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: ABC is in today for a followup of her atrial fibrillation.  They have misplaced the Cardizem.  She is not on this and her heart rate is up just a little bit today.  She does complain of feeling dizziness, some vertigo, some lightheadedness, and has attributed this to the Coumadin therapy.  She is very adamant that she wants to stop the Coumadin.  She is tired of blood draws.  We have had a difficult time getting her regulated.  No chest pains.  No shortness of breath.  She is moving around a little bit better.  Her arm does not hurt her.  Her back pain is improving as well.

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, how can I help you?

user: I am here for a follow up on my heart rhythm problem. I think it is atrial fibrillation.

assistant: Oh yes. You are not on Cardizem and your heart rate is up just a little bit today.

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

Section: GENHX
Patient Information: The patient is a 14-year-old male who reported having knee pain for 1 month.  Apparently while he was playing basketball on 12/22/2007 when he had gone up for a jump, he felt a pop in his knee.  The patient was seen at an outside facility where he was splinted and subsequently referred to Children's for definitive care.  Radiographs confirmed comminuted tibial tubercle avulsion fracture with patella alta.  Surgery is recommended to the grandmother and subsequently to the father by phone.  Surgery would consist of open reduction and internal fixation with subsequent need for later hardware removal.  Risks of surgery include the risks of  anesthesia, infection, bleeding, changes on sensation in most of the extremity, hardware failure, need for later hardware removal, failure to restore extensor mechanism tension, and need for postoperative rehab.  All questions were answered, and father and grandmother agreed to the above plan.

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

user: Good morning, doctor.

assistant: Who is this young lady, is this your grandmother, or sister?

user: Oh doctor, yes, I am his grandmother.

assistant: Good, my chart says that you're fourteen years old. Is that correct?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient is a 14-year-old male who reported having knee pain for 1 month.  Apparently while he was playing basketball on 12/22/2007 when he had gone up for a jump, he felt a pop in his knee.  The patient was seen at an outside facility where he was splinted and subsequently referred to Children's for definitive care.  Radiographs confirmed comminuted tibial tubercle avulsion fracture with patella alta.  Surgery is recommended to the grandmother and subsequently to the father by phone.  Surgery would consist of open reduction and internal fixation with subsequent need for later hardware removal.  Risks of surgery include the risks of  anesthesia, infection, bleeding, changes on sensation in most of the extremity, hardware failure, need for later hardware removal, failure to restore extensor mechanism tension, and need for postoperative rehab.  All questions were answered, and father and grandmother agreed to the above plan.

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

user: Oh doctor, yes, I am his grandmother.

assistant: Good, my chart says that you're fourteen years old. Is that correct?

user: Yes sir.

assistant: Good, so what seems to be the problem today?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient is a 14-year-old male who reported having knee pain for 1 month.  Apparently while he was playing basketball on 12/22/2007 when he had gone up for a jump, he felt a pop in his knee.  The patient was seen at an outside facility where he was splinted and subsequently referred to Children's for definitive care.  Radiographs confirmed comminuted tibial tubercle avulsion fracture with patella alta.  Surgery is recommended to the grandmother and subsequently to the father by phone.  Surgery would consist of open reduction and internal fixation with subsequent need for later hardware removal.  Risks of surgery include the risks of  anesthesia, infection, bleeding, changes on sensation in most of the extremity, hardware failure, need for later hardware removal, failure to restore extensor mechanism tension, and need for postoperative rehab.  All questions were answered, and father and grandmother agreed to the above plan.

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

user: Yes sir.

assistant: Good, so what seems to be the problem today?

user: I've been having pain in this knee for about a month now.

assistant: Can you remember a specific injury to this knee?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient is a 14-year-old male who reported having knee pain for 1 month.  Apparently while he was playing basketball on 12/22/2007 when he had gone up for a jump, he felt a pop in his knee.  The patient was seen at an outside facility where he was splinted and subsequently referred to Children's for definitive care.  Radiographs confirmed comminuted tibial tubercle avulsion fracture with patella alta.  Surgery is recommended to the grandmother and subsequently to the father by phone.  Surgery would consist of open reduction and internal fixation with subsequent need for later hardware removal.  Risks of surgery include the risks of  anesthesia, infection, bleeding, changes on sensation in most of the extremity, hardware failure, need for later hardware removal, failure to restore extensor mechanism tension, and need for postoperative rehab.  All questions were answered, and father and grandmother agreed to the above plan.

