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

Section: PASTMEDICALHX
Patient Information: Significant for history of pulmonary fibrosis and atrial fibrillation.  He is status post bilateral lung transplant back in 2004 because of the pulmonary fibrosis.

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

user: I had a lung transplant in two thousand and four because of Pulmonary Fibrosis.

assistant: Okay, how are you now? It was, was that for both lungs?

user: Yes, both sides.

assistant: You do have irregular heart rhythm, right?

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

Section: PASTMEDICALHX
Patient Information: Significant for history of pulmonary fibrosis and atrial fibrillation.  He is status post bilateral lung transplant back in 2004 because of the pulmonary fibrosis.

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

user: I had a lung transplant in two thousand and four because of Pulmonary Fibrosis.

assistant: Okay, how are you now? It was, was that for both lungs?

user: Yes, both sides.

assistant: You do have irregular heart rhythm, right?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTMEDICALHX
Patient Information: Significant for history of pulmonary fibrosis and atrial fibrillation.  He is status post bilateral lung transplant back in 2004 because of the pulmonary fibrosis.

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 sides.

assistant: You do have irregular heart rhythm, right?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: ASSESSMENT
Patient Information: Foreign body of the left fifth fingernail (wooden splinter).

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

assistant: How are you?

user: Look at this fifth fingernail on my left hand, doctor.

assistant: Oh what is stuck here?

user: I think it's wood splinter.

assistant: Oh, must be painful!

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

Section: ASSESSMENT
Patient Information: Foreign body of the left fifth fingernail (wooden splinter).

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: Look at this fifth fingernail on my left hand, doctor.

assistant: Oh what is stuck here?

user: I think it's wood splinter.

assistant: Oh, must be painful!
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: ASSESSMENT
Patient Information: Foreign body of the left fifth fingernail (wooden splinter).

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

assistant: How are you?

user: Look at this fifth fingernail on my left hand, doctor.

assistant: Oh what is stuck here?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: ASSESSMENT
Patient Information: Foreign body of the left fifth fingernail (wooden splinter).

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

assistant: How are you?

user: Look at this fifth fingernail on my left hand, doctor.

assistant: Oh what is stuck here?

user: I think it's wood splinter.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: EXAM
Patient Information: MSK: The head and neck by inspection showed no obvious deformity.  Again, the extremities showed no obvious deformity.  Range of motion appeared to be normal for the upper and lower extremities.

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 move your arms? I would like to see how your range of motion is.

user: Sure, see. Like that?

assistant: Yes, yes, looks good for both arms and legs.

user: Great.

assistant: I do not see any obvious deformities in head neck or in extremities.

user: Yes, no problems.

assistant: Okay?

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

Section: EXAM
Patient Information: MSK: The head and neck by inspection showed no obvious deformity.  Again, the extremities showed no obvious deformity.  Range of motion appeared to be normal for the upper and lower extremities.

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

user: Sure, see. Like that?

assistant: Yes, yes, looks good for both arms and legs.

user: Great.

assistant: I do not see any obvious deformities in head neck or in extremities.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: EXAM
Patient Information: MSK: The head and neck by inspection showed no obvious deformity.  Again, the extremities showed no obvious deformity.  Range of motion appeared to be normal for the upper and lower extremities.

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: Great.

assistant: I do not see any obvious deformities in head neck or in extremities.

user: Yes, no problems.

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

Section: EXAM
Patient Information: MSK: The head and neck by inspection showed no obvious deformity.  Again, the extremities showed no obvious deformity.  Range of motion appeared to be normal for the upper and lower extremities.

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, no problems.

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

Section: EXAM
Patient Information: MSK: The head and neck by inspection showed no obvious deformity.  Again, the extremities showed no obvious deformity.  Range of motion appeared to be normal for the upper and lower extremities.

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 move your arms? I would like to see how your range of motion is.

user: Sure, see. Like that?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: EXAM
Patient Information: MSK: The head and neck by inspection showed no obvious deformity.  Again, the extremities showed no obvious deformity.  Range of motion appeared to be normal for the upper and lower extremities.

