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: The patient is a 61-year-old right-handed gentleman who presents for further evaluation of feet and hand cramps.  He states that for the past six months he has experienced cramps in his feet and hands.  He describes that the foot cramps are much more notable than the hand ones.  He reports that he develops muscle contractions of his toes on both feet.  These occur exclusively at night.  They may occur about three times per week.  When he develops these cramps, he stands up to relieve the discomfort.  He notices that the toes are in an extended position.  He steps on the ground and they seem to "pop into place."  He develops calf pain after he experiences the cramp.  Sometimes they awaken him from his sleep. He also has developed cramps in his hands although they are less severe and less frequent than those in his legs.  These do not occur at night and are completely random.  He notices that his thumb assumes a flexed position and sometimes he needs to pry it open to relieve the cramp. He has never had any symptoms like this in the past.  He started taking Bactrim about nine months ago.  He had taken this in the past briefly, but has never taken it as long as he has now.  He cannot think of any other possible contributing factors to his symptoms. He has a history of HIV for 21 years.  He was taking antiretroviral medications, but stopped about six or seven years ago.  He reports that he was unable to tolerate the medications due to severe stomach upset.  He has a CD4 count of 326.  He states that he has never developed AIDS.  He is considering resuming antiretroviral treatment.

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: Around three times a week.

assistant: What do you do when you have these cramps?

user: I try to stand and it helps me relieve some of the discomfort. I noticed my toes are kind of extended. Whenever I step on the ground, it seems to pop into place. With all these cramps, I've started having pain in my calf. Sometimes because of that I could not sleep, or it wakes me up in the night. Similar to my toes, these cramps have also started coming up in my hands. They are not that strong or frequent. They're completely random and not in the nighttime. Sometimes my thumb gets so flexed that I have to move it to bring it to the right position and to relieve the cramp.

assistant: Did you ever have this symptom before?
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 61-year-old right-handed gentleman who presents for further evaluation of feet and hand cramps.  He states that for the past six months he has experienced cramps in his feet and hands.  He describes that the foot cramps are much more notable than the hand ones.  He reports that he develops muscle contractions of his toes on both feet.  These occur exclusively at night.  They may occur about three times per week.  When he develops these cramps, he stands up to relieve the discomfort.  He notices that the toes are in an extended position.  He steps on the ground and they seem to "pop into place."  He develops calf pain after he experiences the cramp.  Sometimes they awaken him from his sleep. He also has developed cramps in his hands although they are less severe and less frequent than those in his legs.  These do not occur at night and are completely random.  He notices that his thumb assumes a flexed position and sometimes he needs to pry it open to relieve the cramp. He has never had any symptoms like this in the past.  He started taking Bactrim about nine months ago.  He had taken this in the past briefly, but has never taken it as long as he has now.  He cannot think of any other possible contributing factors to his symptoms. He has a history of HIV for 21 years.  He was taking antiretroviral medications, but stopped about six or seven years ago.  He reports that he was unable to tolerate the medications due to severe stomach upset.  He has a CD4 count of 326.  He states that he has never developed AIDS.  He is considering resuming antiretroviral treatment.

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 try to stand and it helps me relieve some of the discomfort. I noticed my toes are kind of extended. Whenever I step on the ground, it seems to pop into place. With all these cramps, I've started having pain in my calf. Sometimes because of that I could not sleep, or it wakes me up in the night. Similar to my toes, these cramps have also started coming up in my hands. They are not that strong or frequent. They're completely random and not in the nighttime. Sometimes my thumb gets so flexed that I have to move it to bring it to the right position and to relieve the cramp.

assistant: Did you ever have this symptom before?

user: No, not like this.

assistant: Are you taking any medications?
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 61-year-old right-handed gentleman who presents for further evaluation of feet and hand cramps.  He states that for the past six months he has experienced cramps in his feet and hands.  He describes that the foot cramps are much more notable than the hand ones.  He reports that he develops muscle contractions of his toes on both feet.  These occur exclusively at night.  They may occur about three times per week.  When he develops these cramps, he stands up to relieve the discomfort.  He notices that the toes are in an extended position.  He steps on the ground and they seem to "pop into place."  He develops calf pain after he experiences the cramp.  Sometimes they awaken him from his sleep. He also has developed cramps in his hands although they are less severe and less frequent than those in his legs.  These do not occur at night and are completely random.  He notices that his thumb assumes a flexed position and sometimes he needs to pry it open to relieve the cramp. He has never had any symptoms like this in the past.  He started taking Bactrim about nine months ago.  He had taken this in the past briefly, but has never taken it as long as he has now.  He cannot think of any other possible contributing factors to his symptoms. He has a history of HIV for 21 years.  He was taking antiretroviral medications, but stopped about six or seven years ago.  He reports that he was unable to tolerate the medications due to severe stomach upset.  He has a CD4 count of 326.  He states that he has never developed AIDS.  He is considering resuming antiretroviral treatment.

