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 lovely 74-year-old woman who presents with possible adult hydrocephalus.  Danish is her native language, but she has been in the United States for many many years and speaks fluent English, as does her husband. With respect to her walking and balance, she states "I think I walk funny."  Her husband has noticed over the last six months or so that she has broadened her base and become more stooped in her pasture.  Her balance has also gradually declined such that she frequently touches walls and furniture to stabilize herself.  She has difficulty stepping up on to things like a scale because of this imbalance.  She does not festinate.  Her husband has noticed some slowing of her speed.  She does not need to use an assistive device.  She has occasional difficulty getting in and out of a car.  Recently she has had more frequent falls.  In March of 2007, she fell when she was walking to the bedroom and broke her wrist.  Since that time, she has not had any emergency room trips, but she has had other falls. With respect to her bowel and bladder, she has no issues and no trouble with frequency or urgency. The patient does not have headaches. With respect to thinking and memory, she states she is still able to pay the bills, but over the last few months she states, "I do not feel as smart as I used to be."  She feels that her thinking has slowed down.  Her husband states that he has noticed, she will occasionally start a sentence and then not know what words to use as she is continuing. The patient has not had trouble with syncope.  She has had past episodes of vertigo, but not recently.

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

user: Yes, I guess so.

assistant: Have you had any problems with your memory or cognitive abilities?

user: I am still able to pay the bills on time. I don't feel as smart as I used to be.  I do feel like my thinking has slowed down over the last few months.

assistant: What is your perspective on her memory and her cognitive abilities?
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 lovely 74-year-old woman who presents with possible adult hydrocephalus.  Danish is her native language, but she has been in the United States for many many years and speaks fluent English, as does her husband. With respect to her walking and balance, she states "I think I walk funny."  Her husband has noticed over the last six months or so that she has broadened her base and become more stooped in her pasture.  Her balance has also gradually declined such that she frequently touches walls and furniture to stabilize herself.  She has difficulty stepping up on to things like a scale because of this imbalance.  She does not festinate.  Her husband has noticed some slowing of her speed.  She does not need to use an assistive device.  She has occasional difficulty getting in and out of a car.  Recently she has had more frequent falls.  In March of 2007, she fell when she was walking to the bedroom and broke her wrist.  Since that time, she has not had any emergency room trips, but she has had other falls. With respect to her bowel and bladder, she has no issues and no trouble with frequency or urgency. The patient does not have headaches. With respect to thinking and memory, she states she is still able to pay the bills, but over the last few months she states, "I do not feel as smart as I used to be."  She feels that her thinking has slowed down.  Her husband states that he has noticed, she will occasionally start a sentence and then not know what words to use as she is continuing. The patient has not had trouble with syncope.  She has had past episodes of vertigo, but not recently.

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

user: I am still able to pay the bills on time. I don't feel as smart as I used to be.  I do feel like my thinking has slowed down over the last few months.

assistant: What is your perspective on her memory and her cognitive abilities?

user: I have noticed some changes. She will occasionally start a sentence and then not know what words to use to finish the sentence.

assistant: Has she ever had trouble finishing a sentence the in the past?
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 lovely 74-year-old woman who presents with possible adult hydrocephalus.  Danish is her native language, but she has been in the United States for many many years and speaks fluent English, as does her husband. With respect to her walking and balance, she states "I think I walk funny."  Her husband has noticed over the last six months or so that she has broadened her base and become more stooped in her pasture.  Her balance has also gradually declined such that she frequently touches walls and furniture to stabilize herself.  She has difficulty stepping up on to things like a scale because of this imbalance.  She does not festinate.  Her husband has noticed some slowing of her speed.  She does not need to use an assistive device.  She has occasional difficulty getting in and out of a car.  Recently she has had more frequent falls.  In March of 2007, she fell when she was walking to the bedroom and broke her wrist.  Since that time, she has not had any emergency room trips, but she has had other falls. With respect to her bowel and bladder, she has no issues and no trouble with frequency or urgency. The patient does not have headaches. With respect to thinking and memory, she states she is still able to pay the bills, but over the last few months she states, "I do not feel as smart as I used to be."  She feels that her thinking has slowed down.  Her husband states that he has noticed, she will occasionally start a sentence and then not know what words to use as she is continuing. The patient has not had trouble with syncope.  She has had past episodes of vertigo, but not recently.

