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 an 11-month-old with neuroblastoma, which initially presented on the left when he was 6 weeks old and was completely resected.  It was felt to be stage 2.  It was not N-Myc amplified and had favorable Shimada histology.  In followup, he was found to have a second primary in his right adrenal gland, which was biopsied and also consistent with neuroblastoma with favorable Shimada histology.  He is now being treated with chemotherapy per protocol P9641 and not on study.  He last received chemotherapy on 05/21/07, with carboplatin, cyclophosphamide, and doxorubicin.  He received G-CSF daily after his chemotherapy due to neutropenia that delayed his second cycle.  In the interval since he was last seen, his mother reports that he had a couple of days of nasal congestion, but it is now improving.  He is not acted ill or had any fevers.  He has had somewhat diminished appetite, but it seems to be improving now.  He is peeing and pooping normally and has not had any diarrhea.  He did not have any appreciated nausea or vomiting.  He has been restarted on fluconazole due to having redeveloped thrush recently.

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: At times, he didn't want to eat. It seemed like he wasn't hungry.

assistant: Does he still have a reduced appetite?

user: Not anymore. He's starting to eat again.

assistant: Did he have any nausea or vomiting after he ate?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient is an 11-month-old with neuroblastoma, which initially presented on the left when he was 6 weeks old and was completely resected.  It was felt to be stage 2.  It was not N-Myc amplified and had favorable Shimada histology.  In followup, he was found to have a second primary in his right adrenal gland, which was biopsied and also consistent with neuroblastoma with favorable Shimada histology.  He is now being treated with chemotherapy per protocol P9641 and not on study.  He last received chemotherapy on 05/21/07, with carboplatin, cyclophosphamide, and doxorubicin.  He received G-CSF daily after his chemotherapy due to neutropenia that delayed his second cycle.  In the interval since he was last seen, his mother reports that he had a couple of days of nasal congestion, but it is now improving.  He is not acted ill or had any fevers.  He has had somewhat diminished appetite, but it seems to be improving now.  He is peeing and pooping normally and has not had any diarrhea.  He did not have any appreciated nausea or vomiting.  He has been restarted on fluconazole due to having redeveloped thrush recently.

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 anymore. He's starting to eat again.

assistant: Did he have any nausea or vomiting after he ate?

user: Thankfully, no. I would have made my husband clean up the vomit.

assistant: That's great. Is he able to pee and poop fine? No diarrhea, right?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient is an 11-month-old with neuroblastoma, which initially presented on the left when he was 6 weeks old and was completely resected.  It was felt to be stage 2.  It was not N-Myc amplified and had favorable Shimada histology.  In followup, he was found to have a second primary in his right adrenal gland, which was biopsied and also consistent with neuroblastoma with favorable Shimada histology.  He is now being treated with chemotherapy per protocol P9641 and not on study.  He last received chemotherapy on 05/21/07, with carboplatin, cyclophosphamide, and doxorubicin.  He received G-CSF daily after his chemotherapy due to neutropenia that delayed his second cycle.  In the interval since he was last seen, his mother reports that he had a couple of days of nasal congestion, but it is now improving.  He is not acted ill or had any fevers.  He has had somewhat diminished appetite, but it seems to be improving now.  He is peeing and pooping normally and has not had any diarrhea.  He did not have any appreciated nausea or vomiting.  He has been restarted on fluconazole due to having redeveloped thrush recently.

