He completed third grade and died at 60 due to complications of diabetes.  Her mother is 93 years old.  Her last job was as a janitor.  She completed fourth grade.  She reported that she has no cognitive problems at this time.  Family medical history is significant for diabetes, heart disease, hypertension, thyroid problems, sarcoidosis, and possible multiple sclerosis and depression.  The patient completed a Bachelor of Science in Nursing through State University in 1979.  She denied any history of problems in school such as learning disabilities, attentional problems, difficulty learning to read, failed grades, special help in school or behavioral problems.  She was married for two years.  Her ex-husband died in 1980 from acute pancreatitis secondary to alcohol abuse.  She has two children ages 43 and 30.  Her son whose age is 30 lives nearby and is in consistent contact with her and she is also in frequent contact and has a close relationship with her daughter who lives in New York.  In school, the patient reported obtaining primarily A's and B's.  She said that her strongest subject was math while her worst was spelling, although she reported that her grades were still quite good in spelling.  The patient worked for Hospital Center for four years.  Prior to that, she worked for an outpatient mental health center for 2-1/2 years.  She was reportedly either terminated or laid off and was unsure of the reason for that.  Prior to that, she worked for Walter P. Carter Center reportedly for 21 years.  She has also worked as an OB nurse in the past.  She reported that other than the two instances reported above, she had never been terminated or fired from a job.  In her spare time, the patient enjoys reading, participating in women's groups doing puzzles, playing computer games.

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

user: No. I was born and raised in North Carolina. I am the sixth of nine siblings.

assistant: Tell me about you family medical history.

user: My family has significant amount of diabetes, heart disease, high blood pressure, thyroid problems, autoimmune disease, possible multiple sclerosis, and depression issues.

assistant: That is a lot. What is your medical history involving your parents?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: The patient was born and raised in North Carolina.  She was the sixth of nine siblings.  Her father was a chef.  He completed third grade and died at 60 due to complications of diabetes.  Her mother is 93 years old.  Her last job was as a janitor.  She completed fourth grade.  She reported that she has no cognitive problems at this time.  Family medical history is significant for diabetes, heart disease, hypertension, thyroid problems, sarcoidosis, and possible multiple sclerosis and depression.  The patient completed a Bachelor of Science in Nursing through State University in 1979.  She denied any history of problems in school such as learning disabilities, attentional problems, difficulty learning to read, failed grades, special help in school or behavioral problems.  She was married for two years.  Her ex-husband died in 1980 from acute pancreatitis secondary to alcohol abuse.  She has two children ages 43 and 30.  Her son whose age is 30 lives nearby and is in consistent contact with her and she is also in frequent contact and has a close relationship with her daughter who lives in New York.  In school, the patient reported obtaining primarily A's and B's.  She said that her strongest subject was math while her worst was spelling, although she reported that her grades were still quite good in spelling.  The patient worked for Hospital Center for four years.  Prior to that, she worked for an outpatient mental health center for 2-1/2 years.  She was reportedly either terminated or laid off and was unsure of the reason for that.  Prior to that, she worked for Walter P. Carter Center reportedly for 21 years.  She has also worked as an OB nurse in the past.  She reported that other than the two instances reported above, she had never been terminated or fired from a job.  In her spare time, the patient enjoys reading, participating in women's groups doing puzzles, playing computer games.

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

user: My dad died due to complications of his diabetes.  He passed when he was sixty. My dad was a chef. My mom is doing well. She is ninety three. Both my parents never finished high school. My dad had a third grade education and my mom made it through fourth grade. She was a janitor. She was a smart woman she just never finished her schooling. My parents encouraged me to finish school and to go to college. I got my Bachelor of Science in Nursing at the State University in nineteen seventy nine.

assistant: Did you have any problems in school such as learning disabilities, attentional problems, difficulty learning to read, failed grades, special help in school or behavioral problems?

user: No. I mostly got A's and B's.  My strongest subject was math, but my worst subject was spelling. My grades were still quite good in spelling, but I had to work hard at it.

