jshargo/mts-medical-trainset huggingface dataset:
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient is a 13-year-old right-hand dominant girl, who fell off a swing at school around 1:30 today.  The patient was initially seen at an outside facility and brought here by her father, given findings on x-ray, a closed reduction was attempted on the left elbow.  After the attempted reduction, the patient was noted to have an incarcerated medial epicondyle fracture as well as increasing ulnar paresthesias that were not present prior to the procedure.  Given this finding, the patient needed urgent open reduction and internal fixation to relieve the pressure on the ulnar nerve.  At that same time, the patient's mildly angulated radial shaft fracture will be reduced.  This was explained to the father.  The risks of surgery included the risk of anesthesia, infection, bleeding, changes in sensation and motion of the extremity, hardware failure, need for later hardware removal, and possible continuous nerve symptoms.  All questions were answered.  The father agreed to the above plan.

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

user: No, I didn't, this is new.

assistant: Is this feeling getting worse?

user: Yes, it is.

assistant: Okay, guys, there is a lot of pressure on that ulnar nerve because of the break and the attempted reduction.
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 13-year-old right-hand dominant girl, who fell off a swing at school around 1:30 today.  The patient was initially seen at an outside facility and brought here by her father, given findings on x-ray, a closed reduction was attempted on the left elbow.  After the attempted reduction, the patient was noted to have an incarcerated medial epicondyle fracture as well as increasing ulnar paresthesias that were not present prior to the procedure.  Given this finding, the patient needed urgent open reduction and internal fixation to relieve the pressure on the ulnar nerve.  At that same time, the patient's mildly angulated radial shaft fracture will be reduced.  This was explained to the father.  The risks of surgery included the risk of anesthesia, infection, bleeding, changes in sensation and motion of the extremity, hardware failure, need for later hardware removal, and possible continuous nerve symptoms.  All questions were answered.  The father agreed to the above plan.

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

user: Yes, it is.

assistant: Okay, guys, there is a lot of pressure on that ulnar nerve because of the break and the attempted reduction.

user: What should we do?

assistant: We need to do an O R I F procedure A S A P. I'll reduce that radial shaft fracture at the same time.
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 13-year-old right-hand dominant girl, who fell off a swing at school around 1:30 today.  The patient was initially seen at an outside facility and brought here by her father, given findings on x-ray, a closed reduction was attempted on the left elbow.  After the attempted reduction, the patient was noted to have an incarcerated medial epicondyle fracture as well as increasing ulnar paresthesias that were not present prior to the procedure.  Given this finding, the patient needed urgent open reduction and internal fixation to relieve the pressure on the ulnar nerve.  At that same time, the patient's mildly angulated radial shaft fracture will be reduced.  This was explained to the father.  The risks of surgery included the risk of anesthesia, infection, bleeding, changes in sensation and motion of the extremity, hardware failure, need for later hardware removal, and possible continuous nerve symptoms.  All questions were answered.  The father agreed to the above plan.

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

user: What should we do?

assistant: We need to do an O R I F procedure A S A P. I'll reduce that radial shaft fracture at the same time.

user: O R I F? What's that

assistant: I'll put some pins in the elbow, in order to stabilize the break, and we can start the healing process.
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 13-year-old right-hand dominant girl, who fell off a swing at school around 1:30 today.  The patient was initially seen at an outside facility and brought here by her father, given findings on x-ray, a closed reduction was attempted on the left elbow.  After the attempted reduction, the patient was noted to have an incarcerated medial epicondyle fracture as well as increasing ulnar paresthesias that were not present prior to the procedure.  Given this finding, the patient needed urgent open reduction and internal fixation to relieve the pressure on the ulnar nerve.  At that same time, the patient's mildly angulated radial shaft fracture will be reduced.  This was explained to the father.  The risks of surgery included the risk of anesthesia, infection, bleeding, changes in sensation and motion of the extremity, hardware failure, need for later hardware removal, and possible continuous nerve symptoms.  All questions were answered.  The father agreed to the above plan.

