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

Section: FAM/SOCHX
Patient Information: Smokes 2ppd cigarettes.

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?

user: Yes.

assistant: How much do you smoke?

user: I smoke about two packs of cigarettes a day.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: ROS
Patient Information: NERVOUS SYSTEM: No gait problems, strokes, numbness or 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: Any numbness or tingling?

user: No.

assistant: Are your experiencing any muscle weakness?

user: No.

assistant: Any problem walking, or did you lose balance or fall?

user: Nope.

assistant: So, your gait is fine. Any stroke in the past?

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

Section: ROS
Patient Information: NERVOUS SYSTEM: No gait problems, strokes, numbness or 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: No.

assistant: Are your experiencing any muscle weakness?

user: No.

assistant: Any problem walking, or did you lose balance or fall?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: ROS
Patient Information: NERVOUS SYSTEM: No gait problems, strokes, numbness or 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: No.

assistant: Any problem walking, or did you lose balance or fall?

user: Nope.

assistant: So, your gait is fine. Any stroke in the past?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: ROS
Patient Information: NERVOUS SYSTEM: No gait problems, strokes, numbness or 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: Nope.

assistant: So, your gait is fine. Any stroke in the past?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: ROS
Patient Information: NERVOUS SYSTEM: No gait problems, strokes, numbness or 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: Any numbness or tingling?

user: No.

assistant: Are your experiencing any muscle weakness?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: ROS
Patient Information: NERVOUS SYSTEM: No gait problems, strokes, numbness or 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: Any numbness or tingling?

user: No.

assistant: Are your experiencing any muscle weakness?

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

Section: PASTSURGICAL
Patient Information: Significant for cholecystectomy, appendectomy, and hysterectomy.  She has a long history of known grade 4 bladder prolapse and she has been seen in the past by Dr. Chip Winkel, I believe that he has not been re-consulted.

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: Past surgeries I should know of?

user: I had my gallbladder, appendix, and uterus removed.

assistant: Oh wow, I see. When did you get these surgeries?

user: I had my gallbladder removed in O eight, appendix removed in twenty twelve, and uterus removed this past year.

assistant: Any other medical history?

user: My bladder was sagging the last time I saw the urologist.

assistant: Does the diagnosis bladder prolapse sound familiar?

user: Yeah, I believe so. They said it was grad four last time.

assistant: Have you followed up with your urologist recently?

user: Chip Winkel? No, not as of late.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTSURGICAL
Patient Information: Significant for cholecystectomy, appendectomy, and hysterectomy.  She has a long history of known grade 4 bladder prolapse and she has been seen in the past by Dr. Chip Winkel, I believe that he has not been re-consulted.

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 my gallbladder, appendix, and uterus removed.

assistant: Oh wow, I see. When did you get these surgeries?

user: I had my gallbladder removed in O eight, appendix removed in twenty twelve, and uterus removed this past year.

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

Section: PASTSURGICAL
Patient Information: Significant for cholecystectomy, appendectomy, and hysterectomy.  She has a long history of known grade 4 bladder prolapse and she has been seen in the past by Dr. Chip Winkel, I believe that he has not been re-consulted.

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 my gallbladder removed in O eight, appendix removed in twenty twelve, and uterus removed this past year.

assistant: Any other medical history?

user: My bladder was sagging the last time I saw the urologist.

assistant: Does the diagnosis bladder prolapse sound familiar?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTSURGICAL
Patient Information: Significant for cholecystectomy, appendectomy, and hysterectomy.  She has a long history of known grade 4 bladder prolapse and she has been seen in the past by Dr. Chip Winkel, I believe that he has not been re-consulted.

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

user: My bladder was sagging the last time I saw the urologist.

assistant: Does the diagnosis bladder prolapse sound familiar?

user: Yeah, I believe so. They said it was grad four last time.

assistant: Have you followed up with your urologist recently?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTSURGICAL
Patient Information: Significant for cholecystectomy, appendectomy, and hysterectomy.  She has a long history of known grade 4 bladder prolapse and she has been seen in the past by Dr. Chip Winkel, I believe that he has not been re-consulted.

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 believe so. They said it was grad four last time.

assistant: Have you followed up with your urologist recently?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTSURGICAL
Patient Information: Significant for cholecystectomy, appendectomy, and hysterectomy.  She has a long history of known grade 4 bladder prolapse and she has been seen in the past by Dr. Chip Winkel, I believe that he has not been re-consulted.

