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: This is a return visit to the endocrine clinic for the patient with history as noted above.  She is 45 years old.  Her last visit was about 6 months ago.  Since that time, the patient states her health has remained unchanged.  Currently, primary complaint is one of fatigue that she feels throughout the day.  She states, however, she is doing well with CPAP and wakes up feeling refreshed but tends to tire out later in the day.  In terms of her thyroid issues, the patient states that she is not having signs or symptoms of thyroid excess or hypothyroidism.  She is not reporting temperature intolerance, palpitations, muscle weakness, tremors, nausea, vomiting, constipation, hyperdefecation or diarrhea.  Her weight has been stable.  She is not reporting proximal muscle weakness.

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. Looks like we are here for a six months follow up. How are we doing?

user: I have stayed relatively the same. My main complaint is that I feel tired throughout the day. The C P A P is doing fine and I wake up refreshed, but I don't like how I crash.

assistant: Alright. How are the thyroid issues?

user: I seem to be fine. My thyroid gland does not seem enlarged and I can breathe like normal. No fever or anything.

assistant: Have you experienced any of the following: temperature intolerance, palpitations, muscle weakness, tremors, nausea, vomiting, constipation, or diarrhea?

user: Nothing of the kind.

assistant: How has you weight been?

user: It has been stable.

assistant: Any muscle weakness closest to the body's center?

user: No, nothing like that. Not bad for forty five.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This is a return visit to the endocrine clinic for the patient with history as noted above.  She is 45 years old.  Her last visit was about 6 months ago.  Since that time, the patient states her health has remained unchanged.  Currently, primary complaint is one of fatigue that she feels throughout the day.  She states, however, she is doing well with CPAP and wakes up feeling refreshed but tends to tire out later in the day.  In terms of her thyroid issues, the patient states that she is not having signs or symptoms of thyroid excess or hypothyroidism.  She is not reporting temperature intolerance, palpitations, muscle weakness, tremors, nausea, vomiting, constipation, hyperdefecation or diarrhea.  Her weight has been stable.  She is not reporting proximal muscle weakness.

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 stayed relatively the same. My main complaint is that I feel tired throughout the day. The C P A P is doing fine and I wake up refreshed, but I don't like how I crash.

assistant: Alright. How are the thyroid issues?

user: I seem to be fine. My thyroid gland does not seem enlarged and I can breathe like normal. No fever or anything.

assistant: Have you experienced any of the following: temperature intolerance, palpitations, muscle weakness, tremors, nausea, vomiting, constipation, or diarrhea?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This is a return visit to the endocrine clinic for the patient with history as noted above.  She is 45 years old.  Her last visit was about 6 months ago.  Since that time, the patient states her health has remained unchanged.  Currently, primary complaint is one of fatigue that she feels throughout the day.  She states, however, she is doing well with CPAP and wakes up feeling refreshed but tends to tire out later in the day.  In terms of her thyroid issues, the patient states that she is not having signs or symptoms of thyroid excess or hypothyroidism.  She is not reporting temperature intolerance, palpitations, muscle weakness, tremors, nausea, vomiting, constipation, hyperdefecation or diarrhea.  Her weight has been stable.  She is not reporting proximal muscle weakness.

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 seem to be fine. My thyroid gland does not seem enlarged and I can breathe like normal. No fever or anything.

assistant: Have you experienced any of the following: temperature intolerance, palpitations, muscle weakness, tremors, nausea, vomiting, constipation, or diarrhea?

user: Nothing of the kind.

assistant: How has you weight been?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This is a return visit to the endocrine clinic for the patient with history as noted above.  She is 45 years old.  Her last visit was about 6 months ago.  Since that time, the patient states her health has remained unchanged.  Currently, primary complaint is one of fatigue that she feels throughout the day.  She states, however, she is doing well with CPAP and wakes up feeling refreshed but tends to tire out later in the day.  In terms of her thyroid issues, the patient states that she is not having signs or symptoms of thyroid excess or hypothyroidism.  She is not reporting temperature intolerance, palpitations, muscle weakness, tremors, nausea, vomiting, constipation, hyperdefecation or diarrhea.  Her weight has been stable.  She is not reporting proximal muscle weakness.