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, not like this.

assistant: Are you taking any medications?

user: Yeah, I took an antibacterial called Bactrim around nine months ago. I was taking it briefly before, but now I'm taking it consistently. I cannot think of anything that is causing it.

assistant: Do you have any other medical condition?
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 61-year-old right-handed gentleman who presents for further evaluation of feet and hand cramps.  He states that for the past six months he has experienced cramps in his feet and hands.  He describes that the foot cramps are much more notable than the hand ones.  He reports that he develops muscle contractions of his toes on both feet.  These occur exclusively at night.  They may occur about three times per week.  When he develops these cramps, he stands up to relieve the discomfort.  He notices that the toes are in an extended position.  He steps on the ground and they seem to "pop into place."  He develops calf pain after he experiences the cramp.  Sometimes they awaken him from his sleep. He also has developed cramps in his hands although they are less severe and less frequent than those in his legs.  These do not occur at night and are completely random.  He notices that his thumb assumes a flexed position and sometimes he needs to pry it open to relieve the cramp. He has never had any symptoms like this in the past.  He started taking Bactrim about nine months ago.  He had taken this in the past briefly, but has never taken it as long as he has now.  He cannot think of any other possible contributing factors to his symptoms. He has a history of HIV for 21 years.  He was taking antiretroviral medications, but stopped about six or seven years ago.  He reports that he was unable to tolerate the medications due to severe stomach upset.  He has a CD4 count of 326.  He states that he has never developed AIDS.  He is considering resuming antiretroviral treatment.

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 took an antibacterial called Bactrim around nine months ago. I was taking it briefly before, but now I'm taking it consistently. I cannot think of anything that is causing it.

assistant: Do you have any other medical condition?

user: I have H I V for the last twenty one years and I was taking antiretroviral medications for it. I stopped those medications around six or seven years ago.

assistant: Why did you stop the medications?
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 61-year-old right-handed gentleman who presents for further evaluation of feet and hand cramps.  He states that for the past six months he has experienced cramps in his feet and hands.  He describes that the foot cramps are much more notable than the hand ones.  He reports that he develops muscle contractions of his toes on both feet.  These occur exclusively at night.  They may occur about three times per week.  When he develops these cramps, he stands up to relieve the discomfort.  He notices that the toes are in an extended position.  He steps on the ground and they seem to "pop into place."  He develops calf pain after he experiences the cramp.  Sometimes they awaken him from his sleep. He also has developed cramps in his hands although they are less severe and less frequent than those in his legs.  These do not occur at night and are completely random.  He notices that his thumb assumes a flexed position and sometimes he needs to pry it open to relieve the cramp. He has never had any symptoms like this in the past.  He started taking Bactrim about nine months ago.  He had taken this in the past briefly, but has never taken it as long as he has now.  He cannot think of any other possible contributing factors to his symptoms. He has a history of HIV for 21 years.  He was taking antiretroviral medications, but stopped about six or seven years ago.  He reports that he was unable to tolerate the medications due to severe stomach upset.  He has a CD4 count of 326.  He states that he has never developed AIDS.  He is considering resuming antiretroviral treatment.

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 H I V for the last twenty one years and I was taking antiretroviral medications for it. I stopped those medications around six or seven years ago.

assistant: Why did you stop the medications?

user: I could not tolerate them. They were making my stomach weak.

assistant: Do you know your C D four count?
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 61-year-old right-handed gentleman who presents for further evaluation of feet and hand cramps.  He states that for the past six months he has experienced cramps in his feet and hands.  He describes that the foot cramps are much more notable than the hand ones.  He reports that he develops muscle contractions of his toes on both feet.  These occur exclusively at night.  They may occur about three times per week.  When he develops these cramps, he stands up to relieve the discomfort.  He notices that the toes are in an extended position.  He steps on the ground and they seem to "pop into place."  He develops calf pain after he experiences the cramp.  Sometimes they awaken him from his sleep. He also has developed cramps in his hands although they are less severe and less frequent than those in his legs.  These do not occur at night and are completely random.  He notices that his thumb assumes a flexed position and sometimes he needs to pry it open to relieve the cramp. He has never had any symptoms like this in the past.  He started taking Bactrim about nine months ago.  He had taken this in the past briefly, but has never taken it as long as he has now.  He cannot think of any other possible contributing factors to his symptoms. He has a history of HIV for 21 years.  He was taking antiretroviral medications, but stopped about six or seven years ago.  He reports that he was unable to tolerate the medications due to severe stomach upset.  He has a CD4 count of 326.  He states that he has never developed AIDS.  He is considering resuming antiretroviral treatment.

