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: Dr. X has cared for her since 2002.  She has a Codman-Hakim shunt set at 90 mmH2O.  She last saw us in clinic in January 2008 and at that time we recommended that she followup with Dr. Y for medical management of her chronic headaches.  We also recommended that the patient see a psychiatrist regarding her depression, which she stated that she would followup with that herself.  Today, the patient returns to clinic because of acute onset of headaches that she has had since her shunt was adjusted after an MRI on 04/18/08.  She states that since that time her headaches have been bad.  They woke her up at night.  She has not been able to sleep.  She has not had a good sleep cycle since that time.  She states that the pain is constant and is worse with coughing, straining, and sneezing as well as on standing up.  She states that they feel a little bit better when lying down.  Medication shave not helped her.  She has tried taking Imitrex as well as Motrin 800 mg twice a day, but she states it has not provided much relief.  The pain is generalized, but also noted to be quite intense in the frontal region of her head.  She also reports ringing in the ears and states that she just does not feel well.  She reports no nausea at this time.  She also states that she has been experiencing intermittent blurry vision and dimming lights as well.  She tells me that she has an appointment with Dr. Y tomorrow.  She reports no other complaints at this time.

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

assistant: Hello today I have my assistant with me, and she will be representing your case. Tell me who do we have today?

assistant: Patient has been cared by Doctor X since two thousand and two. She had a Codman Hakim shunt set at ninety M M H two O. She last came to our clinic in January two thousand and eight. At that time, she was recommended to follow up with Doctor Y for the medical management of her chronic headaches. She was also recommended to see a psychiatrist for her depression.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: Dr. X has cared for her since 2002.  She has a Codman-Hakim shunt set at 90 mmH2O.  She last saw us in clinic in January 2008 and at that time we recommended that she followup with Dr. Y for medical management of her chronic headaches.  We also recommended that the patient see a psychiatrist regarding her depression, which she stated that she would followup with that herself.  Today, the patient returns to clinic because of acute onset of headaches that she has had since her shunt was adjusted after an MRI on 04/18/08.  She states that since that time her headaches have been bad.  They woke her up at night.  She has not been able to sleep.  She has not had a good sleep cycle since that time.  She states that the pain is constant and is worse with coughing, straining, and sneezing as well as on standing up.  She states that they feel a little bit better when lying down.  Medication shave not helped her.  She has tried taking Imitrex as well as Motrin 800 mg twice a day, but she states it has not provided much relief.  The pain is generalized, but also noted to be quite intense in the frontal region of her head.  She also reports ringing in the ears and states that she just does not feel well.  She reports no nausea at this time.  She also states that she has been experiencing intermittent blurry vision and dimming lights as well.  She tells me that she has an appointment with Dr. Y tomorrow.  She reports no other complaints at this time.

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

assistant: Hello today I have my assistant with me, and she will be representing your case. Tell me who do we have today?

assistant: Patient has been cared by Doctor X since two thousand and two. She had a Codman Hakim shunt set at ninety M M H two O. She last came to our clinic in January two thousand and eight. At that time, she was recommended to follow up with Doctor Y for the medical management of her chronic headaches. She was also recommended to see a psychiatrist for her depression.

assistant: Did you go and see a psychiatrist?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: Dr. X has cared for her since 2002.  She has a Codman-Hakim shunt set at 90 mmH2O.  She last saw us in clinic in January 2008 and at that time we recommended that she followup with Dr. Y for medical management of her chronic headaches.  We also recommended that the patient see a psychiatrist regarding her depression, which she stated that she would followup with that herself.  Today, the patient returns to clinic because of acute onset of headaches that she has had since her shunt was adjusted after an MRI on 04/18/08.  She states that since that time her headaches have been bad.  They woke her up at night.  She has not been able to sleep.  She has not had a good sleep cycle since that time.  She states that the pain is constant and is worse with coughing, straining, and sneezing as well as on standing up.  She states that they feel a little bit better when lying down.  Medication shave not helped her.  She has tried taking Imitrex as well as Motrin 800 mg twice a day, but she states it has not provided much relief.  The pain is generalized, but also noted to be quite intense in the frontal region of her head.  She also reports ringing in the ears and states that she just does not feel well.  She reports no nausea at this time.  She also states that she has been experiencing intermittent blurry vision and dimming lights as well.  She tells me that she has an appointment with Dr. Y tomorrow.  She reports no other complaints at this time.