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

user: O R I F? What's that

assistant: I'll put some pins in the elbow, in order to stabilize the break, and we can start the healing process.

user: Will this not heal on its own?

assistant: No, we need to do the surgery.
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 13-year-old right-hand dominant girl, who fell off a swing at school around 1:30 today.  The patient was initially seen at an outside facility and brought here by her father, given findings on x-ray, a closed reduction was attempted on the left elbow.  After the attempted reduction, the patient was noted to have an incarcerated medial epicondyle fracture as well as increasing ulnar paresthesias that were not present prior to the procedure.  Given this finding, the patient needed urgent open reduction and internal fixation to relieve the pressure on the ulnar nerve.  At that same time, the patient's mildly angulated radial shaft fracture will be reduced.  This was explained to the father.  The risks of surgery included the risk of anesthesia, infection, bleeding, changes in sensation and motion of the extremity, hardware failure, need for later hardware removal, and possible continuous nerve symptoms.  All questions were answered.  The father agreed to the above plan.

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

user: Will this not heal on its own?

assistant: No, we need to do the surgery.

user: Okay, what are the risks of infection with the surgery?

assistant: Historically, its less than one percent.
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 13-year-old right-hand dominant girl, who fell off a swing at school around 1:30 today.  The patient was initially seen at an outside facility and brought here by her father, given findings on x-ray, a closed reduction was attempted on the left elbow.  After the attempted reduction, the patient was noted to have an incarcerated medial epicondyle fracture as well as increasing ulnar paresthesias that were not present prior to the procedure.  Given this finding, the patient needed urgent open reduction and internal fixation to relieve the pressure on the ulnar nerve.  At that same time, the patient's mildly angulated radial shaft fracture will be reduced.  This was explained to the father.  The risks of surgery included the risk of anesthesia, infection, bleeding, changes in sensation and motion of the extremity, hardware failure, need for later hardware removal, and possible continuous nerve symptoms.  All questions were answered.  The father agreed to the above plan.

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

user: Okay, what are the risks of infection with the surgery?

assistant: Historically, its less than one percent.

user: How is this possible?

assistant: We use prophylactic antibiotics, this helps us control for infection the entire time.
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 13-year-old right-hand dominant girl, who fell off a swing at school around 1:30 today.  The patient was initially seen at an outside facility and brought here by her father, given findings on x-ray, a closed reduction was attempted on the left elbow.  After the attempted reduction, the patient was noted to have an incarcerated medial epicondyle fracture as well as increasing ulnar paresthesias that were not present prior to the procedure.  Given this finding, the patient needed urgent open reduction and internal fixation to relieve the pressure on the ulnar nerve.  At that same time, the patient's mildly angulated radial shaft fracture will be reduced.  This was explained to the father.  The risks of surgery included the risk of anesthesia, infection, bleeding, changes in sensation and motion of the extremity, hardware failure, need for later hardware removal, and possible continuous nerve symptoms.  All questions were answered.  The father agreed to the above plan.

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

user: How is this possible?

assistant: We use prophylactic antibiotics, this helps us control for infection the entire time.

user: Will she be asleep for this?

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

Section: GENHX
Patient Information: The patient is a 13-year-old right-hand dominant girl, who fell off a swing at school around 1:30 today.  The patient was initially seen at an outside facility and brought here by her father, given findings on x-ray, a closed reduction was attempted on the left elbow.  After the attempted reduction, the patient was noted to have an incarcerated medial epicondyle fracture as well as increasing ulnar paresthesias that were not present prior to the procedure.  Given this finding, the patient needed urgent open reduction and internal fixation to relieve the pressure on the ulnar nerve.  At that same time, the patient's mildly angulated radial shaft fracture will be reduced.  This was explained to the father.  The risks of surgery included the risk of anesthesia, infection, bleeding, changes in sensation and motion of the extremity, hardware failure, need for later hardware removal, and possible continuous nerve symptoms.  All questions were answered.  The father agreed to the above plan.

