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: Overall, the patient has been doing reasonably well.  She is being treated for some hemorrhoids, which are not painful for her.  There has been a note that she is constipated. Her blood glucoses have been running reasonably well in the morning, perhaps a bit on the high side with the highest of 188.  I see a couple in the 150s.  However, I also see one that is in the one teens and a couple in the 120s range. She is not bothered by cough or rib pain.  These are complaints, which I often hear about. Today, I reviewed Dr. Hudyncia's note from psychiatry.  Depression responded very well to Cymbalta, and the plan is to continue it probably for a minimum of 1 year. She is not having problems with breathing.  No neurologic complaints or troubles.  Pain is generally well managed just with Tylenol.

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

user: Yeah.

assistant: So, you have been seeking psychiatric help from Doctor Hudyncia right?

user: Yes.

assistant: She mentioned in her report that you are responding well to her treatment and that your depression is under control and the medicine is working for you. That's good news. Oh, what medicine has she prescribed? Um let me see here in the report, oh okay, got it! It's Cymbalta.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: Overall, the patient has been doing reasonably well.  She is being treated for some hemorrhoids, which are not painful for her.  There has been a note that she is constipated. Her blood glucoses have been running reasonably well in the morning, perhaps a bit on the high side with the highest of 188.  I see a couple in the 150s.  However, I also see one that is in the one teens and a couple in the 120s range. She is not bothered by cough or rib pain.  These are complaints, which I often hear about. Today, I reviewed Dr. Hudyncia's note from psychiatry.  Depression responded very well to Cymbalta, and the plan is to continue it probably for a minimum of 1 year. She is not having problems with breathing.  No neurologic complaints or troubles.  Pain is generally well managed just with Tylenol.

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: She mentioned in her report that you are responding well to her treatment and that your depression is under control and the medicine is working for you. That's good news. Oh, what medicine has she prescribed? Um let me see here in the report, oh okay, got it! It's Cymbalta.

user: Right.

assistant: And no side effects, right?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: Overall, the patient has been doing reasonably well.  She is being treated for some hemorrhoids, which are not painful for her.  There has been a note that she is constipated. Her blood glucoses have been running reasonably well in the morning, perhaps a bit on the high side with the highest of 188.  I see a couple in the 150s.  However, I also see one that is in the one teens and a couple in the 120s range. She is not bothered by cough or rib pain.  These are complaints, which I often hear about. Today, I reviewed Dr. Hudyncia's note from psychiatry.  Depression responded very well to Cymbalta, and the plan is to continue it probably for a minimum of 1 year. She is not having problems with breathing.  No neurologic complaints or troubles.  Pain is generally well managed just with Tylenol.

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

user: Right.

assistant: And no side effects, right?

user: No.

assistant: And looks like the plan is to treat you for a minimum one year.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: Overall, the patient has been doing reasonably well.  She is being treated for some hemorrhoids, which are not painful for her.  There has been a note that she is constipated. Her blood glucoses have been running reasonably well in the morning, perhaps a bit on the high side with the highest of 188.  I see a couple in the 150s.  However, I also see one that is in the one teens and a couple in the 120s range. She is not bothered by cough or rib pain.  These are complaints, which I often hear about. Today, I reviewed Dr. Hudyncia's note from psychiatry.  Depression responded very well to Cymbalta, and the plan is to continue it probably for a minimum of 1 year. She is not having problems with breathing.  No neurologic complaints or troubles.  Pain is generally well managed just with Tylenol.

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

user: No.

assistant: And looks like the plan is to treat you for a minimum one year.

user: Yeah.

assistant: Lastly, any breathing issues?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: Overall, the patient has been doing reasonably well.  She is being treated for some hemorrhoids, which are not painful for her.  There has been a note that she is constipated. Her blood glucoses have been running reasonably well in the morning, perhaps a bit on the high side with the highest of 188.  I see a couple in the 150s.  However, I also see one that is in the one teens and a couple in the 120s range. She is not bothered by cough or rib pain.  These are complaints, which I often hear about. Today, I reviewed Dr. Hudyncia's note from psychiatry.  Depression responded very well to Cymbalta, and the plan is to continue it probably for a minimum of 1 year. She is not having problems with breathing.  No neurologic complaints or troubles.  Pain is generally well managed just with Tylenol.

