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

Section: GENHX
Patient Information: This is a 50-year-old male who presented to ABCD General Hospital Emergency Department with complaints of left ankle pain and disfigurement.  There was no open injury.  The patient fell approximately 10 feet off his liner, landing on his left foot.  There was evidence of gross deformity of the ankle.  An x-ray was performed in the Emergency Room, which revealed a grade IV Hawkins classification talus fracture.  He was distal neurovascularly intact.  The patient denied any other complaints besides pain in the ankle. It was for this reason, we elected to undergo the  procedure in order to reduce and restore the blood supply to the talus body.  Because of its tenuous blood supply, the patient is at risk for avascular necrosis.  The patient has agreed to undergo the above-named procedure and consent was obtained.  All risks as well as complications were discussed.

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 evening, and welcome to A B C D General Hospital E D.

user: Thank you, Doctor, I've really messed up this ankle.

assistant: Before we begin, how old are you? And which gender do you identify?

user: Thank you for asking, Doctor, I'm a fifty year old man.

assistant: Thank you, what happened?

user: I fell off my liner, and I landed right onto my left foot.

assistant: How far did you fall?

user: Um, it was really about ten feet.

assistant: Oh, yes, I see. I have some good news for you, there's no gross deformity in this ankle.

user: What does that mean, exactly?

assistant: I don't see any ankle dislocation, which is good.

user: Oh, that's good news.

assistant: Have you had your x rays taken yet?

user: Yeah, the tech just brought me back.

assistant: Great, let me pull them up here. Okay, um, if you look here, you'll see a fracture of your talus.

user: Which bone is that?

assistant: That's your heel, to be specific, it's a grade I V Hawkins fracture of the left talus. You are still neurovascularly intact in the distal region.

user: What are we going to do about this?

assistant: Do you have any other pain from the fall, aside from the ankle?

user: No, the ankle really took all of the weight of the fall.

assistant: Okay, I think we should do surgery in order to repair this ankle.

user: Why is that?

assistant: There is very weak blood flow to the body of this bone, there's a risk for avascular necrosis, which is bone death.

user: Okay, you're right. What are the risks of this infection with this surgery?

assistant: Overall, the risks of infection are less than one percent. We'll use antibiotics to keep everything clean.

user: Will I be asleep for this?

assistant: Yes, you'll be under anesthesia.

user: Okay, yes, um, I'd like to go forward with the surgery.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: MEDICATIONS
Patient Information: Augmentin; Detrol LA; lisinopril.

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 medications are you currently taking?

user: Augmentin, Detroal LA and lisinopril.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: There is family history of migraine and diabetes in her siblings.

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, miss. How are you doing today?

user: I have this massive headache.

assistant: I see. Do migraines usually run in your family?

user: They do. Everyone has it. We've been having it for many years.

assistant: Oh, wow. I'm looking at your blood reports, and it shows you have high blood sugar. Does diabetes run in your family too?

user: Yup. We all eat too much rice for dinner.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This is a 58-year-old male who started out having toothache in the left lower side of the mouth that is now radiating into his jaw and towards his left ear.  Triage nurse reported that he does not believe it is his tooth because he has regular dental appointments, but has not seen a dentist since this new toothache began.  The patient denies any facial swelling.  No headache.  No swelling to the throat.  No sore throat.  No difficulty swallowing liquids or solids.  No neck pain.  No lymph node swelling.  The patient denies any fever or chills.  Denies any other problems or complaints.

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's bringing you in today?

user: I've had a terrible toothache. I can't stand the pain anymore. I have never experienced this pain in fifty eight years.

assistant: Where are you experiencing the most pain? And when did this pain start?

user: It started about three weeks ago. It's mostly on the left side of my mouth. Kind of on the lower end. It goes from my jaw all the way up to my left ear.

assistant: That doesn't sound the least bit comfortable. Let's get you feeling better. Do you think it's related to your tooth?

user: No, I don't think so. I'm pretty good at making my dentist appointments, although I haven't been in since this new pain started.

assistant: I see. When was the last time you visited the dentist?

user: About two months ago for a routine clean.

assistant: Have you noticed any facial swelling since all of this started?

user: No, no swelling.

assistant: Any headaches, throat swelling, sore throat, difficulty swallowing or chewing?

user: No.

assistant: How about any neck pain, swollen lymph nodes, chills, fever, or other symptoms?

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

Section: GENHX
Patient Information: The patient has been followed elsewhere, and we reviewed his records.  Essentially, he has had a trigger finger and a mucocyst, and he has had injections.  This has been going on for several months.  He is now here for active treatment because the injections were not helpful, nonoperative treatment has not worked, and he would like to move forward in order to prevent this from keeping on locking and causing his pain.  He is referred over here for evaluation regarding that.

