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

Section: FAM/SOCHX
Patient Information: Positive for diabetes mellitus in the maternal grandmother.

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 your family medical history.

user: The only thing that I know about is that my grandma has diabetes.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: EXAM
Patient Information: CODE STATUS: Do not resuscitate, healthcare proxy, palliative care orders in place.

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, Mister G, how are you today?

user: I am good doctor thank you for asking. I am here to talk to you about my will.

assistant: Yeah, nurse informed me. So, tell me how can I help you?

user: As you know I have terminal cancer. I have decided I do not want to be resuscitated. I have appointed my daughter as my legal healthcare proxy and she respects my wish.

assistant: Tell me what I can do to make you comfortable?

user: Honestly doctor you have done enough and I am so thankful for that. I just wish to spend my last days at home surrounded with loved ones. I have my nurse, she takes care of me. I think I am fine!

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

Section: EXAM
Patient Information: CODE STATUS: Do not resuscitate, healthcare proxy, palliative care orders in place.

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 good doctor thank you for asking. I am here to talk to you about my will.

assistant: Yeah, nurse informed me. So, tell me how can I help you?

user: As you know I have terminal cancer. I have decided I do not want to be resuscitated. I have appointed my daughter as my legal healthcare proxy and she respects my wish.

assistant: Tell me what I can do to make you comfortable?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: EXAM
Patient Information: CODE STATUS: Do not resuscitate, healthcare proxy, palliative care orders in place.

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: As you know I have terminal cancer. I have decided I do not want to be resuscitated. I have appointed my daughter as my legal healthcare proxy and she respects my wish.

assistant: Tell me what I can do to make you comfortable?

user: Honestly doctor you have done enough and I am so thankful for that. I just wish to spend my last days at home surrounded with loved ones. I have my nurse, she takes care of me. I think I am fine!

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

Section: EXAM
Patient Information: CODE STATUS: Do not resuscitate, healthcare proxy, palliative care orders in place.

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: Honestly doctor you have done enough and I am so thankful for that. I just wish to spend my last days at home surrounded with loved ones. I have my nurse, she takes care of me. I think I am fine!

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

Section: EXAM
Patient Information: CODE STATUS: Do not resuscitate, healthcare proxy, palliative care orders in place.

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, Mister G, how are you today?

user: I am good doctor thank you for asking. I am here to talk to you about my will.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: EXAM
Patient Information: CODE STATUS: Do not resuscitate, healthcare proxy, palliative care orders in place.

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, Mister G, how are you today?

user: I am good doctor thank you for asking. I am here to talk to you about my will.

assistant: Yeah, nurse informed me. So, tell me how can I help you?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: EXAM
Patient Information: CODE STATUS: Do not resuscitate, healthcare proxy, palliative care orders in place.

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, Mister G, how are you today?

user: I am good doctor thank you for asking. I am here to talk to you about my will.

assistant: Yeah, nurse informed me. So, tell me how can I help you?

user: As you know I have terminal cancer. I have decided I do not want to be resuscitated. I have appointed my daughter as my legal healthcare proxy and she respects my wish.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: No smoking or drinking.  No drugs.

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

assistant: Do you smoke?

user: Nope.

assistant: What about alcohol? Or any kind of drugs?

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

Section: PASTMEDICALHX
Patient Information: Surgeries:  None. Injuries:  Dislocated wrist. Illnesses:  None.

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: History of any illnesses, surgeries, or hospitalizations?

user: I dislocated my wrist when I was a kid but that's all.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: ROS
Patient Information: GENITOURINARY: Negative frequency, negative urgency, negative dysuria, negative incontinence.  No history of STDs.

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: Any pain while peeing?

user: No.

assistant: Any change in frequency or feeling the urgency to pee?

user: No.

assistant: And what about bladder control, any accidents?

user: No.

assistant: Any history of syphilis or any other S T D?

user: No, never.