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

user: Yeah.

assistant: Lastly, any breathing issues?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: Overall, the patient has been doing reasonably well.  She is being treated for some hemorrhoids, which are not painful for her.  There has been a note that she is constipated. Her blood glucoses have been running reasonably well in the morning, perhaps a bit on the high side with the highest of 188.  I see a couple in the 150s.  However, I also see one that is in the one teens and a couple in the 120s range. She is not bothered by cough or rib pain.  These are complaints, which I often hear about. Today, I reviewed Dr. Hudyncia's note from psychiatry.  Depression responded very well to Cymbalta, and the plan is to continue it probably for a minimum of 1 year. She is not having problems with breathing.  No neurologic complaints or troubles.  Pain is generally well managed just with Tylenol.

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: Well, I am looking at your test reports and your blood sugars have been running up and down but nothing to be worried about but yeah, we need to keep monitoring. This morning it was perhaps a bit high at one hundred eighty-eight. Last time it was one hundred fifty and in one report it's around one hundred twenty and in lower teens too which is good. So, tell me how are you feeling?

user: Well, I am doing okay. I am getting treated for hemorrhoids. I am also having some constipation from the past few weeks and I have recently developed this cough which is okay as I kind of get it often.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: Overall, the patient has been doing reasonably well.  She is being treated for some hemorrhoids, which are not painful for her.  There has been a note that she is constipated. Her blood glucoses have been running reasonably well in the morning, perhaps a bit on the high side with the highest of 188.  I see a couple in the 150s.  However, I also see one that is in the one teens and a couple in the 120s range. She is not bothered by cough or rib pain.  These are complaints, which I often hear about. Today, I reviewed Dr. Hudyncia's note from psychiatry.  Depression responded very well to Cymbalta, and the plan is to continue it probably for a minimum of 1 year. She is not having problems with breathing.  No neurologic complaints or troubles.  Pain is generally well managed just with Tylenol.

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: Well, I am looking at your test reports and your blood sugars have been running up and down but nothing to be worried about but yeah, we need to keep monitoring. This morning it was perhaps a bit high at one hundred eighty-eight. Last time it was one hundred fifty and in one report it's around one hundred twenty and in lower teens too which is good. So, tell me how are you feeling?

user: Well, I am doing okay. I am getting treated for hemorrhoids. I am also having some constipation from the past few weeks and I have recently developed this cough which is okay as I kind of get it often.

assistant: Oh boy, that's a lot going on!
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: Overall, the patient has been doing reasonably well.  She is being treated for some hemorrhoids, which are not painful for her.  There has been a note that she is constipated. Her blood glucoses have been running reasonably well in the morning, perhaps a bit on the high side with the highest of 188.  I see a couple in the 150s.  However, I also see one that is in the one teens and a couple in the 120s range. She is not bothered by cough or rib pain.  These are complaints, which I often hear about. Today, I reviewed Dr. Hudyncia's note from psychiatry.  Depression responded very well to Cymbalta, and the plan is to continue it probably for a minimum of 1 year. She is not having problems with breathing.  No neurologic complaints or troubles.  Pain is generally well managed just with Tylenol.

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: Well, I am looking at your test reports and your blood sugars have been running up and down but nothing to be worried about but yeah, we need to keep monitoring. This morning it was perhaps a bit high at one hundred eighty-eight. Last time it was one hundred fifty and in one report it's around one hundred twenty and in lower teens too which is good. So, tell me how are you feeling?

user: Well, I am doing okay. I am getting treated for hemorrhoids. I am also having some constipation from the past few weeks and I have recently developed this cough which is okay as I kind of get it often.

assistant: Oh boy, that's a lot going on!