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: Thankfully, no. I would have made my husband clean up the vomit.

assistant: That's great. Is he able to pee and poop fine? No diarrhea, right?

user: His poop has been solid. I haven't seen anything bad about his pee either.

assistant: Great. Would you be able to open his mouth for me? I just want to check if everything's fine inside.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient is an 11-month-old with neuroblastoma, which initially presented on the left when he was 6 weeks old and was completely resected.  It was felt to be stage 2.  It was not N-Myc amplified and had favorable Shimada histology.  In followup, he was found to have a second primary in his right adrenal gland, which was biopsied and also consistent with neuroblastoma with favorable Shimada histology.  He is now being treated with chemotherapy per protocol P9641 and not on study.  He last received chemotherapy on 05/21/07, with carboplatin, cyclophosphamide, and doxorubicin.  He received G-CSF daily after his chemotherapy due to neutropenia that delayed his second cycle.  In the interval since he was last seen, his mother reports that he had a couple of days of nasal congestion, but it is now improving.  He is not acted ill or had any fevers.  He has had somewhat diminished appetite, but it seems to be improving now.  He is peeing and pooping normally and has not had any diarrhea.  He did not have any appreciated nausea or vomiting.  He has been restarted on fluconazole due to having redeveloped thrush recently.

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: His poop has been solid. I haven't seen anything bad about his pee either.

assistant: Great. Would you be able to open his mouth for me? I just want to check if everything's fine inside.

user: Of course. Say ah.

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

Section: GENHX
Patient Information: The patient is an 11-month-old with neuroblastoma, which initially presented on the left when he was 6 weeks old and was completely resected.  It was felt to be stage 2.  It was not N-Myc amplified and had favorable Shimada histology.  In followup, he was found to have a second primary in his right adrenal gland, which was biopsied and also consistent with neuroblastoma with favorable Shimada histology.  He is now being treated with chemotherapy per protocol P9641 and not on study.  He last received chemotherapy on 05/21/07, with carboplatin, cyclophosphamide, and doxorubicin.  He received G-CSF daily after his chemotherapy due to neutropenia that delayed his second cycle.  In the interval since he was last seen, his mother reports that he had a couple of days of nasal congestion, but it is now improving.  He is not acted ill or had any fevers.  He has had somewhat diminished appetite, but it seems to be improving now.  He is peeing and pooping normally and has not had any diarrhea.  He did not have any appreciated nausea or vomiting.  He has been restarted on fluconazole due to having redeveloped thrush recently.

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.

assistant: Thank you. Oh, wow. It looks like he's showing some symptoms of thrush again.

user: Oh, no. Should we restart fluconazole?

assistant: It's just a fungal infection inside the mouth. I'll prescribe him fluconazole. It should get rid of it.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient is an 11-month-old with neuroblastoma, which initially presented on the left when he was 6 weeks old and was completely resected.  It was felt to be stage 2.  It was not N-Myc amplified and had favorable Shimada histology.  In followup, he was found to have a second primary in his right adrenal gland, which was biopsied and also consistent with neuroblastoma with favorable Shimada histology.  He is now being treated with chemotherapy per protocol P9641 and not on study.  He last received chemotherapy on 05/21/07, with carboplatin, cyclophosphamide, and doxorubicin.  He received G-CSF daily after his chemotherapy due to neutropenia that delayed his second cycle.  In the interval since he was last seen, his mother reports that he had a couple of days of nasal congestion, but it is now improving.  He is not acted ill or had any fevers.  He has had somewhat diminished appetite, but it seems to be improving now.  He is peeing and pooping normally and has not had any diarrhea.  He did not have any appreciated nausea or vomiting.  He has been restarted on fluconazole due to having redeveloped thrush recently.

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

user: Oh, no. Should we restart fluconazole?

assistant: It's just a fungal infection inside the mouth. I'll prescribe him fluconazole. It should get rid of it.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient is an 11-month-old with neuroblastoma, which initially presented on the left when he was 6 weeks old and was completely resected.  It was felt to be stage 2.  It was not N-Myc amplified and had favorable Shimada histology.  In followup, he was found to have a second primary in his right adrenal gland, which was biopsied and also consistent with neuroblastoma with favorable Shimada histology.  He is now being treated with chemotherapy per protocol P9641 and not on study.  He last received chemotherapy on 05/21/07, with carboplatin, cyclophosphamide, and doxorubicin.  He received G-CSF daily after his chemotherapy due to neutropenia that delayed his second cycle.  In the interval since he was last seen, his mother reports that he had a couple of days of nasal congestion, but it is now improving.  He is not acted ill or had any fevers.  He has had somewhat diminished appetite, but it seems to be improving now.  He is peeing and pooping normally and has not had any diarrhea.  He did not have any appreciated nausea or vomiting.  He has been restarted on fluconazole due to having redeveloped thrush recently.

