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: Ms. ABC returns today for followup regarding her left shoulder pain and left upper extremity C6 radiculopathy.  I had last seen her on 06/21/07. At that time, she had been referred to me Dr. X and Dr. Y for evaluation of her left-sided C6 radiculopathy.  She also had a significant rotator cuff tear and is currently being evaluated for left-sided rotator cuff repair surgery, I believe on, approximately 07/20/07.  At our last visit, I only had a report of her prior cervical spine MRI.  I did not have any recent images.  I referred her for cervical spine MRI and she returns today. She states that her symptoms are unchanged.  She continues to have significant left-sided shoulder pain for which she is being evaluated and is scheduled for surgery with Dr. Y. She also has a second component of pain, which radiates down the left arm in a C6 distribution to the level of the wrist.  She has some associated minimal weakness described in detail in our prior office note.  No significant right upper extremity symptoms.  No bowel, bladder dysfunction.  No difficulty with ambulation.

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

assistant: Welcome back to the clinic, Miss A B C.

user: Thank you.

assistant: It looks like we last saw you June twenty first, this year. Doctor X and Y referred you for the evaluation of your pinched nerve in the C six regain on the left side. I also see that we are following up on the significant rotator cuff tear on the left side.  Did you get scheduled for the surgery with Doctor Yen yet?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: Ms. ABC returns today for followup regarding her left shoulder pain and left upper extremity C6 radiculopathy.  I had last seen her on 06/21/07. At that time, she had been referred to me Dr. X and Dr. Y for evaluation of her left-sided C6 radiculopathy.  She also had a significant rotator cuff tear and is currently being evaluated for left-sided rotator cuff repair surgery, I believe on, approximately 07/20/07.  At our last visit, I only had a report of her prior cervical spine MRI.  I did not have any recent images.  I referred her for cervical spine MRI and she returns today. She states that her symptoms are unchanged.  She continues to have significant left-sided shoulder pain for which she is being evaluated and is scheduled for surgery with Dr. Y. She also has a second component of pain, which radiates down the left arm in a C6 distribution to the level of the wrist.  She has some associated minimal weakness described in detail in our prior office note.  No significant right upper extremity symptoms.  No bowel, bladder dysfunction.  No difficulty with ambulation.

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

assistant: Welcome back to the clinic, Miss A B C.

user: Thank you.

assistant: It looks like we last saw you June twenty first, this year. Doctor X and Y referred you for the evaluation of your pinched nerve in the C six regain on the left side. I also see that we are following up on the significant rotator cuff tear on the left side.  Did you get scheduled for the surgery with Doctor Yen yet?

user: Yes. I believe the surgery is scheduled for July twentieth.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: CC
Patient Information: Medical management. The patient has been in special procedures now for over 2 hours and I am unable to examine.

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, how is the patient doing?

assistant: I actually don't know, I was not able to examine him. He is having special procedures done for the past two hours for some medical management.

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

Section: CC
Patient Information: Medical management. The patient has been in special procedures now for over 2 hours and I am unable to examine.

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, how is the patient doing?

assistant: I actually don't know, I was not able to examine him. He is having special procedures done for the past two hours for some medical management.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: ASSESSMENT
Patient Information: Clinical sinusitis and secondary cough.

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: So, you mean it is something simple?

assistant: Yes, it is probably sinus infection and then cough secondary to that infection.

user: Will that be treatable?

assistant: Yes, it is.

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

Section: ASSESSMENT
Patient Information: Clinical sinusitis and secondary cough.

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: So, you mean it is something simple?

assistant: Yes, it is probably sinus infection and then cough secondary to that infection.

user: Will that be treatable?

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

Section: DIAGNOSIS
Patient Information: 1.  Disseminated intravascular coagulation. 2.  Streptococcal pneumonia with sepsis.

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

assistant: You have an infection that has become septic. We are going to have to start you on intravenous antibiotics.

user: Okay.

assistant: We also need to address the blood clotting. I am going to give you an anticoagulant to prevent any further clotting issues. Do you have any questions?

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

Section: DIAGNOSIS
Patient Information: 1.  Disseminated intravascular coagulation. 2.  Streptococcal pneumonia with sepsis.