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

Section: GENHX
Patient Information: She has been followed for her hydrocephalus since 2002.  She also had an anterior cervical corpectomy and fusion from C3 though C5 in March 2007.  She was last seen by us in clinic in March 2008 and she was experiencing little bit of head fullness and ringing in the ears at that time; however, we decided to leave her shunt setting at 1.0.  We wanted her to followup with Dr. XYZ regarding the MRI of the cervical spine.  Today, she tells me that with respect to her bladder last week she had some episodes of urinary frequency, however, this week she is not experiencing the same type of episodes.  She reports no urgency, incontinence, and feels that she completely empties her bladder when she goes.  She does experience some leakage with coughing.  She wears the pad on a daily basis.  She does not think that her bladder has changed much since we saw her last.  With respect to her thinking and memory, she reports no problems at this time.  She reports no headaches at this time.  With respect to her walking and balance, she says that it feels worse.  In the beginning of May, she had a coughing spell and at that time she developed buttock pain, which travels down the legs.  She states that her leg often feel like elastic and she experiences a tingling radiculopathy.  She says that this tingling is constant and at times painful.  She feels that she is walking slower for this reason.  She does not use the cane at this time.  Most of the time, she is able to walk over uneven surfaces.  She is able to walk up and down stairs and has no trouble getting in and out of a car.

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: Of course, Hello doctors.

assistant: Hi Miss Dey.

assistant: So, tell me what is going on?

user: Well, last week I had some urine issue, like had to pee frequently. I had few episodes of urgency.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: She has been followed for her hydrocephalus since 2002.  She also had an anterior cervical corpectomy and fusion from C3 though C5 in March 2007.  She was last seen by us in clinic in March 2008 and she was experiencing little bit of head fullness and ringing in the ears at that time; however, we decided to leave her shunt setting at 1.0.  We wanted her to followup with Dr. XYZ regarding the MRI of the cervical spine.  Today, she tells me that with respect to her bladder last week she had some episodes of urinary frequency, however, this week she is not experiencing the same type of episodes.  She reports no urgency, incontinence, and feels that she completely empties her bladder when she goes.  She does experience some leakage with coughing.  She wears the pad on a daily basis.  She does not think that her bladder has changed much since we saw her last.  With respect to her thinking and memory, she reports no problems at this time.  She reports no headaches at this time.  With respect to her walking and balance, she says that it feels worse.  In the beginning of May, she had a coughing spell and at that time she developed buttock pain, which travels down the legs.  She states that her leg often feel like elastic and she experiences a tingling radiculopathy.  She says that this tingling is constant and at times painful.  She feels that she is walking slower for this reason.  She does not use the cane at this time.  Most of the time, she is able to walk over uneven surfaces.  She is able to walk up and down stairs and has no trouble getting in and out of a car.

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

user: Well, last week I had some urine issue, like had to pee frequently. I had few episodes of urgency.

assistant: Okay and how do you feel this week?

user: This week it's much better I am not feeling like how I was feeling last week.

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

Section: GENHX
Patient Information: She has been followed for her hydrocephalus since 2002.  She also had an anterior cervical corpectomy and fusion from C3 though C5 in March 2007.  She was last seen by us in clinic in March 2008 and she was experiencing little bit of head fullness and ringing in the ears at that time; however, we decided to leave her shunt setting at 1.0.  We wanted her to followup with Dr. XYZ regarding the MRI of the cervical spine.  Today, she tells me that with respect to her bladder last week she had some episodes of urinary frequency, however, this week she is not experiencing the same type of episodes.  She reports no urgency, incontinence, and feels that she completely empties her bladder when she goes.  She does experience some leakage with coughing.  She wears the pad on a daily basis.  She does not think that her bladder has changed much since we saw her last.  With respect to her thinking and memory, she reports no problems at this time.  She reports no headaches at this time.  With respect to her walking and balance, she says that it feels worse.  In the beginning of May, she had a coughing spell and at that time she developed buttock pain, which travels down the legs.  She states that her leg often feel like elastic and she experiences a tingling radiculopathy.  She says that this tingling is constant and at times painful.  She feels that she is walking slower for this reason.  She does not use the cane at this time.  Most of the time, she is able to walk over uneven surfaces.  She is able to walk up and down stairs and has no trouble getting in and out of a car.

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: This week it's much better I am not feeling like how I was feeling last week.

assistant: Okay good.

user: I feel no urgency or inconsistency and I am able to empty my bladder completely.