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

assistant: Hello, Nurse. Could you give me a run down on the eleven month old patient?

assistant: The patient was presented with stage two neuroblastoma on the left when he was six weeks old. It was completely resected. It was shown not to be N Myc amplified and had some favorable Shimada histology.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient is an 11-month-old with neuroblastoma, which initially presented on the left when he was 6 weeks old and was completely resected.  It was felt to be stage 2.  It was not N-Myc amplified and had favorable Shimada histology.  In followup, he was found to have a second primary in his right adrenal gland, which was biopsied and also consistent with neuroblastoma with favorable Shimada histology.  He is now being treated with chemotherapy per protocol P9641 and not on study.  He last received chemotherapy on 05/21/07, with carboplatin, cyclophosphamide, and doxorubicin.  He received G-CSF daily after his chemotherapy due to neutropenia that delayed his second cycle.  In the interval since he was last seen, his mother reports that he had a couple of days of nasal congestion, but it is now improving.  He is not acted ill or had any fevers.  He has had somewhat diminished appetite, but it seems to be improving now.  He is peeing and pooping normally and has not had any diarrhea.  He did not have any appreciated nausea or vomiting.  He has been restarted on fluconazole due to having redeveloped thrush recently.

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

assistant: Hello, Nurse. Could you give me a run down on the eleven month old patient?

assistant: The patient was presented with stage two neuroblastoma on the left when he was six weeks old. It was completely resected. It was shown not to be N Myc amplified and had some favorable Shimada histology.

assistant: Great. Did he have a follow up after?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient is an 11-month-old with neuroblastoma, which initially presented on the left when he was 6 weeks old and was completely resected.  It was felt to be stage 2.  It was not N-Myc amplified and had favorable Shimada histology.  In followup, he was found to have a second primary in his right adrenal gland, which was biopsied and also consistent with neuroblastoma with favorable Shimada histology.  He is now being treated with chemotherapy per protocol P9641 and not on study.  He last received chemotherapy on 05/21/07, with carboplatin, cyclophosphamide, and doxorubicin.  He received G-CSF daily after his chemotherapy due to neutropenia that delayed his second cycle.  In the interval since he was last seen, his mother reports that he had a couple of days of nasal congestion, but it is now improving.  He is not acted ill or had any fevers.  He has had somewhat diminished appetite, but it seems to be improving now.  He is peeing and pooping normally and has not had any diarrhea.  He did not have any appreciated nausea or vomiting.  He has been restarted on fluconazole due to having redeveloped thrush recently.

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

assistant: Hello, Nurse. Could you give me a run down on the eleven month old patient?

assistant: The patient was presented with stage two neuroblastoma on the left when he was six weeks old. It was completely resected. It was shown not to be N Myc amplified and had some favorable Shimada histology.

assistant: Great. Did he have a follow up after?

assistant: He did. There was a second primary in his right adrenal gland. They performed a biopsy, which was consistent with neuroblastoma with favorable Shimada histology.
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 32-year-old male seen by Dr. ABC several weeks ago for persistent left hip pain.  He has a long eight to ten year history of pain into the left hip.  He has been worked up by several specialists and evaluated.  He was thought initially to have low back pain with radiculopathy.  He does have a history of antibiotic steroid use as well as heavy drinking.  He reports his symptoms started approximately eight years ago when he was doing some construction at which time he began to have left hip pain.  He has had difficulties on and off ever since then.  On the last visit, radiographs revealed severe degenerative changes of the left hip joint with apparent AVN of the left femoral head.  He was given some pain medication and discussion took place regarding referring him to a specialist for evaluation of possible hip resurfacing versus conventional total hip replacement.  He came for a second opinion in the area and we discussed his problems further.  He continues to have primarily groin pain, which limits his daily activities.  He has used a cane in the past for a short period and he continues to have difficulty with the left hip.