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

user: Will she be asleep for this?

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

user: Will she need this hardware taken out in the future?

assistant: Yes, in about a year or two, after everything is healed up nicely. The other risks include bleeding, changes in sensation and motion of the extremity, and hardware failure. I see good results from my surgeries so I would not worry about these things, but I must disclose.
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 13-year-old right-hand dominant girl, who fell off a swing at school around 1:30 today.  The patient was initially seen at an outside facility and brought here by her father, given findings on x-ray, a closed reduction was attempted on the left elbow.  After the attempted reduction, the patient was noted to have an incarcerated medial epicondyle fracture as well as increasing ulnar paresthesias that were not present prior to the procedure.  Given this finding, the patient needed urgent open reduction and internal fixation to relieve the pressure on the ulnar nerve.  At that same time, the patient's mildly angulated radial shaft fracture will be reduced.  This was explained to the father.  The risks of surgery included the risk of anesthesia, infection, bleeding, changes in sensation and motion of the extremity, hardware failure, need for later hardware removal, and possible continuous nerve symptoms.  All questions were answered.  The father agreed to the above plan.

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

user: Will she need this hardware taken out in the future?

assistant: Yes, in about a year or two, after everything is healed up nicely. The other risks include bleeding, changes in sensation and motion of the extremity, and hardware failure. I see good results from my surgeries so I would not worry about these things, but I must disclose.
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 13-year-old right-hand dominant girl, who fell off a swing at school around 1:30 today.  The patient was initially seen at an outside facility and brought here by her father, given findings on x-ray, a closed reduction was attempted on the left elbow.  After the attempted reduction, the patient was noted to have an incarcerated medial epicondyle fracture as well as increasing ulnar paresthesias that were not present prior to the procedure.  Given this finding, the patient needed urgent open reduction and internal fixation to relieve the pressure on the ulnar nerve.  At that same time, the patient's mildly angulated radial shaft fracture will be reduced.  This was explained to the father.  The risks of surgery included the risk of anesthesia, infection, bleeding, changes in sensation and motion of the extremity, hardware failure, need for later hardware removal, and possible continuous nerve symptoms.  All questions were answered.  The father agreed to the above plan.

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

assistant: Good afternoon, who's the victim today, sir? Is it you, or your daughter?

user: Good afternoon, doctor. It's my daughter today.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient is a 13-year-old right-hand dominant girl, who fell off a swing at school around 1:30 today.  The patient was initially seen at an outside facility and brought here by her father, given findings on x-ray, a closed reduction was attempted on the left elbow.  After the attempted reduction, the patient was noted to have an incarcerated medial epicondyle fracture as well as increasing ulnar paresthesias that were not present prior to the procedure.  Given this finding, the patient needed urgent open reduction and internal fixation to relieve the pressure on the ulnar nerve.  At that same time, the patient's mildly angulated radial shaft fracture will be reduced.  This was explained to the father.  The risks of surgery included the risk of anesthesia, infection, bleeding, changes in sensation and motion of the extremity, hardware failure, need for later hardware removal, and possible continuous nerve symptoms.  All questions were answered.  The father agreed to the above plan.

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

assistant: Good afternoon, who's the victim today, sir? Is it you, or your daughter?

user: Good afternoon, doctor. It's my daughter today.

assistant: Remind me, how old is she?
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 13-year-old right-hand dominant girl, who fell off a swing at school around 1:30 today.  The patient was initially seen at an outside facility and brought here by her father, given findings on x-ray, a closed reduction was attempted on the left elbow.  After the attempted reduction, the patient was noted to have an incarcerated medial epicondyle fracture as well as increasing ulnar paresthesias that were not present prior to the procedure.  Given this finding, the patient needed urgent open reduction and internal fixation to relieve the pressure on the ulnar nerve.  At that same time, the patient's mildly angulated radial shaft fracture will be reduced.  This was explained to the father.  The risks of surgery included the risk of anesthesia, infection, bleeding, changes in sensation and motion of the extremity, hardware failure, need for later hardware removal, and possible continuous nerve symptoms.  All questions were answered.  The father agreed to the above plan.