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

Section: GENHX
Patient Information: She has been followed for her hydrocephalus since 2002.  She also had an anterior cervical corpectomy and fusion from C3 though C5 in March 2007.  She was last seen by us in clinic in March 2008 and she was experiencing little bit of head fullness and ringing in the ears at that time; however, we decided to leave her shunt setting at 1.0.  We wanted her to followup with Dr. XYZ regarding the MRI of the cervical spine.  Today, she tells me that with respect to her bladder last week she had some episodes of urinary frequency, however, this week she is not experiencing the same type of episodes.  She reports no urgency, incontinence, and feels that she completely empties her bladder when she goes.  She does experience some leakage with coughing.  She wears the pad on a daily basis.  She does not think that her bladder has changed much since we saw her last.  With respect to her thinking and memory, she reports no problems at this time.  She reports no headaches at this time.  With respect to her walking and balance, she says that it feels worse.  In the beginning of May, she had a coughing spell and at that time she developed buttock pain, which travels down the legs.  She states that her leg often feel like elastic and she experiences a tingling radiculopathy.  She says that this tingling is constant and at times painful.  She feels that she is walking slower for this reason.  She does not use the cane at this time.  Most of the time, she is able to walk over uneven surfaces.  She is able to walk up and down stairs and has no trouble getting in and out of a car.

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

user: I feel no urgency or inconsistency and I am able to empty my bladder completely.

assistant: That's good.

user: However, I do leak some pee when I cough. I wear pads daily.

assistant: And did you notice any changes regarding your bladder, do you think it is better than before or worse since the last time I saw you?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: She has been followed for her hydrocephalus since 2002.  She also had an anterior cervical corpectomy and fusion from C3 though C5 in March 2007.  She was last seen by us in clinic in March 2008 and she was experiencing little bit of head fullness and ringing in the ears at that time; however, we decided to leave her shunt setting at 1.0.  We wanted her to followup with Dr. XYZ regarding the MRI of the cervical spine.  Today, she tells me that with respect to her bladder last week she had some episodes of urinary frequency, however, this week she is not experiencing the same type of episodes.  She reports no urgency, incontinence, and feels that she completely empties her bladder when she goes.  She does experience some leakage with coughing.  She wears the pad on a daily basis.  She does not think that her bladder has changed much since we saw her last.  With respect to her thinking and memory, she reports no problems at this time.  She reports no headaches at this time.  With respect to her walking and balance, she says that it feels worse.  In the beginning of May, she had a coughing spell and at that time she developed buttock pain, which travels down the legs.  She states that her leg often feel like elastic and she experiences a tingling radiculopathy.  She says that this tingling is constant and at times painful.  She feels that she is walking slower for this reason.  She does not use the cane at this time.  Most of the time, she is able to walk over uneven surfaces.  She is able to walk up and down stairs and has no trouble getting in and out of a car.

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: However, I do leak some pee when I cough. I wear pads daily.

assistant: And did you notice any changes regarding your bladder, do you think it is better than before or worse since the last time I saw you?

user: I don't think it changed much, it feels almost the same.

assistant: Okay. Let's talk about your memory, any problem there, are you able to remember stuff and think about stuff?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: She has been followed for her hydrocephalus since 2002.  She also had an anterior cervical corpectomy and fusion from C3 though C5 in March 2007.  She was last seen by us in clinic in March 2008 and she was experiencing little bit of head fullness and ringing in the ears at that time; however, we decided to leave her shunt setting at 1.0.  We wanted her to followup with Dr. XYZ regarding the MRI of the cervical spine.  Today, she tells me that with respect to her bladder last week she had some episodes of urinary frequency, however, this week she is not experiencing the same type of episodes.  She reports no urgency, incontinence, and feels that she completely empties her bladder when she goes.  She does experience some leakage with coughing.  She wears the pad on a daily basis.  She does not think that her bladder has changed much since we saw her last.  With respect to her thinking and memory, she reports no problems at this time.  She reports no headaches at this time.  With respect to her walking and balance, she says that it feels worse.  In the beginning of May, she had a coughing spell and at that time she developed buttock pain, which travels down the legs.  She states that her leg often feel like elastic and she experiences a tingling radiculopathy.  She says that this tingling is constant and at times painful.  She feels that she is walking slower for this reason.  She does not use the cane at this time.  Most of the time, she is able to walk over uneven surfaces.  She is able to walk up and down stairs and has no trouble getting in and out of a car.