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: We also need to address the blood clotting. I am going to give you an anticoagulant to prevent any further clotting issues. Do you have any questions?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: DIAGNOSIS
Patient Information: 1.  Disseminated intravascular coagulation. 2.  Streptococcal pneumonia with sepsis.

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

assistant: You have an infection that has become septic. We are going to have to start you on intravenous antibiotics.

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

Section: DIAGNOSIS
Patient Information: 1.  Disseminated intravascular coagulation. 2.  Streptococcal pneumonia with sepsis.

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

assistant: You have an infection that has become septic. We are going to have to start you on intravenous antibiotics.

user: Okay.

assistant: We also need to address the blood clotting. I am going to give you an anticoagulant to prevent any further clotting issues. Do you have any questions?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: Occupation: truck driver. Work status: on sick leave. Marital status: married. Children: three. The patient lives at home with family. Tobacco history: smokes two packs of cigarettes per day. The patient denies the use of any alcoholic beverages. The patient denies any current or past history of illegal / recreational drug or prescription drug abuse or addiction. Family History: There are no known significant medical illnesses in the immediate and past family history.

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, what do you do for a living, sir?

user: Right now, I'm a truck driver, sir.

assistant: Wow, that's hard work. Are you working right now?

user: No, I can't right now, I'm on sick leave.

assistant: Are you married?

user: Yes, to my wonderful wife. She's helping to take care of me.

assistant: Do you two have any children?

user: Yes, we have three. We all live together, and for that I'm very thankful.

assistant: Do you smoke, sir?

user: Yeah, I smoke about two packs a day.

assistant: How about alcohol? Do you drink?

user: No, just smoking for me.

assistant: How about more illicit substances, have you used illegal or prescription drugs inappropriately?

user: Oh, absolutely not.

assistant: That's good. Do you have any other medical conditions that run in your family that I should know about?

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

Section: FAM/SOCHX
Patient Information: Occupation: truck driver. Work status: on sick leave. Marital status: married. Children: three. The patient lives at home with family. Tobacco history: smokes two packs of cigarettes per day. The patient denies the use of any alcoholic beverages. The patient denies any current or past history of illegal / recreational drug or prescription drug abuse or addiction. Family History: There are no known significant medical illnesses in the immediate and past family history.

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

user: Right now, I'm a truck driver, sir.

assistant: Wow, that's hard work. Are you working right now?

user: No, I can't right now, I'm on sick leave.

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: Occupation: truck driver. Work status: on sick leave. Marital status: married. Children: three. The patient lives at home with family. Tobacco history: smokes two packs of cigarettes per day. The patient denies the use of any alcoholic beverages. The patient denies any current or past history of illegal / recreational drug or prescription drug abuse or addiction. Family History: There are no known significant medical illnesses in the immediate and past family history.

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 can't right now, I'm on sick leave.

assistant: Are you married?

user: Yes, to my wonderful wife. She's helping to take care of me.

assistant: Do you two 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: Occupation: truck driver. Work status: on sick leave. Marital status: married. Children: three. The patient lives at home with family. Tobacco history: smokes two packs of cigarettes per day. The patient denies the use of any alcoholic beverages. The patient denies any current or past history of illegal / recreational drug or prescription drug abuse or addiction. Family History: There are no known significant medical illnesses in the immediate and past family history.

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, to my wonderful wife. She's helping to take care of me.

assistant: Do you two have any children?

user: Yes, we have three. We all live together, and for that I'm very thankful.

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

Section: FAM/SOCHX
Patient Information: Occupation: truck driver. Work status: on sick leave. Marital status: married. Children: three. The patient lives at home with family. Tobacco history: smokes two packs of cigarettes per day. The patient denies the use of any alcoholic beverages. The patient denies any current or past history of illegal / recreational drug or prescription drug abuse or addiction. Family History: There are no known significant medical illnesses in the immediate and past family history.

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

user: Yes, we have three. We all live together, and for that I'm very thankful.

assistant: Do you smoke, sir?

user: Yeah, I smoke about two packs a day.