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

assistant: Hello today I have my assistant with me, and she will be representing your case. Tell me who do we have today?

assistant: Patient has been cared by Doctor X since two thousand and two. She had a Codman Hakim shunt set at ninety M M H two O. She last came to our clinic in January two thousand and eight. At that time, she was recommended to follow up with Doctor Y for the medical management of her chronic headaches. She was also recommended to see a psychiatrist for her depression.

assistant: Did you go and see a psychiatrist?

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

Section: ALLERGY
Patient Information: The patient has asthma, sinus, hives, and history of psoriasis.  No known drug allergies.

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

assistant: Tell me about the medical issues you had in the past or still do.

user: Well, I have asthma, sinus. I also have hives and there is a history of psoriasis.

assistant: Wow, okay. Any known allergies?

user: Nothing that I have known.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: ALLERGY
Patient Information: The patient has asthma, sinus, hives, and history of psoriasis.  No known drug allergies.

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, I have asthma, sinus. I also have hives and there is a history of psoriasis.

assistant: Wow, okay. Any known allergies?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: ALLERGY
Patient Information: The patient has asthma, sinus, hives, and history of psoriasis.  No known drug allergies.

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

assistant: Tell me about the medical issues you had in the past or still do.

user: Well, I have asthma, sinus. I also have hives and there is a history of psoriasis.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: ALLERGY
Patient Information: The patient has asthma, sinus, hives, and history of psoriasis.  No known drug allergies.

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

assistant: Tell me about the medical issues you had in the past or still do.

user: Well, I have asthma, sinus. I also have hives and there is a history of psoriasis.

assistant: Wow, okay. Any known allergies?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This patient presents to the office today because he has not been feeling well.  He was in for a complete physical on 05/02/2008.  According to the chart, the patient gives a history of feeling bad for about two weeks.  At first he thought it was stress and anxiety and then he became worried it was something else.  He says he is having a lot of palpitations. He gets a fluttering feeling in his chest.  He has been very tired over two weeks as well.  His job has been really getting to him.  He has been feeling nervous and anxious.  It seems like when he is feeling stressed he has more palpitations, sometimes they cause chest pain.  These symptoms are not triggered by exertion.  He had similar symptoms about 9 or 10 years ago.  At that time he went through a full workup.  Everything ended up being negative and they gave him something that he took for his nerves and he says that helped.  Unfortunately, he does not remember what it was.  Also over the last three days he has had some intestinal problems.  He has had some intermittent nausea and his stools have been loose.  He has been having some really funny green color to his bowel movements.  There has been no blood in the stool.  He is not having any abdominal pain, just some nausea.  He does not have much of an appetite.  He is a nonsmoker.

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: Sorry, I'm just not feeling well. Something is wrong.

assistant: Don't worry, I will check you up. We will figure it out. Do you remember when you had your last physical?

user: It was sometime in early May in two thousand and eight.

assistant: Okay, I'm going through your chart. It looks like you have not been feeling well for about two weeks now.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This patient presents to the office today because he has not been feeling well.  He was in for a complete physical on 05/02/2008.  According to the chart, the patient gives a history of feeling bad for about two weeks.  At first he thought it was stress and anxiety and then he became worried it was something else.  He says he is having a lot of palpitations. He gets a fluttering feeling in his chest.  He has been very tired over two weeks as well.  His job has been really getting to him.  He has been feeling nervous and anxious.  It seems like when he is feeling stressed he has more palpitations, sometimes they cause chest pain.  These symptoms are not triggered by exertion.  He had similar symptoms about 9 or 10 years ago.  At that time he went through a full workup.  Everything ended up being negative and they gave him something that he took for his nerves and he says that helped.  Unfortunately, he does not remember what it was.  Also over the last three days he has had some intestinal problems.  He has had some intermittent nausea and his stools have been loose.  He has been having some really funny green color to his bowel movements.  There has been no blood in the stool.  He is not having any abdominal pain, just some nausea.  He does not have much of an appetite.  He is a nonsmoker.