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 could not tolerate them. They were making my stomach weak.

assistant: Do you know your C D four count?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient returns for followup.  Since last consultation she has tolerated Lamictal well, but she has had a recurrence of her myoclonic jerking.  She has not had a generalized seizure.  She is very concerned that this will occur.  Most of the myoclonus is in the mornings.  Recent EEG did show polyspike and slow wave complexes bilaterally, more prominent on the left.  She states that she has been very compliant with the medications and is getting a good amount of sleep.  She continues to drive. Social history and review of systems are discussed  and documented on the chart.

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

assistant: So, this is your follow up? How are you doing so far with Lamictal?

user: Yes, it's the follow up. Lamictal was okay. There was no side effect with that. But I had twitching in my muscles a lot of times. It was not generalized, but I was very afraid that this will happen.

assistant: What time of day was it? That you had these episodes.

user: Mostly in the mornings.

assistant: I have your recent E E G report. It did show multiple spikes and some complexes on both the sides, but it is more prominent on left.

user: I have been taking my medications very regularly and  I was getting a good amount of sleep as well.

assistant: Are you able to drive?

user: Yes.

assistant: Is there any change in your social history or any other symptoms that arise or, or is it same as before?

user: Looks same to me.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient returns for followup.  Since last consultation she has tolerated Lamictal well, but she has had a recurrence of her myoclonic jerking.  She has not had a generalized seizure.  She is very concerned that this will occur.  Most of the myoclonus is in the mornings.  Recent EEG did show polyspike and slow wave complexes bilaterally, more prominent on the left.  She states that she has been very compliant with the medications and is getting a good amount of sleep.  She continues to drive. Social history and review of systems are discussed  and documented on the chart.

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

user: Yes, it's the follow up. Lamictal was okay. There was no side effect with that. But I had twitching in my muscles a lot of times. It was not generalized, but I was very afraid that this will happen.

assistant: What time of day was it? That you had these episodes.

user: Mostly in the mornings.

assistant: I have your recent E E G report. It did show multiple spikes and some complexes on both the sides, but it is more prominent on left.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient returns for followup.  Since last consultation she has tolerated Lamictal well, but she has had a recurrence of her myoclonic jerking.  She has not had a generalized seizure.  She is very concerned that this will occur.  Most of the myoclonus is in the mornings.  Recent EEG did show polyspike and slow wave complexes bilaterally, more prominent on the left.  She states that she has been very compliant with the medications and is getting a good amount of sleep.  She continues to drive. Social history and review of systems are discussed  and documented on the chart.

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: Mostly in the mornings.

assistant: I have your recent E E G report. It did show multiple spikes and some complexes on both the sides, but it is more prominent on left.

user: I have been taking my medications very regularly and  I was getting a good amount of sleep as well.

assistant: Are you able to drive?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient returns for followup.  Since last consultation she has tolerated Lamictal well, but she has had a recurrence of her myoclonic jerking.  She has not had a generalized seizure.  She is very concerned that this will occur.  Most of the myoclonus is in the mornings.  Recent EEG did show polyspike and slow wave complexes bilaterally, more prominent on the left.  She states that she has been very compliant with the medications and is getting a good amount of sleep.  She continues to drive. Social history and review of systems are discussed  and documented on the chart.

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

user: I have been taking my medications very regularly and  I was getting a good amount of sleep as well.

assistant: Are you able to drive?

user: Yes.

assistant: Is there any change in your social history or any other symptoms that arise or, or is it same as before?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient returns for followup.  Since last consultation she has tolerated Lamictal well, but she has had a recurrence of her myoclonic jerking.  She has not had a generalized seizure.  She is very concerned that this will occur.  Most of the myoclonus is in the mornings.  Recent EEG did show polyspike and slow wave complexes bilaterally, more prominent on the left.  She states that she has been very compliant with the medications and is getting a good amount of sleep.  She continues to drive. Social history and review of systems are discussed  and documented on the chart.