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

Section: FAM/SOCHX
Patient Information: Occupation: truck driver. Work status: on sick leave. Marital status: married. Children: three. The patient lives at home with family. Tobacco history: smokes two packs of cigarettes per day. The patient denies the use of any alcoholic beverages. The patient denies any current or past history of illegal / recreational drug or prescription drug abuse or addiction. Family History: There are no known significant medical illnesses in the immediate and past family history.

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 smoke about two packs a day.

assistant: How about alcohol? Do you drink?

user: No, just smoking for me.

assistant: How about more illicit substances, have you used illegal or prescription drugs inappropriately?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: Occupation: truck driver. Work status: on sick leave. Marital status: married. Children: three. The patient lives at home with family. Tobacco history: smokes two packs of cigarettes per day. The patient denies the use of any alcoholic beverages. The patient denies any current or past history of illegal / recreational drug or prescription drug abuse or addiction. Family History: There are no known significant medical illnesses in the immediate and past family history.

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, just smoking for me.

assistant: How about more illicit substances, have you used illegal or prescription drugs inappropriately?

user: Oh, absolutely not.

assistant: That's good. Do you have any other medical conditions that run in your family that 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: Occupation: truck driver. Work status: on sick leave. Marital status: married. Children: three. The patient lives at home with family. Tobacco history: smokes two packs of cigarettes per day. The patient denies the use of any alcoholic beverages. The patient denies any current or past history of illegal / recreational drug or prescription drug abuse or addiction. Family History: There are no known significant medical illnesses in the immediate and past family history.

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, absolutely not.

assistant: That's good. Do you have any other medical conditions that run in your family that 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: Occupation: truck driver. Work status: on sick leave. Marital status: married. Children: three. The patient lives at home with family. Tobacco history: smokes two packs of cigarettes per day. The patient denies the use of any alcoholic beverages. The patient denies any current or past history of illegal / recreational drug or prescription drug abuse or addiction. Family History: There are no known significant medical illnesses in the immediate and past family history.

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, what do you do for a living, sir?

user: Right now, I'm a truck driver, sir.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: Occupation: truck driver. Work status: on sick leave. Marital status: married. Children: three. The patient lives at home with family. Tobacco history: smokes two packs of cigarettes per day. The patient denies the use of any alcoholic beverages. The patient denies any current or past history of illegal / recreational drug or prescription drug abuse or addiction. Family History: There are no known significant medical illnesses in the immediate and past family history.

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, what do you do for a living, sir?

user: Right now, I'm a truck driver, sir.

assistant: Wow, that's hard work. Are you working right now?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: Occupation: truck driver. Work status: on sick leave. Marital status: married. Children: three. The patient lives at home with family. Tobacco history: smokes two packs of cigarettes per day. The patient denies the use of any alcoholic beverages. The patient denies any current or past history of illegal / recreational drug or prescription drug abuse or addiction. Family History: There are no known significant medical illnesses in the immediate and past family history.

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, what do you do for a living, sir?

user: Right now, I'm a truck driver, sir.

assistant: Wow, that's hard work. Are you working right now?

user: No, I can't right now, I'm on sick leave.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: CC
Patient Information: Here with a concern of possibly issues of short-term memory loss.  She is under exceeding amount of stress over the last 5 to 10 years.  She has been a widow over the last 11 years.  Her husband died in an MVA from a drunk driver accident.  She had previously worked at the bank in Conway Springs in Norwich and had several other jobs related to accounting or management services.  She does have an MBA in business.  Currently, she works at T-Mobile Customer Service, and there is quite a bit of technical knowledge, deadlines, and stress related to that job as well.  She feels she has trouble at times absorbing all that she needs to learn as far as the computer skills, protocols, customer service issues, etc.  She describes the job is very demanding and high stress.  She denies any history of weakness, lethargy, or dizziness.  No history of stroke.