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

user: It was sometime in early May in two thousand and eight.

assistant: Okay, I'm going through your chart. It looks like you have not been feeling well for about two weeks now.

user: That's right.

assistant: Tell me what is happening exactly.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This patient presents to the office today because he has not been feeling well.  He was in for a complete physical on 05/02/2008.  According to the chart, the patient gives a history of feeling bad for about two weeks.  At first he thought it was stress and anxiety and then he became worried it was something else.  He says he is having a lot of palpitations. He gets a fluttering feeling in his chest.  He has been very tired over two weeks as well.  His job has been really getting to him.  He has been feeling nervous and anxious.  It seems like when he is feeling stressed he has more palpitations, sometimes they cause chest pain.  These symptoms are not triggered by exertion.  He had similar symptoms about 9 or 10 years ago.  At that time he went through a full workup.  Everything ended up being negative and they gave him something that he took for his nerves and he says that helped.  Unfortunately, he does not remember what it was.  Also over the last three days he has had some intestinal problems.  He has had some intermittent nausea and his stools have been loose.  He has been having some really funny green color to his bowel movements.  There has been no blood in the stool.  He is not having any abdominal pain, just some nausea.  He does not have much of an appetite.  He is a nonsmoker.

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

user: That's right.

assistant: Tell me what is happening exactly.

user: In the beginning I was thinking that it was just the stress and anxiety, but then I become worried that it might be something really different or something bad.

assistant: What are you experiencing exactly? What are your symptoms?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This patient presents to the office today because he has not been feeling well.  He was in for a complete physical on 05/02/2008.  According to the chart, the patient gives a history of feeling bad for about two weeks.  At first he thought it was stress and anxiety and then he became worried it was something else.  He says he is having a lot of palpitations. He gets a fluttering feeling in his chest.  He has been very tired over two weeks as well.  His job has been really getting to him.  He has been feeling nervous and anxious.  It seems like when he is feeling stressed he has more palpitations, sometimes they cause chest pain.  These symptoms are not triggered by exertion.  He had similar symptoms about 9 or 10 years ago.  At that time he went through a full workup.  Everything ended up being negative and they gave him something that he took for his nerves and he says that helped.  Unfortunately, he does not remember what it was.  Also over the last three days he has had some intestinal problems.  He has had some intermittent nausea and his stools have been loose.  He has been having some really funny green color to his bowel movements.  There has been no blood in the stool.  He is not having any abdominal pain, just some nausea.  He does not have much of an appetite.  He is a nonsmoker.

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: In the beginning I was thinking that it was just the stress and anxiety, but then I become worried that it might be something really different or something bad.

assistant: What are you experiencing exactly? What are your symptoms?

user: It started with a lot of palpitations at first. My heart was beating so fast it looks like it was ready to go out. I was having this fluttering feeling in my chest.

assistant: Were you feeling tired or fatigued?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This patient presents to the office today because he has not been feeling well.  He was in for a complete physical on 05/02/2008.  According to the chart, the patient gives a history of feeling bad for about two weeks.  At first he thought it was stress and anxiety and then he became worried it was something else.  He says he is having a lot of palpitations. He gets a fluttering feeling in his chest.  He has been very tired over two weeks as well.  His job has been really getting to him.  He has been feeling nervous and anxious.  It seems like when he is feeling stressed he has more palpitations, sometimes they cause chest pain.  These symptoms are not triggered by exertion.  He had similar symptoms about 9 or 10 years ago.  At that time he went through a full workup.  Everything ended up being negative and they gave him something that he took for his nerves and he says that helped.  Unfortunately, he does not remember what it was.  Also over the last three days he has had some intestinal problems.  He has had some intermittent nausea and his stools have been loose.  He has been having some really funny green color to his bowel movements.  There has been no blood in the stool.  He is not having any abdominal pain, just some nausea.  He does not have much of an appetite.  He is a nonsmoker.

