jshargo/mts-medical-trainset2 huggingface dataset:
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTSURGICAL
Patient Information: Appendectomy at age 21. C-Section 8 years ago. Ob/Gyn: G2P2; last menstrual period 3 weeks ago. Heavy menses due to fibroids.

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: Hello, I'm here for my appointment.

assistant: Can you tell me what surgeries have you had in the past?

user: I have had appendix surgery when I was twenty one years old and eight years back I had C Section.

assistant: Okay. I want to know how many pregnancies you had and how many babies?

user: Sure, I have only two.

assistant: Okay. Do you have any issues with your periods?

user: Yes, I get heavy periods because of fibroids in my uterus.

assistant: Oh. When was your last menstrual period?

user: Oh, you can say about three weeks back.

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

Section: GENHX
Patient Information: This is a 49-year-old white male who sustained a traumatic injury to his left posterior thighthis past year while in ABCD.  He sustained an injury from the patellar from a boat while in the water.  He was air lifted actually up to XYZ Hospital and underwent extensive surgery.  He still has an external fixation on it for the healing fractures in the leg and has undergone grafting and full thickness skin grafting closure to a large defect in his left posterior thigh, which is nearly healed right in the gluteal fold on that left area.  In several areas right along the graft site and low in the leg, the patient has several areas of hypergranulation tissue.  He has some drainage from these areas.  There are no signs and symptoms of infection.  He is referred to us to help him get those areas under control.

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: Hello, I'm here for my appointment.

assistant: Hello, sir. Before we begin your visit, could you verify your age and ethnicity for me, please?

user: I'm forty nine years old, and I identify as white.

assistant: Thank you. What brought you in today?

user: I was referred to you so that I could get whatever's wrong with me under control.

assistant: I see. What seems to be happening?

user: I hurt the back of my leg pretty bad this past year when I was in A B C D.

assistant: What part of your leg?

user: The back of my left thigh.

assistant: I see. So just the leg?

user: I also hurt my kneecap from a boat when I was out in the water fishing.

assistant: Was that severe?

user: It was a whole show. A helicopter came down and swooped me to X Y Z Hospital, where I got surgery.

assistant: I can see you still have an external fixation on your knee so that the fracture heals. Did the hospital give you a report on the surgery?

user: Yeah, they did. Here you go.

assistant: Thank you. Let me take a look. So, it looks like you underwent grafting and full thickness skin grafting for closure for a large defect in your left posterior thigh. That seems to be healed in the gluteal fold on the left area.

user: Yeah. Whatever that means.

assistant: Let me examine the area.

user: Go for it.

assistant: I can see several areas that have hypergranulation tissues around the graft site and low in the leg.

user: Is that bad?

assistant: I don't think so. Are you feeling any symptoms of a fever or anything?

user: No, I'm not.

assistant: That's good. You don't have any infections then.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: He does smoke two packs of cigarettes per day.  He has no alcohol or drug use.  He is a painter.

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: Hello, I'm here for my appointment.

assistant: And are you working?

user: Ah yes, I am a painter.

assistant: Okay good. Do you smoke?

user: Yes, I do.

assistant: Hm and how much do you smoke?

user: Well, about two packs a day.

assistant: And how about alcohol, do you drink?

user: No sir, I don't drink.

assistant: Any drugs?

user: You mean like cocaine and stuff?

assistant: Yeah.

user: No, no drugs.
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 76-year-old female who was referred to us from Dr. X for left flank pain.  The patient was found to have a left ureteral stone measuring about 1.3 cm in size per the patient's history.  The patient has had pain in the abdomen and across the back for the last four to five days.  The patient has some nausea and vomiting.  The patient wants something done for the stone.  The patient denies any hematuria, dysuria, burning or pain.  The patient denies any fevers.

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: Hello, I'm here for my appointment.

assistant: Welcome to the clinic, ma'am. I am Doctor Smith.