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, how are long have you had pain in this hip?

user: It's been about eight or ten years now. It began while I was working in construction.

assistant: How old are you now?

user: I'm thirty two now, so I've been in pain since I was in my twenties.

assistant: Have you seen another doctor for this, or am I the first?

user: Yeah, um, I've actually seen several doctors before, the last I saw was Doctor A B C a few weeks ago.

assistant: What did those doctors tell you?

user: They thought it was low back pain, and something called, um, radiculopathy.

assistant: Does your pain radiate into your legs?

user: Yes.

assistant: Has your pain been present for the eight years, or did it come and go?

user: It's been persistent, and I've had difficulties on and off since then.

assistant: Okay. The x rays from Doctor A B C show severe degenerative changes as well as avascular necrosis of the femoral head. What else did the Doctor do for you?

user: He gave me some pain medicine, and we talked about going to another specialist for surgery.

assistant: Do you remember the names of the procedures suggested?

user: Something about resurfacing the hip, or a hip replacement. I'm here for another opinion on that.

assistant: I saw you come in with a cane, do you have groin pain as well?

user: Yes, and I can't do any of the activities I used to.

assistant: Besides the pain medication, have you had anything else?

user: I've taken antibiotic steroids before.

assistant: Okay. Do you drink?

user: Yes, a lot.
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 32-year-old male seen by Dr. ABC several weeks ago for persistent left hip pain.  He has a long eight to ten year history of pain into the left hip.  He has been worked up by several specialists and evaluated.  He was thought initially to have low back pain with radiculopathy.  He does have a history of antibiotic steroid use as well as heavy drinking.  He reports his symptoms started approximately eight years ago when he was doing some construction at which time he began to have left hip pain.  He has had difficulties on and off ever since then.  On the last visit, radiographs revealed severe degenerative changes of the left hip joint with apparent AVN of the left femoral head.  He was given some pain medication and discussion took place regarding referring him to a specialist for evaluation of possible hip resurfacing versus conventional total hip replacement.  He came for a second opinion in the area and we discussed his problems further.  He continues to have primarily groin pain, which limits his daily activities.  He has used a cane in the past for a short period and he continues to have difficulty with the left hip.

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

user: It's been about eight or ten years now. It began while I was working in construction.

assistant: How old are you now?

user: I'm thirty two now, so I've been in pain since I was in my twenties.

assistant: Have you seen another doctor for this, or am I the first?
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 32-year-old male seen by Dr. ABC several weeks ago for persistent left hip pain.  He has a long eight to ten year history of pain into the left hip.  He has been worked up by several specialists and evaluated.  He was thought initially to have low back pain with radiculopathy.  He does have a history of antibiotic steroid use as well as heavy drinking.  He reports his symptoms started approximately eight years ago when he was doing some construction at which time he began to have left hip pain.  He has had difficulties on and off ever since then.  On the last visit, radiographs revealed severe degenerative changes of the left hip joint with apparent AVN of the left femoral head.  He was given some pain medication and discussion took place regarding referring him to a specialist for evaluation of possible hip resurfacing versus conventional total hip replacement.  He came for a second opinion in the area and we discussed his problems further.  He continues to have primarily groin pain, which limits his daily activities.  He has used a cane in the past for a short period and he continues to have difficulty with the left hip.