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

assistant: Good afternoon, who's the victim today, sir? Is it you, or your daughter?

user: Good afternoon, doctor. It's my daughter today.

assistant: Remind me, how old is she?

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

Section: FAM/SOCHX
Patient Information: Significant for his father who died of IPF and irritable bowel syndrome.

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, tell me did anyone in your family have Idiopathic pulmonary fibrosis?

user: Actually, my father passed away due to this disease.

assistant: Oh, sorry to hear that.

user: Yeah.

assistant: Anything else that he or any other family member might have.

user: Oh, he also had this spastic colon problem and irritable bowel syndrome.

assistant: Hm, I see.

assistant: Anything else?

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

Section: FAM/SOCHX
Patient Information: Significant for his father who died of IPF and irritable bowel syndrome.

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: Actually, my father passed away due to this disease.

assistant: Oh, sorry to hear that.

user: Yeah.

assistant: Anything else that he or any other family member might have.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: Significant for his father who died of IPF and irritable bowel syndrome.

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: Anything else that he or any other family member might have.

user: Oh, he also had this spastic colon problem and irritable bowel syndrome.

assistant: Hm, I see.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: Significant for his father who died of IPF and irritable bowel syndrome.

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, he also had this spastic colon problem and irritable bowel syndrome.

assistant: Hm, I see.

assistant: Anything else?

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

Section: FAM/SOCHX
Patient Information: Significant for his father who died of IPF and irritable bowel syndrome.

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, tell me did anyone in your family have Idiopathic pulmonary fibrosis?

user: Actually, my father passed away due to this disease.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: Significant for his father who died of IPF and irritable bowel syndrome.

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, tell me did anyone in your family have Idiopathic pulmonary fibrosis?

user: Actually, my father passed away due to this disease.

assistant: Oh, sorry to hear that.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: Significant for his father who died of IPF and irritable bowel syndrome.

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, tell me did anyone in your family have Idiopathic pulmonary fibrosis?

user: Actually, my father passed away due to this disease.

assistant: Oh, sorry to hear that.

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

Section: PASTMEDICALHX
Patient Information: He has had diabetes since 2003.  He also has asthma, hypertension, and hypercholesterolemia.

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

assistant: How are you today?

user: I am doing okay.

assistant: Do you have any medical conditions?

user: I have diabetes.

assistant: When were you diagnosed with diabetes?

user: It was two thousand and three, I think. I also have high blood pressure, asthma and high cholesterol.

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

Section: PASTMEDICALHX
Patient Information: He has had diabetes since 2003.  He also has asthma, hypertension, and hypercholesterolemia.

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

user: I am doing okay.

assistant: Do you have any medical conditions?

user: I have diabetes.

assistant: When were you diagnosed with diabetes?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTMEDICALHX
Patient Information: He has had diabetes since 2003.  He also has asthma, hypertension, and hypercholesterolemia.

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

user: I have diabetes.

assistant: When were you diagnosed with diabetes?

user: It was two thousand and three, I think. I also have high blood pressure, asthma and high cholesterol.

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

Section: PASTMEDICALHX
Patient Information: He has had diabetes since 2003.  He also has asthma, hypertension, and hypercholesterolemia.

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 two thousand and three, I think. I also have high blood pressure, asthma and high cholesterol.

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

Section: PASTMEDICALHX
Patient Information: He has had diabetes since 2003.  He also has asthma, hypertension, and hypercholesterolemia.

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

assistant: How are you today?

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

Section: PASTMEDICALHX
Patient Information: He has had diabetes since 2003.  He also has asthma, hypertension, and hypercholesterolemia.

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

assistant: How are you today?

user: I am doing okay.

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

Section: PASTMEDICALHX
Patient Information: He has had diabetes since 2003.  He also has asthma, hypertension, and hypercholesterolemia.

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

assistant: How are you today?

user: I am doing okay.

assistant: Do you have any medical conditions?