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

user: I've been having pain in this knee for about a month now.

assistant: Can you remember a specific injury to this knee?

user: Um, yeah, I was playing basketball when I jumped, and then when I landed I felt this knee pop.

assistant: Do you remember the date of your injury, young man?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient is a 14-year-old male who reported having knee pain for 1 month.  Apparently while he was playing basketball on 12/22/2007 when he had gone up for a jump, he felt a pop in his knee.  The patient was seen at an outside facility where he was splinted and subsequently referred to Children's for definitive care.  Radiographs confirmed comminuted tibial tubercle avulsion fracture with patella alta.  Surgery is recommended to the grandmother and subsequently to the father by phone.  Surgery would consist of open reduction and internal fixation with subsequent need for later hardware removal.  Risks of surgery include the risks of  anesthesia, infection, bleeding, changes on sensation in most of the extremity, hardware failure, need for later hardware removal, failure to restore extensor mechanism tension, and need for postoperative rehab.  All questions were answered, and father and grandmother agreed to the above plan.

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

user: Um, yeah, I was playing basketball when I jumped, and then when I landed I felt this knee pop.

assistant: Do you remember the date of your injury, young man?

user: Um, it was on December twenty second two thousand seven.

assistant: Good, so how have you been treated for this so far?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient is a 14-year-old male who reported having knee pain for 1 month.  Apparently while he was playing basketball on 12/22/2007 when he had gone up for a jump, he felt a pop in his knee.  The patient was seen at an outside facility where he was splinted and subsequently referred to Children's for definitive care.  Radiographs confirmed comminuted tibial tubercle avulsion fracture with patella alta.  Surgery is recommended to the grandmother and subsequently to the father by phone.  Surgery would consist of open reduction and internal fixation with subsequent need for later hardware removal.  Risks of surgery include the risks of  anesthesia, infection, bleeding, changes on sensation in most of the extremity, hardware failure, need for later hardware removal, failure to restore extensor mechanism tension, and need for postoperative rehab.  All questions were answered, and father and grandmother agreed to the above plan.

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

user: Um, it was on December twenty second two thousand seven.

assistant: Good, so how have you been treated for this so far?

user: We went to another clinic first, and they put me in a splint.

user: Yeah, and then they referred us over to Children's.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient is a 14-year-old male who reported having knee pain for 1 month.  Apparently while he was playing basketball on 12/22/2007 when he had gone up for a jump, he felt a pop in his knee.  The patient was seen at an outside facility where he was splinted and subsequently referred to Children's for definitive care.  Radiographs confirmed comminuted tibial tubercle avulsion fracture with patella alta.  Surgery is recommended to the grandmother and subsequently to the father by phone.  Surgery would consist of open reduction and internal fixation with subsequent need for later hardware removal.  Risks of surgery include the risks of  anesthesia, infection, bleeding, changes on sensation in most of the extremity, hardware failure, need for later hardware removal, failure to restore extensor mechanism tension, and need for postoperative rehab.  All questions were answered, and father and grandmother agreed to the above plan.

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

user: Yeah, and then they referred us over to Children's.

assistant: Have they taken x rays yet?

user: Yes, I got back a few minutes ago.

assistant: Let's have a look. Well, you broke your leg.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient is a 14-year-old male who reported having knee pain for 1 month.  Apparently while he was playing basketball on 12/22/2007 when he had gone up for a jump, he felt a pop in his knee.  The patient was seen at an outside facility where he was splinted and subsequently referred to Children's for definitive care.  Radiographs confirmed comminuted tibial tubercle avulsion fracture with patella alta.  Surgery is recommended to the grandmother and subsequently to the father by phone.  Surgery would consist of open reduction and internal fixation with subsequent need for later hardware removal.  Risks of surgery include the risks of  anesthesia, infection, bleeding, changes on sensation in most of the extremity, hardware failure, need for later hardware removal, failure to restore extensor mechanism tension, and need for postoperative rehab.  All questions were answered, and father and grandmother agreed to the above plan.