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 started with a lot of palpitations at first. My heart was beating so fast it looks like it was ready to go out. I was having this fluttering feeling in my chest.

assistant: Were you feeling tired or fatigued?

user: Yes, very much for the last two weeks. I am worried it's my job. It is really getting to me.

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

Section: GENHX
Patient Information: This patient presents to the office today because he has not been feeling well.  He was in for a complete physical on 05/02/2008.  According to the chart, the patient gives a history of feeling bad for about two weeks.  At first he thought it was stress and anxiety and then he became worried it was something else.  He says he is having a lot of palpitations. He gets a fluttering feeling in his chest.  He has been very tired over two weeks as well.  His job has been really getting to him.  He has been feeling nervous and anxious.  It seems like when he is feeling stressed he has more palpitations, sometimes they cause chest pain.  These symptoms are not triggered by exertion.  He had similar symptoms about 9 or 10 years ago.  At that time he went through a full workup.  Everything ended up being negative and they gave him something that he took for his nerves and he says that helped.  Unfortunately, he does not remember what it was.  Also over the last three days he has had some intestinal problems.  He has had some intermittent nausea and his stools have been loose.  He has been having some really funny green color to his bowel movements.  There has been no blood in the stool.  He is not having any abdominal pain, just some nausea.  He does not have much of an appetite.  He is a nonsmoker.

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, very much for the last two weeks. I am worried it's my job. It is really getting to me.

assistant: What else are you feeling?

user: Feeling very nervous an anxious actually.

assistant: Have you noticed anything that you are doing or anything else that kind of increasing these symptoms?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This patient presents to the office today because he has not been feeling well.  He was in for a complete physical on 05/02/2008.  According to the chart, the patient gives a history of feeling bad for about two weeks.  At first he thought it was stress and anxiety and then he became worried it was something else.  He says he is having a lot of palpitations. He gets a fluttering feeling in his chest.  He has been very tired over two weeks as well.  His job has been really getting to him.  He has been feeling nervous and anxious.  It seems like when he is feeling stressed he has more palpitations, sometimes they cause chest pain.  These symptoms are not triggered by exertion.  He had similar symptoms about 9 or 10 years ago.  At that time he went through a full workup.  Everything ended up being negative and they gave him something that he took for his nerves and he says that helped.  Unfortunately, he does not remember what it was.  Also over the last three days he has had some intestinal problems.  He has had some intermittent nausea and his stools have been loose.  He has been having some really funny green color to his bowel movements.  There has been no blood in the stool.  He is not having any abdominal pain, just some nausea.  He does not have much of an appetite.  He is a nonsmoker.

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: Feeling very nervous an anxious actually.

assistant: Have you noticed anything that you are doing or anything else that kind of increasing these symptoms?

user: Oh yeah, whenever I'm stressed. I feel like I have more palpitations and to the level that it causes a lot of chest pain.

assistant: Is it the same when you are doing a lot of physical stuff like physical activities or something like that?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This patient presents to the office today because he has not been feeling well.  He was in for a complete physical on 05/02/2008.  According to the chart, the patient gives a history of feeling bad for about two weeks.  At first he thought it was stress and anxiety and then he became worried it was something else.  He says he is having a lot of palpitations. He gets a fluttering feeling in his chest.  He has been very tired over two weeks as well.  His job has been really getting to him.  He has been feeling nervous and anxious.  It seems like when he is feeling stressed he has more palpitations, sometimes they cause chest pain.  These symptoms are not triggered by exertion.  He had similar symptoms about 9 or 10 years ago.  At that time he went through a full workup.  Everything ended up being negative and they gave him something that he took for his nerves and he says that helped.  Unfortunately, he does not remember what it was.  Also over the last three days he has had some intestinal problems.  He has had some intermittent nausea and his stools have been loose.  He has been having some really funny green color to his bowel movements.  There has been no blood in the stool.  He is not having any abdominal pain, just some nausea.  He does not have much of an appetite.  He is a nonsmoker.