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

Section: ROS
Patient Information: GENITOURINARY: Negative frequency, negative urgency, negative dysuria, negative incontinence.  No history of STDs.

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 change in frequency or feeling the urgency to pee?

user: No.

assistant: And what about bladder control, any accidents?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: ROS
Patient Information: GENITOURINARY: Negative frequency, negative urgency, negative dysuria, negative incontinence.  No history of STDs.

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

user: No.

assistant: And what about bladder control, any accidents?

user: No.

assistant: Any history of syphilis or any other S T D?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: ROS
Patient Information: GENITOURINARY: Negative frequency, negative urgency, negative dysuria, negative incontinence.  No history of STDs.

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 history of syphilis or any other S T D?

user: No, never.

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

Section: ROS
Patient Information: GENITOURINARY: Negative frequency, negative urgency, negative dysuria, negative incontinence.  No history of STDs.

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, never.

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

Section: ROS
Patient Information: GENITOURINARY: Negative frequency, negative urgency, negative dysuria, negative incontinence.  No history of STDs.

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: Any pain while peeing?

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

Section: ROS
Patient Information: GENITOURINARY: Negative frequency, negative urgency, negative dysuria, negative incontinence.  No history of STDs.

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: Any pain while peeing?

user: No.

assistant: Any change in frequency or feeling the urgency to pee?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: ROS
Patient Information: GENITOURINARY: Negative frequency, negative urgency, negative dysuria, negative incontinence.  No history of STDs.

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: Any pain while peeing?

user: No.

assistant: Any change in frequency or feeling the urgency to pee?

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

Section: FAM/SOCHX
Patient Information: Positive for coronary artery disease in her father and brother in their 40s.

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

assistant: Is there any history of heart disease in your family?

user: Yes, my dad and brother had heart vessel blockage type of disease in their forties.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This 17-year-old male was fighting with some other kids in Juvenile Hall when he felt some pain in his left elbow, causing sudden pain.  He also has pain in his left ankle, but he is able to walk normally.  He has had previous pain in his left knee.  He denies any passing out, any neck pain at this time even though he did get hit in the head.  He has no chest or abdominal pain.  Apparently, no knives or guns were involved.

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: If I'm understanding correctly, you sustained an elbow injury during a fight with some other kids in Juvenile Hall?

user: Yeah. My left elbow is killing me.

assistant: How old are you?

user: Seventeen.

assistant: Are you having pain anywhere else?

user: Yeah. My left ankle also hurts.

assistant: Are you able to walk without difficulty?

user: Yeah.

assistant: Any knee pain?

user: Not right now, but I've had left knee pain in the past.

assistant: Did you pass out or hurt your neck in any way?

user: I didn't pass out. I hit my head against the floor when one of the kids tried to pin me down.

assistant: Do you have a headache, nausea, or blurry vision?

user: No.

assistant: And no chest or abdominal pain?

user: No.

assistant: Were there any weapons like knives or guns used during the fight?

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

Section: GENHX
Patient Information: This 17-year-old male was fighting with some other kids in Juvenile Hall when he felt some pain in his left elbow, causing sudden pain.  He also has pain in his left ankle, but he is able to walk normally.  He has had previous pain in his left knee.  He denies any passing out, any neck pain at this time even though he did get hit in the head.  He has no chest or abdominal pain.  Apparently, no knives or guns were involved.

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 elbow is killing me.

assistant: How old are you?

user: Seventeen.

assistant: Are you having pain anywhere else?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This 17-year-old male was fighting with some other kids in Juvenile Hall when he felt some pain in his left elbow, causing sudden pain.  He also has pain in his left ankle, but he is able to walk normally.  He has had previous pain in his left knee.  He denies any passing out, any neck pain at this time even though he did get hit in the head.  He has no chest or abdominal pain.  Apparently, no knives or guns were involved.