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: Is there any change in your social history or any other symptoms that arise or, or is it same as before?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient returns for followup.  Since last consultation she has tolerated Lamictal well, but she has had a recurrence of her myoclonic jerking.  She has not had a generalized seizure.  She is very concerned that this will occur.  Most of the myoclonus is in the mornings.  Recent EEG did show polyspike and slow wave complexes bilaterally, more prominent on the left.  She states that she has been very compliant with the medications and is getting a good amount of sleep.  She continues to drive. Social history and review of systems are discussed  and documented on the chart.

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

assistant: So, this is your follow up? How are you doing so far with Lamictal?

user: Yes, it's the follow up. Lamictal was okay. There was no side effect with that. But I had twitching in my muscles a lot of times. It was not generalized, but I was very afraid that this will happen.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient returns for followup.  Since last consultation she has tolerated Lamictal well, but she has had a recurrence of her myoclonic jerking.  She has not had a generalized seizure.  She is very concerned that this will occur.  Most of the myoclonus is in the mornings.  Recent EEG did show polyspike and slow wave complexes bilaterally, more prominent on the left.  She states that she has been very compliant with the medications and is getting a good amount of sleep.  She continues to drive. Social history and review of systems are discussed  and documented on the chart.

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

assistant: So, this is your follow up? How are you doing so far with Lamictal?

user: Yes, it's the follow up. Lamictal was okay. There was no side effect with that. But I had twitching in my muscles a lot of times. It was not generalized, but I was very afraid that this will happen.

assistant: What time of day was it? That you had these episodes.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient returns for followup.  Since last consultation she has tolerated Lamictal well, but she has had a recurrence of her myoclonic jerking.  She has not had a generalized seizure.  She is very concerned that this will occur.  Most of the myoclonus is in the mornings.  Recent EEG did show polyspike and slow wave complexes bilaterally, more prominent on the left.  She states that she has been very compliant with the medications and is getting a good amount of sleep.  She continues to drive. Social history and review of systems are discussed  and documented on the chart.

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

assistant: So, this is your follow up? How are you doing so far with Lamictal?

user: Yes, it's the follow up. Lamictal was okay. There was no side effect with that. But I had twitching in my muscles a lot of times. It was not generalized, but I was very afraid that this will happen.

assistant: What time of day was it? That you had these episodes.

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

Section: PASTSURGICAL
Patient Information: Cholecystectomy, appendectomy, oophorectomy.

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 types of surgeries have you had in the past?

user: I had gall bladder and appendix surgery then they also took out my ovaries.

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

Section: PASTSURGICAL
Patient Information: Cholecystectomy, appendectomy, oophorectomy.

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 gall bladder and appendix surgery then they also took out my ovaries.

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

Section: PASTSURGICAL
Patient Information: Cholecystectomy, appendectomy, oophorectomy.

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 types of surgeries have you had in the past?

user: I had gall bladder and appendix surgery then they also took out my ovaries.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTSURGICAL
Patient Information: He had a history of surgery for an undescended testicle.

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: Have you had any surgeries in the past?

user: Yeah, I have, I actually had it to repair an undescended testicle.

assistant: Oh, wow, do you remember it at all?

user: No, nothing about it, I had that done when I was a baby.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTSURGICAL
Patient Information: He had a history of surgery for an undescended testicle.

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

user: Yeah, I have, I actually had it to repair an undescended testicle.

assistant: Oh, wow, do you remember it at all?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTSURGICAL
Patient Information: He had a history of surgery for an undescended testicle.

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: Have you had any surgeries in the past?

user: Yeah, I have, I actually had it to repair an undescended testicle.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTSURGICAL
Patient Information: He had a history of surgery for an undescended testicle.

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: Have you had any surgeries in the past?

user: Yeah, I have, I actually had it to repair an undescended testicle.

assistant: Oh, wow, do you remember it at all?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: Married. Rare cigarette use/Occasional Marijuana use/Social ETOH use per wife.

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: I don't smoke cigarettes but I do have one on a rare occasion.

assistant: Do you drink alcohol or use any recreational drugs?

user: I don't drink but I do occasionally smoke weed.

user: He has a drink every now and again when we get together with friends.

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

Section: FAM/SOCHX
Patient Information: Married. Rare cigarette use/Occasional Marijuana use/Social ETOH use per wife.