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 think it changed much, it feels almost the same.

assistant: Okay. Let's talk about your memory, any problem there, are you able to remember stuff and think about stuff?

user: Yes, all good there, no issues.

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

Section: GENHX
Patient Information: She has been followed for her hydrocephalus since 2002.  She also had an anterior cervical corpectomy and fusion from C3 though C5 in March 2007.  She was last seen by us in clinic in March 2008 and she was experiencing little bit of head fullness and ringing in the ears at that time; however, we decided to leave her shunt setting at 1.0.  We wanted her to followup with Dr. XYZ regarding the MRI of the cervical spine.  Today, she tells me that with respect to her bladder last week she had some episodes of urinary frequency, however, this week she is not experiencing the same type of episodes.  She reports no urgency, incontinence, and feels that she completely empties her bladder when she goes.  She does experience some leakage with coughing.  She wears the pad on a daily basis.  She does not think that her bladder has changed much since we saw her last.  With respect to her thinking and memory, she reports no problems at this time.  She reports no headaches at this time.  With respect to her walking and balance, she says that it feels worse.  In the beginning of May, she had a coughing spell and at that time she developed buttock pain, which travels down the legs.  She states that her leg often feel like elastic and she experiences a tingling radiculopathy.  She says that this tingling is constant and at times painful.  She feels that she is walking slower for this reason.  She does not use the cane at this time.  Most of the time, she is able to walk over uneven surfaces.  She is able to walk up and down stairs and has no trouble getting in and out of a car.

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, all good there, no issues.

assistant: Any headache?

user: Nope!

assistant: Any changes in your walk or balance?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: She has been followed for her hydrocephalus since 2002.  She also had an anterior cervical corpectomy and fusion from C3 though C5 in March 2007.  She was last seen by us in clinic in March 2008 and she was experiencing little bit of head fullness and ringing in the ears at that time; however, we decided to leave her shunt setting at 1.0.  We wanted her to followup with Dr. XYZ regarding the MRI of the cervical spine.  Today, she tells me that with respect to her bladder last week she had some episodes of urinary frequency, however, this week she is not experiencing the same type of episodes.  She reports no urgency, incontinence, and feels that she completely empties her bladder when she goes.  She does experience some leakage with coughing.  She wears the pad on a daily basis.  She does not think that her bladder has changed much since we saw her last.  With respect to her thinking and memory, she reports no problems at this time.  She reports no headaches at this time.  With respect to her walking and balance, she says that it feels worse.  In the beginning of May, she had a coughing spell and at that time she developed buttock pain, which travels down the legs.  She states that her leg often feel like elastic and she experiences a tingling radiculopathy.  She says that this tingling is constant and at times painful.  She feels that she is walking slower for this reason.  She does not use the cane at this time.  Most of the time, she is able to walk over uneven surfaces.  She is able to walk up and down stairs and has no trouble getting in and out of a car.

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

user: Nope!

assistant: Any changes in your walk or balance?

user: Yes, I feel both have worsened. I am able to walk on uneven surface most of the time. But I feel I have become very slow.

assistant: And are you able to climb up and down the stairs?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: She has been followed for her hydrocephalus since 2002.  She also had an anterior cervical corpectomy and fusion from C3 though C5 in March 2007.  She was last seen by us in clinic in March 2008 and she was experiencing little bit of head fullness and ringing in the ears at that time; however, we decided to leave her shunt setting at 1.0.  We wanted her to followup with Dr. XYZ regarding the MRI of the cervical spine.  Today, she tells me that with respect to her bladder last week she had some episodes of urinary frequency, however, this week she is not experiencing the same type of episodes.  She reports no urgency, incontinence, and feels that she completely empties her bladder when she goes.  She does experience some leakage with coughing.  She wears the pad on a daily basis.  She does not think that her bladder has changed much since we saw her last.  With respect to her thinking and memory, she reports no problems at this time.  She reports no headaches at this time.  With respect to her walking and balance, she says that it feels worse.  In the beginning of May, she had a coughing spell and at that time she developed buttock pain, which travels down the legs.  She states that her leg often feel like elastic and she experiences a tingling radiculopathy.  She says that this tingling is constant and at times painful.  She feels that she is walking slower for this reason.  She does not use the cane at this time.  Most of the time, she is able to walk over uneven surfaces.  She is able to walk up and down stairs and has no trouble getting in and out of a car.