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: Nothing of the kind.

assistant: How has you weight been?

user: It has been stable.

assistant: Any muscle weakness closest to the body's center?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This is a return visit to the endocrine clinic for the patient with history as noted above.  She is 45 years old.  Her last visit was about 6 months ago.  Since that time, the patient states her health has remained unchanged.  Currently, primary complaint is one of fatigue that she feels throughout the day.  She states, however, she is doing well with CPAP and wakes up feeling refreshed but tends to tire out later in the day.  In terms of her thyroid issues, the patient states that she is not having signs or symptoms of thyroid excess or hypothyroidism.  She is not reporting temperature intolerance, palpitations, muscle weakness, tremors, nausea, vomiting, constipation, hyperdefecation or diarrhea.  Her weight has been stable.  She is not reporting proximal muscle weakness.

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

user: It has been stable.

assistant: Any muscle weakness closest to the body's center?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This is a return visit to the endocrine clinic for the patient with history as noted above.  She is 45 years old.  Her last visit was about 6 months ago.  Since that time, the patient states her health has remained unchanged.  Currently, primary complaint is one of fatigue that she feels throughout the day.  She states, however, she is doing well with CPAP and wakes up feeling refreshed but tends to tire out later in the day.  In terms of her thyroid issues, the patient states that she is not having signs or symptoms of thyroid excess or hypothyroidism.  She is not reporting temperature intolerance, palpitations, muscle weakness, tremors, nausea, vomiting, constipation, hyperdefecation or diarrhea.  Her weight has been stable.  She is not reporting proximal muscle weakness.

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. Looks like we are here for a six months follow up. How are we doing?

user: I have stayed relatively the same. My main complaint is that I feel tired throughout the day. The C P A P is doing fine and I wake up refreshed, but I don't like how I crash.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This is a return visit to the endocrine clinic for the patient with history as noted above.  She is 45 years old.  Her last visit was about 6 months ago.  Since that time, the patient states her health has remained unchanged.  Currently, primary complaint is one of fatigue that she feels throughout the day.  She states, however, she is doing well with CPAP and wakes up feeling refreshed but tends to tire out later in the day.  In terms of her thyroid issues, the patient states that she is not having signs or symptoms of thyroid excess or hypothyroidism.  She is not reporting temperature intolerance, palpitations, muscle weakness, tremors, nausea, vomiting, constipation, hyperdefecation or diarrhea.  Her weight has been stable.  She is not reporting proximal muscle weakness.

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. Looks like we are here for a six months follow up. How are we doing?

user: I have stayed relatively the same. My main complaint is that I feel tired throughout the day. The C P A P is doing fine and I wake up refreshed, but I don't like how I crash.

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

Section: GENHX
Patient Information: This is a return visit to the endocrine clinic for the patient with history as noted above.  She is 45 years old.  Her last visit was about 6 months ago.  Since that time, the patient states her health has remained unchanged.  Currently, primary complaint is one of fatigue that she feels throughout the day.  She states, however, she is doing well with CPAP and wakes up feeling refreshed but tends to tire out later in the day.  In terms of her thyroid issues, the patient states that she is not having signs or symptoms of thyroid excess or hypothyroidism.  She is not reporting temperature intolerance, palpitations, muscle weakness, tremors, nausea, vomiting, constipation, hyperdefecation or diarrhea.  Her weight has been stable.  She is not reporting proximal muscle weakness.

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. Looks like we are here for a six months follow up. How are we doing?

user: I have stayed relatively the same. My main complaint is that I feel tired throughout the day. The C P A P is doing fine and I wake up refreshed, but I don't like how I crash.

assistant: Alright. How are the thyroid issues?

user: I seem to be fine. My thyroid gland does not seem enlarged and I can breathe like normal. No fever or anything.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: CC
Patient Information: Syncope.