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

user: Oh yeah, whenever I'm stressed. I feel like I have more palpitations and to the level that it causes a lot of chest pain.

assistant: Is it the same when you are doing a lot of physical stuff like physical activities or something like that?

user: Nope. Haven't noticed it with the exertion part.

assistant: Do you have any history of any heart issues in the past?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This patient presents to the office today because he has not been feeling well.  He was in for a complete physical on 05/02/2008.  According to the chart, the patient gives a history of feeling bad for about two weeks.  At first he thought it was stress and anxiety and then he became worried it was something else.  He says he is having a lot of palpitations. He gets a fluttering feeling in his chest.  He has been very tired over two weeks as well.  His job has been really getting to him.  He has been feeling nervous and anxious.  It seems like when he is feeling stressed he has more palpitations, sometimes they cause chest pain.  These symptoms are not triggered by exertion.  He had similar symptoms about 9 or 10 years ago.  At that time he went through a full workup.  Everything ended up being negative and they gave him something that he took for his nerves and he says that helped.  Unfortunately, he does not remember what it was.  Also over the last three days he has had some intestinal problems.  He has had some intermittent nausea and his stools have been loose.  He has been having some really funny green color to his bowel movements.  There has been no blood in the stool.  He is not having any abdominal pain, just some nausea.  He does not have much of an appetite.  He is a nonsmoker.

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. Haven't noticed it with the exertion part.

assistant: Do you have any history of any heart issues in the past?

user: I had the same kind of symptoms like nine or ten years ago.

assistant: Okay. What did you do that time? How did you recover?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This patient presents to the office today because he has not been feeling well.  He was in for a complete physical on 05/02/2008.  According to the chart, the patient gives a history of feeling bad for about two weeks.  At first he thought it was stress and anxiety and then he became worried it was something else.  He says he is having a lot of palpitations. He gets a fluttering feeling in his chest.  He has been very tired over two weeks as well.  His job has been really getting to him.  He has been feeling nervous and anxious.  It seems like when he is feeling stressed he has more palpitations, sometimes they cause chest pain.  These symptoms are not triggered by exertion.  He had similar symptoms about 9 or 10 years ago.  At that time he went through a full workup.  Everything ended up being negative and they gave him something that he took for his nerves and he says that helped.  Unfortunately, he does not remember what it was.  Also over the last three days he has had some intestinal problems.  He has had some intermittent nausea and his stools have been loose.  He has been having some really funny green color to his bowel movements.  There has been no blood in the stool.  He is not having any abdominal pain, just some nausea.  He does not have much of an appetite.  He is a nonsmoker.

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

user: I had the same kind of symptoms like nine or ten years ago.

assistant: Okay. What did you do that time? How did you recover?

user: Well, at that time a full work up was done but everything came out to be negative, so they just gave me something for my nerves. It kind of helped.

assistant: Do you remember what they gave you? Like name or anything of the medicine.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This patient presents to the office today because he has not been feeling well.  He was in for a complete physical on 05/02/2008.  According to the chart, the patient gives a history of feeling bad for about two weeks.  At first he thought it was stress and anxiety and then he became worried it was something else.  He says he is having a lot of palpitations. He gets a fluttering feeling in his chest.  He has been very tired over two weeks as well.  His job has been really getting to him.  He has been feeling nervous and anxious.  It seems like when he is feeling stressed he has more palpitations, sometimes they cause chest pain.  These symptoms are not triggered by exertion.  He had similar symptoms about 9 or 10 years ago.  At that time he went through a full workup.  Everything ended up being negative and they gave him something that he took for his nerves and he says that helped.  Unfortunately, he does not remember what it was.  Also over the last three days he has had some intestinal problems.  He has had some intermittent nausea and his stools have been loose.  He has been having some really funny green color to his bowel movements.  There has been no blood in the stool.  He is not having any abdominal pain, just some nausea.  He does not have much of an appetite.  He is a nonsmoker.