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 move your arms? I would like to see how your range of motion is.

user: Sure, see. Like that?

assistant: Yes, yes, looks good for both arms and legs.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: EXAM
Patient Information: MSK: The head and neck by inspection showed no obvious deformity.  Again, the extremities showed no obvious deformity.  Range of motion appeared to be normal for the upper and lower extremities.

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 move your arms? I would like to see how your range of motion is.

user: Sure, see. Like that?

assistant: Yes, yes, looks good for both arms and legs.

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

Section: ALLERGY
Patient Information: Eggs and peanuts.

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: Are you allergic to anything?

user: Yes, I am allergic to eggs and peanuts.

assistant: Oh, okay.

assistant: Anything else? Any medication?

user: No, nothing else.

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

Section: ALLERGY
Patient Information: Eggs and peanuts.

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

user: Yes, I am allergic to eggs and peanuts.

assistant: Oh, okay.

assistant: Anything else? Any medication?

user: No, nothing else.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: ALLERGY
Patient Information: Eggs and peanuts.

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: Are you allergic to anything?

user: Yes, I am allergic to eggs and peanuts.

assistant: Oh, okay.

assistant: Anything else? Any medication?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: He is a nonsmoker.  He occasionally has a beer.  He is married.  He works as a flooring installer.

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

assistant: Do you smoke, sir?

user: No.

assistant: Do you drink?

user: Sometimes I take a beer or two.

assistant: Are you married?

user: For last ten years.

assistant: What do you do for living?

user: I install floor. I am associated with a construction company and my main work is flooring installation.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: He is a nonsmoker.  He occasionally has a beer.  He is married.  He works as a flooring installer.

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: Do you drink?

user: Sometimes I take a beer or two.

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: He is a nonsmoker.  He occasionally has a beer.  He is married.  He works as a flooring installer.

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 take a beer or two.

assistant: Are you married?

user: For last ten years.

assistant: What do you do for living?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: He is a nonsmoker.  He occasionally has a beer.  He is married.  He works as a flooring installer.

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: For last ten years.

assistant: What do you do for living?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: He is a nonsmoker.  He occasionally has a beer.  He is married.  He works as a flooring installer.

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

assistant: Do you smoke, sir?

user: No.

assistant: Do you drink?

user: Sometimes I take a beer or two.
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 female who had previous bilateral feet correction at 1 year of age.  Since that time, the patient has developed significant calcaneal valgus deformity with significant pain.  Radiographs confirmed collapse of the spinal arch, as well as valgus position of the foot.  Given the patient's symptoms, surgery is recommended for calcaneal osteotomy and Achilles lengthening.  Risks and benefits of surgery were discussed with the mother.  Risks of surgery include risk of anesthesia; infection; bleeding; changes in sensation in most of extremity; hardware failure; need for later hardware removal; possible nonunion; possible failure to correct all the deformity; and need for other surgical procedures.  The patient will need to be strict nonweightbearing for at least 6 weeks and wear a brace for up to 6 months.  All questions were answered and parents agreed to the above surgical 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, this is my mommy.

assistant: Good morning, mom. Can you tell me more about your daughter, please?

user: Good morning, doctor. Well, she's thirteen now, but she's had feet problems all her life.

assistant: What's been the problem with her feet?
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 female who had previous bilateral feet correction at 1 year of age.  Since that time, the patient has developed significant calcaneal valgus deformity with significant pain.  Radiographs confirmed collapse of the spinal arch, as well as valgus position of the foot.  Given the patient's symptoms, surgery is recommended for calcaneal osteotomy and Achilles lengthening.  Risks and benefits of surgery were discussed with the mother.  Risks of surgery include risk of anesthesia; infection; bleeding; changes in sensation in most of extremity; hardware failure; need for later hardware removal; possible nonunion; possible failure to correct all the deformity; and need for other surgical procedures.  The patient will need to be strict nonweightbearing for at least 6 weeks and wear a brace for up to 6 months.  All questions were answered and parents agreed to the above surgical plan.