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

assistant: So I understand you had a fainting episode yesterday?

user: Yes, I did.

assistant: Has this happened to you before?

user: Yes. It happens whenever needles are involved.

assistant: You had a Vasovagal Syncope. How are you feeling today?

user: I feel normal today.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: CC
Patient Information: Syncope.

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 did.

assistant: Has this happened to you before?

user: Yes. It happens whenever needles are involved.

assistant: You had a Vasovagal Syncope. How are you feeling today?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: CC
Patient Information: Syncope.

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

assistant: So I understand you had a fainting episode yesterday?

user: Yes, I did.

assistant: Has this happened to you before?

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

Section: CC
Patient Information: I have a lot of swelling in my legs.

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

assistant: Hello, how are you?

user: I am not so good.

assistant: Oh, what is going on with you?

user: Well, I have lot of swelling in my legs.

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

Section: CC
Patient Information: I have a lot of swelling in my legs.

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 not so good.

assistant: Oh, what is going on with you?

user: Well, I have lot of swelling in my legs.

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

Section: CC
Patient Information: I have a lot of swelling in my legs.

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

assistant: Hello, how are you?

user: I am not so good.

assistant: Oh, what is going on with you?

user: Well, I have lot of swelling in my legs.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This 44 y/o LHM presented with a one month history of numbness and pain of the left middle finger and wrist. The numbness began in the left middle finger and gradually progressed over the course of a day to involve his wrist as well. Within a few days he developed pain in his wrist. He had been working as a cook and cut fish for prolonged periods of time. This activity exacerbated his symptoms. He denied any bowel/bladder difficulties, neck pain, or weakness. He had no history of neck injury.

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, sir! I am Doctor Frankland.

user: Hi! It's nice to meet you.

assistant: What brings you into see me today?

user: I have had this pain in my finger and wrist for about a month. I have had some numbness too. The numbness started in the finger and is now in the wrist too.

assistant: Which wrist and finger is it that is hurting?

user: The left one and the middle finger, here.

assistant: What was to time frame of the procreation of the numbness from the finger to the wrist?

user: It started when I woke up and then by the end of the day my wrist was numb too.

assistant: When did you start experiencing pain in the wrist area?

user: A few days after the numbness started.

assistant: Which hand is your dominate hand?

user: I am left handed.

assistant: What do you do for work?

user: I am a cook. I also cut the fish for the whole restaurant.  I cut fish for hours in the mornings and it has been a struggle and it is aggravating my finger and wrist.

assistant: How old are you?

user: I am forty four.

assistant: Do you have any history of injuring a neck injury?

user: No.

assistant: Any neck pain or weakness?

user: No.

assistant: Any difficulties with bowel movements or urination?

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

Section: GENHX
Patient Information: This 44 y/o LHM presented with a one month history of numbness and pain of the left middle finger and wrist. The numbness began in the left middle finger and gradually progressed over the course of a day to involve his wrist as well. Within a few days he developed pain in his wrist. He had been working as a cook and cut fish for prolonged periods of time. This activity exacerbated his symptoms. He denied any bowel/bladder difficulties, neck pain, or weakness. He had no history of neck injury.

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

user: Hi! It's nice to meet you.

assistant: What brings you into see me today?

user: I have had this pain in my finger and wrist for about a month. I have had some numbness too. The numbness started in the finger and is now in the wrist too.

assistant: Which wrist and finger is it that is hurting?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This 44 y/o LHM presented with a one month history of numbness and pain of the left middle finger and wrist. The numbness began in the left middle finger and gradually progressed over the course of a day to involve his wrist as well. Within a few days he developed pain in his wrist. He had been working as a cook and cut fish for prolonged periods of time. This activity exacerbated his symptoms. He denied any bowel/bladder difficulties, neck pain, or weakness. He had no history of neck injury.