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

Section: EXAM
Patient Information: LYMPH: There was no appreciated node that I could feel in the groin or neck area.

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: I do not feel any swellings in your neck or groin area.

user: Oh yeah, I don't notice anything either.

assistant: Okay yeah, I was just trying to look for any lymph nodes.

user: Okay.

assistant: Let me check.

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

Section: EXAM
Patient Information: LYMPH: There was no appreciated node that I could feel in the groin or neck area.

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, I don't notice anything either.

assistant: Okay yeah, I was just trying to look for any lymph nodes.

user: Okay.

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

Section: EXAM
Patient Information: LYMPH: There was no appreciated node that I could feel in the groin or neck area.

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: I do not feel any swellings in your neck or groin area.

user: Oh yeah, I don't notice anything either.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: EXAM
Patient Information: LYMPH: There was no appreciated node that I could feel in the groin or neck area.

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: I do not feel any swellings in your neck or groin area.

user: Oh yeah, I don't notice anything either.

assistant: Okay yeah, I was just trying to look for any lymph nodes.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: EXAM
Patient Information: LYMPH: There was no appreciated node that I could feel in the groin or neck area.

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: I do not feel any swellings in your neck or groin area.

user: Oh yeah, I don't notice anything either.

assistant: Okay yeah, I was just trying to look for any lymph nodes.

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

Section: ASSESSMENT
Patient Information: Hypersensitivity to Coumadin.

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: Your bloodwork came back from the Coumadin sensitivity test. The results showed a high level of sensitivity. I am going to adjust your dosage of Coumadin to a much lower dose. This will help reduce the bruising and the bleeding episodes. Do you have any questions?

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

Section: GENHX
Patient Information: Mom brings patient in today because of sore throat starting last night.  Eyes have been very puffy.  He has taken some Benadryl when all of this congestion started but with a sudden onset just yesterday.  He has had low-grade fever and just felt very run down, appearing very tired.  He is still eating and drinking well, and his voice has been hoarse but no coughing.  No shortness of breath, vomiting, diarrhea or abdominal pain.

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. You must be his mom.

user: Yeah, he started having a sore throat last night. And that's why we are here. His eyes have been really puffy. Uh, we gave him some Benadryl.

assistant: Hm.

user: I had a stuffy nose and it was hard to breathe.

assistant: When did it all start?

user: It started yesterday. All of a sudden, he started complaining saying, “Mama my nose is not working,” and yeah, I noticed he was breathing from his mouth.

assistant: Any fever or any other symptoms?

user: Yeah, he had some low grade fever. He looked very tired and when I asked him he said that, “I feel like I cannot stand. I have no energy. I want to just lie down.”

assistant: I can notice that his voice is a little bit hoarse. How's he eating and drinking?

user: He's eating and drinking normally.

assistant: Any shortness of breath or pain in your stomach?

user: No.

assistant: Any diarrhea or vomiting?

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

Section: GENHX
Patient Information: Mom brings patient in today because of sore throat starting last night.  Eyes have been very puffy.  He has taken some Benadryl when all of this congestion started but with a sudden onset just yesterday.  He has had low-grade fever and just felt very run down, appearing very tired.  He is still eating and drinking well, and his voice has been hoarse but no coughing.  No shortness of breath, vomiting, diarrhea or abdominal pain.

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, he started having a sore throat last night. And that's why we are here. His eyes have been really puffy. Uh, we gave him some Benadryl.

assistant: Hm.

user: I had a stuffy nose and it was hard to breathe.

assistant: When did it all start?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: Mom brings patient in today because of sore throat starting last night.  Eyes have been very puffy.  He has taken some Benadryl when all of this congestion started but with a sudden onset just yesterday.  He has had low-grade fever and just felt very run down, appearing very tired.  He is still eating and drinking well, and his voice has been hoarse but no coughing.  No shortness of breath, vomiting, diarrhea or abdominal pain.