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

user: Yes, I got back a few minutes ago.

assistant: Let's have a look. Well, you broke your leg.

user: What, where? Can you show me?

assistant: Right here, this is a tibial tubercule avulsion fracture with patella alta.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient is a 14-year-old male who reported having knee pain for 1 month.  Apparently while he was playing basketball on 12/22/2007 when he had gone up for a jump, he felt a pop in his knee.  The patient was seen at an outside facility where he was splinted and subsequently referred to Children's for definitive care.  Radiographs confirmed comminuted tibial tubercle avulsion fracture with patella alta.  Surgery is recommended to the grandmother and subsequently to the father by phone.  Surgery would consist of open reduction and internal fixation with subsequent need for later hardware removal.  Risks of surgery include the risks of  anesthesia, infection, bleeding, changes on sensation in most of the extremity, hardware failure, need for later hardware removal, failure to restore extensor mechanism tension, and need for postoperative rehab.  All questions were answered, and father and grandmother agreed to the above plan.

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

user: What, where? Can you show me?

assistant: Right here, this is a tibial tubercule avulsion fracture with patella alta.

user: What does that mean, doctor?

assistant: Well, he's broken his leg, and pulled some bone off by doing so. We'll need to do surgery on this.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient is a 14-year-old male who reported having knee pain for 1 month.  Apparently while he was playing basketball on 12/22/2007 when he had gone up for a jump, he felt a pop in his knee.  The patient was seen at an outside facility where he was splinted and subsequently referred to Children's for definitive care.  Radiographs confirmed comminuted tibial tubercle avulsion fracture with patella alta.  Surgery is recommended to the grandmother and subsequently to the father by phone.  Surgery would consist of open reduction and internal fixation with subsequent need for later hardware removal.  Risks of surgery include the risks of  anesthesia, infection, bleeding, changes on sensation in most of the extremity, hardware failure, need for later hardware removal, failure to restore extensor mechanism tension, and need for postoperative rehab.  All questions were answered, and father and grandmother agreed to the above plan.

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

user: What does that mean, doctor?

assistant: Well, he's broken his leg, and pulled some bone off by doing so. We'll need to do surgery on this.

user: Oh no, what's the name of the procedure?

assistant: It's called an O R I F. We'll go in there with some hardware to put everything back together, and he can get on the road to healing.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient is a 14-year-old male who reported having knee pain for 1 month.  Apparently while he was playing basketball on 12/22/2007 when he had gone up for a jump, he felt a pop in his knee.  The patient was seen at an outside facility where he was splinted and subsequently referred to Children's for definitive care.  Radiographs confirmed comminuted tibial tubercle avulsion fracture with patella alta.  Surgery is recommended to the grandmother and subsequently to the father by phone.  Surgery would consist of open reduction and internal fixation with subsequent need for later hardware removal.  Risks of surgery include the risks of  anesthesia, infection, bleeding, changes on sensation in most of the extremity, hardware failure, need for later hardware removal, failure to restore extensor mechanism tension, and need for postoperative rehab.  All questions were answered, and father and grandmother agreed to the above plan.