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: Past surgeries I should know of?

user: I had my gallbladder, appendix, and uterus removed.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTSURGICAL
Patient Information: Significant for cholecystectomy, appendectomy, and hysterectomy.  She has a long history of known grade 4 bladder prolapse and she has been seen in the past by Dr. Chip Winkel, I believe that he has not been re-consulted.

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: Past surgeries I should know of?

user: I had my gallbladder, appendix, and uterus removed.

assistant: Oh wow, I see. When did you get these surgeries?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTSURGICAL
Patient Information: Significant for cholecystectomy, appendectomy, and hysterectomy.  She has a long history of known grade 4 bladder prolapse and she has been seen in the past by Dr. Chip Winkel, I believe that he has not been re-consulted.

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: Past surgeries I should know of?

user: I had my gallbladder, appendix, and uterus removed.

assistant: Oh wow, I see. When did you get these surgeries?

user: I had my gallbladder removed in O eight, appendix removed in twenty twelve, and uterus removed this past year.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This is a 12-year-old young man who comes in with about 10 days worth of sinus congestion.  He does have significant allergies including ragweed.  The drainage has been clear.  He had a little bit of a headache yesterday.  He has had no fever.  No one else is ill at home currently.

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

assistant: Do you have allergies? How old are you, young man?

user: Yes ragweed. I am twelve.

assistant: So basically, you are just congested?

user: Yes that's right. The last ten days.

assistant: Any headache? What comes out of your nose?

user: Yes I had a little yesterday. Clear boogers.

assistant: You feel hot?

user: No.

assistant: Anyone sick at home?

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

Section: GENHX
Patient Information: This is a 12-year-old young man who comes in with about 10 days worth of sinus congestion.  He does have significant allergies including ragweed.  The drainage has been clear.  He had a little bit of a headache yesterday.  He has had no fever.  No one else is ill at home currently.

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 ragweed. I am twelve.

assistant: So basically, you are just congested?

user: Yes that's right. The last ten days.

assistant: Any headache? What comes out of your nose?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This is a 12-year-old young man who comes in with about 10 days worth of sinus congestion.  He does have significant allergies including ragweed.  The drainage has been clear.  He had a little bit of a headache yesterday.  He has had no fever.  No one else is ill at home currently.

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

user: Yes that's right. The last ten days.

assistant: Any headache? What comes out of your nose?

user: Yes I had a little yesterday. Clear boogers.

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

Section: GENHX
Patient Information: This is a 12-year-old young man who comes in with about 10 days worth of sinus congestion.  He does have significant allergies including ragweed.  The drainage has been clear.  He had a little bit of a headache yesterday.  He has had no fever.  No one else is ill at home currently.

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 had a little yesterday. Clear boogers.

assistant: You feel hot?

user: No.

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

Section: GENHX
Patient Information: This is a 12-year-old young man who comes in with about 10 days worth of sinus congestion.  He does have significant allergies including ragweed.  The drainage has been clear.  He had a little bit of a headache yesterday.  He has had no fever.  No one else is ill at home currently.

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: Anyone sick at home?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This is a 12-year-old young man who comes in with about 10 days worth of sinus congestion.  He does have significant allergies including ragweed.  The drainage has been clear.  He had a little bit of a headache yesterday.  He has had no fever.  No one else is ill at home currently.

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

assistant: Do you have allergies? How old are you, young man?

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

Section: GENHX
Patient Information: This is a 12-year-old young man who comes in with about 10 days worth of sinus congestion.  He does have significant allergies including ragweed.  The drainage has been clear.  He had a little bit of a headache yesterday.  He has had no fever.  No one else is ill at home currently.

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

assistant: Do you have allergies? How old are you, young man?

user: Yes ragweed. I am twelve.

assistant: So basically, you are just congested?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This is a 12-year-old young man who comes in with about 10 days worth of sinus congestion.  He does have significant allergies including ragweed.  The drainage has been clear.  He had a little bit of a headache yesterday.  He has had no fever.  No one else is ill at home currently.

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

assistant: Do you have allergies? How old are you, young man?

user: Yes ragweed. I am twelve.

assistant: So basically, you are just congested?

user: Yes that's right. The last ten days.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: Divorced. Lives with children. No spontaneous abortions. Denied ETOH/Tobacco/Illicit Drug use.

