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

Section: FAM/SOCHX
Patient Information: The patient was born and raised in North Carolina.  She was the sixth of nine siblings.  Her father was a chef.  He completed third grade and died at 60 due to complications of diabetes.  Her mother is 93 years old.  Her last job was as a janitor.  She completed fourth grade.  She reported that she has no cognitive problems at this time.  Family medical history is significant for diabetes, heart disease, hypertension, thyroid problems, sarcoidosis, and possible multiple sclerosis and depression.  The patient completed a Bachelor of Science in Nursing through State University in 1979.  She denied any history of problems in school such as learning disabilities, attentional problems, difficulty learning to read, failed grades, special help in school or behavioral problems.  She was married for two years.  Her ex-husband died in 1980 from acute pancreatitis secondary to alcohol abuse.  She has two children ages 43 and 30.  Her son whose age is 30 lives nearby and is in consistent contact with her and she is also in frequent contact and has a close relationship with her daughter who lives in New York.  In school, the patient reported obtaining primarily A's and B's.  She said that her strongest subject was math while her worst was spelling, although she reported that her grades were still quite good in spelling.  The patient worked for Hospital Center for four years.  Prior to that, she worked for an outpatient mental health center for 2-1/2 years.  She was reportedly either terminated or laid off and was unsure of the reason for that.  Prior to that, she worked for Walter P. Carter Center reportedly for 21 years.  She has also worked as an OB nurse in the past.  She reported that other than the two instances reported above, she had never been terminated or fired from a job.  In her spare time, the patient enjoys reading, participating in women's groups doing puzzles, playing computer games.

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.

assistant: Are you from the area?

user: No. I was born and raised in North Carolina. I am the sixth of nine siblings.

assistant: Tell me about you family medical history.

user: My family has significant amount of diabetes, heart disease, high blood pressure, thyroid problems, autoimmune disease, possible multiple sclerosis, and depression issues.

assistant: That is a lot. What is your medical history involving your parents?

user: My dad died due to complications of his diabetes.  He passed when he was sixty. My dad was a chef. My mom is doing well. She is ninety three. Both my parents never finished high school. My dad had a third grade education and my mom made it through fourth grade. She was a janitor. She was a smart woman she just never finished her schooling. My parents encouraged me to finish school and to go to college. I got my Bachelor of Science in Nursing at the State University in nineteen seventy nine.

assistant: Did you have any problems in school such as learning disabilities, attentional problems, difficulty learning to read, failed grades, special help in school or behavioral problems?

user: No. I mostly got A's and B's.  My strongest subject was math, but my worst subject was spelling. My grades were still quite good in spelling, but I had to work hard at it.

assistant: Are you married?

user: I was married for two years. We had two children together. They are forty three and thirty now. My son is the youngest, lives nearby and calls me or stops by every day. My daughter calls me often but she lives in New York. We are close. Their dad, my exhusband passed away in nineteen eighty. He was an alcoholic. His pancreas had enough and shut down.

assistant: I am so sorry.

user: He did it to himself.

assistant: Are you working in health care with your nursing degree?

user: I worked for Hospital Center for four years. Prior to that, I worked for an outpatient mental health center. I was there for about two and a years. I was fired or laid off I guess? I was not sure why they let me go. I was given no explanation. And before that, I worked for Walter P. Carter Center for twenty one years. I also worked as an O B nurse.  Other than the two instances, I had never been fired or let go from a job.

assistant: What do you do in your spare time now?

user: I enjoy reading, doing puzzles, playing computer games. I joined a women's support group for women my age. I keep myself, busy.