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

assistant: Doctor X referred you to us, is that correct?

user: Yes. He is my primary care doctor.

assistant: It looks like you have a birthday coming up. Happy early birthday!

user: Thank you. Yes, I am going to be seventy seven.

assistant: Doctor Kim's notes said that you have had pain in the left flank pain. Can you tell me more about the pain?

user: Yes. The pain started four or five days ago. It has been in my stomach and through to my back, on the left side. Right here.

assistant: Okay. Have you had any nausea or vomiting?

user: Yes. I had some nausea, and I threw up a few times.

assistant: Have you noticed any blood, pain and or burning during urination?

user: No.

assistant: Any fever or chills?

user: No.

assistant: I have the ultrasound results that Doctor X ordered the other day.  The ultrasound found a stone in your left ureteral. The stone is about one point three C M in size.

user: Is there some thing we can do to remove it? I really want this taken care of.

assistant: Yes. Let us go over the treatment options.
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 41-year-old female who presented to me with severe cervical spondylosis and myelopathy.  She was referred to me by Dr. X.  The patient underwent a complicated anterior cervical discectomy, 2-level corpectomy, spinal cord decompression and fusion with fibular strut and machine allograft in the large cervical plate.  Surgery had gone well, and the patient has done well in the last 2 days.  She is neurologically improved and is moving all four extremities.  No airway issues.  It was felt that the patient was now a candidate for a halo vest placement given that chance of going to the OR were much smaller.  She was consented for the procedure, and I sought the help of ABC and felt that a PMT halo would be preferable to a Bremer halo vest.  The patient had this procedure done at the bedside, in the SICU room #1.  I used a combination of some morphine 1 mg and Versed 2 mg for this procedure.  I also used local anesthetic, with 1% Xylocaine and epinephrine a total of 15 to 20 cc.

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: Hello, I'm here for my appointment.

assistant: Good afternoon, ma'am. You're forty one years old, correct?

user: Good afternoon, doctor. Yes, that's correct.

assistant: Thank you, have you followed up with Doctor X since your surgery?

user: Why would I do that?

assistant: Oh, just because she referred you to me.

user: Oh, no, I haven't yet.

assistant: That's fine. Have you heard the details behind your surgery?

user: I heard it once, but I can't remember anything. Can you remind me?

assistant: Well, you had a complicated case, but we did an anterior cervical discectomy, two level corpectomy, with a spinal decompression and fusion with fibular strut and machine allograft in your large cervical plate.

user: Oh, that's a lot, doctor.

assistant: Yes, how are you doing today?

user: Well, I've felt good for the last two days.

assistant: Have you been able to move your arms and legs for the last few days?

user: Yeah, I can actually move all four.

assistant: Good, are you having any issues breathing?

user: No, nothing of note there.

assistant: Okay, today, I think you'd be a good candidate for a halo vest placement.

user: Yeah, doctor, I'm not going back to the O R.

assistant: Okay, we can do it here.

user: Okay doctor, I'd like to do it here.

assistant: Let me get A B C to help me with this. Also, we're going to move you to S I C U room one.

user: Can you tell me the details about what you're going to do?

assistant: Well, this is a P M T halo, I like this one better than the Bremer halo vest, and I'll use morphine and Versed.

user: Are you going to use anesthesia?

assistant: Yes, I have local anesthetic, it's xylocaine and epinephrine, um, it's somewhere between fifteen and twenty C C.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: CC
Patient Information: A 74-year-old female patient admitted here with altered mental status.

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: Hello, I'm here for my appointment.

assistant: Is everything fine?

user: My mom is not well.

assistant: When did this start?

user: I don't know but she is not in her correct state of mind.

assistant: Okay let's see what we can do, how old is she?

user: She is around seventy four years old.

assistant: Okay. Don't worry, we will see what we can do.

user: Thanks!

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

Section: FAM/SOCHX
Patient Information: He lives in Sacaton with his sister.  He is separated from his wife who lives in Coolidge.  He smokes one or two cigarettes a day.  Denies drug abuse. He used to be a heavy drinker, quit alcohol one year ago and does not work currently.