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 married?

user: I'm divorced.

assistant: Do you have any kids?

user: Yes, I have two boys and they live with me.

assistant: Any abnormal pregnancy. Any abortions?

user: No, none of them.

assistant: Do you smoke or consume alcohol or have ever used any illicit drug?

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

Section: FAM/SOCHX
Patient Information: Divorced. Lives with children. No spontaneous abortions. Denied ETOH/Tobacco/Illicit Drug use.

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 divorced.

assistant: Do you have any kids?

user: Yes, I have two boys and they live with me.

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

Section: FAM/SOCHX
Patient Information: Divorced. Lives with children. No spontaneous abortions. Denied ETOH/Tobacco/Illicit Drug use.

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

user: Yes, I have two boys and they live with me.

assistant: Any abnormal pregnancy. Any abortions?

user: No, none of them.

assistant: Do you smoke or consume alcohol or have ever used any illicit drug?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: Divorced. Lives with children. No spontaneous abortions. Denied ETOH/Tobacco/Illicit Drug use.

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, none of them.

assistant: Do you smoke or consume alcohol or have ever used any illicit drug?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: Divorced. Lives with children. No spontaneous abortions. Denied ETOH/Tobacco/Illicit Drug use.

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 married?

user: I'm divorced.

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

Section: FAM/SOCHX
Patient Information: Divorced. Lives with children. No spontaneous abortions. Denied ETOH/Tobacco/Illicit Drug use.

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 married?

user: I'm divorced.

assistant: Do you have any kids?

user: Yes, I have two boys and they live with me.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTMEDICALHX
Patient Information: 1.  History of recurrent abscesses in the perineum, upper medial thigh, and the vulva area for about 2 years.  Per her report, a dermatologist had told her that she had an overactive sweat gland, and I believe she probably has hidradenitis suppurativa.  Probably, she has had Staphylococcus infection associated with it as well. 2.  Reported history of asthma.

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

assistant: I want to go over your medical history. I see here you saw the dermatologist a month ago.

user: Yeah. She said that I um have an overactive sweat gland.

assistant: Does hidradenitis suppurativa sound familiar?

user: It does.

assistant: I ask because it's also included in your last visit with your dermatologist.

user: Those are the red bumps, right?

assistant: Yes. There's a note here that you could've potentially had Staph with it as well.

user: Oh yeah. I've also had a lot of abscesses in the past.

assistant: It looks like you've had them in your upper mid thigh, vulva area, and the area between your vulva and anus.

user: For about two years now.

assistant: Right. And a history of asthma?

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

Section: PASTMEDICALHX
Patient Information: 1.  History of recurrent abscesses in the perineum, upper medial thigh, and the vulva area for about 2 years.  Per her report, a dermatologist had told her that she had an overactive sweat gland, and I believe she probably has hidradenitis suppurativa.  Probably, she has had Staphylococcus infection associated with it as well. 2.  Reported history of asthma.

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. She said that I um have an overactive sweat gland.

assistant: Does hidradenitis suppurativa sound familiar?

user: It does.

assistant: I ask because it's also included in your last visit with your dermatologist.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTMEDICALHX
Patient Information: 1.  History of recurrent abscesses in the perineum, upper medial thigh, and the vulva area for about 2 years.  Per her report, a dermatologist had told her that she had an overactive sweat gland, and I believe she probably has hidradenitis suppurativa.  Probably, she has had Staphylococcus infection associated with it as well. 2.  Reported history of asthma.

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 does.

assistant: I ask because it's also included in your last visit with your dermatologist.

user: Those are the red bumps, right?

assistant: Yes. There's a note here that you could've potentially had Staph with it as well.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTMEDICALHX
Patient Information: 1.  History of recurrent abscesses in the perineum, upper medial thigh, and the vulva area for about 2 years.  Per her report, a dermatologist had told her that she had an overactive sweat gland, and I believe she probably has hidradenitis suppurativa.  Probably, she has had Staphylococcus infection associated with it as well. 2.  Reported history of asthma.

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: Those are the red bumps, right?

assistant: Yes. There's a note here that you could've potentially had Staph with it as well.

user: Oh yeah. I've also had a lot of abscesses in the past.

assistant: It looks like you've had them in your upper mid thigh, vulva area, and the area between your vulva and anus.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTMEDICALHX
Patient Information: 1.  History of recurrent abscesses in the perineum, upper medial thigh, and the vulva area for about 2 years.  Per her report, a dermatologist had told her that she had an overactive sweat gland, and I believe she probably has hidradenitis suppurativa.  Probably, she has had Staphylococcus infection associated with it as well. 2.  Reported history of asthma.