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

user: I have noticed some changes. She will occasionally start a sentence and then not know what words to use to finish the sentence.

assistant: Has she ever had trouble finishing a sentence the in the past?

user: No, she has always been very well spoken never has lost thoughts.

assistant: Have you had any fainting or vertigo episodes?
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 lovely 74-year-old woman who presents with possible adult hydrocephalus.  Danish is her native language, but she has been in the United States for many many years and speaks fluent English, as does her husband. With respect to her walking and balance, she states "I think I walk funny."  Her husband has noticed over the last six months or so that she has broadened her base and become more stooped in her pasture.  Her balance has also gradually declined such that she frequently touches walls and furniture to stabilize herself.  She has difficulty stepping up on to things like a scale because of this imbalance.  She does not festinate.  Her husband has noticed some slowing of her speed.  She does not need to use an assistive device.  She has occasional difficulty getting in and out of a car.  Recently she has had more frequent falls.  In March of 2007, she fell when she was walking to the bedroom and broke her wrist.  Since that time, she has not had any emergency room trips, but she has had other falls. With respect to her bowel and bladder, she has no issues and no trouble with frequency or urgency. The patient does not have headaches. With respect to thinking and memory, she states she is still able to pay the bills, but over the last few months she states, "I do not feel as smart as I used to be."  She feels that her thinking has slowed down.  Her husband states that he has noticed, she will occasionally start a sentence and then not know what words to use as she is continuing. The patient has not had trouble with syncope.  She has had past episodes of vertigo, but not recently.

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

user: No, she has always been very well spoken never has lost thoughts.

assistant: Have you had any fainting or vertigo episodes?

user: I have not fainted. I have had some dizzy spells in the past but not recently.

assistant: Have you had and problems with your bowel movements?
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 lovely 74-year-old woman who presents with possible adult hydrocephalus.  Danish is her native language, but she has been in the United States for many many years and speaks fluent English, as does her husband. With respect to her walking and balance, she states "I think I walk funny."  Her husband has noticed over the last six months or so that she has broadened her base and become more stooped in her pasture.  Her balance has also gradually declined such that she frequently touches walls and furniture to stabilize herself.  She has difficulty stepping up on to things like a scale because of this imbalance.  She does not festinate.  Her husband has noticed some slowing of her speed.  She does not need to use an assistive device.  She has occasional difficulty getting in and out of a car.  Recently she has had more frequent falls.  In March of 2007, she fell when she was walking to the bedroom and broke her wrist.  Since that time, she has not had any emergency room trips, but she has had other falls. With respect to her bowel and bladder, she has no issues and no trouble with frequency or urgency. The patient does not have headaches. With respect to thinking and memory, she states she is still able to pay the bills, but over the last few months she states, "I do not feel as smart as I used to be."  She feels that her thinking has slowed down.  Her husband states that he has noticed, she will occasionally start a sentence and then not know what words to use as she is continuing. The patient has not had trouble with syncope.  She has had past episodes of vertigo, but not recently.

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

user: I have not fainted. I have had some dizzy spells in the past but not recently.

assistant: Have you had and problems with your bowel movements?

user: No.

assistant: Any bladder issues or frequent urination?
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 lovely 74-year-old woman who presents with possible adult hydrocephalus.  Danish is her native language, but she has been in the United States for many many years and speaks fluent English, as does her husband. With respect to her walking and balance, she states "I think I walk funny."  Her husband has noticed over the last six months or so that she has broadened her base and become more stooped in her pasture.  Her balance has also gradually declined such that she frequently touches walls and furniture to stabilize herself.  She has difficulty stepping up on to things like a scale because of this imbalance.  She does not festinate.  Her husband has noticed some slowing of her speed.  She does not need to use an assistive device.  She has occasional difficulty getting in and out of a car.  Recently she has had more frequent falls.  In March of 2007, she fell when she was walking to the bedroom and broke her wrist.  Since that time, she has not had any emergency room trips, but she has had other falls. With respect to her bowel and bladder, she has no issues and no trouble with frequency or urgency. The patient does not have headaches. With respect to thinking and memory, she states she is still able to pay the bills, but over the last few months she states, "I do not feel as smart as I used to be."  She feels that her thinking has slowed down.  Her husband states that he has noticed, she will occasionally start a sentence and then not know what words to use as she is continuing. The patient has not had trouble with syncope.  She has had past episodes of vertigo, but not recently.