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: Seventeen.

assistant: Are you having pain anywhere else?

user: Yeah. My left ankle also hurts.

assistant: Are you able to walk without difficulty?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This 17-year-old male was fighting with some other kids in Juvenile Hall when he felt some pain in his left elbow, causing sudden pain.  He also has pain in his left ankle, but he is able to walk normally.  He has had previous pain in his left knee.  He denies any passing out, any neck pain at this time even though he did get hit in the head.  He has no chest or abdominal pain.  Apparently, no knives or guns were involved.

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 ankle also hurts.

assistant: Are you able to walk without difficulty?

user: Yeah.

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

Section: GENHX
Patient Information: This 17-year-old male was fighting with some other kids in Juvenile Hall when he felt some pain in his left elbow, causing sudden pain.  He also has pain in his left ankle, but he is able to walk normally.  He has had previous pain in his left knee.  He denies any passing out, any neck pain at this time even though he did get hit in the head.  He has no chest or abdominal pain.  Apparently, no knives or guns were involved.

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: Any knee pain?

user: Not right now, but I've had left knee pain in the past.

assistant: Did you pass out or hurt your neck in any way?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This 17-year-old male was fighting with some other kids in Juvenile Hall when he felt some pain in his left elbow, causing sudden pain.  He also has pain in his left ankle, but he is able to walk normally.  He has had previous pain in his left knee.  He denies any passing out, any neck pain at this time even though he did get hit in the head.  He has no chest or abdominal pain.  Apparently, no knives or guns were involved.

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 right now, but I've had left knee pain in the past.

assistant: Did you pass out or hurt your neck in any way?

user: I didn't pass out. I hit my head against the floor when one of the kids tried to pin me down.

assistant: Do you have a headache, nausea, or blurry vision?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This 17-year-old male was fighting with some other kids in Juvenile Hall when he felt some pain in his left elbow, causing sudden pain.  He also has pain in his left ankle, but he is able to walk normally.  He has had previous pain in his left knee.  He denies any passing out, any neck pain at this time even though he did get hit in the head.  He has no chest or abdominal pain.  Apparently, no knives or guns were involved.

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 didn't pass out. I hit my head against the floor when one of the kids tried to pin me down.

assistant: Do you have a headache, nausea, or blurry vision?

user: No.

assistant: And no chest or abdominal pain?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This 17-year-old male was fighting with some other kids in Juvenile Hall when he felt some pain in his left elbow, causing sudden pain.  He also has pain in his left ankle, but he is able to walk normally.  He has had previous pain in his left knee.  He denies any passing out, any neck pain at this time even though he did get hit in the head.  He has no chest or abdominal pain.  Apparently, no knives or guns were involved.

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

user: No.

assistant: And no chest or abdominal pain?

user: No.

assistant: Were there any weapons like knives or guns used during the fight?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This 17-year-old male was fighting with some other kids in Juvenile Hall when he felt some pain in his left elbow, causing sudden pain.  He also has pain in his left ankle, but he is able to walk normally.  He has had previous pain in his left knee.  He denies any passing out, any neck pain at this time even though he did get hit in the head.  He has no chest or abdominal pain.  Apparently, no knives or guns were involved.

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: Were there any weapons like knives or guns used during the fight?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This 17-year-old male was fighting with some other kids in Juvenile Hall when he felt some pain in his left elbow, causing sudden pain.  He also has pain in his left ankle, but he is able to walk normally.  He has had previous pain in his left knee.  He denies any passing out, any neck pain at this time even though he did get hit in the head.  He has no chest or abdominal pain.  Apparently, no knives or guns were involved.

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: If I'm understanding correctly, you sustained an elbow injury during a fight with some other kids in Juvenile Hall?

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

Section: GENHX
Patient Information: This 17-year-old male was fighting with some other kids in Juvenile Hall when he felt some pain in his left elbow, causing sudden pain.  He also has pain in his left ankle, but he is able to walk normally.  He has had previous pain in his left knee.  He denies any passing out, any neck pain at this time even though he did get hit in the head.  He has no chest or abdominal pain.  Apparently, no knives or guns were involved.