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

user: Oh yeah. I've also had a lot of abscesses in the past.

assistant: It looks like you've had them in your upper mid thigh, vulva area, and the area between your vulva and anus.

user: For about two years now.

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

Section: PASTMEDICALHX
Patient Information: 1.  History of recurrent abscesses in the perineum, upper medial thigh, and the vulva area for about 2 years.  Per her report, a dermatologist had told her that she had an overactive sweat gland, and I believe she probably has hidradenitis suppurativa.  Probably, she has had Staphylococcus infection associated with it as well. 2.  Reported history of asthma.

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 about two years now.

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

Section: PASTMEDICALHX
Patient Information: 1.  History of recurrent abscesses in the perineum, upper medial thigh, and the vulva area for about 2 years.  Per her report, a dermatologist had told her that she had an overactive sweat gland, and I believe she probably has hidradenitis suppurativa.  Probably, she has had Staphylococcus infection associated with it as well. 2.  Reported history of asthma.

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

assistant: I want to go over your medical history. I see here you saw the dermatologist a month ago.

user: Yeah. She said that I um have an overactive sweat gland.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTMEDICALHX
Patient Information: 1.  History of recurrent abscesses in the perineum, upper medial thigh, and the vulva area for about 2 years.  Per her report, a dermatologist had told her that she had an overactive sweat gland, and I believe she probably has hidradenitis suppurativa.  Probably, she has had Staphylococcus infection associated with it as well. 2.  Reported history of asthma.

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

assistant: I want to go over your medical history. I see here you saw the dermatologist a month ago.

user: Yeah. She said that I um have an overactive sweat gland.

assistant: Does hidradenitis suppurativa sound familiar?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTMEDICALHX
Patient Information: 1.  History of recurrent abscesses in the perineum, upper medial thigh, and the vulva area for about 2 years.  Per her report, a dermatologist had told her that she had an overactive sweat gland, and I believe she probably has hidradenitis suppurativa.  Probably, she has had Staphylococcus infection associated with it as well. 2.  Reported history of asthma.

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

assistant: I want to go over your medical history. I see here you saw the dermatologist a month ago.

user: Yeah. She said that I um have an overactive sweat gland.

assistant: Does hidradenitis suppurativa sound familiar?

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

Section: PASTMEDICALHX
Patient Information: Hyperlipidemia, smoking history, and chest pain.  He has been, in October of last year, hospitalized.  Subsequently underwent cardiac catheterization.  The left system was normal.  There was a question of a right coronary artery lesion, which was thought to be spasm.  Subsequently, the patient did undergo nuclear and myocardial perfusion scan, which was normal.  The patient continues to smoke actively since in last 3 to 4 days especially when he is stressed.  No relation to exertional activity.

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: Hello, how are you?

assistant: I am good, tell me what brings you here?

user: I am having this chest pain. I was hospitalized last year in October and at that time they put this catheter in my heart. I also underwent a heart scan. It's here in this report.

assistant: Yeah, I see that you got nuclear and myocardial perfusion scan, which was normal. They were looking for some heart artery lesion but then it was thought to be due to spasm.

user: Right.

assistant: It is also mentioned here that you have hyperlipidemia.

user: Yes.

assistant: And are you still smoking?

user: Yes, in fact I have been smoking actively from pass three to four days because I am really stressed.

assistant: Hm. And would you say, you might have had some exertion recently or did some steep hiking or some cardio exercises which might have caused some additional stress on your heart causing chest pain?

user: No, I did not do any exertion. Just actively smoking that's all.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTMEDICALHX
Patient Information: Hyperlipidemia, smoking history, and chest pain.  He has been, in October of last year, hospitalized.  Subsequently underwent cardiac catheterization.  The left system was normal.  There was a question of a right coronary artery lesion, which was thought to be spasm.  Subsequently, the patient did undergo nuclear and myocardial perfusion scan, which was normal.  The patient continues to smoke actively since in last 3 to 4 days especially when he is stressed.  No relation to exertional activity.