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 don't smoke cigarettes but I do have one on a rare occasion.

assistant: Do you drink alcohol or use any recreational drugs?

user: I don't drink but I do occasionally smoke weed.

user: He has a drink every now and again when we get together with friends.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: Married. Rare cigarette use/Occasional Marijuana use/Social ETOH use per wife.

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: He has a drink every now and again when we get together with friends.

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

Section: FAM/SOCHX
Patient Information: Married. Rare cigarette use/Occasional Marijuana use/Social ETOH use per wife.

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: I don't smoke cigarettes but I do have one on a rare occasion.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: Married. Rare cigarette use/Occasional Marijuana use/Social ETOH use per wife.

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: I don't smoke cigarettes but I do have one on a rare occasion.

assistant: Do you drink alcohol or use any recreational drugs?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: Married. Rare cigarette use/Occasional Marijuana use/Social ETOH use per wife.

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: I don't smoke cigarettes but I do have one on a rare occasion.

assistant: Do you drink alcohol or use any recreational drugs?

user: I don't drink but I do occasionally smoke weed.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: She denies the use of alcohol, illicits, or tobacco.

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 or drink?

user: No, neither.

assistant: Any history of drug abuse?

user: No, I have never used any illegal drugs in my life.

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

Section: FAM/SOCHX
Patient Information: She denies the use of alcohol, illicits, or tobacco.

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, neither.

assistant: Any history of drug abuse?

user: No, I have never used any illegal drugs in my life.

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

Section: FAM/SOCHX
Patient Information: She denies the use of alcohol, illicits, or tobacco.

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

user: No, I have never used any illegal drugs in my life.

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

Section: FAM/SOCHX
Patient Information: She denies the use of alcohol, illicits, or tobacco.

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 or drink?

user: No, neither.

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

Section: FAM/SOCHX
Patient Information: She denies the use of alcohol, illicits, or tobacco.

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 or drink?

user: No, neither.

assistant: Any history of drug abuse?

user: No, I have never used any illegal drugs in my life.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: DIAGNOSIS
Patient Information: 1.  Disseminated CMV infection with possible CMV pneumonitis. 2.  Polymyositis on immunosuppressive therapy (methotrexate and prednisone).

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: Is the patient being admitted for disseminated C M V infection?

assistant: Yes. I suspect they have possible C M V pneumonitis as well.

assistant: Are they on immunosuppressants?

assistant: Yes. They have polymyositis and they're taking Prednisone and Methotrexate.

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

Section: DIAGNOSIS
Patient Information: 1.  Disseminated CMV infection with possible CMV pneumonitis. 2.  Polymyositis on immunosuppressive therapy (methotrexate and prednisone).

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: Is the patient being admitted for disseminated C M V infection?

assistant: Yes. I suspect they have possible C M V pneumonitis as well.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: DIAGNOSIS
Patient Information: 1.  Disseminated CMV infection with possible CMV pneumonitis. 2.  Polymyositis on immunosuppressive therapy (methotrexate and prednisone).

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: Is the patient being admitted for disseminated C M V infection?

assistant: Yes. I suspect they have possible C M V pneumonitis as well.

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

Section: DIAGNOSIS
Patient Information: 1.  Disseminated CMV infection with possible CMV pneumonitis. 2.  Polymyositis on immunosuppressive therapy (methotrexate and prednisone).

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: Is the patient being admitted for disseminated C M V infection?

assistant: Yes. I suspect they have possible C M V pneumonitis as well.

assistant: Are they on immunosuppressants?

assistant: Yes. They have polymyositis and they're taking Prednisone and Methotrexate.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTMEDICALHX
Patient Information: He also has anxiety and depression.

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: Alright we already spoke about your past medical history, anything else you might want to add?

user: Oh, dad did you also talk about your depression?

assistant: Depression? I don't think we spoke about that.

user: Yeah we didn't, it slipped out of my mind.

user: My father has a history of depression and anxiety.

assistant: Okay, let me make a note of it.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTMEDICALHX
Patient Information: He also has anxiety and depression.

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, dad did you also talk about your depression?

assistant: Depression? I don't think we spoke about that.

user: Yeah we didn't, it slipped out of my mind.

user: My father has a history of depression and anxiety.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTMEDICALHX
Patient Information: He also has anxiety and depression.

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: Alright we already spoke about your past medical history, anything else you might want to add?

user: Oh, dad did you also talk about your depression?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTMEDICALHX
Patient Information: He also has anxiety and depression.