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 a stuffy nose and it was hard to breathe.

assistant: When did it all start?

user: It started yesterday. All of a sudden, he started complaining saying, “Mama my nose is not working,” and yeah, I noticed he was breathing from his mouth.

assistant: Any fever or any other symptoms?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: Mom brings patient in today because of sore throat starting last night.  Eyes have been very puffy.  He has taken some Benadryl when all of this congestion started but with a sudden onset just yesterday.  He has had low-grade fever and just felt very run down, appearing very tired.  He is still eating and drinking well, and his voice has been hoarse but no coughing.  No shortness of breath, vomiting, diarrhea or abdominal pain.

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 yesterday. All of a sudden, he started complaining saying, “Mama my nose is not working,” and yeah, I noticed he was breathing from his mouth.

assistant: Any fever or any other symptoms?

user: Yeah, he had some low grade fever. He looked very tired and when I asked him he said that, “I feel like I cannot stand. I have no energy. I want to just lie down.”

assistant: I can notice that his voice is a little bit hoarse. How's he eating and drinking?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: Mom brings patient in today because of sore throat starting last night.  Eyes have been very puffy.  He has taken some Benadryl when all of this congestion started but with a sudden onset just yesterday.  He has had low-grade fever and just felt very run down, appearing very tired.  He is still eating and drinking well, and his voice has been hoarse but no coughing.  No shortness of breath, vomiting, diarrhea or abdominal pain.

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, he had some low grade fever. He looked very tired and when I asked him he said that, “I feel like I cannot stand. I have no energy. I want to just lie down.”

assistant: I can notice that his voice is a little bit hoarse. How's he eating and drinking?

user: He's eating and drinking normally.

assistant: Any shortness of breath or pain in your stomach?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: Mom brings patient in today because of sore throat starting last night.  Eyes have been very puffy.  He has taken some Benadryl when all of this congestion started but with a sudden onset just yesterday.  He has had low-grade fever and just felt very run down, appearing very tired.  He is still eating and drinking well, and his voice has been hoarse but no coughing.  No shortness of breath, vomiting, diarrhea or abdominal pain.

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's eating and drinking normally.

assistant: Any shortness of breath or pain in your stomach?

user: No.

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

Section: GENHX
Patient Information: Mom brings patient in today because of sore throat starting last night.  Eyes have been very puffy.  He has taken some Benadryl when all of this congestion started but with a sudden onset just yesterday.  He has had low-grade fever and just felt very run down, appearing very tired.  He is still eating and drinking well, and his voice has been hoarse but no coughing.  No shortness of breath, vomiting, diarrhea or abdominal pain.

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

Section: GENHX
Patient Information: Mom brings patient in today because of sore throat starting last night.  Eyes have been very puffy.  He has taken some Benadryl when all of this congestion started but with a sudden onset just yesterday.  He has had low-grade fever and just felt very run down, appearing very tired.  He is still eating and drinking well, and his voice has been hoarse but no coughing.  No shortness of breath, vomiting, diarrhea or abdominal pain.

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. You must be his mom.

user: Yeah, he started having a sore throat last night. And that's why we are here. His eyes have been really puffy. Uh, we gave him some Benadryl.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: Mom brings patient in today because of sore throat starting last night.  Eyes have been very puffy.  He has taken some Benadryl when all of this congestion started but with a sudden onset just yesterday.  He has had low-grade fever and just felt very run down, appearing very tired.  He is still eating and drinking well, and his voice has been hoarse but no coughing.  No shortness of breath, vomiting, diarrhea or abdominal pain.

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. You must be his mom.

user: Yeah, he started having a sore throat last night. And that's why we are here. His eyes have been really puffy. Uh, we gave him some Benadryl.

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

Section: GENHX
Patient Information: Mom brings patient in today because of sore throat starting last night.  Eyes have been very puffy.  He has taken some Benadryl when all of this congestion started but with a sudden onset just yesterday.  He has had low-grade fever and just felt very run down, appearing very tired.  He is still eating and drinking well, and his voice has been hoarse but no coughing.  No shortness of breath, vomiting, diarrhea or abdominal pain.