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

user: No.

assistant: Any bladder issues or frequent urination?

user: No.

assistant: Okey. Let us do some an exam.
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 lovely 74-year-old woman who presents with possible adult hydrocephalus.  Danish is her native language, but she has been in the United States for many many years and speaks fluent English, as does her husband. With respect to her walking and balance, she states "I think I walk funny."  Her husband has noticed over the last six months or so that she has broadened her base and become more stooped in her pasture.  Her balance has also gradually declined such that she frequently touches walls and furniture to stabilize herself.  She has difficulty stepping up on to things like a scale because of this imbalance.  She does not festinate.  Her husband has noticed some slowing of her speed.  She does not need to use an assistive device.  She has occasional difficulty getting in and out of a car.  Recently she has had more frequent falls.  In March of 2007, she fell when she was walking to the bedroom and broke her wrist.  Since that time, she has not had any emergency room trips, but she has had other falls. With respect to her bowel and bladder, she has no issues and no trouble with frequency or urgency. The patient does not have headaches. With respect to thinking and memory, she states she is still able to pay the bills, but over the last few months she states, "I do not feel as smart as I used to be."  She feels that her thinking has slowed down.  Her husband states that he has noticed, she will occasionally start a sentence and then not know what words to use as she is continuing. The patient has not had trouble with syncope.  She has had past episodes of vertigo, but not recently.

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

user: No.

assistant: Okey. Let us do some an exam.
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 lovely 74-year-old woman who presents with possible adult hydrocephalus.  Danish is her native language, but she has been in the United States for many many years and speaks fluent English, as does her husband. With respect to her walking and balance, she states "I think I walk funny."  Her husband has noticed over the last six months or so that she has broadened her base and become more stooped in her pasture.  Her balance has also gradually declined such that she frequently touches walls and furniture to stabilize herself.  She has difficulty stepping up on to things like a scale because of this imbalance.  She does not festinate.  Her husband has noticed some slowing of her speed.  She does not need to use an assistive device.  She has occasional difficulty getting in and out of a car.  Recently she has had more frequent falls.  In March of 2007, she fell when she was walking to the bedroom and broke her wrist.  Since that time, she has not had any emergency room trips, but she has had other falls. With respect to her bowel and bladder, she has no issues and no trouble with frequency or urgency. The patient does not have headaches. With respect to thinking and memory, she states she is still able to pay the bills, but over the last few months she states, "I do not feel as smart as I used to be."  She feels that her thinking has slowed down.  Her husband states that he has noticed, she will occasionally start a sentence and then not know what words to use as she is continuing. The patient has not had trouble with syncope.  She has had past episodes of vertigo, but not recently.

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

assistant: Welcome to the clinic.

user: Thank you. It is nice to meet you.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient is a lovely 74-year-old woman who presents with possible adult hydrocephalus.  Danish is her native language, but she has been in the United States for many many years and speaks fluent English, as does her husband. With respect to her walking and balance, she states "I think I walk funny."  Her husband has noticed over the last six months or so that she has broadened her base and become more stooped in her pasture.  Her balance has also gradually declined such that she frequently touches walls and furniture to stabilize herself.  She has difficulty stepping up on to things like a scale because of this imbalance.  She does not festinate.  Her husband has noticed some slowing of her speed.  She does not need to use an assistive device.  She has occasional difficulty getting in and out of a car.  Recently she has had more frequent falls.  In March of 2007, she fell when she was walking to the bedroom and broke her wrist.  Since that time, she has not had any emergency room trips, but she has had other falls. With respect to her bowel and bladder, she has no issues and no trouble with frequency or urgency. The patient does not have headaches. With respect to thinking and memory, she states she is still able to pay the bills, but over the last few months she states, "I do not feel as smart as I used to be."  She feels that her thinking has slowed down.  Her husband states that he has noticed, she will occasionally start a sentence and then not know what words to use as she is continuing. The patient has not had trouble with syncope.  She has had past episodes of vertigo, but not recently.