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: If I'm understanding correctly, you sustained an elbow injury during a fight with some other kids in Juvenile Hall?

user: Yeah. My left elbow is killing me.

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

Section: GENHX
Patient Information: This 17-year-old male was fighting with some other kids in Juvenile Hall when he felt some pain in his left elbow, causing sudden pain.  He also has pain in his left ankle, but he is able to walk normally.  He has had previous pain in his left knee.  He denies any passing out, any neck pain at this time even though he did get hit in the head.  He has no chest or abdominal pain.  Apparently, no knives or guns were involved.

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: If I'm understanding correctly, you sustained an elbow injury during a fight with some other kids in Juvenile Hall?

user: Yeah. My left elbow is killing me.

assistant: How old are you?

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

Section: FAM/SOCHX
Patient Information: Strong for heart disease, carcinoma, and a history of food allergies, and there is also a history of hypertension.

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. Before we begin your visit, I noticed some information missing. Could I verify the information with you?

user: Of course.

assistant: Does your family have a history of any health related problems?

user: Oh, yeah. A lot of my family have heart problems and cancer.

assistant: I see. Do you know what kind of cancer?

user: I'm not completely sure, but my wife may know. She's here with me right now.

assistant: Great. I'll bring her in.

assistant: Do you know what type of cancer runs in his family?

user: I do. I believe it's carcinoma.

assistant: Thank you. Sir, are there any other health related problems I should be aware of?

user: High blood pressure and food allergies run in my family too.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: Strong for heart disease, carcinoma, and a history of food allergies, and there is also a history of hypertension.

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

user: Of course.

assistant: Does your family have a history of any health related problems?

user: Oh, yeah. A lot of my family have heart problems and cancer.

assistant: I see. Do you know what kind of cancer?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: Strong for heart disease, carcinoma, and a history of food allergies, and there is also a history of hypertension.

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. A lot of my family have heart problems and cancer.

assistant: I see. Do you know what kind of cancer?

user: I'm not completely sure, but my wife may know. She's here with me right now.

assistant: Great. I'll bring her in.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: Strong for heart disease, carcinoma, and a history of food allergies, and there is also a history of hypertension.

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

user: I'm not completely sure, but my wife may know. She's here with me right now.

assistant: Great. I'll bring her in.

assistant: Do you know what type of cancer runs in his family?

user: I do. I believe it's carcinoma.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: Strong for heart disease, carcinoma, and a history of food allergies, and there is also a history of hypertension.

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 do. I believe it's carcinoma.

assistant: Thank you. Sir, are there any other health related problems I should be aware of?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: Strong for heart disease, carcinoma, and a history of food allergies, and there is also a history of hypertension.

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. Before we begin your visit, I noticed some information missing. Could I verify the information with you?

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

Section: FAM/SOCHX
Patient Information: Strong for heart disease, carcinoma, and a history of food allergies, and there is also a history of hypertension.

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. Before we begin your visit, I noticed some information missing. Could I verify the information with you?

user: Of course.

assistant: Does your family have a history of any health related problems?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: Strong for heart disease, carcinoma, and a history of food allergies, and there is also a history of hypertension.

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. Before we begin your visit, I noticed some information missing. Could I verify the information with you?

user: Of course.

assistant: Does your family have a history of any health related problems?