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

user: Oh no, what's the name of the procedure?

assistant: It's called an O R I F. We'll go in there with some hardware to put everything back together, and he can get on the road to healing.

user: Let me call his father while we discuss this. What's the risk of infection from this surgery?

assistant: Historically, it's less than one percent. We use antibiotics to control for infection.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient is a 14-year-old male who reported having knee pain for 1 month.  Apparently while he was playing basketball on 12/22/2007 when he had gone up for a jump, he felt a pop in his knee.  The patient was seen at an outside facility where he was splinted and subsequently referred to Children's for definitive care.  Radiographs confirmed comminuted tibial tubercle avulsion fracture with patella alta.  Surgery is recommended to the grandmother and subsequently to the father by phone.  Surgery would consist of open reduction and internal fixation with subsequent need for later hardware removal.  Risks of surgery include the risks of  anesthesia, infection, bleeding, changes on sensation in most of the extremity, hardware failure, need for later hardware removal, failure to restore extensor mechanism tension, and need for postoperative rehab.  All questions were answered, and father and grandmother agreed to the above plan.

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

user: Let me call his father while we discuss this. What's the risk of infection from this surgery?

assistant: Historically, it's less than one percent. We use antibiotics to control for infection.

user: Okay, will he be asleep for this?

assistant: Yes, he won't feel a thing.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient is a 14-year-old male who reported having knee pain for 1 month.  Apparently while he was playing basketball on 12/22/2007 when he had gone up for a jump, he felt a pop in his knee.  The patient was seen at an outside facility where he was splinted and subsequently referred to Children's for definitive care.  Radiographs confirmed comminuted tibial tubercle avulsion fracture with patella alta.  Surgery is recommended to the grandmother and subsequently to the father by phone.  Surgery would consist of open reduction and internal fixation with subsequent need for later hardware removal.  Risks of surgery include the risks of  anesthesia, infection, bleeding, changes on sensation in most of the extremity, hardware failure, need for later hardware removal, failure to restore extensor mechanism tension, and need for postoperative rehab.  All questions were answered, and father and grandmother agreed to the above plan.

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

user: Okay, will he be asleep for this?

assistant: Yes, he won't feel a thing.

user: That's good too. Will he need this hardware out in the future?

assistant: We can remove everything once he has healed up nicely. Other risks include bleeding, changes in the sensation of the leg, hardware failure, need for post op rehab, need for hardware removal, and failure to restore extensor mechanism tension. But I would not worry about these things. I have been doing these surgeries for years and things like this rarely happen.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient is a 14-year-old male who reported having knee pain for 1 month.  Apparently while he was playing basketball on 12/22/2007 when he had gone up for a jump, he felt a pop in his knee.  The patient was seen at an outside facility where he was splinted and subsequently referred to Children's for definitive care.  Radiographs confirmed comminuted tibial tubercle avulsion fracture with patella alta.  Surgery is recommended to the grandmother and subsequently to the father by phone.  Surgery would consist of open reduction and internal fixation with subsequent need for later hardware removal.  Risks of surgery include the risks of  anesthesia, infection, bleeding, changes on sensation in most of the extremity, hardware failure, need for later hardware removal, failure to restore extensor mechanism tension, and need for postoperative rehab.  All questions were answered, and father and grandmother agreed to the above plan.

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

user: That's good too. Will he need this hardware out in the future?

assistant: We can remove everything once he has healed up nicely. Other risks include bleeding, changes in the sensation of the leg, hardware failure, need for post op rehab, need for hardware removal, and failure to restore extensor mechanism tension. But I would not worry about these things. I have been doing these surgeries for years and things like this rarely happen.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient is a 14-year-old male who reported having knee pain for 1 month.  Apparently while he was playing basketball on 12/22/2007 when he had gone up for a jump, he felt a pop in his knee.  The patient was seen at an outside facility where he was splinted and subsequently referred to Children's for definitive care.  Radiographs confirmed comminuted tibial tubercle avulsion fracture with patella alta.  Surgery is recommended to the grandmother and subsequently to the father by phone.  Surgery would consist of open reduction and internal fixation with subsequent need for later hardware removal.  Risks of surgery include the risks of  anesthesia, infection, bleeding, changes on sensation in most of the extremity, hardware failure, need for later hardware removal, failure to restore extensor mechanism tension, and need for postoperative rehab.  All questions were answered, and father and grandmother agreed to the above plan.

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

assistant: Good morning, young man.