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 long has your finger been in pain, sir?

user: Well, at this point, it's been more than a few months.

assistant: Have you seen another doctor for this pain?

user: Yeah, I saw another guy a little while ago.

assistant: Do you have the records from the visit?

user: Yeah, actually, they're right here.

assistant: Okay, so I see you have a trigger finger, and a mucous cyst, and this other doctor gave you injections. Is that correct?

user: Yes sir.

assistant: Did the injections help at all?

user: No sir, honestly, they did nothing.

assistant: So, your finger is still locking today?

user: Yes sir, the other doctor referred me over here to see if there was anything more we could do. I'd like to try surgery.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This is a 15-year-old girl presenting with occipital headache for the last six hours.  She denies trauma.  She has been intermittently nauseated but has not vomited and has some photophobia.  Denies fever or change in vision.  She has no past history of headaches.

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, I am Doctor James.

user: Hi Doctor, this is my daughter Miya, and I am Jena.

assistant: Nice to meet you ladies. So, Miya how old are you?

user: I am fifteen.

assistant: Okay, so tell me what is going on with you?

user: Well, I am having a severe headache. She has been complaining about it for almost six hours now.

assistant: Oh wow. Can you tell me where exactly the pain is?

user: Um, it started from my neck and then moved up to the back of my head.

assistant: I see. Did you get hurt or bump your head?

user: No.

assistant: Does she have any history of headaches?

user: No.

assistant: Okay, any nausea or vomiting?

user: I am having nausea, but it's coming and going but no vomiting. Also, I am not able to tolerate light at all.

assistant: Hm, are you able to see properly though, any change in your vision?

user: No.

assistant: Any fever?

user: No. No, no fever.

assistant: Okay.
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 right-handed. She does not smoke and does not drink alcohol.

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 you said you're right handed, correct?

user: Yep. Right handed.

assistant: Okay, great. I've made note of it in your chart. I have one more question to ask regarding tobacco and alcohol. Do you smoke or drink?

user: I don't do either. I can't even think of the last time I took a sip of alcohol.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: CC
Patient Information: Sepsis, possible SBP.

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 brings him in today? He's here for sepsis and I suspect he may have spontaneous bacterial peritonitis. Let me pull up his chart.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: EXAM
Patient Information: NECK: Supple and symmetric.  There was no thyroid enlargement, and no tenderness, or masses were felt.

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: Let's check your throat. Okay, I don't see any swelling or any mass. Is there any pain when I touch you?

user: No pain.

assistant: I don't feel any kind of lump in your throat. That is a good sign. It looks very flexible and symmetric.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: Mom brings the patient in today for possible ear infection.  He is complaining of left ear pain today.  He was treated on 04/14/2004, with amoxicillin for left otitis and Mom said he did seem to get better but just started complaining of the left ear pain today.  He has not had any fever but the congestion has continued to be very thick and purulent.  It has never really resolved.  He has a loose, productive-sounding cough but not consistently and not keeping him up at night.  No wheezing or shortness of breath.

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 this little guy doing today?

user: I think he might have another ear infection.

assistant: Oh, I'm sorry to hear that. Let's have a look see.

user: He's been telling me over and over again that his left ear is hurting him. He was here on April fourteenth and prescribed Amoxicillin.

assistant: Did that seem to help?

user: It did at first, but the pain is back again.

assistant: Has he been running any fevers?

user: No, no fevers.

assistant: He sounds a bit congested.

user: He is. When he blows his nose, he brings up really thick mucous. This never really went away even with antibiotics. He's also been coughing a fair amount.

assistant: Is his cough productive?

user: Yeah.

assistant: Does it seem to be keeping him up at night? How does the mucous look?

user: No, I don't think so. It is pretty thick and viscous. The cough isn't constant or anything.

assistant: And no shortness of breath or wheezing that you've noticed?

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

Section: GENHX
Patient Information: The patient was seen and examined.  He feels much better today, improved weakness and decreased muscular pain.  No other complaints.

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 today, sir?

user: I'm doing much better today, doctor.

assistant: How is your strength and muscular pain?

user: They're both improving.

assistant: Do you have any other complaints today?

user: No, I'm doing quite well, honestly.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTMEDICALHX
Patient Information: The only identified problem in his chart is that he is being treated for hyperlipidemia with gemfibrozil.  The patient is unaware and cannot remember what medications he had been taking or whether he had been taking them at all as an outpatient.

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: You have cholesterol issues, right?

user: Yes.

assistant: Okay. I see. Gemfibrozil? That sounds familiar? Do you take that?

user: Yes, I think that one. But I am not sure.

assistant: Okay. Do you remember taking them at all as an outpatient?

user: I mean I don't remember.

assistant: Okay don't worry I can look at your previous records. We do have them.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This is the initial clinic visit for a 41-year-old worker who is seen for a foreign body to his left eye.  He states that he was doing his normal job when he felt a foreign body sensation.  He attempted to flush this at work, but has had persistent pain which has progressively worsened throughout the course of the day.  He has no significant blurriness of vision or photophobia.