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, at that time a full work up was done but everything came out to be negative, so they just gave me something for my nerves. It kind of helped.

assistant: Do you remember what they gave you? Like name or anything of the medicine.

user: No. It was many years ago, I don't remember.

assistant: Anything else going on?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This patient presents to the office today because he has not been feeling well.  He was in for a complete physical on 05/02/2008.  According to the chart, the patient gives a history of feeling bad for about two weeks.  At first he thought it was stress and anxiety and then he became worried it was something else.  He says he is having a lot of palpitations. He gets a fluttering feeling in his chest.  He has been very tired over two weeks as well.  His job has been really getting to him.  He has been feeling nervous and anxious.  It seems like when he is feeling stressed he has more palpitations, sometimes they cause chest pain.  These symptoms are not triggered by exertion.  He had similar symptoms about 9 or 10 years ago.  At that time he went through a full workup.  Everything ended up being negative and they gave him something that he took for his nerves and he says that helped.  Unfortunately, he does not remember what it was.  Also over the last three days he has had some intestinal problems.  He has had some intermittent nausea and his stools have been loose.  He has been having some really funny green color to his bowel movements.  There has been no blood in the stool.  He is not having any abdominal pain, just some nausea.  He does not have much of an appetite.  He is a nonsmoker.

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. It was many years ago, I don't remember.

assistant: Anything else going on?

user: Yeah, for the last three days and I am having these tummy issues. I'm having on and off nausea and also, my stools are coming loose.

assistant: Have you seen any color change in your bowel movements?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This patient presents to the office today because he has not been feeling well.  He was in for a complete physical on 05/02/2008.  According to the chart, the patient gives a history of feeling bad for about two weeks.  At first he thought it was stress and anxiety and then he became worried it was something else.  He says he is having a lot of palpitations. He gets a fluttering feeling in his chest.  He has been very tired over two weeks as well.  His job has been really getting to him.  He has been feeling nervous and anxious.  It seems like when he is feeling stressed he has more palpitations, sometimes they cause chest pain.  These symptoms are not triggered by exertion.  He had similar symptoms about 9 or 10 years ago.  At that time he went through a full workup.  Everything ended up being negative and they gave him something that he took for his nerves and he says that helped.  Unfortunately, he does not remember what it was.  Also over the last three days he has had some intestinal problems.  He has had some intermittent nausea and his stools have been loose.  He has been having some really funny green color to his bowel movements.  There has been no blood in the stool.  He is not having any abdominal pain, just some nausea.  He does not have much of an appetite.  He is a nonsmoker.

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, for the last three days and I am having these tummy issues. I'm having on and off nausea and also, my stools are coming loose.

assistant: Have you seen any color change in your bowel movements?

user: Yeah, it's been some really funny green color. I don't know what's going on inside.

assistant: Have you ever noticed blood in the stools?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This patient presents to the office today because he has not been feeling well.  He was in for a complete physical on 05/02/2008.  According to the chart, the patient gives a history of feeling bad for about two weeks.  At first he thought it was stress and anxiety and then he became worried it was something else.  He says he is having a lot of palpitations. He gets a fluttering feeling in his chest.  He has been very tired over two weeks as well.  His job has been really getting to him.  He has been feeling nervous and anxious.  It seems like when he is feeling stressed he has more palpitations, sometimes they cause chest pain.  These symptoms are not triggered by exertion.  He had similar symptoms about 9 or 10 years ago.  At that time he went through a full workup.  Everything ended up being negative and they gave him something that he took for his nerves and he says that helped.  Unfortunately, he does not remember what it was.  Also over the last three days he has had some intestinal problems.  He has had some intermittent nausea and his stools have been loose.  He has been having some really funny green color to his bowel movements.  There has been no blood in the stool.  He is not having any abdominal pain, just some nausea.  He does not have much of an appetite.  He is a nonsmoker.