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

user: I'm thirty two now, so I've been in pain since I was in my twenties.

assistant: Have you seen another doctor for this, or am I the first?

user: Yeah, um, I've actually seen several doctors before, the last I saw was Doctor A B C a few weeks ago.

assistant: What did those doctors tell you?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient is a 32-year-old male seen by Dr. ABC several weeks ago for persistent left hip pain.  He has a long eight to ten year history of pain into the left hip.  He has been worked up by several specialists and evaluated.  He was thought initially to have low back pain with radiculopathy.  He does have a history of antibiotic steroid use as well as heavy drinking.  He reports his symptoms started approximately eight years ago when he was doing some construction at which time he began to have left hip pain.  He has had difficulties on and off ever since then.  On the last visit, radiographs revealed severe degenerative changes of the left hip joint with apparent AVN of the left femoral head.  He was given some pain medication and discussion took place regarding referring him to a specialist for evaluation of possible hip resurfacing versus conventional total hip replacement.  He came for a second opinion in the area and we discussed his problems further.  He continues to have primarily groin pain, which limits his daily activities.  He has used a cane in the past for a short period and he continues to have difficulty with the left hip.

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, um, I've actually seen several doctors before, the last I saw was Doctor A B C a few weeks ago.

assistant: What did those doctors tell you?

user: They thought it was low back pain, and something called, um, radiculopathy.

assistant: Does your pain radiate into your legs?
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 32-year-old male seen by Dr. ABC several weeks ago for persistent left hip pain.  He has a long eight to ten year history of pain into the left hip.  He has been worked up by several specialists and evaluated.  He was thought initially to have low back pain with radiculopathy.  He does have a history of antibiotic steroid use as well as heavy drinking.  He reports his symptoms started approximately eight years ago when he was doing some construction at which time he began to have left hip pain.  He has had difficulties on and off ever since then.  On the last visit, radiographs revealed severe degenerative changes of the left hip joint with apparent AVN of the left femoral head.  He was given some pain medication and discussion took place regarding referring him to a specialist for evaluation of possible hip resurfacing versus conventional total hip replacement.  He came for a second opinion in the area and we discussed his problems further.  He continues to have primarily groin pain, which limits his daily activities.  He has used a cane in the past for a short period and he continues to have difficulty with the left hip.

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: They thought it was low back pain, and something called, um, radiculopathy.

assistant: Does your pain radiate into your legs?

user: Yes.

assistant: Has your pain been present for the eight years, or did it come and go?
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 32-year-old male seen by Dr. ABC several weeks ago for persistent left hip pain.  He has a long eight to ten year history of pain into the left hip.  He has been worked up by several specialists and evaluated.  He was thought initially to have low back pain with radiculopathy.  He does have a history of antibiotic steroid use as well as heavy drinking.  He reports his symptoms started approximately eight years ago when he was doing some construction at which time he began to have left hip pain.  He has had difficulties on and off ever since then.  On the last visit, radiographs revealed severe degenerative changes of the left hip joint with apparent AVN of the left femoral head.  He was given some pain medication and discussion took place regarding referring him to a specialist for evaluation of possible hip resurfacing versus conventional total hip replacement.  He came for a second opinion in the area and we discussed his problems further.  He continues to have primarily groin pain, which limits his daily activities.  He has used a cane in the past for a short period and he continues to have difficulty with the left hip.

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: Has your pain been present for the eight years, or did it come and go?

user: It's been persistent, and I've had difficulties on and off since then.

assistant: Okay. The x rays from Doctor A B C show severe degenerative changes as well as avascular necrosis of the femoral head. What else did the Doctor do for you?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient is a 32-year-old male seen by Dr. ABC several weeks ago for persistent left hip pain.  He has a long eight to ten year history of pain into the left hip.  He has been worked up by several specialists and evaluated.  He was thought initially to have low back pain with radiculopathy.  He does have a history of antibiotic steroid use as well as heavy drinking.  He reports his symptoms started approximately eight years ago when he was doing some construction at which time he began to have left hip pain.  He has had difficulties on and off ever since then.  On the last visit, radiographs revealed severe degenerative changes of the left hip joint with apparent AVN of the left femoral head.  He was given some pain medication and discussion took place regarding referring him to a specialist for evaluation of possible hip resurfacing versus conventional total hip replacement.  He came for a second opinion in the area and we discussed his problems further.  He continues to have primarily groin pain, which limits his daily activities.  He has used a cane in the past for a short period and he continues to have difficulty with the left hip.