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

Section: FAM/SOCHX
Patient Information: The patient was born and raised in North Carolina.  She was the sixth of nine siblings.  Her father was a chef.  He completed third grade and died at 60 due to complications of diabetes.  Her mother is 93 years old.  Her last job was as a janitor.  She completed fourth grade.  She reported that she has no cognitive problems at this time.  Family medical history is significant for diabetes, heart disease, hypertension, thyroid problems, sarcoidosis, and possible multiple sclerosis and depression.  The patient completed a Bachelor of Science in Nursing through State University in 1979.  She denied any history of problems in school such as learning disabilities, attentional problems, difficulty learning to read, failed grades, special help in school or behavioral problems.  She was married for two years.  Her ex-husband died in 1980 from acute pancreatitis secondary to alcohol abuse.  She has two children ages 43 and 30.  Her son whose age is 30 lives nearby and is in consistent contact with her and she is also in frequent contact and has a close relationship with her daughter who lives in New York.  In school, the patient reported obtaining primarily A's and B's.  She said that her strongest subject was math while her worst was spelling, although she reported that her grades were still quite good in spelling.  The patient worked for Hospital Center for four years.  Prior to that, she worked for an outpatient mental health center for 2-1/2 years.  She was reportedly either terminated or laid off and was unsure of the reason for that.  Prior to that, she worked for Walter P. Carter Center reportedly for 21 years.  She has also worked as an OB nurse in the past.  She reported that other than the two instances reported above, she had never been terminated or fired from a job.  In her spare time, the patient enjoys reading, participating in women's groups doing puzzles, playing computer games.

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

user: No. I mostly got A's and B's.  My strongest subject was math, but my worst subject was spelling. My grades were still quite good in spelling, but I had to work hard at it.

assistant: Are you married?

user: I was married for two years. We had two children together. They are forty three and thirty now. My son is the youngest, lives nearby and calls me or stops by every day. My daughter calls me often but she lives in New York. We are close. Their dad, my exhusband passed away in nineteen eighty. He was an alcoholic. His pancreas had enough and shut down.

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

Section: FAM/SOCHX
Patient Information: The patient was born and raised in North Carolina.  She was the sixth of nine siblings.  Her father was a chef.  He completed third grade and died at 60 due to complications of diabetes.  Her mother is 93 years old.  Her last job was as a janitor.  She completed fourth grade.  She reported that she has no cognitive problems at this time.  Family medical history is significant for diabetes, heart disease, hypertension, thyroid problems, sarcoidosis, and possible multiple sclerosis and depression.  The patient completed a Bachelor of Science in Nursing through State University in 1979.  She denied any history of problems in school such as learning disabilities, attentional problems, difficulty learning to read, failed grades, special help in school or behavioral problems.  She was married for two years.  Her ex-husband died in 1980 from acute pancreatitis secondary to alcohol abuse.  She has two children ages 43 and 30.  Her son whose age is 30 lives nearby and is in consistent contact with her and she is also in frequent contact and has a close relationship with her daughter who lives in New York.  In school, the patient reported obtaining primarily A's and B's.  She said that her strongest subject was math while her worst was spelling, although she reported that her grades were still quite good in spelling.  The patient worked for Hospital Center for four years.  Prior to that, she worked for an outpatient mental health center for 2-1/2 years.  She was reportedly either terminated or laid off and was unsure of the reason for that.  Prior to that, she worked for Walter P. Carter Center reportedly for 21 years.  She has also worked as an OB nurse in the past.  She reported that other than the two instances reported above, she had never been terminated or fired from a job.  In her spare time, the patient enjoys reading, participating in women's groups doing puzzles, playing computer games.