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 had this pain in my finger and wrist for about a month. I have had some numbness too. The numbness started in the finger and is now in the wrist too.

assistant: Which wrist and finger is it that is hurting?

user: The left one and the middle finger, here.

assistant: What was to time frame of the procreation of the numbness from the finger to the wrist?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This 44 y/o LHM presented with a one month history of numbness and pain of the left middle finger and wrist. The numbness began in the left middle finger and gradually progressed over the course of a day to involve his wrist as well. Within a few days he developed pain in his wrist. He had been working as a cook and cut fish for prolonged periods of time. This activity exacerbated his symptoms. He denied any bowel/bladder difficulties, neck pain, or weakness. He had no history of neck injury.

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: The left one and the middle finger, here.

assistant: What was to time frame of the procreation of the numbness from the finger to the wrist?

user: It started when I woke up and then by the end of the day my wrist was numb too.

assistant: When did you start experiencing pain in the wrist area?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This 44 y/o LHM presented with a one month history of numbness and pain of the left middle finger and wrist. The numbness began in the left middle finger and gradually progressed over the course of a day to involve his wrist as well. Within a few days he developed pain in his wrist. He had been working as a cook and cut fish for prolonged periods of time. This activity exacerbated his symptoms. He denied any bowel/bladder difficulties, neck pain, or weakness. He had no history of neck injury.

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

user: It started when I woke up and then by the end of the day my wrist was numb too.

assistant: When did you start experiencing pain in the wrist area?

user: A few days after the numbness started.

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

Section: GENHX
Patient Information: This 44 y/o LHM presented with a one month history of numbness and pain of the left middle finger and wrist. The numbness began in the left middle finger and gradually progressed over the course of a day to involve his wrist as well. Within a few days he developed pain in his wrist. He had been working as a cook and cut fish for prolonged periods of time. This activity exacerbated his symptoms. He denied any bowel/bladder difficulties, neck pain, or weakness. He had no history of neck injury.

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: A few days after the numbness started.

assistant: Which hand is your dominate hand?

user: I am left handed.

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

Section: GENHX
Patient Information: This 44 y/o LHM presented with a one month history of numbness and pain of the left middle finger and wrist. The numbness began in the left middle finger and gradually progressed over the course of a day to involve his wrist as well. Within a few days he developed pain in his wrist. He had been working as a cook and cut fish for prolonged periods of time. This activity exacerbated his symptoms. He denied any bowel/bladder difficulties, neck pain, or weakness. He had no history of neck injury.

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 left handed.

assistant: What do you do for work?

user: I am a cook. I also cut the fish for the whole restaurant.  I cut fish for hours in the mornings and it has been a struggle and it is aggravating my finger and wrist.

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

Section: GENHX
Patient Information: This 44 y/o LHM presented with a one month history of numbness and pain of the left middle finger and wrist. The numbness began in the left middle finger and gradually progressed over the course of a day to involve his wrist as well. Within a few days he developed pain in his wrist. He had been working as a cook and cut fish for prolonged periods of time. This activity exacerbated his symptoms. He denied any bowel/bladder difficulties, neck pain, or weakness. He had no history of neck injury.

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 a cook. I also cut the fish for the whole restaurant.  I cut fish for hours in the mornings and it has been a struggle and it is aggravating my finger and wrist.

assistant: How old are you?

user: I am forty four.

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

Section: GENHX
Patient Information: This 44 y/o LHM presented with a one month history of numbness and pain of the left middle finger and wrist. The numbness began in the left middle finger and gradually progressed over the course of a day to involve his wrist as well. Within a few days he developed pain in his wrist. He had been working as a cook and cut fish for prolonged periods of time. This activity exacerbated his symptoms. He denied any bowel/bladder difficulties, neck pain, or weakness. He had no history of neck injury.

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 forty four.

assistant: Do you have any history of injuring a neck injury?

user: No.

assistant: Any neck pain or weakness?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This 44 y/o LHM presented with a one month history of numbness and pain of the left middle finger and wrist. The numbness began in the left middle finger and gradually progressed over the course of a day to involve his wrist as well. Within a few days he developed pain in his wrist. He had been working as a cook and cut fish for prolonged periods of time. This activity exacerbated his symptoms. He denied any bowel/bladder difficulties, neck pain, or weakness. He had no history of neck injury.