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 there, how are you?

user: I am good, thank you for asking.

assistant: So, what brings you in today?

user: Well, I think I am suffering from memory loss, like short term memory loss.

assistant: Okay, and why do you say so?

user: I have been under tremendous stress for the last five to ten years. I am currently working for T mobile customer service and my work is really hectic. It requires a lot of technical knowledge with project deadlines which is adding to my stress.

user: Sometimes I have trouble absorbing all the technical knowledge and computer skills or customer issues.

assistant: Hm.

user: I did my M B A in business for a reason, I wanted to make a good career, but this job is very demanding and stressful. I previously worked at a bank in Conway Springs, Norwich. I have worked many jobs around accounting and management services, but my current job is a high stress one.

assistant: I see, are you married?

user: I have been widowed for past eleven years. My husband died in a car accident, he was hit by drunk driver. It was not the time for my husband to go! After he left, I had to take care of everything and that's another reason for my stress from the past several years.

assistant: I am so sorry to hear that.

user: Yeah.

assistant: Okay, so tell me any weakness or dizziness or lethargy in the past or now?

user: No.

assistant: Any history of stroke?

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

Section: CC
Patient Information: Here with a concern of possibly issues of short-term memory loss.  She is under exceeding amount of stress over the last 5 to 10 years.  She has been a widow over the last 11 years.  Her husband died in an MVA from a drunk driver accident.  She had previously worked at the bank in Conway Springs in Norwich and had several other jobs related to accounting or management services.  She does have an MBA in business.  Currently, she works at T-Mobile Customer Service, and there is quite a bit of technical knowledge, deadlines, and stress related to that job as well.  She feels she has trouble at times absorbing all that she needs to learn as far as the computer skills, protocols, customer service issues, etc.  She describes the job is very demanding and high stress.  She denies any history of weakness, lethargy, or dizziness.  No history of stroke.

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

user: I am good, thank you for asking.

assistant: So, what brings you in today?

user: Well, I think I am suffering from memory loss, like short term memory loss.

assistant: Okay, and why do you say so?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: CC
Patient Information: Here with a concern of possibly issues of short-term memory loss.  She is under exceeding amount of stress over the last 5 to 10 years.  She has been a widow over the last 11 years.  Her husband died in an MVA from a drunk driver accident.  She had previously worked at the bank in Conway Springs in Norwich and had several other jobs related to accounting or management services.  She does have an MBA in business.  Currently, she works at T-Mobile Customer Service, and there is quite a bit of technical knowledge, deadlines, and stress related to that job as well.  She feels she has trouble at times absorbing all that she needs to learn as far as the computer skills, protocols, customer service issues, etc.  She describes the job is very demanding and high stress.  She denies any history of weakness, lethargy, or dizziness.  No history of stroke.

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

user: Well, I think I am suffering from memory loss, like short term memory loss.

assistant: Okay, and why do you say so?

user: I have been under tremendous stress for the last five to ten years. I am currently working for T mobile customer service and my work is really hectic. It requires a lot of technical knowledge with project deadlines which is adding to my stress.

user: Sometimes I have trouble absorbing all the technical knowledge and computer skills or customer issues.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: CC
Patient Information: Here with a concern of possibly issues of short-term memory loss.  She is under exceeding amount of stress over the last 5 to 10 years.  She has been a widow over the last 11 years.  Her husband died in an MVA from a drunk driver accident.  She had previously worked at the bank in Conway Springs in Norwich and had several other jobs related to accounting or management services.  She does have an MBA in business.  Currently, she works at T-Mobile Customer Service, and there is quite a bit of technical knowledge, deadlines, and stress related to that job as well.  She feels she has trouble at times absorbing all that she needs to learn as far as the computer skills, protocols, customer service issues, etc.  She describes the job is very demanding and high stress.  She denies any history of weakness, lethargy, or dizziness.  No history of stroke.

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: Sometimes I have trouble absorbing all the technical knowledge and computer skills or customer issues.

assistant: Hm.

user: I did my M B A in business for a reason, I wanted to make a good career, but this job is very demanding and stressful. I previously worked at a bank in Conway Springs, Norwich. I have worked many jobs around accounting and management services, but my current job is a high stress one.