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

assistant: Welcome to the clinic.

user: Thank you. It is nice to meet you.

assistant: It is nice to meet you to. I hear an accent. Where are you from?
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 lovely 74-year-old woman who presents with possible adult hydrocephalus.  Danish is her native language, but she has been in the United States for many many years and speaks fluent English, as does her husband. With respect to her walking and balance, she states "I think I walk funny."  Her husband has noticed over the last six months or so that she has broadened her base and become more stooped in her pasture.  Her balance has also gradually declined such that she frequently touches walls and furniture to stabilize herself.  She has difficulty stepping up on to things like a scale because of this imbalance.  She does not festinate.  Her husband has noticed some slowing of her speed.  She does not need to use an assistive device.  She has occasional difficulty getting in and out of a car.  Recently she has had more frequent falls.  In March of 2007, she fell when she was walking to the bedroom and broke her wrist.  Since that time, she has not had any emergency room trips, but she has had other falls. With respect to her bowel and bladder, she has no issues and no trouble with frequency or urgency. The patient does not have headaches. With respect to thinking and memory, she states she is still able to pay the bills, but over the last few months she states, "I do not feel as smart as I used to be."  She feels that her thinking has slowed down.  Her husband states that he has noticed, she will occasionally start a sentence and then not know what words to use as she is continuing. The patient has not had trouble with syncope.  She has had past episodes of vertigo, but not recently.

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

assistant: Welcome to the clinic.

user: Thank you. It is nice to meet you.

assistant: It is nice to meet you to. I hear an accent. Where are you from?

user: I am from Denmark. I speak Danish as my first language. Me and my husband have been in the States for many many years. When we first got here, we did not speak a word of English.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: ASSESSMENT
Patient Information: This is a return visit for this patient who has refractory hypertension.  This seems to be doing very well given her current blood pressure reading, at least much improved from what she had been previously.  We had discussed with her in the past beginning to see an internist at the senior center.  She apparently had an appointment scheduled and it was missed.  We are going to reschedule that today given her overall state of well-being and the fact that she has no evidence of GFR that is greater than 60%.

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 mean, I am so happy to see your report today, your blood pressure looks much better. That's amazing given your past few visits your B P was out of control and even with changing your medications we were having tough time bringing it down.

user: Yeah, I feel much better, I read about my condition and it is called something as um refraction or--

assistant: Refractory hypertension.

user: Oh yeah that!

assistant: But the good news is that it is getting better.

user: Yes.

assistant: Last time we talked about seeing the internal medicine doctor there at your senior center, right?

user: Yes, I made an appointment last week, um, no week before that, but I completely forgot about it.

assistant: Hm, okay we need to reschedule that.

user: Yes, I will do it today.

assistant: Okay, your reports look fine. G F R is below sixty percent, that's a good sign.  Overall, Miss K, you look better, but we need to reschedule your appointment with the Internist. That's kind of important.

user: Okay, I will do that. Thank you!

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

Section: ASSESSMENT
Patient Information: This is a return visit for this patient who has refractory hypertension.  This seems to be doing very well given her current blood pressure reading, at least much improved from what she had been previously.  We had discussed with her in the past beginning to see an internist at the senior center.  She apparently had an appointment scheduled and it was missed.  We are going to reschedule that today given her overall state of well-being and the fact that she has no evidence of GFR that is greater than 60%.

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, I feel much better, I read about my condition and it is called something as um refraction or--

assistant: Refractory hypertension.

user: Oh yeah that!

assistant: But the good news is that it is getting better.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: ASSESSMENT
Patient Information: This is a return visit for this patient who has refractory hypertension.  This seems to be doing very well given her current blood pressure reading, at least much improved from what she had been previously.  We had discussed with her in the past beginning to see an internist at the senior center.  She apparently had an appointment scheduled and it was missed.  We are going to reschedule that today given her overall state of well-being and the fact that she has no evidence of GFR that is greater than 60%.