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

Section: GENHX
Patient Information: The patient is a 14-year-old male who reported having knee pain for 1 month.  Apparently while he was playing basketball on 12/22/2007 when he had gone up for a jump, he felt a pop in his knee.  The patient was seen at an outside facility where he was splinted and subsequently referred to Children's for definitive care.  Radiographs confirmed comminuted tibial tubercle avulsion fracture with patella alta.  Surgery is recommended to the grandmother and subsequently to the father by phone.  Surgery would consist of open reduction and internal fixation with subsequent need for later hardware removal.  Risks of surgery include the risks of  anesthesia, infection, bleeding, changes on sensation in most of the extremity, hardware failure, need for later hardware removal, failure to restore extensor mechanism tension, and need for postoperative rehab.  All questions were answered, and father and grandmother agreed to the above plan.

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

assistant: Good morning, young man.

user: Good morning, doctor.

assistant: Who is this young lady, is this your grandmother, or sister?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient is a 14-year-old male who reported having knee pain for 1 month.  Apparently while he was playing basketball on 12/22/2007 when he had gone up for a jump, he felt a pop in his knee.  The patient was seen at an outside facility where he was splinted and subsequently referred to Children's for definitive care.  Radiographs confirmed comminuted tibial tubercle avulsion fracture with patella alta.  Surgery is recommended to the grandmother and subsequently to the father by phone.  Surgery would consist of open reduction and internal fixation with subsequent need for later hardware removal.  Risks of surgery include the risks of  anesthesia, infection, bleeding, changes on sensation in most of the extremity, hardware failure, need for later hardware removal, failure to restore extensor mechanism tension, and need for postoperative rehab.  All questions were answered, and father and grandmother agreed to the above plan.

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

assistant: Good morning, young man.

user: Good morning, doctor.

assistant: Who is this young lady, is this your grandmother, or sister?

user: Oh doctor, yes, I am his grandmother.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This is a 61-year-old woman with a history of polyarteritis nodosa, mononeuritis multiplex involving the lower extremities, and severe sleep apnea returns in followup following an overnight sleep study, on CPAP and oxygen to evaluate her for difficulty in initiating and maintaining sleep.  She returns today to review results of an inpatient study performed approximately two weeks ago. In the meantime, the patient reports she continues on substantial doses of opiate medication to control leg pain from mononeuritis multiplex. She also takes Lasix for lower extremity edema. The patient reports that she generally initiates sleep on CPAP, but rips her mask off, tosses and turns throughout the night and has "terrible quality sleep."

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 afternoon, ma'am. Can you confirm your age for me, please?

user: Sure, good afternoon, doctor. I'm sixty one years old.

assistant: Great, what brings you in for a visit today?

user: I have some notes here with me, but I have a history of polyarteritis nodosa mononeuritis multiplex.

assistant: Is this in your legs, or arms?

user: Um, it's in my legs.

assistant: I see here that you have sleep apnea too.

user: Yeah, I was involved in an overnight sleep study on C P A P and oxygen.

assistant: Why did they do this?

user: It was in order to determine why I had difficulty falling asleep and staying asleep.

assistant: Have You had any other treatments?

user: Yeah, I had a review done while I was in the hospital about two weeks ago, I have the results right here.

assistant: Thank you, so, how is your leg pain been managed?

user: Um, I take pretty substantial doses of opioids in order to control it.

assistant: Do you have any swelling?

user: Yes, I take Lasix for my leg swelling.

assistant: How do you sleep with the C P A P?

user: I can fall asleep with it, but I usually rip my mask off because I toss and turn.

assistant: How would you rate your quality of sleep?

user: I'd, um, say it's pretty terrible.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This is a 61-year-old woman with a history of polyarteritis nodosa, mononeuritis multiplex involving the lower extremities, and severe sleep apnea returns in followup following an overnight sleep study, on CPAP and oxygen to evaluate her for difficulty in initiating and maintaining sleep.  She returns today to review results of an inpatient study performed approximately two weeks ago. In the meantime, the patient reports she continues on substantial doses of opiate medication to control leg pain from mononeuritis multiplex. She also takes Lasix for lower extremity edema. The patient reports that she generally initiates sleep on CPAP, but rips her mask off, tosses and turns throughout the night and has "terrible quality sleep."