user: Oh, yeah. A lot of my family have heart problems and cancer.
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 44-year-old white female who is here today with multiple problems.  The biggest concern she has today is her that left leg has been swollen.  It is swollen for three years to some extent, but worse for the past two to three months.  It gets better in the morning when she is up, but then through the day it begins to swell again.  Lately it is staying bigger and she somewhat uncomfortable with it being so large.  The right leg also swells, but not nearly like the left leg.  The other problem she had was she has had pain in her shoulder and back.  These occurred about a year ago, but the pain in her left shoulder is of most concern to her.  She feels like the low back pain is just a result of a poor mattress.  She does not remember hurting her shoulder, but she said gradually she has lost some mobility.  It is hard time to get her hands behind her back or behind her head.  She has lost strength in the left shoulder.  As far as the blood count goes, she had an elevated white count.  In April of 2005, Dr. XYZ had asked Dr. XYZ to see her because of the persistent leukocytosis; however, Dr. XYZ felt that this was not a problem for the patient and asked her to just return here for follow up.  She also complains of a lot of frequency with urination and nocturia times two to three.  She has gained weight; she thinks about 12 pounds since March.  She now weighs 284.  Fortunately, her blood pressure is staying stable.  She takes atenolol 12.5 mg per day and takes Lasix on a p.r.n. basis, but does not like to take it because it causes her to urinate so much.  She denies chest pain, but she does feel like she is becoming gradually more short of breath.  She works for the city of Wichita as bus dispatcher, so she does sit a lot, and just really does not move around much.  Towards the end of the day her leg was really swollen.  I reviewed her lab work.  Other than the blood count her lab work has been pretty normal, but she does need to have a cholesterol check.

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 sure. I got this swelling for almost three years now, and it has been worse for the past two to three months. Sometimes it gets better in the morning when I get up, but then throughout the day it begins to swell again.  Lately it is staying bigger, and it feel uncomfortable with it being so large.  The right leg also swells, but not nearly like the left leg.

assistant: How old are you, miss?

user: I am forty four. My biggest problem is this pain in my left shoulder. I feel as if this low back pain is due to a poor mattress.

assistant: Did you hurt your shoulder?
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 44-year-old white female who is here today with multiple problems.  The biggest concern she has today is her that left leg has been swollen.  It is swollen for three years to some extent, but worse for the past two to three months.  It gets better in the morning when she is up, but then through the day it begins to swell again.  Lately it is staying bigger and she somewhat uncomfortable with it being so large.  The right leg also swells, but not nearly like the left leg.  The other problem she had was she has had pain in her shoulder and back.  These occurred about a year ago, but the pain in her left shoulder is of most concern to her.  She feels like the low back pain is just a result of a poor mattress.  She does not remember hurting her shoulder, but she said gradually she has lost some mobility.  It is hard time to get her hands behind her back or behind her head.  She has lost strength in the left shoulder.  As far as the blood count goes, she had an elevated white count.  In April of 2005, Dr. XYZ had asked Dr. XYZ to see her because of the persistent leukocytosis; however, Dr. XYZ felt that this was not a problem for the patient and asked her to just return here for follow up.  She also complains of a lot of frequency with urination and nocturia times two to three.  She has gained weight; she thinks about 12 pounds since March.  She now weighs 284.  Fortunately, her blood pressure is staying stable.  She takes atenolol 12.5 mg per day and takes Lasix on a p.r.n. basis, but does not like to take it because it causes her to urinate so much.  She denies chest pain, but she does feel like she is becoming gradually more short of breath.  She works for the city of Wichita as bus dispatcher, so she does sit a lot, and just really does not move around much.  Towards the end of the day her leg was really swollen.  I reviewed her lab work.  Other than the blood count her lab work has been pretty normal, but she does need to have a cholesterol check.

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 forty four. My biggest problem is this pain in my left shoulder. I feel as if this low back pain is due to a poor mattress.

assistant: Did you hurt your shoulder?

user: No, I don't remember hurting shoulder, but gradually I am losing some mobility.  It is hard for me to get my hands behind my back or behind my head.  I am losing strength in the left shoulder gradually for the last year.