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 feel both have worsened. I am able to walk on uneven surface most of the time. But I feel I have become very slow.

assistant: And are you able to climb up and down the stairs?

user: Yes.

assistant: Are you able to climb in and out of the car normally without any fuss?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: She has been followed for her hydrocephalus since 2002.  She also had an anterior cervical corpectomy and fusion from C3 though C5 in March 2007.  She was last seen by us in clinic in March 2008 and she was experiencing little bit of head fullness and ringing in the ears at that time; however, we decided to leave her shunt setting at 1.0.  We wanted her to followup with Dr. XYZ regarding the MRI of the cervical spine.  Today, she tells me that with respect to her bladder last week she had some episodes of urinary frequency, however, this week she is not experiencing the same type of episodes.  She reports no urgency, incontinence, and feels that she completely empties her bladder when she goes.  She does experience some leakage with coughing.  She wears the pad on a daily basis.  She does not think that her bladder has changed much since we saw her last.  With respect to her thinking and memory, she reports no problems at this time.  She reports no headaches at this time.  With respect to her walking and balance, she says that it feels worse.  In the beginning of May, she had a coughing spell and at that time she developed buttock pain, which travels down the legs.  She states that her leg often feel like elastic and she experiences a tingling radiculopathy.  She says that this tingling is constant and at times painful.  She feels that she is walking slower for this reason.  She does not use the cane at this time.  Most of the time, she is able to walk over uneven surfaces.  She is able to walk up and down stairs and has no trouble getting in and out of a car.

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: Are you able to climb in and out of the car normally without any fuss?

user: Yes.

assistant: Are you using cane at this point of time?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: She has been followed for her hydrocephalus since 2002.  She also had an anterior cervical corpectomy and fusion from C3 though C5 in March 2007.  She was last seen by us in clinic in March 2008 and she was experiencing little bit of head fullness and ringing in the ears at that time; however, we decided to leave her shunt setting at 1.0.  We wanted her to followup with Dr. XYZ regarding the MRI of the cervical spine.  Today, she tells me that with respect to her bladder last week she had some episodes of urinary frequency, however, this week she is not experiencing the same type of episodes.  She reports no urgency, incontinence, and feels that she completely empties her bladder when she goes.  She does experience some leakage with coughing.  She wears the pad on a daily basis.  She does not think that her bladder has changed much since we saw her last.  With respect to her thinking and memory, she reports no problems at this time.  She reports no headaches at this time.  With respect to her walking and balance, she says that it feels worse.  In the beginning of May, she had a coughing spell and at that time she developed buttock pain, which travels down the legs.  She states that her leg often feel like elastic and she experiences a tingling radiculopathy.  She says that this tingling is constant and at times painful.  She feels that she is walking slower for this reason.  She does not use the cane at this time.  Most of the time, she is able to walk over uneven surfaces.  She is able to walk up and down stairs and has no trouble getting in and out of a car.

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: Are you using cane at this point of time?

user: No, no cane.

assistant: Okay good. Anything else you want to tell me?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: She has been followed for her hydrocephalus since 2002.  She also had an anterior cervical corpectomy and fusion from C3 though C5 in March 2007.  She was last seen by us in clinic in March 2008 and she was experiencing little bit of head fullness and ringing in the ears at that time; however, we decided to leave her shunt setting at 1.0.  We wanted her to followup with Dr. XYZ regarding the MRI of the cervical spine.  Today, she tells me that with respect to her bladder last week she had some episodes of urinary frequency, however, this week she is not experiencing the same type of episodes.  She reports no urgency, incontinence, and feels that she completely empties her bladder when she goes.  She does experience some leakage with coughing.  She wears the pad on a daily basis.  She does not think that her bladder has changed much since we saw her last.  With respect to her thinking and memory, she reports no problems at this time.  She reports no headaches at this time.  With respect to her walking and balance, she says that it feels worse.  In the beginning of May, she had a coughing spell and at that time she developed buttock pain, which travels down the legs.  She states that her leg often feel like elastic and she experiences a tingling radiculopathy.  She says that this tingling is constant and at times painful.  She feels that she is walking slower for this reason.  She does not use the cane at this time.  Most of the time, she is able to walk over uneven surfaces.  She is able to walk up and down stairs and has no trouble getting in and out of a car.