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: Hello, I'm here for my appointment.

assistant: Welcome in, sir.

user: Thank you.

assistant: Let us start off with a little background.

user: Okay.

assistant: What is your current living status? Do you live with others or on your own?

user: Well, right now I am living with my sister in Sacaton. I am currently looking for my own place, but I am staying with her for now.

assistant: Are you looking for a place in Sacaton?

user: No. I will probably look for a place back in Coolidge.

assistant: Back in Coolidge? Have you lived there before?

user: I recently separated from my wife. We lived in Coolidge together. Sacaton is too far away from everything, but it is fine for now.

assistant: I am so sorry to hear that.

user: Thank you. My sister has been a saint. I am not working right now so my sister is letting me stay with her for free. She gave up her home office and made me a nice room to stay in.

assistant: Your sister is very generous. Are you and your sister close?

user: Not when we were growing up but now that we are older, we have become very close. She has been a great support for me in these hard times.

assistant: That's wonderful. Are you a tobacco user?

user: I smoke cigarettes. I only smoke a little bit.

assistant: How much do you smoke per day?

user: I only smoke about one or two cigarettes a day.

assistant: Do you or have you ever used drugs or alcohol?

user: I have never used drugs. I used to be a heavy drinker. I quit drinking a year ago.

assistant: That's great. Do you attend A A meetings?

user: No, but I might start. Things have been very stressful lately with the separation and being on unemployment.

assistant: I think it could be beneficial to you.

user: Okay.

assistant: I have a list for different support groups in the area that I can give you.

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

Section: EDCOURSE
Patient Information: Ms. ABC was admitted to the hospital.  She was seen by Dr. A.  He put her on an insulin drip.  Her sugars slowly did come down to normal down to between 115 and 134.  On the next day, she was then taken to the operating room, where she underwent her laparoscopic cholecystectomy.  She was noted to be a difficult intubation for the procedure.  There were some indications of chronic cholecystitis, a little bit of edema, mild edema and adhesions of omentum around the gallbladder.  She underwent the procedure.  She tolerated without difficulty.  She was recovered in the Postoperative Care Unit and then returned to the floor.  Her blood sugar postprocedure was noted to be 233.  She was started back on a sliding scale insulin.  She continued to do well and was felt to be stable for discharge following the procedure.

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: Hello, I'm here for my appointment.

assistant: How are you feeling after that insulin drip, Miss A B C?

user: I am feeling much better. My sugar levels are normal.

assistant: Yes, between one hundred fifteen and one thirty four. So, on the second day after your admission they did laparoscopic removal of your gallstones. You were very difficult to intubate. But everything went well with surgery. There was some swelling and adhesions around your gallbladder, but all is well that ends well.

user: What was my blood sugar during surgery?

assistant: Great question. After surgery they were around two thirty three.

user: I am getting a special insulin?

assistant: Yes, sliding scale insulin.

user: Can I go home?

assistant: Yes, you are all set to go home, everything is stable.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This 41-year-old Caucasian female who presents to ABCD General Hospital.  The patient states that she has extreme pain over the navicular bone with shoe gear as well as history of multiple osteochondromas of unknown origin.  She states that she has been diagnosed with hereditary osteochondromas.  She has had previous dissection of osteochondromas in the past and currently has not been diagnosed in her feet as well as spine and back.  The patient desires surgical treatment at this time.

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

user: Hello, I'm here for my appointment.

assistant: Good morning, ma'am.

user: Good morning, doctor.

assistant: Welcome to A B C D General Hospital. My nurse says that you are forty one years old, and you identify as a White female, is that correct?

user: Yes, that's all correct.

assistant: Thank you, so, what seems to be the trouble today?

user: Well, I'm having some pain in this foot, it's right over this bone.

assistant: Is your pain right here?

user: Yes, it really hurts right there.

assistant: Okay, this is known as your navicular bone. What makes the pain worse?

user: Usually wearing shoes makes it worse.

assistant: Do you have any past history of problems with this foot?

user: Well, I have a history of multiple osteochondromas.

assistant: Do they know what caused these?

user: No, no one ever figured it out, they just said it was hereditary.

assistant: Have they done surgery on these in the past?

user: Yeah, I had a surgery for this a while ago.

assistant: Have you ever had this problem in your feet or spine?

user: No, this is new. Can we do that surgery again? I can't take this pain.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTSURGICAL
Patient Information: As listed on 04/22/04 along with allergies 04/22/04.