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. You must be his mom.

user: Yeah, he started having a sore throat last night. And that's why we are here. His eyes have been really puffy. Uh, we gave him some Benadryl.

assistant: Hm.

user: I had a stuffy nose and it was hard to breathe.
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 31-year-old female who was referred to Physical Therapy secondary to a fall on 10/03/08.  The patient states that she tripped over her dog toy and fell with her left foot inverted.  The patient states that she received a series of x-rays and MRIs that were unremarkable.  After approximately 1 month, the patient continued to have significant debilitating pain in her left ankle.  She then received a walking boot and has been in the boot for the past month.

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's a young thirty one year old like you doing in my office today, ma'am?

user: Well, I got referred to P T after I had a fall.

assistant: When was your fall?

user: Um, it was on October third two thousand eight.

assistant: What happened when you fell?

user: I tripped over my dog's toy.

assistant: Did you twist your foot or ankle?

user: Yeah, my left foot inverted.

assistant: Have you had any imaging done on this foot?

user: Yeah, um, I've had x rays and an M R I already.

assistant: What were the impressions of those images?

user: They told me that it was unremarkable.

assistant: How was the pain progressed since the onset?

user: Well, after a month or so, the pain is still so bad I can't do any of my activities.

assistant: How long have you been wearing this walking boot?

user: Um, it's been about a month 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 31-year-old female who was referred to Physical Therapy secondary to a fall on 10/03/08.  The patient states that she tripped over her dog toy and fell with her left foot inverted.  The patient states that she received a series of x-rays and MRIs that were unremarkable.  After approximately 1 month, the patient continued to have significant debilitating pain in her left ankle.  She then received a walking boot and has been in the boot for the past month.

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 got referred to P T after I had a fall.

assistant: When was your fall?

user: Um, it was on October third two thousand eight.

assistant: What happened when you fell?
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 31-year-old female who was referred to Physical Therapy secondary to a fall on 10/03/08.  The patient states that she tripped over her dog toy and fell with her left foot inverted.  The patient states that she received a series of x-rays and MRIs that were unremarkable.  After approximately 1 month, the patient continued to have significant debilitating pain in her left ankle.  She then received a walking boot and has been in the boot for the past month.

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

user: Um, it was on October third two thousand eight.

assistant: What happened when you fell?

user: I tripped over my dog's toy.

assistant: Did you twist your foot or ankle?
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 31-year-old female who was referred to Physical Therapy secondary to a fall on 10/03/08.  The patient states that she tripped over her dog toy and fell with her left foot inverted.  The patient states that she received a series of x-rays and MRIs that were unremarkable.  After approximately 1 month, the patient continued to have significant debilitating pain in her left ankle.  She then received a walking boot and has been in the boot for the past month.

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 tripped over my dog's toy.

assistant: Did you twist your foot or ankle?

user: Yeah, my left foot inverted.

assistant: Have you had any imaging done on this foot?
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 31-year-old female who was referred to Physical Therapy secondary to a fall on 10/03/08.  The patient states that she tripped over her dog toy and fell with her left foot inverted.  The patient states that she received a series of x-rays and MRIs that were unremarkable.  After approximately 1 month, the patient continued to have significant debilitating pain in her left ankle.  She then received a walking boot and has been in the boot for the past month.

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, my left foot inverted.

assistant: Have you had any imaging done on this foot?

user: Yeah, um, I've had x rays and an M R I already.

assistant: What were the impressions of those images?
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 31-year-old female who was referred to Physical Therapy secondary to a fall on 10/03/08.  The patient states that she tripped over her dog toy and fell with her left foot inverted.  The patient states that she received a series of x-rays and MRIs that were unremarkable.  After approximately 1 month, the patient continued to have significant debilitating pain in her left ankle.  She then received a walking boot and has been in the boot for the past month.

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 had x rays and an M R I already.

assistant: What were the impressions of those images?

user: They told me that it was unremarkable.

assistant: How was the pain progressed since the onset?