assistant: Ok let's look at your labs.
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 44-year-old white female who is here today with multiple problems.  The biggest concern she has today is her that left leg has been swollen.  It is swollen for three years to some extent, but worse for the past two to three months.  It gets better in the morning when she is up, but then through the day it begins to swell again.  Lately it is staying bigger and she somewhat uncomfortable with it being so large.  The right leg also swells, but not nearly like the left leg.  The other problem she had was she has had pain in her shoulder and back.  These occurred about a year ago, but the pain in her left shoulder is of most concern to her.  She feels like the low back pain is just a result of a poor mattress.  She does not remember hurting her shoulder, but she said gradually she has lost some mobility.  It is hard time to get her hands behind her back or behind her head.  She has lost strength in the left shoulder.  As far as the blood count goes, she had an elevated white count.  In April of 2005, Dr. XYZ had asked Dr. XYZ to see her because of the persistent leukocytosis; however, Dr. XYZ felt that this was not a problem for the patient and asked her to just return here for follow up.  She also complains of a lot of frequency with urination and nocturia times two to three.  She has gained weight; she thinks about 12 pounds since March.  She now weighs 284.  Fortunately, her blood pressure is staying stable.  She takes atenolol 12.5 mg per day and takes Lasix on a p.r.n. basis, but does not like to take it because it causes her to urinate so much.  She denies chest pain, but she does feel like she is becoming gradually more short of breath.  She works for the city of Wichita as bus dispatcher, so she does sit a lot, and just really does not move around much.  Towards the end of the day her leg was really swollen.  I reviewed her lab work.  Other than the blood count her lab work has been pretty normal, but she does need to have a cholesterol check.

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 don't remember hurting shoulder, but gradually I am losing some mobility.  It is hard for me to get my hands behind my back or behind my head.  I am losing strength in the left shoulder gradually for the last year.

assistant: Ok let's look at your labs.

user: So far white counts are high. In April two thousand five Doctor X Y Z was asked to look at my high white count, but she thought it wasn't a problem and asked me to come for follow up.

assistant: Any other complaints?
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 44-year-old white female who is here today with multiple problems.  The biggest concern she has today is her that left leg has been swollen.  It is swollen for three years to some extent, but worse for the past two to three months.  It gets better in the morning when she is up, but then through the day it begins to swell again.  Lately it is staying bigger and she somewhat uncomfortable with it being so large.  The right leg also swells, but not nearly like the left leg.  The other problem she had was she has had pain in her shoulder and back.  These occurred about a year ago, but the pain in her left shoulder is of most concern to her.  She feels like the low back pain is just a result of a poor mattress.  She does not remember hurting her shoulder, but she said gradually she has lost some mobility.  It is hard time to get her hands behind her back or behind her head.  She has lost strength in the left shoulder.  As far as the blood count goes, she had an elevated white count.  In April of 2005, Dr. XYZ had asked Dr. XYZ to see her because of the persistent leukocytosis; however, Dr. XYZ felt that this was not a problem for the patient and asked her to just return here for follow up.  She also complains of a lot of frequency with urination and nocturia times two to three.  She has gained weight; she thinks about 12 pounds since March.  She now weighs 284.  Fortunately, her blood pressure is staying stable.  She takes atenolol 12.5 mg per day and takes Lasix on a p.r.n. basis, but does not like to take it because it causes her to urinate so much.  She denies chest pain, but she does feel like she is becoming gradually more short of breath.  She works for the city of Wichita as bus dispatcher, so she does sit a lot, and just really does not move around much.  Towards the end of the day her leg was really swollen.  I reviewed her lab work.  Other than the blood count her lab work has been pretty normal, but she does need to have a cholesterol check.