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: Hello, how are you?

assistant: I am good, tell me what brings you here?

user: I am having this chest pain. I was hospitalized last year in October and at that time they put this catheter in my heart. I also underwent a heart scan. It's here in this report.

assistant: Yeah, I see that you got nuclear and myocardial perfusion scan, which was normal. They were looking for some heart artery lesion but then it was thought to be due to spasm.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTMEDICALHX
Patient Information: Hyperlipidemia, smoking history, and chest pain.  He has been, in October of last year, hospitalized.  Subsequently underwent cardiac catheterization.  The left system was normal.  There was a question of a right coronary artery lesion, which was thought to be spasm.  Subsequently, the patient did undergo nuclear and myocardial perfusion scan, which was normal.  The patient continues to smoke actively since in last 3 to 4 days especially when he is stressed.  No relation to exertional activity.

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 having this chest pain. I was hospitalized last year in October and at that time they put this catheter in my heart. I also underwent a heart scan. It's here in this report.

assistant: Yeah, I see that you got nuclear and myocardial perfusion scan, which was normal. They were looking for some heart artery lesion but then it was thought to be due to spasm.

user: Right.

assistant: It is also mentioned here that you have hyperlipidemia.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTMEDICALHX
Patient Information: Hyperlipidemia, smoking history, and chest pain.  He has been, in October of last year, hospitalized.  Subsequently underwent cardiac catheterization.  The left system was normal.  There was a question of a right coronary artery lesion, which was thought to be spasm.  Subsequently, the patient did undergo nuclear and myocardial perfusion scan, which was normal.  The patient continues to smoke actively since in last 3 to 4 days especially when he is stressed.  No relation to exertional activity.

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

user: Right.

assistant: It is also mentioned here that you have hyperlipidemia.

user: Yes.

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

Section: PASTMEDICALHX
Patient Information: Hyperlipidemia, smoking history, and chest pain.  He has been, in October of last year, hospitalized.  Subsequently underwent cardiac catheterization.  The left system was normal.  There was a question of a right coronary artery lesion, which was thought to be spasm.  Subsequently, the patient did undergo nuclear and myocardial perfusion scan, which was normal.  The patient continues to smoke actively since in last 3 to 4 days especially when he is stressed.  No relation to exertional activity.

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

user: Yes.

assistant: And are you still smoking?

user: Yes, in fact I have been smoking actively from pass three to four days because I am really stressed.

assistant: Hm. And would you say, you might have had some exertion recently or did some steep hiking or some cardio exercises which might have caused some additional stress on your heart causing chest pain?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTMEDICALHX
Patient Information: Hyperlipidemia, smoking history, and chest pain.  He has been, in October of last year, hospitalized.  Subsequently underwent cardiac catheterization.  The left system was normal.  There was a question of a right coronary artery lesion, which was thought to be spasm.  Subsequently, the patient did undergo nuclear and myocardial perfusion scan, which was normal.  The patient continues to smoke actively since in last 3 to 4 days especially when he is stressed.  No relation to exertional activity.

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, in fact I have been smoking actively from pass three to four days because I am really stressed.

assistant: Hm. And would you say, you might have had some exertion recently or did some steep hiking or some cardio exercises which might have caused some additional stress on your heart causing chest pain?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: He had an assault in December 2009, which led to his previous detention.  It is unknown whether he is under legal constraints at this time.

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

assistant: I am sorry about that.

user: Yes, for assault, that's why I was in detention.

assistant: Okay.

assistant: When was this?

user: Around December of two thousand nine.

user: Not sure if I am under legal contraints right now.

assistant: Okay so we don't know.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: He had an assault in December 2009, which led to his previous detention.  It is unknown whether he is under legal constraints at this time.

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, for assault, that's why I was in detention.

assistant: Okay.

assistant: When was this?

user: Around December of two thousand nine.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: He had an assault in December 2009, which led to his previous detention.  It is unknown whether he is under legal constraints at this time.

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 sure if I am under legal contraints right now.

assistant: Okay so we don't know.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: He had an assault in December 2009, which led to his previous detention.  It is unknown whether he is under legal constraints at this time.

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

assistant: I am sorry about that.

user: Yes, for assault, that's why I was in detention.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: He had an assault in December 2009, which led to his previous detention.  It is unknown whether he is under legal constraints at this time.

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

assistant: I am sorry about that.

user: Yes, for assault, that's why I was in detention.

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

Section: FAM/SOCHX
Patient Information: He had an assault in December 2009, which led to his previous detention.  It is unknown whether he is under legal constraints at this time.

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

assistant: I am sorry about that.

user: Yes, for assault, that's why I was in detention.

assistant: Okay.

assistant: When was this?
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 still a smoker.