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, no cane.

assistant: Okay good. Anything else you want to tell me?

user: Ah yes, in the beginning of May, I got a spell of severe cough and because of continuous coughing I think I developed pain in my hip which travels down to my legs.

assistant: Oh okay, do you feel any tingling or numbness.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: She has been followed for her hydrocephalus since 2002.  She also had an anterior cervical corpectomy and fusion from C3 though C5 in March 2007.  She was last seen by us in clinic in March 2008 and she was experiencing little bit of head fullness and ringing in the ears at that time; however, we decided to leave her shunt setting at 1.0.  We wanted her to followup with Dr. XYZ regarding the MRI of the cervical spine.  Today, she tells me that with respect to her bladder last week she had some episodes of urinary frequency, however, this week she is not experiencing the same type of episodes.  She reports no urgency, incontinence, and feels that she completely empties her bladder when she goes.  She does experience some leakage with coughing.  She wears the pad on a daily basis.  She does not think that her bladder has changed much since we saw her last.  With respect to her thinking and memory, she reports no problems at this time.  She reports no headaches at this time.  With respect to her walking and balance, she says that it feels worse.  In the beginning of May, she had a coughing spell and at that time she developed buttock pain, which travels down the legs.  She states that her leg often feel like elastic and she experiences a tingling radiculopathy.  She says that this tingling is constant and at times painful.  She feels that she is walking slower for this reason.  She does not use the cane at this time.  Most of the time, she is able to walk over uneven surfaces.  She is able to walk up and down stairs and has no trouble getting in and out of a car.

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: Ah yes, in the beginning of May, I got a spell of severe cough and because of continuous coughing I think I developed pain in my hip which travels down to my legs.

assistant: Oh okay, do you feel any tingling or numbness.

user: Yes! I feel constant tingling sensation and a feeling that something is pinching my never. Sometimes it's just so painful.

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

Section: GENHX
Patient Information: She has been followed for her hydrocephalus since 2002.  She also had an anterior cervical corpectomy and fusion from C3 though C5 in March 2007.  She was last seen by us in clinic in March 2008 and she was experiencing little bit of head fullness and ringing in the ears at that time; however, we decided to leave her shunt setting at 1.0.  We wanted her to followup with Dr. XYZ regarding the MRI of the cervical spine.  Today, she tells me that with respect to her bladder last week she had some episodes of urinary frequency, however, this week she is not experiencing the same type of episodes.  She reports no urgency, incontinence, and feels that she completely empties her bladder when she goes.  She does experience some leakage with coughing.  She wears the pad on a daily basis.  She does not think that her bladder has changed much since we saw her last.  With respect to her thinking and memory, she reports no problems at this time.  She reports no headaches at this time.  With respect to her walking and balance, she says that it feels worse.  In the beginning of May, she had a coughing spell and at that time she developed buttock pain, which travels down the legs.  She states that her leg often feel like elastic and she experiences a tingling radiculopathy.  She says that this tingling is constant and at times painful.  She feels that she is walking slower for this reason.  She does not use the cane at this time.  Most of the time, she is able to walk over uneven surfaces.  She is able to walk up and down stairs and has no trouble getting in and out of a car.