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

user: Sure, good afternoon, doctor. I'm sixty one years old.

assistant: Great, what brings you in for a visit today?

user: I have some notes here with me, but I have a history of polyarteritis nodosa mononeuritis multiplex.

assistant: Is this in your legs, or arms?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This is a 61-year-old woman with a history of polyarteritis nodosa, mononeuritis multiplex involving the lower extremities, and severe sleep apnea returns in followup following an overnight sleep study, on CPAP and oxygen to evaluate her for difficulty in initiating and maintaining sleep.  She returns today to review results of an inpatient study performed approximately two weeks ago. In the meantime, the patient reports she continues on substantial doses of opiate medication to control leg pain from mononeuritis multiplex. She also takes Lasix for lower extremity edema. The patient reports that she generally initiates sleep on CPAP, but rips her mask off, tosses and turns throughout the night and has "terrible quality sleep."

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 some notes here with me, but I have a history of polyarteritis nodosa mononeuritis multiplex.

assistant: Is this in your legs, or arms?

user: Um, it's in my legs.

assistant: I see here that you have sleep apnea too.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This is a 61-year-old woman with a history of polyarteritis nodosa, mononeuritis multiplex involving the lower extremities, and severe sleep apnea returns in followup following an overnight sleep study, on CPAP and oxygen to evaluate her for difficulty in initiating and maintaining sleep.  She returns today to review results of an inpatient study performed approximately two weeks ago. In the meantime, the patient reports she continues on substantial doses of opiate medication to control leg pain from mononeuritis multiplex. She also takes Lasix for lower extremity edema. The patient reports that she generally initiates sleep on CPAP, but rips her mask off, tosses and turns throughout the night and has "terrible quality sleep."

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: Um, it's in my legs.

assistant: I see here that you have sleep apnea too.

user: Yeah, I was involved in an overnight sleep study on C P A P and oxygen.

assistant: Why did they do this?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This is a 61-year-old woman with a history of polyarteritis nodosa, mononeuritis multiplex involving the lower extremities, and severe sleep apnea returns in followup following an overnight sleep study, on CPAP and oxygen to evaluate her for difficulty in initiating and maintaining sleep.  She returns today to review results of an inpatient study performed approximately two weeks ago. In the meantime, the patient reports she continues on substantial doses of opiate medication to control leg pain from mononeuritis multiplex. She also takes Lasix for lower extremity edema. The patient reports that she generally initiates sleep on CPAP, but rips her mask off, tosses and turns throughout the night and has "terrible quality sleep."

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 was involved in an overnight sleep study on C P A P and oxygen.

assistant: Why did they do this?

user: It was in order to determine why I had difficulty falling asleep and staying asleep.

assistant: Have You had any other treatments?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This is a 61-year-old woman with a history of polyarteritis nodosa, mononeuritis multiplex involving the lower extremities, and severe sleep apnea returns in followup following an overnight sleep study, on CPAP and oxygen to evaluate her for difficulty in initiating and maintaining sleep.  She returns today to review results of an inpatient study performed approximately two weeks ago. In the meantime, the patient reports she continues on substantial doses of opiate medication to control leg pain from mononeuritis multiplex. She also takes Lasix for lower extremity edema. The patient reports that she generally initiates sleep on CPAP, but rips her mask off, tosses and turns throughout the night and has "terrible quality sleep."

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 was in order to determine why I had difficulty falling asleep and staying asleep.

assistant: Have You had any other treatments?

user: Yeah, I had a review done while I was in the hospital about two weeks ago, I have the results right here.

assistant: Thank you, so, how is your leg pain been managed?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This is a 61-year-old woman with a history of polyarteritis nodosa, mononeuritis multiplex involving the lower extremities, and severe sleep apnea returns in followup following an overnight sleep study, on CPAP and oxygen to evaluate her for difficulty in initiating and maintaining sleep.  She returns today to review results of an inpatient study performed approximately two weeks ago. In the meantime, the patient reports she continues on substantial doses of opiate medication to control leg pain from mononeuritis multiplex. She also takes Lasix for lower extremity edema. The patient reports that she generally initiates sleep on CPAP, but rips her mask off, tosses and turns throughout the night and has "terrible quality sleep."