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

user: It's been persistent, and I've had difficulties on and off since then.

assistant: Okay. The x rays from Doctor A B C show severe degenerative changes as well as avascular necrosis of the femoral head. What else did the Doctor do for you?

user: He gave me some pain medicine, and we talked about going to another specialist for surgery.

assistant: Do you remember the names of the procedures suggested?
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 32-year-old male seen by Dr. ABC several weeks ago for persistent left hip pain.  He has a long eight to ten year history of pain into the left hip.  He has been worked up by several specialists and evaluated.  He was thought initially to have low back pain with radiculopathy.  He does have a history of antibiotic steroid use as well as heavy drinking.  He reports his symptoms started approximately eight years ago when he was doing some construction at which time he began to have left hip pain.  He has had difficulties on and off ever since then.  On the last visit, radiographs revealed severe degenerative changes of the left hip joint with apparent AVN of the left femoral head.  He was given some pain medication and discussion took place regarding referring him to a specialist for evaluation of possible hip resurfacing versus conventional total hip replacement.  He came for a second opinion in the area and we discussed his problems further.  He continues to have primarily groin pain, which limits his daily activities.  He has used a cane in the past for a short period and he continues to have difficulty with the left hip.

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 gave me some pain medicine, and we talked about going to another specialist for surgery.

assistant: Do you remember the names of the procedures suggested?

user: Something about resurfacing the hip, or a hip replacement. I'm here for another opinion on that.

assistant: I saw you come in with a cane, do you have groin pain as well?
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 32-year-old male seen by Dr. ABC several weeks ago for persistent left hip pain.  He has a long eight to ten year history of pain into the left hip.  He has been worked up by several specialists and evaluated.  He was thought initially to have low back pain with radiculopathy.  He does have a history of antibiotic steroid use as well as heavy drinking.  He reports his symptoms started approximately eight years ago when he was doing some construction at which time he began to have left hip pain.  He has had difficulties on and off ever since then.  On the last visit, radiographs revealed severe degenerative changes of the left hip joint with apparent AVN of the left femoral head.  He was given some pain medication and discussion took place regarding referring him to a specialist for evaluation of possible hip resurfacing versus conventional total hip replacement.  He came for a second opinion in the area and we discussed his problems further.  He continues to have primarily groin pain, which limits his daily activities.  He has used a cane in the past for a short period and he continues to have difficulty with the left hip.

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: Something about resurfacing the hip, or a hip replacement. I'm here for another opinion on that.

assistant: I saw you come in with a cane, do you have groin pain as well?

user: Yes, and I can't do any of the activities I used to.

assistant: Besides the pain medication, have you had anything else?
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 32-year-old male seen by Dr. ABC several weeks ago for persistent left hip pain.  He has a long eight to ten year history of pain into the left hip.  He has been worked up by several specialists and evaluated.  He was thought initially to have low back pain with radiculopathy.  He does have a history of antibiotic steroid use as well as heavy drinking.  He reports his symptoms started approximately eight years ago when he was doing some construction at which time he began to have left hip pain.  He has had difficulties on and off ever since then.  On the last visit, radiographs revealed severe degenerative changes of the left hip joint with apparent AVN of the left femoral head.  He was given some pain medication and discussion took place regarding referring him to a specialist for evaluation of possible hip resurfacing versus conventional total hip replacement.  He came for a second opinion in the area and we discussed his problems further.  He continues to have primarily groin pain, which limits his daily activities.  He has used a cane in the past for a short period and he continues to have difficulty with the left hip.