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

user: Good morning, doctor. Well, she's thirteen now, but she's had feet problems all her life.

assistant: What's been the problem with her feet?

user: Well, she had bilateral feet corrections when she was a year old.

assistant: Okay, how has she been since that procedure?
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 female who had previous bilateral feet correction at 1 year of age.  Since that time, the patient has developed significant calcaneal valgus deformity with significant pain.  Radiographs confirmed collapse of the spinal arch, as well as valgus position of the foot.  Given the patient's symptoms, surgery is recommended for calcaneal osteotomy and Achilles lengthening.  Risks and benefits of surgery were discussed with the mother.  Risks of surgery include risk of anesthesia; infection; bleeding; changes in sensation in most of extremity; hardware failure; need for later hardware removal; possible nonunion; possible failure to correct all the deformity; and need for other surgical procedures.  The patient will need to be strict nonweightbearing for at least 6 weeks and wear a brace for up to 6 months.  All questions were answered and parents agreed to the above surgical 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, she had bilateral feet corrections when she was a year old.

assistant: Okay, how has she been since that procedure?

user: Well, just look at her heel, doctor.

assistant: Yes, I see. She has pretty significant calcaneal valgus deformity.
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 female who had previous bilateral feet correction at 1 year of age.  Since that time, the patient has developed significant calcaneal valgus deformity with significant pain.  Radiographs confirmed collapse of the spinal arch, as well as valgus position of the foot.  Given the patient's symptoms, surgery is recommended for calcaneal osteotomy and Achilles lengthening.  Risks and benefits of surgery were discussed with the mother.  Risks of surgery include risk of anesthesia; infection; bleeding; changes in sensation in most of extremity; hardware failure; need for later hardware removal; possible nonunion; possible failure to correct all the deformity; and need for other surgical procedures.  The patient will need to be strict nonweightbearing for at least 6 weeks and wear a brace for up to 6 months.  All questions were answered and parents agreed to the above surgical 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, just look at her heel, doctor.

assistant: Yes, I see. She has pretty significant calcaneal valgus deformity.

user: What does that mean, doctor?

assistant: Your heel is out of alignment, sweetie. Do you have pain?
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 female who had previous bilateral feet correction at 1 year of age.  Since that time, the patient has developed significant calcaneal valgus deformity with significant pain.  Radiographs confirmed collapse of the spinal arch, as well as valgus position of the foot.  Given the patient's symptoms, surgery is recommended for calcaneal osteotomy and Achilles lengthening.  Risks and benefits of surgery were discussed with the mother.  Risks of surgery include risk of anesthesia; infection; bleeding; changes in sensation in most of extremity; hardware failure; need for later hardware removal; possible nonunion; possible failure to correct all the deformity; and need for other surgical procedures.  The patient will need to be strict nonweightbearing for at least 6 weeks and wear a brace for up to 6 months.  All questions were answered and parents agreed to the above surgical plan.

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

user: What does that mean, doctor?

assistant: Your heel is out of alignment, sweetie. Do you have pain?

user: Yes, I have a lot of pain, doctor.

user: What can we do about this, doctor?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient is a 13-year-old female who had previous bilateral feet correction at 1 year of age.  Since that time, the patient has developed significant calcaneal valgus deformity with significant pain.  Radiographs confirmed collapse of the spinal arch, as well as valgus position of the foot.  Given the patient's symptoms, surgery is recommended for calcaneal osteotomy and Achilles lengthening.  Risks and benefits of surgery were discussed with the mother.  Risks of surgery include risk of anesthesia; infection; bleeding; changes in sensation in most of extremity; hardware failure; need for later hardware removal; possible nonunion; possible failure to correct all the deformity; and need for other surgical procedures.  The patient will need to be strict nonweightbearing for at least 6 weeks and wear a brace for up to 6 months.  All questions were answered and parents agreed to the above surgical plan.