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 married for two years. We had two children together. They are forty three and thirty now. My son is the youngest, lives nearby and calls me or stops by every day. My daughter calls me often but she lives in New York. We are close. Their dad, my exhusband passed away in nineteen eighty. He was an alcoholic. His pancreas had enough and shut down.

assistant: I am so sorry.

user: He did it to himself.

assistant: Are you working in health care with your nursing degree?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: The patient was born and raised in North Carolina.  She was the sixth of nine siblings.  Her father was a chef.  He completed third grade and died at 60 due to complications of diabetes.  Her mother is 93 years old.  Her last job was as a janitor.  She completed fourth grade.  She reported that she has no cognitive problems at this time.  Family medical history is significant for diabetes, heart disease, hypertension, thyroid problems, sarcoidosis, and possible multiple sclerosis and depression.  The patient completed a Bachelor of Science in Nursing through State University in 1979.  She denied any history of problems in school such as learning disabilities, attentional problems, difficulty learning to read, failed grades, special help in school or behavioral problems.  She was married for two years.  Her ex-husband died in 1980 from acute pancreatitis secondary to alcohol abuse.  She has two children ages 43 and 30.  Her son whose age is 30 lives nearby and is in consistent contact with her and she is also in frequent contact and has a close relationship with her daughter who lives in New York.  In school, the patient reported obtaining primarily A's and B's.  She said that her strongest subject was math while her worst was spelling, although she reported that her grades were still quite good in spelling.  The patient worked for Hospital Center for four years.  Prior to that, she worked for an outpatient mental health center for 2-1/2 years.  She was reportedly either terminated or laid off and was unsure of the reason for that.  Prior to that, she worked for Walter P. Carter Center reportedly for 21 years.  She has also worked as an OB nurse in the past.  She reported that other than the two instances reported above, she had never been terminated or fired from a job.  In her spare time, the patient enjoys reading, participating in women's groups doing puzzles, playing computer games.

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 did it to himself.

assistant: Are you working in health care with your nursing degree?

user: I worked for Hospital Center for four years. Prior to that, I worked for an outpatient mental health center. I was there for about two and a years. I was fired or laid off I guess? I was not sure why they let me go. I was given no explanation. And before that, I worked for Walter P. Carter Center for twenty one years. I also worked as an O B nurse.  Other than the two instances, I had never been fired or let go from a job.

assistant: What do you do in your spare time now?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: The patient was born and raised in North Carolina.  She was the sixth of nine siblings.  Her father was a chef.  He completed third grade and died at 60 due to complications of diabetes.  Her mother is 93 years old.  Her last job was as a janitor.  She completed fourth grade.  She reported that she has no cognitive problems at this time.  Family medical history is significant for diabetes, heart disease, hypertension, thyroid problems, sarcoidosis, and possible multiple sclerosis and depression.  The patient completed a Bachelor of Science in Nursing through State University in 1979.  She denied any history of problems in school such as learning disabilities, attentional problems, difficulty learning to read, failed grades, special help in school or behavioral problems.  She was married for two years.  Her ex-husband died in 1980 from acute pancreatitis secondary to alcohol abuse.  She has two children ages 43 and 30.  Her son whose age is 30 lives nearby and is in consistent contact with her and she is also in frequent contact and has a close relationship with her daughter who lives in New York.  In school, the patient reported obtaining primarily A's and B's.  She said that her strongest subject was math while her worst was spelling, although she reported that her grades were still quite good in spelling.  The patient worked for Hospital Center for four years.  Prior to that, she worked for an outpatient mental health center for 2-1/2 years.  She was reportedly either terminated or laid off and was unsure of the reason for that.  Prior to that, she worked for Walter P. Carter Center reportedly for 21 years.  She has also worked as an OB nurse in the past.  She reported that other than the two instances reported above, she had never been terminated or fired from a job.  In her spare time, the patient enjoys reading, participating in women's groups doing puzzles, playing computer games.

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 worked for Hospital Center for four years. Prior to that, I worked for an outpatient mental health center. I was there for about two and a years. I was fired or laid off I guess? I was not sure why they let me go. I was given no explanation. And before that, I worked for Walter P. Carter Center for twenty one years. I also worked as an O B nurse.  Other than the two instances, I had never been fired or let go from a job.

assistant: What do you do in your spare time now?