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

Section: CC
Patient Information: Here with a concern of possibly issues of short-term memory loss.  She is under exceeding amount of stress over the last 5 to 10 years.  She has been a widow over the last 11 years.  Her husband died in an MVA from a drunk driver accident.  She had previously worked at the bank in Conway Springs in Norwich and had several other jobs related to accounting or management services.  She does have an MBA in business.  Currently, she works at T-Mobile Customer Service, and there is quite a bit of technical knowledge, deadlines, and stress related to that job as well.  She feels she has trouble at times absorbing all that she needs to learn as far as the computer skills, protocols, customer service issues, etc.  She describes the job is very demanding and high stress.  She denies any history of weakness, lethargy, or dizziness.  No history of stroke.

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 did my M B A in business for a reason, I wanted to make a good career, but this job is very demanding and stressful. I previously worked at a bank in Conway Springs, Norwich. I have worked many jobs around accounting and management services, but my current job is a high stress one.

assistant: I see, are you married?

user: I have been widowed for past eleven years. My husband died in a car accident, he was hit by drunk driver. It was not the time for my husband to go! After he left, I had to take care of everything and that's another reason for my stress from the past several years.

assistant: I am 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: Here with a concern of possibly issues of short-term memory loss.  She is under exceeding amount of stress over the last 5 to 10 years.  She has been a widow over the last 11 years.  Her husband died in an MVA from a drunk driver accident.  She had previously worked at the bank in Conway Springs in Norwich and had several other jobs related to accounting or management services.  She does have an MBA in business.  Currently, she works at T-Mobile Customer Service, and there is quite a bit of technical knowledge, deadlines, and stress related to that job as well.  She feels she has trouble at times absorbing all that she needs to learn as far as the computer skills, protocols, customer service issues, etc.  She describes the job is very demanding and high stress.  She denies any history of weakness, lethargy, or dizziness.  No history of stroke.

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 been widowed for past eleven years. My husband died in a car accident, he was hit by drunk driver. It was not the time for my husband to go! After he left, I had to take care of everything and that's another reason for my stress from the past several years.

assistant: I am so sorry to hear that.

user: Yeah.

assistant: Okay, so tell me any weakness or dizziness or lethargy in the past or now?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: CC
Patient Information: Here with a concern of possibly issues of short-term memory loss.  She is under exceeding amount of stress over the last 5 to 10 years.  She has been a widow over the last 11 years.  Her husband died in an MVA from a drunk driver accident.  She had previously worked at the bank in Conway Springs in Norwich and had several other jobs related to accounting or management services.  She does have an MBA in business.  Currently, she works at T-Mobile Customer Service, and there is quite a bit of technical knowledge, deadlines, and stress related to that job as well.  She feels she has trouble at times absorbing all that she needs to learn as far as the computer skills, protocols, customer service issues, etc.  She describes the job is very demanding and high stress.  She denies any history of weakness, lethargy, or dizziness.  No history of stroke.

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: Okay, so tell me any weakness or dizziness or lethargy in the past or now?

user: No.

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

Section: CC
Patient Information: Here with a concern of possibly issues of short-term memory loss.  She is under exceeding amount of stress over the last 5 to 10 years.  She has been a widow over the last 11 years.  Her husband died in an MVA from a drunk driver accident.  She had previously worked at the bank in Conway Springs in Norwich and had several other jobs related to accounting or management services.  She does have an MBA in business.  Currently, she works at T-Mobile Customer Service, and there is quite a bit of technical knowledge, deadlines, and stress related to that job as well.  She feels she has trouble at times absorbing all that she needs to learn as far as the computer skills, protocols, customer service issues, etc.  She describes the job is very demanding and high stress.  She denies any history of weakness, lethargy, or dizziness.  No history of stroke.

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

user: No.

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

Section: CC
Patient Information: Here with a concern of possibly issues of short-term memory loss.  She is under exceeding amount of stress over the last 5 to 10 years.  She has been a widow over the last 11 years.  Her husband died in an MVA from a drunk driver accident.  She had previously worked at the bank in Conway Springs in Norwich and had several other jobs related to accounting or management services.  She does have an MBA in business.  Currently, she works at T-Mobile Customer Service, and there is quite a bit of technical knowledge, deadlines, and stress related to that job as well.  She feels she has trouble at times absorbing all that she needs to learn as far as the computer skills, protocols, customer service issues, etc.  She describes the job is very demanding and high stress.  She denies any history of weakness, lethargy, or dizziness.  No history of stroke.