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

user: What can we do about this, doctor?

assistant: Well, given all of her symptoms, I think we should do a calcaneal osteotomy and Achilles lengthening procedure.

user: What does that procedure entail?

assistant: Well, in short, we'll go in there and straighten everything out, and get everything lined back up.
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 female who had previous bilateral feet correction at 1 year of age.  Since that time, the patient has developed significant calcaneal valgus deformity with significant pain.  Radiographs confirmed collapse of the spinal arch, as well as valgus position of the foot.  Given the patient's symptoms, surgery is recommended for calcaneal osteotomy and Achilles lengthening.  Risks and benefits of surgery were discussed with the mother.  Risks of surgery include risk of anesthesia; infection; bleeding; changes in sensation in most of extremity; hardware failure; need for later hardware removal; possible nonunion; possible failure to correct all the deformity; and need for other surgical procedures.  The patient will need to be strict nonweightbearing for at least 6 weeks and wear a brace for up to 6 months.  All questions were answered and parents agreed to the above surgical plan.

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

user: What does that procedure entail?

assistant: Well, in short, we'll go in there and straighten everything out, and get everything lined back up.

user: What's the risk of infection with the surgery, sir?

assistant: Actually, it's less than one percent, so it's extremely low.
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 female who had previous bilateral feet correction at 1 year of age.  Since that time, the patient has developed significant calcaneal valgus deformity with significant pain.  Radiographs confirmed collapse of the spinal arch, as well as valgus position of the foot.  Given the patient's symptoms, surgery is recommended for calcaneal osteotomy and Achilles lengthening.  Risks and benefits of surgery were discussed with the mother.  Risks of surgery include risk of anesthesia; infection; bleeding; changes in sensation in most of extremity; hardware failure; need for later hardware removal; possible nonunion; possible failure to correct all the deformity; and need for other surgical procedures.  The patient will need to be strict nonweightbearing for at least 6 weeks and wear a brace for up to 6 months.  All questions were answered and parents agreed to the above surgical plan.

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

user: What's the risk of infection with the surgery, sir?

assistant: Actually, it's less than one percent, so it's extremely low.

user: How is this possible, doctor?

assistant: We use antibiotics to control for infection the entire time.
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 female who had previous bilateral feet correction at 1 year of age.  Since that time, the patient has developed significant calcaneal valgus deformity with significant pain.  Radiographs confirmed collapse of the spinal arch, as well as valgus position of the foot.  Given the patient's symptoms, surgery is recommended for calcaneal osteotomy and Achilles lengthening.  Risks and benefits of surgery were discussed with the mother.  Risks of surgery include risk of anesthesia; infection; bleeding; changes in sensation in most of extremity; hardware failure; need for later hardware removal; possible nonunion; possible failure to correct all the deformity; and need for other surgical procedures.  The patient will need to be strict nonweightbearing for at least 6 weeks and wear a brace for up to 6 months.  All questions were answered and parents agreed to the above surgical 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: How is this possible, doctor?

assistant: We use antibiotics to control for infection the entire time.

user: That's great. Will she be asleep for this procedure?

assistant: Yes, we'll use anesthesia the entire time. She won't feel a thing.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient is a 13-year-old female who had previous bilateral feet correction at 1 year of age.  Since that time, the patient has developed significant calcaneal valgus deformity with significant pain.  Radiographs confirmed collapse of the spinal arch, as well as valgus position of the foot.  Given the patient's symptoms, surgery is recommended for calcaneal osteotomy and Achilles lengthening.  Risks and benefits of surgery were discussed with the mother.  Risks of surgery include risk of anesthesia; infection; bleeding; changes in sensation in most of extremity; hardware failure; need for later hardware removal; possible nonunion; possible failure to correct all the deformity; and need for other surgical procedures.  The patient will need to be strict nonweightbearing for at least 6 weeks and wear a brace for up to 6 months.  All questions were answered and parents agreed to the above surgical 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: That's great. Will she be asleep for this procedure?