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 had a review done while I was in the hospital about two weeks ago, I have the results right here.

assistant: Thank you, so, how is your leg pain been managed?

user: Um, I take pretty substantial doses of opioids in order to control it.

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

Section: GENHX
Patient Information: This is a 61-year-old woman with a history of polyarteritis nodosa, mononeuritis multiplex involving the lower extremities, and severe sleep apnea returns in followup following an overnight sleep study, on CPAP and oxygen to evaluate her for difficulty in initiating and maintaining sleep.  She returns today to review results of an inpatient study performed approximately two weeks ago. In the meantime, the patient reports she continues on substantial doses of opiate medication to control leg pain from mononeuritis multiplex. She also takes Lasix for lower extremity edema. The patient reports that she generally initiates sleep on CPAP, but rips her mask off, tosses and turns throughout the night and has "terrible quality sleep."

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: Um, I take pretty substantial doses of opioids in order to control it.

assistant: Do you have any swelling?

user: Yes, I take Lasix for my leg swelling.

assistant: How do you sleep with the C P A P?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This is a 61-year-old woman with a history of polyarteritis nodosa, mononeuritis multiplex involving the lower extremities, and severe sleep apnea returns in followup following an overnight sleep study, on CPAP and oxygen to evaluate her for difficulty in initiating and maintaining sleep.  She returns today to review results of an inpatient study performed approximately two weeks ago. In the meantime, the patient reports she continues on substantial doses of opiate medication to control leg pain from mononeuritis multiplex. She also takes Lasix for lower extremity edema. The patient reports that she generally initiates sleep on CPAP, but rips her mask off, tosses and turns throughout the night and has "terrible quality sleep."

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 take Lasix for my leg swelling.

assistant: How do you sleep with the C P A P?

user: I can fall asleep with it, but I usually rip my mask off because I toss and turn.

assistant: How would you rate your quality of sleep?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This is a 61-year-old woman with a history of polyarteritis nodosa, mononeuritis multiplex involving the lower extremities, and severe sleep apnea returns in followup following an overnight sleep study, on CPAP and oxygen to evaluate her for difficulty in initiating and maintaining sleep.  She returns today to review results of an inpatient study performed approximately two weeks ago. In the meantime, the patient reports she continues on substantial doses of opiate medication to control leg pain from mononeuritis multiplex. She also takes Lasix for lower extremity edema. The patient reports that she generally initiates sleep on CPAP, but rips her mask off, tosses and turns throughout the night and has "terrible quality sleep."

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 can fall asleep with it, but I usually rip my mask off because I toss and turn.

assistant: How would you rate your quality of sleep?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This is a 61-year-old woman with a history of polyarteritis nodosa, mononeuritis multiplex involving the lower extremities, and severe sleep apnea returns in followup following an overnight sleep study, on CPAP and oxygen to evaluate her for difficulty in initiating and maintaining sleep.  She returns today to review results of an inpatient study performed approximately two weeks ago. In the meantime, the patient reports she continues on substantial doses of opiate medication to control leg pain from mononeuritis multiplex. She also takes Lasix for lower extremity edema. The patient reports that she generally initiates sleep on CPAP, but rips her mask off, tosses and turns throughout the night and has "terrible quality sleep."

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 afternoon, ma'am. Can you confirm your age for me, please?

user: Sure, good afternoon, doctor. I'm sixty one years old.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This is a 61-year-old woman with a history of polyarteritis nodosa, mononeuritis multiplex involving the lower extremities, and severe sleep apnea returns in followup following an overnight sleep study, on CPAP and oxygen to evaluate her for difficulty in initiating and maintaining sleep.  She returns today to review results of an inpatient study performed approximately two weeks ago. In the meantime, the patient reports she continues on substantial doses of opiate medication to control leg pain from mononeuritis multiplex. She also takes Lasix for lower extremity edema. The patient reports that she generally initiates sleep on CPAP, but rips her mask off, tosses and turns throughout the night and has "terrible quality sleep."