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 cigarettes?

user: Yes, I do.

assistant: How many packs a day.

user: Maybe one a day.

assistant: Okay, you should think about quitting.
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 still a smoker.

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 do.

assistant: How many packs a day.

user: Maybe one a day.

assistant: Okay, you should think about quitting.
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 still a smoker.

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 cigarettes?

user: Yes, I do.

assistant: How many packs a day.

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

Section: ALLERGY
Patient Information: Sulfa (rash).

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

assistant: What happens when you take Sulfa drugs?

user: Oh man, I get a really ugly looking rash.

assistant: I'll make note of that so we have it in your chart.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: The patient denies any alcohol, IV drug abuse, tobacco, or any recreational drugs.

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 cigarettes or drink alcohol?

user: No.

assistant: Any use of recreational substances or IV drug abuse?

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

Section: FAM/SOCHX
Patient Information: The patient denies any alcohol, IV drug abuse, tobacco, or any recreational drugs.

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 cigarettes or drink alcohol?

user: No.

assistant: Any use of recreational substances or IV drug abuse?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This patient presents to the office today because of some problems with her right hand.  It has been going tingling and getting numb periodically over several weeks.  She just recently moved her keyboard down at work.  She is hoping that will help.  She is worried about carpal tunnel.  She does a lot of repetitive type activities.  It is worse at night.  If she sleeps on it a certain way, she will wake up and it will be tingling then she can usually shake out the tingling, but nonetheless it is very bothersome for her.  It involves mostly the middle finger, although, she says it also involves the first and second digits on the right hand.  She has some pain in her thumb as well.  She thinks that could be arthritis.

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: Tell me what brings you here today?

user: I'm having some issues with my right hand.

assistant: What kind of issues?

user: I'm having these pins and needles kind of feeling in my hand and it has been going on for several weeks. Sometimes I feel it gets numb. I think it might be carpal tunnel, but I'm not sure. I'm just worried.

assistant: Did you do anything for it?

user: At work I recently moved my keyboard down. I just hope it will help. You know, I do a lot of the same kind of activities all the time. All of it I typing based.

assistant: What is more difficult, day or night?

user: It gets worse at night. If I sleep on it, like in a certain way, it will just wake me up and it starts hurting. These tingling sensations are the worst. It helps if I shake it then the sensation goes away. It irritates me all the time.

assistant: Is it complete hand or is there any part of hand that is worse than others?

user: It is mostly my middle finger, but maybe my first or second finger of the hand also, but mostly my middle finger.

assistant: Is there pain anywhere else?

user: In my thumb as well. I'm just afraid it can be arthritis. I don't want that, too, on my plate.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This patient presents to the office today because of some problems with her right hand.  It has been going tingling and getting numb periodically over several weeks.  She just recently moved her keyboard down at work.  She is hoping that will help.  She is worried about carpal tunnel.  She does a lot of repetitive type activities.  It is worse at night.  If she sleeps on it a certain way, she will wake up and it will be tingling then she can usually shake out the tingling, but nonetheless it is very bothersome for her.  It involves mostly the middle finger, although, she says it also involves the first and second digits on the right hand.  She has some pain in her thumb as well.  She thinks that could be arthritis.

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 having some issues with my right hand.

assistant: What kind of issues?

user: I'm having these pins and needles kind of feeling in my hand and it has been going on for several weeks. Sometimes I feel it gets numb. I think it might be carpal tunnel, but I'm not sure. I'm just worried.

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

Section: GENHX
Patient Information: This patient presents to the office today because of some problems with her right hand.  It has been going tingling and getting numb periodically over several weeks.  She just recently moved her keyboard down at work.  She is hoping that will help.  She is worried about carpal tunnel.  She does a lot of repetitive type activities.  It is worse at night.  If she sleeps on it a certain way, she will wake up and it will be tingling then she can usually shake out the tingling, but nonetheless it is very bothersome for her.  It involves mostly the middle finger, although, she says it also involves the first and second digits on the right hand.  She has some pain in her thumb as well.  She thinks that could be arthritis.

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 having these pins and needles kind of feeling in my hand and it has been going on for several weeks. Sometimes I feel it gets numb. I think it might be carpal tunnel, but I'm not sure. I'm just worried.

assistant: Did you do anything for it?

user: At work I recently moved my keyboard down. I just hope it will help. You know, I do a lot of the same kind of activities all the time. All of it I typing based.

assistant: What is more difficult, day or night?