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 neck pain or weakness?

user: No.

assistant: Any difficulties with bowel movements or urination?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This 44 y/o LHM presented with a one month history of numbness and pain of the left middle finger and wrist. The numbness began in the left middle finger and gradually progressed over the course of a day to involve his wrist as well. Within a few days he developed pain in his wrist. He had been working as a cook and cut fish for prolonged periods of time. This activity exacerbated his symptoms. He denied any bowel/bladder difficulties, neck pain, or weakness. He had no history of neck injury.

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 difficulties with bowel movements or urination?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This 44 y/o LHM presented with a one month history of numbness and pain of the left middle finger and wrist. The numbness began in the left middle finger and gradually progressed over the course of a day to involve his wrist as well. Within a few days he developed pain in his wrist. He had been working as a cook and cut fish for prolonged periods of time. This activity exacerbated his symptoms. He denied any bowel/bladder difficulties, neck pain, or weakness. He had no history of neck injury.

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, sir! I am Doctor Frankland.

user: Hi! It's nice to meet you.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This 44 y/o LHM presented with a one month history of numbness and pain of the left middle finger and wrist. The numbness began in the left middle finger and gradually progressed over the course of a day to involve his wrist as well. Within a few days he developed pain in his wrist. He had been working as a cook and cut fish for prolonged periods of time. This activity exacerbated his symptoms. He denied any bowel/bladder difficulties, neck pain, or weakness. He had no history of neck injury.

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, sir! I am Doctor Frankland.

user: Hi! It's nice to meet you.

assistant: What brings you into see me today?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This 44 y/o LHM presented with a one month history of numbness and pain of the left middle finger and wrist. The numbness began in the left middle finger and gradually progressed over the course of a day to involve his wrist as well. Within a few days he developed pain in his wrist. He had been working as a cook and cut fish for prolonged periods of time. This activity exacerbated his symptoms. He denied any bowel/bladder difficulties, neck pain, or weakness. He had no history of neck injury.

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, sir! I am Doctor Frankland.

user: Hi! It's nice to meet you.

assistant: What brings you into see me today?

user: I have had this pain in my finger and wrist for about a month. I have had some numbness too. The numbness started in the finger and is now in the wrist too.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: EXAM
Patient Information: GENERAL: The patient is awake and alert, in no apparent distress, appropriate, pleasant and cooperative.  No dysarthria is noted.  No discomfort on presentation is noted.

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.  How are you feeling today?

user: I feel good, considering.  I slept well last night.

assistant: Are you expensing any pain or discomfort?

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

Section: EXAM
Patient Information: GENERAL: The patient is awake and alert, in no apparent distress, appropriate, pleasant and cooperative.  No dysarthria is noted.  No discomfort on presentation is noted.

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 feel good, considering.  I slept well last night.

assistant: Are you expensing any pain or discomfort?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: EXAM
Patient Information: GENERAL: The patient is awake and alert, in no apparent distress, appropriate, pleasant and cooperative.  No dysarthria is noted.  No discomfort on presentation is noted.

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.  How are you feeling today?

user: I feel good, considering.  I slept well last night.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: EXAM
Patient Information: GENERAL: The patient is awake and alert, in no apparent distress, appropriate, pleasant and cooperative.  No dysarthria is noted.  No discomfort on presentation is noted.

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.  How are you feeling today?

user: I feel good, considering.  I slept well last night.

assistant: Are you expensing any pain or discomfort?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: EXAM
Patient Information: BREASTS: The breasts show no masses or tenderness.  No axillary adenopathy.

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 doing with everything?

user: I'm good. It's hard when you are in quarantine. I hope things will get back to normal soon.

assistant: So, you are here for your breast examination.

user: Yes, it was due for so long.

assistant: I'm going to touch both of your breasts one by one to check for any lump or kind of mass. Okay?

user: Yeah.

assistant: Okay, so both looks good. Are you feeling any pain while I'm touching?

user: No, I don't feel any pain.

assistant: That's good, no masses, no pain and I do not feel anything in your armpit area.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: EXAM
Patient Information: BREASTS: The breasts show no masses or tenderness.  No axillary adenopathy.