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 that!

assistant: But the good news is that it is getting better.

user: Yes.

assistant: Last time we talked about seeing the internal medicine doctor there at your senior center, right?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: ASSESSMENT
Patient Information: This is a return visit for this patient who has refractory hypertension.  This seems to be doing very well given her current blood pressure reading, at least much improved from what she had been previously.  We had discussed with her in the past beginning to see an internist at the senior center.  She apparently had an appointment scheduled and it was missed.  We are going to reschedule that today given her overall state of well-being and the fact that she has no evidence of GFR that is greater than 60%.

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

user: Yes.

assistant: Last time we talked about seeing the internal medicine doctor there at your senior center, right?

user: Yes, I made an appointment last week, um, no week before that, but I completely forgot about it.

assistant: Hm, okay we need to reschedule that.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: ASSESSMENT
Patient Information: This is a return visit for this patient who has refractory hypertension.  This seems to be doing very well given her current blood pressure reading, at least much improved from what she had been previously.  We had discussed with her in the past beginning to see an internist at the senior center.  She apparently had an appointment scheduled and it was missed.  We are going to reschedule that today given her overall state of well-being and the fact that she has no evidence of GFR that is greater than 60%.

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

user: Yes, I made an appointment last week, um, no week before that, but I completely forgot about it.

assistant: Hm, okay we need to reschedule that.

user: Yes, I will do it today.

assistant: Okay, your reports look fine. G F R is below sixty percent, that's a good sign.  Overall, Miss K, you look better, but we need to reschedule your appointment with the Internist. That's kind of important.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: ASSESSMENT
Patient Information: This is a return visit for this patient who has refractory hypertension.  This seems to be doing very well given her current blood pressure reading, at least much improved from what she had been previously.  We had discussed with her in the past beginning to see an internist at the senior center.  She apparently had an appointment scheduled and it was missed.  We are going to reschedule that today given her overall state of well-being and the fact that she has no evidence of GFR that is greater than 60%.

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

user: Yes, I will do it today.

assistant: Okay, your reports look fine. G F R is below sixty percent, that's a good sign.  Overall, Miss K, you look better, but we need to reschedule your appointment with the Internist. That's kind of important.

user: Okay, I will do that. Thank you!

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

Section: ASSESSMENT
Patient Information: This is a return visit for this patient who has refractory hypertension.  This seems to be doing very well given her current blood pressure reading, at least much improved from what she had been previously.  We had discussed with her in the past beginning to see an internist at the senior center.  She apparently had an appointment scheduled and it was missed.  We are going to reschedule that today given her overall state of well-being and the fact that she has no evidence of GFR that is greater than 60%.

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, I will do that. Thank you!

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

Section: ASSESSMENT
Patient Information: This is a return visit for this patient who has refractory hypertension.  This seems to be doing very well given her current blood pressure reading, at least much improved from what she had been previously.  We had discussed with her in the past beginning to see an internist at the senior center.  She apparently had an appointment scheduled and it was missed.  We are going to reschedule that today given her overall state of well-being and the fact that she has no evidence of GFR that is greater than 60%.

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 mean, I am so happy to see your report today, your blood pressure looks much better. That's amazing given your past few visits your B P was out of control and even with changing your medications we were having tough time bringing it down.

user: Yeah, I feel much better, I read about my condition and it is called something as um refraction or--
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: ASSESSMENT
Patient Information: This is a return visit for this patient who has refractory hypertension.  This seems to be doing very well given her current blood pressure reading, at least much improved from what she had been previously.  We had discussed with her in the past beginning to see an internist at the senior center.  She apparently had an appointment scheduled and it was missed.  We are going to reschedule that today given her overall state of well-being and the fact that she has no evidence of GFR that is greater than 60%.

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 mean, I am so happy to see your report today, your blood pressure looks much better. That's amazing given your past few visits your B P was out of control and even with changing your medications we were having tough time bringing it down.

user: Yeah, I feel much better, I read about my condition and it is called something as um refraction or--

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

Section: ASSESSMENT
Patient Information: This is a return visit for this patient who has refractory hypertension.  This seems to be doing very well given her current blood pressure reading, at least much improved from what she had been previously.  We had discussed with her in the past beginning to see an internist at the senior center.  She apparently had an appointment scheduled and it was missed.  We are going to reschedule that today given her overall state of well-being and the fact that she has no evidence of GFR that is greater than 60%.