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, and I can't do any of the activities I used to.

assistant: Besides the pain medication, have you had anything else?

user: I've taken antibiotic steroids before.

assistant: Okay. Do you drink?
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 32-year-old male seen by Dr. ABC several weeks ago for persistent left hip pain.  He has a long eight to ten year history of pain into the left hip.  He has been worked up by several specialists and evaluated.  He was thought initially to have low back pain with radiculopathy.  He does have a history of antibiotic steroid use as well as heavy drinking.  He reports his symptoms started approximately eight years ago when he was doing some construction at which time he began to have left hip pain.  He has had difficulties on and off ever since then.  On the last visit, radiographs revealed severe degenerative changes of the left hip joint with apparent AVN of the left femoral head.  He was given some pain medication and discussion took place regarding referring him to a specialist for evaluation of possible hip resurfacing versus conventional total hip replacement.  He came for a second opinion in the area and we discussed his problems further.  He continues to have primarily groin pain, which limits his daily activities.  He has used a cane in the past for a short period and he continues to have difficulty with the left hip.

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

user: I've taken antibiotic steroids before.

assistant: Okay. Do you drink?
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 32-year-old male seen by Dr. ABC several weeks ago for persistent left hip pain.  He has a long eight to ten year history of pain into the left hip.  He has been worked up by several specialists and evaluated.  He was thought initially to have low back pain with radiculopathy.  He does have a history of antibiotic steroid use as well as heavy drinking.  He reports his symptoms started approximately eight years ago when he was doing some construction at which time he began to have left hip pain.  He has had difficulties on and off ever since then.  On the last visit, radiographs revealed severe degenerative changes of the left hip joint with apparent AVN of the left femoral head.  He was given some pain medication and discussion took place regarding referring him to a specialist for evaluation of possible hip resurfacing versus conventional total hip replacement.  He came for a second opinion in the area and we discussed his problems further.  He continues to have primarily groin pain, which limits his daily activities.  He has used a cane in the past for a short period and he continues to have difficulty with the left hip.

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, how are long have you had pain in this hip?

user: It's been about eight or ten years now. It began while I was working in construction.
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 32-year-old male seen by Dr. ABC several weeks ago for persistent left hip pain.  He has a long eight to ten year history of pain into the left hip.  He has been worked up by several specialists and evaluated.  He was thought initially to have low back pain with radiculopathy.  He does have a history of antibiotic steroid use as well as heavy drinking.  He reports his symptoms started approximately eight years ago when he was doing some construction at which time he began to have left hip pain.  He has had difficulties on and off ever since then.  On the last visit, radiographs revealed severe degenerative changes of the left hip joint with apparent AVN of the left femoral head.  He was given some pain medication and discussion took place regarding referring him to a specialist for evaluation of possible hip resurfacing versus conventional total hip replacement.  He came for a second opinion in the area and we discussed his problems further.  He continues to have primarily groin pain, which limits his daily activities.  He has used a cane in the past for a short period and he continues to have difficulty with the left hip.

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, how are long have you had pain in this hip?

user: It's been about eight or ten years now. It began while I was working in construction.

assistant: How old are you now?
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 32-year-old male seen by Dr. ABC several weeks ago for persistent left hip pain.  He has a long eight to ten year history of pain into the left hip.  He has been worked up by several specialists and evaluated.  He was thought initially to have low back pain with radiculopathy.  He does have a history of antibiotic steroid use as well as heavy drinking.  He reports his symptoms started approximately eight years ago when he was doing some construction at which time he began to have left hip pain.  He has had difficulties on and off ever since then.  On the last visit, radiographs revealed severe degenerative changes of the left hip joint with apparent AVN of the left femoral head.  He was given some pain medication and discussion took place regarding referring him to a specialist for evaluation of possible hip resurfacing versus conventional total hip replacement.  He came for a second opinion in the area and we discussed his problems further.  He continues to have primarily groin pain, which limits his daily activities.  He has used a cane in the past for a short period and he continues to have difficulty with the left hip.