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 afternoon, ma'am. Can you confirm your age for me, please?

user: Sure, good afternoon, doctor. I'm sixty one years old.

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

Section: GENHX
Patient Information: This is a 61-year-old woman with a history of polyarteritis nodosa, mononeuritis multiplex involving the lower extremities, and severe sleep apnea returns in followup following an overnight sleep study, on CPAP and oxygen to evaluate her for difficulty in initiating and maintaining sleep.  She returns today to review results of an inpatient study performed approximately two weeks ago. In the meantime, the patient reports she continues on substantial doses of opiate medication to control leg pain from mononeuritis multiplex. She also takes Lasix for lower extremity edema. The patient reports that she generally initiates sleep on CPAP, but rips her mask off, tosses and turns throughout the night and has "terrible quality sleep."

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 afternoon, ma'am. Can you confirm your age for me, please?

user: Sure, good afternoon, doctor. I'm sixty one years old.

assistant: Great, what brings you in for a visit today?

user: I have some notes here with me, but I have a history of polyarteritis nodosa mononeuritis multiplex.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient is an 83-year-old lady, a resident of a skilled nursing facility, with past medical history of a stroke and dementia with expressive aphasia, was found today with a right-sided facial droop, and was transferred to the emergency room for further evaluation.  While in the emergency room, she was found to having the right-sided upper extremity weakness and right-sided facial droop.  The CT scan of the head did not show any acute events with the impression of a new-onset cerebrovascular accident, will be admitted to monitor bed for observation and treatment and also she was recently diagnosed with urinary tract infection, which was resistant to all oral medications.

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, what's going on?

user: I am her daughter. I brought her to the emergency. She lives in a skilled nursing home. Today, when I went to meet her, I found her with the right side of her face drooping. I immediately rushed her here.

assistant: Oh, you did the right thing. Ma'am, how are you feeling?

user: She has dementia, most of the time she doesn't even remember me.

assistant: Oh, okay.How old is she?

user: She is eighty three. She also has a history of stroke after which she developed this condition where she knows what she wants to speak but is unable to make the word or sentence.

assistant: Oh, I see. She has expressive aphasia, correct?

user: Yes, that.

assistant: Okay, let me check her. She does have a droop to her right side of the face. Ma'am, do you feel any weakness on the right side of your body?

user: She says yes.

assistant: She had her C T scan earlier today and I have the report. It does not show any acute attack or anything.

user: Okay!

assistant: But it does show that she has a new onset of a stroke.

user: Is there anything to worry?

assistant: I think we need to admit her for observation. We need to monitor her. We will also get her a proper treatment for her urinary infection which is not getting better due to resistance to the oral medicines.

user: Yeah, sounds good!

assistant: Yeah, let me talk to the nurse.

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

Section: GENHX
Patient Information: The patient is an 83-year-old lady, a resident of a skilled nursing facility, with past medical history of a stroke and dementia with expressive aphasia, was found today with a right-sided facial droop, and was transferred to the emergency room for further evaluation.  While in the emergency room, she was found to having the right-sided upper extremity weakness and right-sided facial droop.  The CT scan of the head did not show any acute events with the impression of a new-onset cerebrovascular accident, will be admitted to monitor bed for observation and treatment and also she was recently diagnosed with urinary tract infection, which was resistant to all oral medications.

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 her daughter. I brought her to the emergency. She lives in a skilled nursing home. Today, when I went to meet her, I found her with the right side of her face drooping. I immediately rushed her here.

assistant: Oh, you did the right thing. Ma'am, how are you feeling?

user: She has dementia, most of the time she doesn't even remember me.

assistant: Oh, okay.How old is she?