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 mean, I am so happy to see your report today, your blood pressure looks much better. That's amazing given your past few visits your B P was out of control and even with changing your medications we were having tough time bringing it down.

user: Yeah, I feel much better, I read about my condition and it is called something as um refraction or--

assistant: Refractory hypertension.

user: Oh yeah that!
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: CC
Patient Information: Followup diabetes mellitus, type 1.

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

assistant: Hi there! How are doing today?

user: I am doing well.

assistant: How have you been doing with keeping your hemoglobin levels between four and five point six prercent?

user: I have been doing well. I have been able to keep it within that range.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: CC
Patient Information: Followup diabetes mellitus, type 1.

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 well.

assistant: How have you been doing with keeping your hemoglobin levels between four and five point six prercent?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: CC
Patient Information: Followup diabetes mellitus, type 1.

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

assistant: Hi there! How are doing today?

user: I am doing well.

assistant: How have you been doing with keeping your hemoglobin levels between four and five point six prercent?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: Denies any tobacco or alcohol use.  She is divorced with 2 children.  She lives with her son.

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, are you married, ma'am?

user: Well, no I'm not. My husband and I got a divorce.

assistant: I'm sorry to hear that, do you have any children?

user: It's okay, it was for the best. Yes, I have two.

assistant: Do you live with either of them?

user: Yeah, um, I live with my son right now.

assistant: Do you smoke or drink?

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

Section: FAM/SOCHX
Patient Information: Denies any tobacco or alcohol use.  She is divorced with 2 children.  She lives with her son.

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, no I'm not. My husband and I got a divorce.

assistant: I'm sorry to hear that, do you have any children?

user: It's okay, it was for the best. Yes, I have two.

assistant: Do you live with either of them?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: Denies any tobacco or alcohol use.  She is divorced with 2 children.  She lives with her son.

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

user: It's okay, it was for the best. Yes, I have two.

assistant: Do you live with either of them?

user: Yeah, um, I live with my son right now.

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

Section: FAM/SOCHX
Patient Information: Denies any tobacco or alcohol use.  She is divorced with 2 children.  She lives with her son.

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 live with my son right now.

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

Section: FAM/SOCHX
Patient Information: Denies any tobacco or alcohol use.  She is divorced with 2 children.  She lives with her son.

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, are you married, ma'am?

user: Well, no I'm not. My husband and I got a divorce.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: Denies any tobacco or alcohol use.  She is divorced with 2 children.  She lives with her son.

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, are you married, ma'am?

user: Well, no I'm not. My husband and I got a divorce.

assistant: I'm sorry to hear that, do you have any children?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: Denies any tobacco or alcohol use.  She is divorced with 2 children.  She lives with her son.

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, are you married, ma'am?

user: Well, no I'm not. My husband and I got a divorce.

assistant: I'm sorry to hear that, do you have any children?

user: It's okay, it was for the best. Yes, I have two.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: Grandfather brings the patient in today because of headaches, mostly in her face.  She is feeling pressure there with a lot of sniffles.  Last night, she complained of sore throat and a loose cough.  Over the last three days, she has had a rash on her face, back and arms.  A lot of fifth disease at school.  She says it itches and they have been doing some Benadryl for this.  She has not had any wheezing lately and is not taking any ongoing medications for her asthma.

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, so, who is the patient today?

user: Good afternoon, doctor. My granddaughter is your patient today.

assistant: What seems to be the problem today, young lady?

user: Well, I'm having a lot of headaches, I feel it in my face.

assistant: Does it feel like pressure?

user: That, and I have the sniffles.

assistant: What other symptoms have you had?

user: Um, well, last night I had a sore throat, and I was coughing up phlegm.

assistant: Interesting, anything else?

user: Um, I've had a rash on my face, back, and arms for the last three days or so.

assistant: Is it itchy?

user: Yes, so we've been taking a lot of Benadryl.

assistant: I see, are you going to school?

user: I have been, there's been a lot of fifth disease this year.

assistant: Okay, and have you been wheezing lately?

user: No, I haven't been.

assistant: I see you have asthma, have you had any medication for this?

user: No, I haven't had anything.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: Grandfather brings the patient in today because of headaches, mostly in her face.  She is feeling pressure there with a lot of sniffles.  Last night, she complained of sore throat and a loose cough.  Over the last three days, she has had a rash on her face, back and arms.  A lot of fifth disease at school.  She says it itches and they have been doing some Benadryl for this.  She has not had any wheezing lately and is not taking any ongoing medications for her asthma.