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'm good. It's hard when you are in quarantine. I hope things will get back to normal soon.

assistant: So, you are here for your breast examination.

user: Yes, it was due for so long.

assistant: I'm going to touch both of your breasts one by one to check for any lump or kind of mass. Okay?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: EXAM
Patient Information: BREASTS: The breasts show no masses or tenderness.  No axillary adenopathy.

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, it was due for so long.

assistant: I'm going to touch both of your breasts one by one to check for any lump or kind of mass. Okay?

user: Yeah.

assistant: Okay, so both looks good. Are you feeling any pain while I'm touching?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: EXAM
Patient Information: BREASTS: The breasts show no masses or tenderness.  No axillary adenopathy.

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 both looks good. Are you feeling any pain while I'm touching?

user: No, I don't feel any pain.

assistant: That's good, no masses, no pain and I do not feel anything in your armpit area.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: EXAM
Patient Information: BREASTS: The breasts show no masses or tenderness.  No axillary adenopathy.

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 don't feel any pain.

assistant: That's good, no masses, no pain and I do not feel anything in your armpit area.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: EXAM
Patient Information: BREASTS: The breasts show no masses or tenderness.  No axillary adenopathy.

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 doing with everything?

user: I'm good. It's hard when you are in quarantine. I hope things will get back to normal soon.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: EXAM
Patient Information: BREASTS: The breasts show no masses or tenderness.  No axillary adenopathy.

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 doing with everything?

user: I'm good. It's hard when you are in quarantine. I hope things will get back to normal soon.

assistant: So, you are here for your breast examination.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: EXAM
Patient Information: BREASTS: The breasts show no masses or tenderness.  No axillary adenopathy.

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 doing with everything?

user: I'm good. It's hard when you are in quarantine. I hope things will get back to normal soon.

assistant: So, you are here for your breast examination.

user: Yes, it was due for so long.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: The patient is married.  Wife is living and well.  He jogs or does Cross Country track 5 times a week, and weight training twice weekly.  No smoking or significant alcohol intake.  He is a physician in allergy/immunology.

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's your wife doing? I think the last time I saw her was two weeks ago. She was telling me about the remodeling you've been doing around the house.

user: She's doing well, thanks for asking. Oh yeah, the remodeling has been a lot. I didn't think it'd take as long as it has.

assistant: Yeah, it can take some time. We remodeled our kitchen three years ago and it turned our lives upside down. So tell me, how's training going for you? I believe you were telling me that you have a five k coming up.

user: Yeah, it's two weeks away. I've been jogging and doing cross country track about five times a week. I also lift twice a week on my better days.

assistant: That's great! And no smoking or drinking, correct?

user: Nope.

assistant: How's work been treating ya?

user: Pretty darn well actually. I go into the allergy and immunology clinic four days outta the week. I like that my hours are flexible. My patients also haven't run away from me yet, which is always a good sign.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: The patient is married.  Wife is living and well.  He jogs or does Cross Country track 5 times a week, and weight training twice weekly.  No smoking or significant alcohol intake.  He is a physician in allergy/immunology.

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

user: She's doing well, thanks for asking. Oh yeah, the remodeling has been a lot. I didn't think it'd take as long as it has.

assistant: Yeah, it can take some time. We remodeled our kitchen three years ago and it turned our lives upside down. So tell me, how's training going for you? I believe you were telling me that you have a five k coming up.

user: Yeah, it's two weeks away. I've been jogging and doing cross country track about five times a week. I also lift twice a week on my better days.

assistant: That's great! And no smoking or drinking, correct?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: The patient is married.  Wife is living and well.  He jogs or does Cross Country track 5 times a week, and weight training twice weekly.  No smoking or significant alcohol intake.  He is a physician in allergy/immunology.