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: So far white counts are high. In April two thousand five Doctor X Y Z was asked to look at my high white count, but she thought it wasn't a problem and asked me to come for follow up.

assistant: Any other complaints?

user: I have a lot of frequency with urination, and I get up to pee at night at least two to three times.   Also, I have gained weight, I think about twelve pounds since March.  Right now, I am two eighty four pounds.

assistant: Okay. So, I can see that your blood pressure is staying stable.  You do take Atenolol twelve point five M G per day and Lasix as needed.
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 44-year-old white female who is here today with multiple problems.  The biggest concern she has today is her that left leg has been swollen.  It is swollen for three years to some extent, but worse for the past two to three months.  It gets better in the morning when she is up, but then through the day it begins to swell again.  Lately it is staying bigger and she somewhat uncomfortable with it being so large.  The right leg also swells, but not nearly like the left leg.  The other problem she had was she has had pain in her shoulder and back.  These occurred about a year ago, but the pain in her left shoulder is of most concern to her.  She feels like the low back pain is just a result of a poor mattress.  She does not remember hurting her shoulder, but she said gradually she has lost some mobility.  It is hard time to get her hands behind her back or behind her head.  She has lost strength in the left shoulder.  As far as the blood count goes, she had an elevated white count.  In April of 2005, Dr. XYZ had asked Dr. XYZ to see her because of the persistent leukocytosis; however, Dr. XYZ felt that this was not a problem for the patient and asked her to just return here for follow up.  She also complains of a lot of frequency with urination and nocturia times two to three.  She has gained weight; she thinks about 12 pounds since March.  She now weighs 284.  Fortunately, her blood pressure is staying stable.  She takes atenolol 12.5 mg per day and takes Lasix on a p.r.n. basis, but does not like to take it because it causes her to urinate so much.  She denies chest pain, but she does feel like she is becoming gradually more short of breath.  She works for the city of Wichita as bus dispatcher, so she does sit a lot, and just really does not move around much.  Towards the end of the day her leg was really swollen.  I reviewed her lab work.  Other than the blood count her lab work has been pretty normal, but she does need to have a cholesterol check.

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 a lot of frequency with urination, and I get up to pee at night at least two to three times.   Also, I have gained weight, I think about twelve pounds since March.  Right now, I am two eighty four pounds.

assistant: Okay. So, I can see that your blood pressure is staying stable.  You do take Atenolol twelve point five M G per day and Lasix as needed.

user: Yes, that's correct. It makes me pee so much. I do not take it.

assistant: How about chest pain or shortness of breath?
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 44-year-old white female who is here today with multiple problems.  The biggest concern she has today is her that left leg has been swollen.  It is swollen for three years to some extent, but worse for the past two to three months.  It gets better in the morning when she is up, but then through the day it begins to swell again.  Lately it is staying bigger and she somewhat uncomfortable with it being so large.  The right leg also swells, but not nearly like the left leg.  The other problem she had was she has had pain in her shoulder and back.  These occurred about a year ago, but the pain in her left shoulder is of most concern to her.  She feels like the low back pain is just a result of a poor mattress.  She does not remember hurting her shoulder, but she said gradually she has lost some mobility.  It is hard time to get her hands behind her back or behind her head.  She has lost strength in the left shoulder.  As far as the blood count goes, she had an elevated white count.  In April of 2005, Dr. XYZ had asked Dr. XYZ to see her because of the persistent leukocytosis; however, Dr. XYZ felt that this was not a problem for the patient and asked her to just return here for follow up.  She also complains of a lot of frequency with urination and nocturia times two to three.  She has gained weight; she thinks about 12 pounds since March.  She now weighs 284.  Fortunately, her blood pressure is staying stable.  She takes atenolol 12.5 mg per day and takes Lasix on a p.r.n. basis, but does not like to take it because it causes her to urinate so much.  She denies chest pain, but she does feel like she is becoming gradually more short of breath.  She works for the city of Wichita as bus dispatcher, so she does sit a lot, and just really does not move around much.  Towards the end of the day her leg was really swollen.  I reviewed her lab work.  Other than the blood count her lab work has been pretty normal, but she does need to have a cholesterol check.

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, that's correct. It makes me pee so much. I do not take it.

assistant: How about chest pain or shortness of breath?

user: No chest pain, but I am gradually feeling short of breath.

assistant: What work you do?