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: Good afternoon, doctor. My granddaughter is your patient today.

assistant: What seems to be the problem today, young lady?

user: Well, I'm having a lot of headaches, I feel it in my face.

assistant: Does it feel like pressure?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: Grandfather brings the patient in today because of headaches, mostly in her face.  She is feeling pressure there with a lot of sniffles.  Last night, she complained of sore throat and a loose cough.  Over the last three days, she has had a rash on her face, back and arms.  A lot of fifth disease at school.  She says it itches and they have been doing some Benadryl for this.  She has not had any wheezing lately and is not taking any ongoing medications for her asthma.

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'm having a lot of headaches, I feel it in my face.

assistant: Does it feel like pressure?

user: That, and I have the sniffles.

assistant: What other symptoms have you had?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: Grandfather brings the patient in today because of headaches, mostly in her face.  She is feeling pressure there with a lot of sniffles.  Last night, she complained of sore throat and a loose cough.  Over the last three days, she has had a rash on her face, back and arms.  A lot of fifth disease at school.  She says it itches and they have been doing some Benadryl for this.  She has not had any wheezing lately and is not taking any ongoing medications for her asthma.

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

user: That, and I have the sniffles.

assistant: What other symptoms have you had?

user: Um, well, last night I had a sore throat, and I was coughing up phlegm.

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

Section: GENHX
Patient Information: Grandfather brings the patient in today because of headaches, mostly in her face.  She is feeling pressure there with a lot of sniffles.  Last night, she complained of sore throat and a loose cough.  Over the last three days, she has had a rash on her face, back and arms.  A lot of fifth disease at school.  She says it itches and they have been doing some Benadryl for this.  She has not had any wheezing lately and is not taking any ongoing medications for her asthma.

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, well, last night I had a sore throat, and I was coughing up phlegm.

assistant: Interesting, anything else?

user: Um, I've had a rash on my face, back, and arms for the last three days or so.

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

Section: GENHX
Patient Information: Grandfather brings the patient in today because of headaches, mostly in her face.  She is feeling pressure there with a lot of sniffles.  Last night, she complained of sore throat and a loose cough.  Over the last three days, she has had a rash on her face, back and arms.  A lot of fifth disease at school.  She says it itches and they have been doing some Benadryl for this.  She has not had any wheezing lately and is not taking any ongoing medications for her asthma.

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, I've had a rash on my face, back, and arms for the last three days or so.

assistant: Is it itchy?

user: Yes, so we've been taking a lot of Benadryl.

assistant: I see, are you going to school?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: Grandfather brings the patient in today because of headaches, mostly in her face.  She is feeling pressure there with a lot of sniffles.  Last night, she complained of sore throat and a loose cough.  Over the last three days, she has had a rash on her face, back and arms.  A lot of fifth disease at school.  She says it itches and they have been doing some Benadryl for this.  She has not had any wheezing lately and is not taking any ongoing medications for her asthma.

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, so we've been taking a lot of Benadryl.

assistant: I see, are you going to school?

user: I have been, there's been a lot of fifth disease this year.

assistant: Okay, and have you been wheezing lately?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: Grandfather brings the patient in today because of headaches, mostly in her face.  She is feeling pressure there with a lot of sniffles.  Last night, she complained of sore throat and a loose cough.  Over the last three days, she has had a rash on her face, back and arms.  A lot of fifth disease at school.  She says it itches and they have been doing some Benadryl for this.  She has not had any wheezing lately and is not taking any ongoing medications for her asthma.

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 been, there's been a lot of fifth disease this year.

assistant: Okay, and have you been wheezing lately?

user: No, I haven't been.

assistant: I see you have asthma, have you had any medication for this?