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

user: Okay, that's good too. What about after the procedure? What's the protocol?

assistant: Well, I'll need your help. We have to be strict about her being nonweightbearing for six weeks at minimum.
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 female who had previous bilateral feet correction at 1 year of age.  Since that time, the patient has developed significant calcaneal valgus deformity with significant pain.  Radiographs confirmed collapse of the spinal arch, as well as valgus position of the foot.  Given the patient's symptoms, surgery is recommended for calcaneal osteotomy and Achilles lengthening.  Risks and benefits of surgery were discussed with the mother.  Risks of surgery include risk of anesthesia; infection; bleeding; changes in sensation in most of extremity; hardware failure; need for later hardware removal; possible nonunion; possible failure to correct all the deformity; and need for other surgical procedures.  The patient will need to be strict nonweightbearing for at least 6 weeks and wear a brace for up to 6 months.  All questions were answered and parents agreed to the above surgical 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: Okay, that's good too. What about after the procedure? What's the protocol?

assistant: Well, I'll need your help. We have to be strict about her being nonweightbearing for six weeks at minimum.

user: Will she need a brace too?

assistant: Yes, at least for six months, but if she does everything I ask of her, it will be only six months.
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 female who had previous bilateral feet correction at 1 year of age.  Since that time, the patient has developed significant calcaneal valgus deformity with significant pain.  Radiographs confirmed collapse of the spinal arch, as well as valgus position of the foot.  Given the patient's symptoms, surgery is recommended for calcaneal osteotomy and Achilles lengthening.  Risks and benefits of surgery were discussed with the mother.  Risks of surgery include risk of anesthesia; infection; bleeding; changes in sensation in most of extremity; hardware failure; need for later hardware removal; possible nonunion; possible failure to correct all the deformity; and need for other surgical procedures.  The patient will need to be strict nonweightbearing for at least 6 weeks and wear a brace for up to 6 months.  All questions were answered and parents agreed to the above surgical plan.

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

user: Will she need a brace too?

assistant: Yes, at least for six months, but if she does everything I ask of her, it will be only six months.

user: Okay, yes, I think we should do the procedure. What do you think, honey?

user: Yes, I want to get back to playing sports with my friends.
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 female who had previous bilateral feet correction at 1 year of age.  Since that time, the patient has developed significant calcaneal valgus deformity with significant pain.  Radiographs confirmed collapse of the spinal arch, as well as valgus position of the foot.  Given the patient's symptoms, surgery is recommended for calcaneal osteotomy and Achilles lengthening.  Risks and benefits of surgery were discussed with the mother.  Risks of surgery include risk of anesthesia; infection; bleeding; changes in sensation in most of extremity; hardware failure; need for later hardware removal; possible nonunion; possible failure to correct all the deformity; and need for other surgical procedures.  The patient will need to be strict nonweightbearing for at least 6 weeks and wear a brace for up to 6 months.  All questions were answered and parents agreed to the above surgical 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, I want to get back to playing sports with my friends.

assistant: The other risks include bleeding; changes in sensation in most of extremity; hardware failure; need for later hardware removal; possible nonunion; possible failure to correct all the deformity; and need for other surgical procedures.  I would not worry about these issues, though. It is quite rare. So, looking at her radiographs, the spinal arch is definitely collapsed. I think you guys are making the right decision.
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 female who had previous bilateral feet correction at 1 year of age.  Since that time, the patient has developed significant calcaneal valgus deformity with significant pain.  Radiographs confirmed collapse of the spinal arch, as well as valgus position of the foot.  Given the patient's symptoms, surgery is recommended for calcaneal osteotomy and Achilles lengthening.  Risks and benefits of surgery were discussed with the mother.  Risks of surgery include risk of anesthesia; infection; bleeding; changes in sensation in most of extremity; hardware failure; need for later hardware removal; possible nonunion; possible failure to correct all the deformity; and need for other surgical procedures.  The patient will need to be strict nonweightbearing for at least 6 weeks and wear a brace for up to 6 months.  All questions were answered and parents agreed to the above surgical plan.