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 feel constant tingling sensation and a feeling that something is pinching my never. Sometimes it's just so painful.

assistant: Okay.

user: Often I feel like my legs have become like elastic. I feel this tingling sensation is the reason my walking has become slower.

assistant: Doctor Jen did you take the notes of what she said?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: She has been followed for her hydrocephalus since 2002.  She also had an anterior cervical corpectomy and fusion from C3 though C5 in March 2007.  She was last seen by us in clinic in March 2008 and she was experiencing little bit of head fullness and ringing in the ears at that time; however, we decided to leave her shunt setting at 1.0.  We wanted her to followup with Dr. XYZ regarding the MRI of the cervical spine.  Today, she tells me that with respect to her bladder last week she had some episodes of urinary frequency, however, this week she is not experiencing the same type of episodes.  She reports no urgency, incontinence, and feels that she completely empties her bladder when she goes.  She does experience some leakage with coughing.  She wears the pad on a daily basis.  She does not think that her bladder has changed much since we saw her last.  With respect to her thinking and memory, she reports no problems at this time.  She reports no headaches at this time.  With respect to her walking and balance, she says that it feels worse.  In the beginning of May, she had a coughing spell and at that time she developed buttock pain, which travels down the legs.  She states that her leg often feel like elastic and she experiences a tingling radiculopathy.  She says that this tingling is constant and at times painful.  She feels that she is walking slower for this reason.  She does not use the cane at this time.  Most of the time, she is able to walk over uneven surfaces.  She is able to walk up and down stairs and has no trouble getting in and out of a car.

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: Often I feel like my legs have become like elastic. I feel this tingling sensation is the reason my walking has become slower.

assistant: Doctor Jen did you take the notes of what she said?

assistant: I did.

assistant: Okay great, anything else Miss Dey?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: She has been followed for her hydrocephalus since 2002.  She also had an anterior cervical corpectomy and fusion from C3 though C5 in March 2007.  She was last seen by us in clinic in March 2008 and she was experiencing little bit of head fullness and ringing in the ears at that time; however, we decided to leave her shunt setting at 1.0.  We wanted her to followup with Dr. XYZ regarding the MRI of the cervical spine.  Today, she tells me that with respect to her bladder last week she had some episodes of urinary frequency, however, this week she is not experiencing the same type of episodes.  She reports no urgency, incontinence, and feels that she completely empties her bladder when she goes.  She does experience some leakage with coughing.  She wears the pad on a daily basis.  She does not think that her bladder has changed much since we saw her last.  With respect to her thinking and memory, she reports no problems at this time.  She reports no headaches at this time.  With respect to her walking and balance, she says that it feels worse.  In the beginning of May, she had a coughing spell and at that time she developed buttock pain, which travels down the legs.  She states that her leg often feel like elastic and she experiences a tingling radiculopathy.  She says that this tingling is constant and at times painful.  She feels that she is walking slower for this reason.  She does not use the cane at this time.  Most of the time, she is able to walk over uneven surfaces.  She is able to walk up and down stairs and has no trouble getting in and out of a car.

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 think I told you everything.

assistant: Alright you take care. I will see you next time.

user: Bye!

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

Section: GENHX
Patient Information: She has been followed for her hydrocephalus since 2002.  She also had an anterior cervical corpectomy and fusion from C3 though C5 in March 2007.  She was last seen by us in clinic in March 2008 and she was experiencing little bit of head fullness and ringing in the ears at that time; however, we decided to leave her shunt setting at 1.0.  We wanted her to followup with Dr. XYZ regarding the MRI of the cervical spine.  Today, she tells me that with respect to her bladder last week she had some episodes of urinary frequency, however, this week she is not experiencing the same type of episodes.  She reports no urgency, incontinence, and feels that she completely empties her bladder when she goes.  She does experience some leakage with coughing.  She wears the pad on a daily basis.  She does not think that her bladder has changed much since we saw her last.  With respect to her thinking and memory, she reports no problems at this time.  She reports no headaches at this time.  With respect to her walking and balance, she says that it feels worse.  In the beginning of May, she had a coughing spell and at that time she developed buttock pain, which travels down the legs.  She states that her leg often feel like elastic and she experiences a tingling radiculopathy.  She says that this tingling is constant and at times painful.  She feels that she is walking slower for this reason.  She does not use the cane at this time.  Most of the time, she is able to walk over uneven surfaces.  She is able to walk up and down stairs and has no trouble getting in and out of a car.

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: Bye!

assistant: Bye.