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 there, how are you?

user: I am good, thank you for asking.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: CC
Patient Information: Here with a concern of possibly issues of short-term memory loss.  She is under exceeding amount of stress over the last 5 to 10 years.  She has been a widow over the last 11 years.  Her husband died in an MVA from a drunk driver accident.  She had previously worked at the bank in Conway Springs in Norwich and had several other jobs related to accounting or management services.  She does have an MBA in business.  Currently, she works at T-Mobile Customer Service, and there is quite a bit of technical knowledge, deadlines, and stress related to that job as well.  She feels she has trouble at times absorbing all that she needs to learn as far as the computer skills, protocols, customer service issues, etc.  She describes the job is very demanding and high stress.  She denies any history of weakness, lethargy, or dizziness.  No history of stroke.

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 there, how are you?

user: I am good, thank you for asking.

assistant: So, what brings you in today?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: CC
Patient Information: Here with a concern of possibly issues of short-term memory loss.  She is under exceeding amount of stress over the last 5 to 10 years.  She has been a widow over the last 11 years.  Her husband died in an MVA from a drunk driver accident.  She had previously worked at the bank in Conway Springs in Norwich and had several other jobs related to accounting or management services.  She does have an MBA in business.  Currently, she works at T-Mobile Customer Service, and there is quite a bit of technical knowledge, deadlines, and stress related to that job as well.  She feels she has trouble at times absorbing all that she needs to learn as far as the computer skills, protocols, customer service issues, etc.  She describes the job is very demanding and high stress.  She denies any history of weakness, lethargy, or dizziness.  No history of stroke.

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 there, how are you?

user: I am good, thank you for asking.

assistant: So, what brings you in today?

user: Well, I think I am suffering from memory loss, like short term memory loss.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: CC
Patient Information: Left flank pain, ureteral stone.

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 there! Welcome to the clinic.

user: Thank you.

assistant: Doctor Murphy sent your records over. I reviewed the ultrasound, and we did find a kidney stone that has become stuck in the ureter on the left side. The stone is large enough to block the flow of urine from the kidney to the bladder.  How much pain are you having and where is the pain located?

user: I am in a great deal of pain. It is coming from my left side right here.

assistant: Okay. Let use discuss your treatment options.

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

Section: CC
Patient Information: Left flank pain, ureteral stone.

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: Doctor Murphy sent your records over. I reviewed the ultrasound, and we did find a kidney stone that has become stuck in the ureter on the left side. The stone is large enough to block the flow of urine from the kidney to the bladder.  How much pain are you having and where is the pain located?

user: I am in a great deal of pain. It is coming from my left side right here.

assistant: Okay. Let use discuss your treatment options.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: CC
Patient Information: Left flank pain, ureteral stone.

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 in a great deal of pain. It is coming from my left side right here.

assistant: Okay. Let use discuss your treatment options.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: CC
Patient Information: Left flank pain, ureteral stone.

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 there! Welcome to the clinic.

user: Thank you.

assistant: Doctor Murphy sent your records over. I reviewed the ultrasound, and we did find a kidney stone that has become stuck in the ureter on the left side. The stone is large enough to block the flow of urine from the kidney to the bladder.  How much pain are you having and where is the pain located?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: CC
Patient Information: Left flank pain, ureteral stone.

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 there! Welcome to the clinic.

user: Thank you.

assistant: Doctor Murphy sent your records over. I reviewed the ultrasound, and we did find a kidney stone that has become stuck in the ureter on the left side. The stone is large enough to block the flow of urine from the kidney to the bladder.  How much pain are you having and where is the pain located?

user: I am in a great deal of pain. It is coming from my left side right here.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: ALLERGY
Patient Information: He has no known medicine allergies.

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: Any allergies?

user: What do you mean?

assistant: Are you allergic to anything?

user: No no, oh no.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTMEDICALHX
Patient Information: Diabetes type II, poorly controlled, high cholesterol.