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, it's been some really funny green color. I don't know what's going on inside.

assistant: Have you ever noticed blood in the stools?

user: Nope.

assistant: Is there any pain in your tummy?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This patient presents to the office today because he has not been feeling well.  He was in for a complete physical on 05/02/2008.  According to the chart, the patient gives a history of feeling bad for about two weeks.  At first he thought it was stress and anxiety and then he became worried it was something else.  He says he is having a lot of palpitations. He gets a fluttering feeling in his chest.  He has been very tired over two weeks as well.  His job has been really getting to him.  He has been feeling nervous and anxious.  It seems like when he is feeling stressed he has more palpitations, sometimes they cause chest pain.  These symptoms are not triggered by exertion.  He had similar symptoms about 9 or 10 years ago.  At that time he went through a full workup.  Everything ended up being negative and they gave him something that he took for his nerves and he says that helped.  Unfortunately, he does not remember what it was.  Also over the last three days he has had some intestinal problems.  He has had some intermittent nausea and his stools have been loose.  He has been having some really funny green color to his bowel movements.  There has been no blood in the stool.  He is not having any abdominal pain, just some nausea.  He does not have much of an appetite.  He is a nonsmoker.

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: Is there any pain in your tummy?

user: Nope, it's just some nausea.

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

Section: GENHX
Patient Information: This patient presents to the office today because he has not been feeling well.  He was in for a complete physical on 05/02/2008.  According to the chart, the patient gives a history of feeling bad for about two weeks.  At first he thought it was stress and anxiety and then he became worried it was something else.  He says he is having a lot of palpitations. He gets a fluttering feeling in his chest.  He has been very tired over two weeks as well.  His job has been really getting to him.  He has been feeling nervous and anxious.  It seems like when he is feeling stressed he has more palpitations, sometimes they cause chest pain.  These symptoms are not triggered by exertion.  He had similar symptoms about 9 or 10 years ago.  At that time he went through a full workup.  Everything ended up being negative and they gave him something that he took for his nerves and he says that helped.  Unfortunately, he does not remember what it was.  Also over the last three days he has had some intestinal problems.  He has had some intermittent nausea and his stools have been loose.  He has been having some really funny green color to his bowel movements.  There has been no blood in the stool.  He is not having any abdominal pain, just some nausea.  He does not have much of an appetite.  He is a nonsmoker.

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, it's just some nausea.

assistant: How's your appetite?

user: Not as good as before.

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

Section: GENHX
Patient Information: This patient presents to the office today because he has not been feeling well.  He was in for a complete physical on 05/02/2008.  According to the chart, the patient gives a history of feeling bad for about two weeks.  At first he thought it was stress and anxiety and then he became worried it was something else.  He says he is having a lot of palpitations. He gets a fluttering feeling in his chest.  He has been very tired over two weeks as well.  His job has been really getting to him.  He has been feeling nervous and anxious.  It seems like when he is feeling stressed he has more palpitations, sometimes they cause chest pain.  These symptoms are not triggered by exertion.  He had similar symptoms about 9 or 10 years ago.  At that time he went through a full workup.  Everything ended up being negative and they gave him something that he took for his nerves and he says that helped.  Unfortunately, he does not remember what it was.  Also over the last three days he has had some intestinal problems.  He has had some intermittent nausea and his stools have been loose.  He has been having some really funny green color to his bowel movements.  There has been no blood in the stool.  He is not having any abdominal pain, just some nausea.  He does not have much of an appetite.  He is a nonsmoker.

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 as good as before.