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, it's two weeks away. I've been jogging and doing cross country track about five times a week. I also lift twice a week on my better days.

assistant: That's great! And no smoking or drinking, correct?

user: Nope.

assistant: How's work been treating ya?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: The patient is married.  Wife is living and well.  He jogs or does Cross Country track 5 times a week, and weight training twice weekly.  No smoking or significant alcohol intake.  He is a physician in allergy/immunology.

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

user: Nope.

assistant: How's work been treating ya?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: The patient is married.  Wife is living and well.  He jogs or does Cross Country track 5 times a week, and weight training twice weekly.  No smoking or significant alcohol intake.  He is a physician in allergy/immunology.

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's your wife doing? I think the last time I saw her was two weeks ago. She was telling me about the remodeling you've been doing around the house.

user: She's doing well, thanks for asking. Oh yeah, the remodeling has been a lot. I didn't think it'd take as long as it has.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: The patient is married.  Wife is living and well.  He jogs or does Cross Country track 5 times a week, and weight training twice weekly.  No smoking or significant alcohol intake.  He is a physician in allergy/immunology.

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's your wife doing? I think the last time I saw her was two weeks ago. She was telling me about the remodeling you've been doing around the house.

user: She's doing well, thanks for asking. Oh yeah, the remodeling has been a lot. I didn't think it'd take as long as it has.

assistant: Yeah, it can take some time. We remodeled our kitchen three years ago and it turned our lives upside down. So tell me, how's training going for you? I believe you were telling me that you have a five k coming up.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: The patient is married.  Wife is living and well.  He jogs or does Cross Country track 5 times a week, and weight training twice weekly.  No smoking or significant alcohol intake.  He is a physician in allergy/immunology.

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's your wife doing? I think the last time I saw her was two weeks ago. She was telling me about the remodeling you've been doing around the house.

user: She's doing well, thanks for asking. Oh yeah, the remodeling has been a lot. I didn't think it'd take as long as it has.

assistant: Yeah, it can take some time. We remodeled our kitchen three years ago and it turned our lives upside down. So tell me, how's training going for you? I believe you were telling me that you have a five k coming up.

user: Yeah, it's two weeks away. I've been jogging and doing cross country track about five times a week. I also lift twice a week on my better days.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This is a 34-year-old African American female who comes today for routine followup.  She has no acute complaints.  She reports that she has a muscle sprain on her upper back from lifting.  The patient is a housekeeper by profession.  It does not impede her work in anyway.  She just reports that it gives her some trouble sleeping at night, pain on 1 to 10 scale was about 2 and at worse it is 3 to 4 but relieved with over-the-counter medication.  No other associated complaints.  No neurological deficits or other specific problems.  The patient denies any symptoms associated with opportunistic infection.

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: My nurse tells me you're thirty four years old, is that correct?

user: Yes, I just had my birthday, doctor.

assistant: You identify as African American, correct?

user: Yes, that's right, sir.

assistant: You're here for a follow up? What brings you back in today?

user: Well, I don't really have a single acute complaint, but I have a muscle sprain in my upper back.

assistant: Is there an injury associated with this pain, ma'am?

user: I think it has to do with me lifting weights.

assistant: Yes, that's common. Is this messing with your ability to work?

user: No, it's not really.

assistant: What do you do for a living?

user: I'm a housekeeper, it's my profession.

assistant: Are you having trouble sleeping at night?

user: Yes, it's not severe, but I'm having some trouble.

assistant: With ten being the worst pain imaginable, how would you rate your pain today?

user: I'd say it's usually a two out of ten.

assistant: When it's the worst, how would you rate it?

user: When that happens, I'd say it's a three or a four.

assistant: Do you take any medicines for this pain?

user: Over the counter medications usually help the pain go away.

assistant: Do you have any other complaints?

user: No, just this muscle pain.

assistant: Do you have any loss of balance when you hold something with this arm?

user: No, my strength and everything is normal there.

assistant: Do you have any signs of infection? That'd be anything like fever or chills, anything like that?

user: No, I don't have anything like that.