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: Hello, I'm here for my appointment.

assistant: On April twenty two four we went over your list of medication and allergies.

user: Okay.

assistant: Let me check something.

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

Section: PLAN
Patient Information: 2 g sodium, low fat, low cholesterol diet.

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: Hello, I'm here for my appointment.

assistant: How's the low fat and low cholesterol diet going? Have you been finding it manageable?

user: Yeah, I guess. I've tried to also reduce my salt intake to about two grams.
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 and alcoholism.

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: Hello, I'm here for my appointment.

assistant: Hello. Before we begin your visit, could I ask a few questions to fill in some missing information?

user: Yeah, that's fine.

assistant: Does your family have any health related problems?

user: Yeah, we do. We have a strong history of heart disease. I think it could be because we drink a lot.

assistant: So, would you say alcoholism runs in your family?

user: Oh, yeah. We drink a lot every day. Beer, liquor, you name it.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: The patient stopped smoking 27 years ago, he smoked approximately two packs a day with combined cigarettes and cigars.  He has not smoked for the past 27 years.  He hardly ever uses alcohol.  He is currently retired.

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: Hello, I'm here for my appointment.

assistant: Are you working these days?

user: No, sir. I've been retired for a couple years now.

assistant: Congratulations. I hope you're enjoying your time off.

user: You bet.

assistant: You mentioned having a smoking history. When did you quit and approximately how much did you smoke?

user: Uh I quit about twenty seven years ago. If I had to guess, I smoked about two packs a day.

assistant: Did you smoke only cigarettes?

user: Cigars, too.

assistant: How about alcohol?

user: Hardly ever.

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

Section: GENHX
Patient Information: This 47-year-old Caucasian male presents to ABCD General Hospital with a history of tissue mass on his left foot.  The patient states that the mass has been present for approximately two weeks and has been rapidly growing in size.  The patient also has history of shave biopsy in the past.  The patient does state that he desires surgical excision at this time.

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

user: Hello, I'm here for my appointment.

assistant: Good morning, sir, welcome to A B C D General Hospital.

user: Thank you, doctor. I hope you can fix me up quickly.

assistant: We'll do our best. Um, before we begin, I just need some background information. So, how old are you?

user: I'm forty seven years old.

assistant: Good, and what race do you identify with?

user: I identify as white, sir.

assistant: Thank you, so, what seems to be the problem today?

user: Well, I have this, um, mass of my left foot, it's been getting worse too.

assistant: I see it. How long has this tissue mass been there on that foot?

user: It's been about two weeks now, but it's getting worse way faster now.

assistant: Do you have any history of cancer?

user: No, but I've had an, um, shave biopsy in the past.

assistant: I see.

user: Is there any surgery we can do for this to cut it off? I really want it gone.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: The patient is married with five children and lives with his wife. He is a retired engineer and real estate broker. He denies tobacco use. He drinks alcohol occasionally with up to three drinks a week. No history of drug abuse.

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: Hello, I'm here for my appointment.

assistant: What do you do for a living?

user: Actually, I'm retired now, but I was an engineer, and I did some real estate brokering as well on the side.

assistant: Wow, that's a lot. Congratulations on your retirement!

user: Thank you, now I get to spend more time with my wife.

assistant: Wonderful, do you have any children?

user: Yes, five in total, it's a full house.

assistant: Fantastic, do you drink or smoke?

user: I don't smoke, but I drink a little.

assistant: How many drinks would you say you have a week?

user: Um, I'd say up to three drinks a week.

assistant: Okay, and is there any history of drug or illicit substance abuse, sir?

user: No, never anything like that.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: DIAGNOSIS
Patient Information: Hyperglycemia, cholelithiasis, obstructive sleep apnea, diabetes mellitus, hypertension, and cholecystitis.

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: Hello, I'm here for my appointment.

assistant: As per your chart I am going to put some of the following things in your diagnosis.

user: Yes, I have diabetes, hypertension and gallstones.

assistant: Yes I can see that in your chart over here.

user: What are the new things?

assistant: We now have added hyperglycemia and obstructive sleep apnea.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: Quit smoking 15 years ago.

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: Hello, I'm here for my appointment.

assistant: Do you smoke?

user: Nope. I quit like fifteen years ago.