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

Section: GENHX
Patient Information: This patient presents to the office today because he has not been feeling well.  He was in for a complete physical on 05/02/2008.  According to the chart, the patient gives a history of feeling bad for about two weeks.  At first he thought it was stress and anxiety and then he became worried it was something else.  He says he is having a lot of palpitations. He gets a fluttering feeling in his chest.  He has been very tired over two weeks as well.  His job has been really getting to him.  He has been feeling nervous and anxious.  It seems like when he is feeling stressed he has more palpitations, sometimes they cause chest pain.  These symptoms are not triggered by exertion.  He had similar symptoms about 9 or 10 years ago.  At that time he went through a full workup.  Everything ended up being negative and they gave him something that he took for his nerves and he says that helped.  Unfortunately, he does not remember what it was.  Also over the last three days he has had some intestinal problems.  He has had some intermittent nausea and his stools have been loose.  He has been having some really funny green color to his bowel movements.  There has been no blood in the stool.  He is not having any abdominal pain, just some nausea.  He does not have much of an appetite.  He is a nonsmoker.

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 there, how are you doing?

user: Sorry, I'm just not feeling well. Something is wrong.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This patient presents to the office today because he has not been feeling well.  He was in for a complete physical on 05/02/2008.  According to the chart, the patient gives a history of feeling bad for about two weeks.  At first he thought it was stress and anxiety and then he became worried it was something else.  He says he is having a lot of palpitations. He gets a fluttering feeling in his chest.  He has been very tired over two weeks as well.  His job has been really getting to him.  He has been feeling nervous and anxious.  It seems like when he is feeling stressed he has more palpitations, sometimes they cause chest pain.  These symptoms are not triggered by exertion.  He had similar symptoms about 9 or 10 years ago.  At that time he went through a full workup.  Everything ended up being negative and they gave him something that he took for his nerves and he says that helped.  Unfortunately, he does not remember what it was.  Also over the last three days he has had some intestinal problems.  He has had some intermittent nausea and his stools have been loose.  He has been having some really funny green color to his bowel movements.  There has been no blood in the stool.  He is not having any abdominal pain, just some nausea.  He does not have much of an appetite.  He is a nonsmoker.

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 there, how are you doing?

user: Sorry, I'm just not feeling well. Something is wrong.

assistant: Don't worry, I will check you up. We will figure it out. Do you remember when you had your last physical?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This patient presents to the office today because he has not been feeling well.  He was in for a complete physical on 05/02/2008.  According to the chart, the patient gives a history of feeling bad for about two weeks.  At first he thought it was stress and anxiety and then he became worried it was something else.  He says he is having a lot of palpitations. He gets a fluttering feeling in his chest.  He has been very tired over two weeks as well.  His job has been really getting to him.  He has been feeling nervous and anxious.  It seems like when he is feeling stressed he has more palpitations, sometimes they cause chest pain.  These symptoms are not triggered by exertion.  He had similar symptoms about 9 or 10 years ago.  At that time he went through a full workup.  Everything ended up being negative and they gave him something that he took for his nerves and he says that helped.  Unfortunately, he does not remember what it was.  Also over the last three days he has had some intestinal problems.  He has had some intermittent nausea and his stools have been loose.  He has been having some really funny green color to his bowel movements.  There has been no blood in the stool.  He is not having any abdominal pain, just some nausea.  He does not have much of an appetite.  He is a nonsmoker.

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 there, how are you doing?

user: Sorry, I'm just not feeling well. Something is wrong.

assistant: Don't worry, I will check you up. We will figure it out. Do you remember when you had your last physical?

user: It was sometime in early May in two thousand and eight.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: ASSESSMENT
Patient Information: Upper respiratory infection.

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

assistant: What brings you in today?

user: I have this nasty cough and my nose has been super stuffy.

assistant: Are you bringing anything up when you cough?

user: Not really, no.

assistant: Are you having any other symptoms, such as chest pain, headaches, nausea, or vomiting?

user: No. I did have a slight headache last night but I took Advil and it's since gotten better.

assistant: Are you taking anything for the cough or stuffy nose?

user: Just drinking tea and taking cough drops here and there.

assistant: Okay. Let's take a look at you. Hm it appears that you have a U R I.