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: So it looks like you're here today for a noticeable foreign body sensation in your eye.

user: Yeah, my left eye. Never had this happen to me in my forty one years.

assistant: First time for everything I guess! When did you first notice the sensation?

user: Um when I was at work this morning. It felt like something was in my eye. I went to the bathroom mirror to check it out, but didn't see anything. I flushed my eyes with water in hopes of it helping with the weird feeling.

assistant: Okay. Hm, are you experiencing any eye pain, blurred vision, or sensitivity to light?

user: The pain has definitely gotten worse since this morning. My vision is fine and bright lights don't seem to be a problem.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: CC
Patient Information: 1.  Infection. 2.  Pelvic pain. 3.  Mood swings. 4.  Painful sex.

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 brings you in today?

user: I've had a lot of discomfort in my private area.

assistant: When did it start?

user: It's been going on for about two weeks now.

assistant: Have you noticed any abnormal discharge?

user: Not really, no. But it's been super itchy down there.

assistant: Any abdominal pain, nausea, vomiting?

user: Uh no, but I'm having some pain here.

assistant: Near your pelvis?

user: Yeah.

assistant: Have you started any new lotions or products?

user: No.

assistant: Have you tried anything for the pain or itching?

user: No, not yet. I thought it'd go away on it's own.

assistant: If it's okay with you, I'd like to do a pelvic exam.

user: Fine with me.

assistant: Have you been sexually active prior to or after noticing these concerns?

user: Uh once this past week, but it was pretty painful.

assistant: I see. You may have an infection, which is why I'd also like to send out samples to the lab. Did you use protection?

user: Yeah, I take birth control. But I've been struggling a bit with my mood and I'm wondering if it's because of the new birth control pills.

assistant: We can look into that as well. Hang tight while I grab the nurse for the pelvic exam.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: ALLERGY
Patient Information: She has no known medical allergies.

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 have any allergies?

user: No, I do not have any allergies.

assistant: Okay so no medically relevant allergies then. Nothing?

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

Section: ALLERGY
Patient Information: She is allergic to Sulfa.

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: Any known allergies?

user: Oh yes, I cannot take Sulfa drugs.

assistant: Let me add that to your record.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: ROS
Patient Information: Otherwise well.  No febrile illness.  No motor or sensory complaints of any sort or paresthesias in the hand.

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: So how are you feeling?

user: I am feeling well.

assistant: Any illness or fever?

user: No, nothing like that.

assistant: Any headache or nausea?

user: No.

assistant: Any vomiting or stomach upset?

user: No.

assistant: Okay, any numbness tingling or loss of sensation in the hand?

user: No, not at all.

assistant: Otherwise feeling well?

user: Yeah.
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 75-year-old female who comes in today with concerns of having a stroke.  She states she feels like she has something in her throat.  She started with some dizziness this morning and some left hand and left jaw numbness.  She said that she apparently had something about three weeks ago where she was dizzy and ended up falling down and she saw Dr. XYZ for that who gave her some Antivert.  She said that today though she woke up in the middle of the night and her left hand was numb and she was having numbness on the left side of her face, as well as the left side of her neck.  She said she had an earache a day or so ago.  She has not had any cold symptoms.

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. I am Doctor Frank.

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

assistant: What brings you into see me today?

user: I think I may have had a stroke.

assistant: What happened to make you think that you had a stroke?

user: This morning, I felt like something in my throat. It was a strange feeling. Then I felt really dizzy. My left hand and jaw felt numb.

assistant: Did you lose consciousness?

user: I don't know. It is a bit confusing. I woke up this morning and I was so disoriented that I thought it was the middle of the night. My hand was numb. I also felt the numbness on the left side of my neck and my face.

assistant: Did the dizzy episode happen after you woke up this morning?

user: Yes. I got dizzy when I tried to get out of bed.

assistant: Has anything like this happen to you in the past?

user: About three weeks ago, I had a dizzy episodes and I ended up falling down.

assistant: Did you have any other symptoms like you did this morning?

user: No.

assistant: Did you see a doctor after the fall you had three weeks ago?

user: I saw Doctor X Y Z. Doctor X Y Z put me on Antivert.

assistant: Have you had any cold or any other resent illnesses?

user: I have not had a cold, but I did have an earache about a day or so ago.

assistant: Okay. How old are you?

user: I am seventy five years young.

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

Section: FAM/SOCHX
Patient Information: Mother died age 89 of "old age." Father died age 89 of stroke. Brother, age 74 with CAD, Sister died age 30 of cancer.

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 is your family medical history?

user: My mom was healthy all her life. She died of old age. She was eighty nine years old. My dad died of a stroke. He was eighty nine as well.

assistant: Do you have siblings?

user: Yes I had a brother and a sister. My sister died way too young. She was only thirty when she passed away from cancer. My brother lasted until he was seventy four. He had coronary artery disease.