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, how are long have you had pain in this hip?

user: It's been about eight or ten years now. It began while I was working in construction.

assistant: How old are you now?

user: I'm thirty two now, so I've been in pain since I was in my twenties.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: EXAM
Patient Information: SKIN: Inspection within normal limits.  Well hydrated.  No diaphoresis.  No obvious wound.

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: Let me examine your skin.

user: Sure.

assistant: It looks normal and well hydrated. Any excessive sweating?

user: No, not really.

assistant: I don't see any injury or wounds.

user: Yeah.

assistant: Its just a normal protocol to ask these questions for every new patient.

user: I understand.

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

Section: EXAM
Patient Information: SKIN: Inspection within normal limits.  Well hydrated.  No diaphoresis.  No obvious wound.

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

user: Sure.

assistant: It looks normal and well hydrated. Any excessive sweating?

user: No, not really.

assistant: I don't see any injury or wounds.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: EXAM
Patient Information: SKIN: Inspection within normal limits.  Well hydrated.  No diaphoresis.  No obvious wound.

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 really.

assistant: I don't see any injury or wounds.

user: Yeah.

assistant: Its just a normal protocol to ask these questions for every new patient.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: EXAM
Patient Information: SKIN: Inspection within normal limits.  Well hydrated.  No diaphoresis.  No obvious wound.

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: Its just a normal protocol to ask these questions for every new patient.

user: I understand.

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

Section: EXAM
Patient Information: SKIN: Inspection within normal limits.  Well hydrated.  No diaphoresis.  No obvious wound.

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: Let me examine your skin.

user: Sure.

assistant: It looks normal and well hydrated. Any excessive sweating?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: EXAM
Patient Information: SKIN: Inspection within normal limits.  Well hydrated.  No diaphoresis.  No obvious wound.

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: Let me examine your skin.

user: Sure.

assistant: It looks normal and well hydrated. Any excessive sweating?

user: No, not really.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient himself is not able to give a good history.  History has obtained through discussion with Dr. X over the phone and the nurse taking care of the patient despite reviewing the chart on the floor.

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

assistant: Hi there! I am Doctor Kirkland.

user: Hi.

assistant: How are you feeling?

user: I feel weird. Like I feel confused. I don't know how I got here.

assistant: That's okay. Do you remember what happened to you before you came here?

user: No.

assistant: Can you tell me about your past medical history?

user: Um.

assistant: Take your time.

user: I can't think of what it is called. It's something to do with my brain.

assistant: Okay.

user: My doctor knows what it is.

assistant: What is the name of your doctor?

user: Doctor Frank.

assistant: Doctor X? Across the street?

user: Yes, that is his name. I don't know if that is across the street or not.

assistant: I will have your nurse give him a call and get some background information from him.

user: Okay.

assistant: Can you please give Doctor X a call and get mister Jones' medical history?

assistant: Yes, of course.

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

Section: GENHX
Patient Information: The patient himself is not able to give a good history.  History has obtained through discussion with Dr. X over the phone and the nurse taking care of the patient despite reviewing the chart on the floor.

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

user: Hi.

assistant: How are you feeling?

user: I feel weird. Like I feel confused. I don't know how I got here.

assistant: That's okay. Do you remember what happened to you before you came here?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient himself is not able to give a good history.  History has obtained through discussion with Dr. X over the phone and the nurse taking care of the patient despite reviewing the chart on the floor.

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 weird. Like I feel confused. I don't know how I got here.

assistant: That's okay. Do you remember what happened to you before you came here?

user: No.

assistant: Can you tell me about your past medical history?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient himself is not able to give a good history.  History has obtained through discussion with Dr. X over the phone and the nurse taking care of the patient despite reviewing the chart on the floor.

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: Can you tell me about your past medical history?

user: Um.

assistant: Take your time.