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: Alright we already spoke about your past medical history, anything else you might want to add?

user: Oh, dad did you also talk about your depression?

assistant: Depression? I don't think we spoke about that.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTMEDICALHX
Patient Information: He also has anxiety and depression.

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: Alright we already spoke about your past medical history, anything else you might want to add?

user: Oh, dad did you also talk about your depression?

assistant: Depression? I don't think we spoke about that.

user: Yeah we didn't, it slipped out of my mind.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: CC
Patient Information: Nonhealing right ankle stasis ulcer.

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

assistant: How are you?

user: Not good.

assistant: What brings you here today?

user: This ulcer in my ankle is just not healing.

assistant: Is it on both sides?

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

Section: CC
Patient Information: Nonhealing right ankle stasis ulcer.

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 good.

assistant: What brings you here today?

user: This ulcer in my ankle is just not healing.

assistant: Is it on both sides?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: CC
Patient Information: Nonhealing right ankle stasis ulcer.

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

assistant: How are you?

user: Not good.

assistant: What brings you here today?

user: This ulcer in my ankle is just not healing.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTMEDICALHX
Patient Information: 1.  He is status post left inguinal hernia repair. 2.  Prostate cancer diagnosed in December 2004, which was a Gleason 3+4.  He is now receiving Lupron.

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 remember the details of your surgery, sir?

user: No, can you remind me?

assistant: We did a left inguinal hernia repair.

user: Thank you for reminding me.

assistant: You have a history of prostate cancer as well, correct?

user: Yes, they said it was Gleason, um, three plus four.

assistant: Yes, that sounds familiar. What medicines are you taking right now?

user: I'm taking Lupron, currently.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTMEDICALHX
Patient Information: 1.  He is status post left inguinal hernia repair. 2.  Prostate cancer diagnosed in December 2004, which was a Gleason 3+4.  He is now receiving Lupron.

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, can you remind me?

assistant: We did a left inguinal hernia repair.

user: Thank you for reminding me.

assistant: You have a history of prostate cancer as well, correct?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTMEDICALHX
Patient Information: 1.  He is status post left inguinal hernia repair. 2.  Prostate cancer diagnosed in December 2004, which was a Gleason 3+4.  He is now receiving Lupron.

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

user: Thank you for reminding me.

assistant: You have a history of prostate cancer as well, correct?

user: Yes, they said it was Gleason, um, three plus four.

assistant: Yes, that sounds familiar. What medicines are you taking right now?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTMEDICALHX
Patient Information: 1.  He is status post left inguinal hernia repair. 2.  Prostate cancer diagnosed in December 2004, which was a Gleason 3+4.  He is now receiving Lupron.

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, they said it was Gleason, um, three plus four.

assistant: Yes, that sounds familiar. What medicines are you taking right now?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTMEDICALHX
Patient Information: 1.  He is status post left inguinal hernia repair. 2.  Prostate cancer diagnosed in December 2004, which was a Gleason 3+4.  He is now receiving Lupron.

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 remember the details of your surgery, sir?

user: No, can you remind me?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTMEDICALHX
Patient Information: 1.  He is status post left inguinal hernia repair. 2.  Prostate cancer diagnosed in December 2004, which was a Gleason 3+4.  He is now receiving Lupron.

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 remember the details of your surgery, sir?

user: No, can you remind me?

assistant: We did a left inguinal hernia repair.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTMEDICALHX
Patient Information: 1.  He is status post left inguinal hernia repair. 2.  Prostate cancer diagnosed in December 2004, which was a Gleason 3+4.  He is now receiving Lupron.

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 remember the details of your surgery, sir?

user: No, can you remind me?

assistant: We did a left inguinal hernia repair.

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

Section: FAM/SOCHX
Patient Information: The Father of the patient died at age 69 with a CVA. The Mother of the patient died at age 79 when her "heart stopped". There were 12 siblings. Four siblings have died, two due to diabetes, one cause unknown, and one brother died at age 72 with heart failure. The patient has four children with no known medical problems.

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

assistant: How many people do you have in your family?

user: Well, I have four children, all healthy with no medical conditions.

assistant: Wow, that's great!

user: My father passed away at the age of sixty nine due to C V A. And my mom died exactly ten years later, her heart just suddenly stopped. She was seventy nine.

assistant: Okay. And do you have siblings?

user: Well, believe it or not I had eleven siblings, including me twelve.

assistant: Wow!

user: Yes, I lost six of them. Four of them to diabetes, one of my brothers passed away at the age of seventy two and we could never determine the reason my sister died.

assistant: Hm okay.