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

assistant: Good morning, young lady. Is this your mother?

user: Yes, this is my mommy.
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 female who had previous bilateral feet correction at 1 year of age.  Since that time, the patient has developed significant calcaneal valgus deformity with significant pain.  Radiographs confirmed collapse of the spinal arch, as well as valgus position of the foot.  Given the patient's symptoms, surgery is recommended for calcaneal osteotomy and Achilles lengthening.  Risks and benefits of surgery were discussed with the mother.  Risks of surgery include risk of anesthesia; infection; bleeding; changes in sensation in most of extremity; hardware failure; need for later hardware removal; possible nonunion; possible failure to correct all the deformity; and need for other surgical procedures.  The patient will need to be strict nonweightbearing for at least 6 weeks and wear a brace for up to 6 months.  All questions were answered and parents agreed to the above surgical plan.

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

assistant: Good morning, young lady. Is this your mother?

user: Yes, this is my mommy.

assistant: Good morning, mom. Can you tell me more about your daughter, please?
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 female who had previous bilateral feet correction at 1 year of age.  Since that time, the patient has developed significant calcaneal valgus deformity with significant pain.  Radiographs confirmed collapse of the spinal arch, as well as valgus position of the foot.  Given the patient's symptoms, surgery is recommended for calcaneal osteotomy and Achilles lengthening.  Risks and benefits of surgery were discussed with the mother.  Risks of surgery include risk of anesthesia; infection; bleeding; changes in sensation in most of extremity; hardware failure; need for later hardware removal; possible nonunion; possible failure to correct all the deformity; and need for other surgical procedures.  The patient will need to be strict nonweightbearing for at least 6 weeks and wear a brace for up to 6 months.  All questions were answered and parents agreed to the above surgical plan.

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

assistant: Good morning, young lady. Is this your mother?

user: Yes, this is my mommy.

assistant: Good morning, mom. Can you tell me more about your daughter, please?

user: Good morning, doctor. Well, she's thirteen now, but she's had feet problems all her life.
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 5-year-old male who sustained refracture of his right forearm on 12/05/2007.  The patient was seen in the emergency room.  The patient had a complete fracture of both bones with shortening bayonet apposition.  Treatment options were offered to the family including casting versus closed reduction and pinning.  The parents opted for the latter.  Risks and benefits of surgery were discussed.  Risks of surgery included risk of anesthesia, infection, bleeding, changes in sensation and motion of the extremity, hardware failure, and need for later hardware removal, cast tightness.  All questions were answered, and the parents agreed to the 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: Good morning, young man. Are these your parents?

user: Yes.

assistant: Good, can you tell me more about your son, please?

assistant: After he fell, how was he treated?

assistant: Yes, I see that here, he also has shortening bayonet apposition.

assistant: There's actually a few options here. First we can cast it and see how he heals, generally, children heal up very well from fractures.

assistant: However, surgery is also an option here as well.

assistant: The risk of infection is very low, generally less than one percent. We use antibiotics to control for infection.

assistant: Absolutely, he won't feel a thing. Other risks include bleeding, changes in sensation and motion of the extremity, hardware failure, and need for later hardware removal, and cast tightness. I would not worry about these risks. We have great results with these surgeries.
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 5-year-old male who sustained refracture of his right forearm on 12/05/2007.  The patient was seen in the emergency room.  The patient had a complete fracture of both bones with shortening bayonet apposition.  Treatment options were offered to the family including casting versus closed reduction and pinning.  The parents opted for the latter.  Risks and benefits of surgery were discussed.  Risks of surgery included risk of anesthesia, infection, bleeding, changes in sensation and motion of the extremity, hardware failure, and need for later hardware removal, cast tightness.  All questions were answered, and the parents agreed to the 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.

assistant: Good, can you tell me more about your son, please?

assistant: After he fell, how was he treated?

assistant: Yes, I see that here, he also has shortening bayonet apposition.
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 5-year-old male who sustained refracture of his right forearm on 12/05/2007.  The patient was seen in the emergency room.  The patient had a complete fracture of both bones with shortening bayonet apposition.  Treatment options were offered to the family including casting versus closed reduction and pinning.  The parents opted for the latter.  Risks and benefits of surgery were discussed.  Risks of surgery included risk of anesthesia, infection, bleeding, changes in sensation and motion of the extremity, hardware failure, and need for later hardware removal, cast tightness.  All questions were answered, and the parents agreed to the 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: Good morning, young man. Are these your parents?