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

assistant: You have type two Diabetes?

user: Yes.

assistant: And High Cholesterol?

user: Yes.

assistant: Your diabetes is poorly controlled.

user: I will keep an eye on it.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTMEDICALHX
Patient Information: Diabetes type II, poorly controlled, high cholesterol.

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 High Cholesterol?

user: Yes.

assistant: Your diabetes is poorly controlled.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTMEDICALHX
Patient Information: Diabetes type II, poorly controlled, high cholesterol.

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

assistant: You have type two Diabetes?

user: Yes.

assistant: And High Cholesterol?

user: Yes.
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 13-year-old girl who presented in November with an acute on chronic right slipped capital femoral epiphysis.  She underwent in situ pinning.  The patient on followup; however, noted to have intraarticular protrusion of her screw.  This was not noted intraoperatively on previous fluoroscopic views.  Given this finding, I explained to the father and especially the mother that this can cause further joint damage and that the screw would need to be exchanged for a shorter one.  Risks and benefits of surgery were discussed.  Risks of surgery include risk of anesthesia, infection, bleeding, changes in sensation and motion of the extremity, failure to remove the screw, possible continued joint stiffness or damage.  All questions were answered and parents agreed to above 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: Can you tell me more about your daughter's injury?

user: Well, we came in in November, and she was diagnosed with an acute on chronic right slipped capital femoral epiphysis.

assistant: Did she have surgery on this?

user: Yes, let me look at my notes, I have it written down here, um, a situ pinning.

assistant: Remind me, how old are you, dear?

user: I'm thirteen now.

assistant: Okay, thank you. So, um, if you look her at the x rays, it appears that the screw is now going into the hip joint.

user: They didn't see that before. What can we do about this?

assistant: We'll need to do another operation in order to remove this screw and put a shorter one in. We need to do the surgery because this can cause further joint damage.

user: Are there any risks of infection from this surgery?

assistant: Overall, the risk of infection is very low, honestly its less than one percent.

user: That's good to hear, will she go to sleep during surgery?

assistant: Yes, we'll use anesthesia the entire time. She won't feel a thing.

user: What does recovery look like for this surgery?

assistant: I expect her to heal up very well, but there's always a risk of some changes in sensation and motion, and she may be stiff for some time following everything. Other risks include bleeding, but I would not worry about these things.

user: Okay, how does that sound, honey? Would you like to do this?

user: Yeah, I want to get back to playing sports with my friends.

user: I agree, Doctor, we'll do the surgery.
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 13-year-old girl who presented in November with an acute on chronic right slipped capital femoral epiphysis.  She underwent in situ pinning.  The patient on followup; however, noted to have intraarticular protrusion of her screw.  This was not noted intraoperatively on previous fluoroscopic views.  Given this finding, I explained to the father and especially the mother that this can cause further joint damage and that the screw would need to be exchanged for a shorter one.  Risks and benefits of surgery were discussed.  Risks of surgery include risk of anesthesia, infection, bleeding, changes in sensation and motion of the extremity, failure to remove the screw, possible continued joint stiffness or damage.  All questions were answered and parents agreed to above 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: Well, we came in in November, and she was diagnosed with an acute on chronic right slipped capital femoral epiphysis.

assistant: Did she have surgery on this?

user: Yes, let me look at my notes, I have it written down here, um, a situ pinning.

assistant: Remind me, how old are you, dear?
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 13-year-old girl who presented in November with an acute on chronic right slipped capital femoral epiphysis.  She underwent in situ pinning.  The patient on followup; however, noted to have intraarticular protrusion of her screw.  This was not noted intraoperatively on previous fluoroscopic views.  Given this finding, I explained to the father and especially the mother that this can cause further joint damage and that the screw would need to be exchanged for a shorter one.  Risks and benefits of surgery were discussed.  Risks of surgery include risk of anesthesia, infection, bleeding, changes in sensation and motion of the extremity, failure to remove the screw, possible continued joint stiffness or damage.  All questions were answered and parents agreed to above 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, let me look at my notes, I have it written down here, um, a situ pinning.

assistant: Remind me, how old are you, dear?

user: I'm thirteen now.

assistant: Okay, thank you. So, um, if you look her at the x rays, it appears that the screw is now going into the hip joint.