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 5-year-old male who sustained refracture of his right forearm on 12/05/2007.  The patient was seen in the emergency room.  The patient had a complete fracture of both bones with shortening bayonet apposition.  Treatment options were offered to the family including casting versus closed reduction and pinning.  The parents opted for the latter.  Risks and benefits of surgery were discussed.  Risks of surgery included risk of anesthesia, infection, bleeding, changes in sensation and motion of the extremity, hardware failure, and need for later hardware removal, cast tightness.  All questions were answered, and the parents agreed to the 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: Good morning, young man. Are these your parents?

user: Yes.

assistant: Good, can you tell me more about your son, please?
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 5-year-old male who sustained refracture of his right forearm on 12/05/2007.  The patient was seen in the emergency room.  The patient had a complete fracture of both bones with shortening bayonet apposition.  Treatment options were offered to the family including casting versus closed reduction and pinning.  The parents opted for the latter.  Risks and benefits of surgery were discussed.  Risks of surgery included risk of anesthesia, infection, bleeding, changes in sensation and motion of the extremity, hardware failure, and need for later hardware removal, cast tightness.  All questions were answered, and the parents agreed to the 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: Good morning, young man. Are these your parents?

user: Yes.

assistant: Good, can you tell me more about your son, please?

assistant: After he fell, how was he treated?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTMEDICALHX
Patient Information: Negative for chronic medical problems.  No local physician.  Has had previous back surgery and appendectomy, otherwise generally healthy.

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. Are you a new patient?

user: I am. I've been traveling a lot, so I don't have a local doctor I usually see.

assistant: That's fine. What is the reason for your visit?

user: I've had this dark spot on my leg for a long time.

assistant: I see. Do you know if your family has any chronic medical problems?

user: Not that I know of.

assistant: That's good. I think I'll be able to remove it surgically. Before I go over the procedures, have you had a surgery before?

user: Yeah, I have. I had surgery on my back and to remove my appendix.

assistant: Sounds good. Other than that dark spot, you seem to be very healthy.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTMEDICALHX
Patient Information: Negative for chronic medical problems.  No local physician.  Has had previous back surgery and appendectomy, otherwise generally healthy.

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. I've been traveling a lot, so I don't have a local doctor I usually see.

assistant: That's fine. What is the reason for your visit?

user: I've had this dark spot on my leg for a long time.

assistant: I see. Do you know if your family has any chronic medical problems?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTMEDICALHX
Patient Information: Negative for chronic medical problems.  No local physician.  Has had previous back surgery and appendectomy, otherwise generally healthy.

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've had this dark spot on my leg for a long time.

assistant: I see. Do you know if your family has any chronic medical problems?

user: Not that I know of.

assistant: That's good. I think I'll be able to remove it surgically. Before I go over the procedures, have you had a surgery before?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTMEDICALHX
Patient Information: Negative for chronic medical problems.  No local physician.  Has had previous back surgery and appendectomy, otherwise generally healthy.

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: Not that I know of.

assistant: That's good. I think I'll be able to remove it surgically. Before I go over the procedures, have you had a surgery before?

user: Yeah, I have. I had surgery on my back and to remove my appendix.

assistant: Sounds good. Other than that dark spot, you seem to be very healthy.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTMEDICALHX
Patient Information: Negative for chronic medical problems.  No local physician.  Has had previous back surgery and appendectomy, otherwise generally healthy.

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

user: Yeah, I have. I had surgery on my back and to remove my appendix.

assistant: Sounds good. Other than that dark spot, you seem to be very healthy.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTMEDICALHX
Patient Information: Negative for chronic medical problems.  No local physician.  Has had previous back surgery and appendectomy, otherwise generally healthy.

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. Are you a new patient?

user: I am. I've been traveling a lot, so I don't have a local doctor I usually see.