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

Section: FAM/SOCHX
Patient Information: Divorce and live alone, retired postal worker, has 3 children, 7 grandchildren.  He smokes 1 pack a day of Newport for 30 years and is a social drinker.  He denies any illicit drug use.

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 married, sir?

user: No divorced. I live a lone.

assistant: What work do you do?

user: I am a retired postal worker.

assistant: Do you have kids?

user: Yes, I have three of my own and seven grandkids.

assistant: Do you smoke cigarettes?

user: Yes I do.

assistant: How much and what kind?

user: I keep changing the brands but Newport, one pack a day.

assistant: Okay. How about alcohol or drugs like substance abuse?

user: No drugs but I drink occasionally depending on the company.

assistant: How long have you smoked?

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

Section: CC
Patient Information: One-month followup.

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! How are you doing?

user: Hello Doctor! I am good. I am here today for my follow-up, as suggested.

assistant: Has it been a month already?

user: Yes, seeing you after a month.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: ALLERGY
Patient Information: IV contrast.

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: I am allergic to IV contrast.

assistant: Are you sure?

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

Section: ASSESSMENT
Patient Information: 1.  Jaw pain, sounds musculoskeletal.  We will rule out angina equivalent. 2.  Hypercholesterolemia. 3.  Hypothyroidism.

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: Just to debrief, we will rule out angina related heart problems while evaluating your jaw pain.

user: Oh can that be related to each other?

assistant: Yes they might be.

user: What else?

assistant: Pardon?

user: I am asking anything else?

assistant: We have discussed this before, but keep track of your high cholesterol and hypothyroid.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This 34-year-old gentleman awoke this morning noting some itchiness to his back and then within very a short period of time realized that he had an itchy rash all over his torso and arms.  No facial swelling.  No tongue or lip swelling.  No shortness of breath, wheezing, or other associated symptoms.  He cannot think of anything that could have triggered this off.  There have been no changes in his foods, medications, or other exposures as far as he knows.  He states a couple of days ago he did work and was removing some insulation but does not remember feeling itchy that day.

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. How are you feeling today?

user: Very itchy. I just keep scratching myself.

assistant: Oh, wow. I can see the rashes all over your arms. Are there rashes anywhere else?

user: Yeah, it's all over my back and stomach.

assistant: I see it on your torso. When did this all start?

user: I woke up this morning and started itching my back. After a few minutes, I noticed the rash was on my arms, chest, back, and stomach areas.

assistant: I'm going to take a look at the rashes and the rest of your body.

user: Sounds good.

assistant: It looks like your face and lips are not swollen. Could you say ah for me?

user: Ah.

assistant: It looks like your tongue isn't swollen either.

user: That's good to hear.

assistant: Have you been feeling a shortness of breath, wheezing, or other related symptoms?

user: Not that I know of.

assistant: Sounds good. I wonder why this happened. Did you do anything the night before?

user: Uh. A few days ago, I was working and had to remove some insulation. Other than that, I don't know what else could have given me these rashes.

assistant: I see. Do you remember being itchy after that? Did you try any new foods?

user: Nope I was not itchy. Also, my diet has been the same.

assistant: Are you taking any new medications?

user: I haven't.

assistant: You don't recall being exposed to any other substances?

user: Not that I know of.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: There is a history of migraine in the family. The condition affects the patient's brother and maternal grandfather.

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 family medical history of migraines?

user: I know that my brother has them too. Mom, do you know if anyone else gets them? Your grandfather had migraines.

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

Section: FAM/SOCHX
Patient Information: retired school teacher. 0.5-1.0 pack cigarettes per day for 60 years.

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 work?

user: I am retired now. I was a school teacher.

assistant: Are you a smoker?

user: Yes.

assistant: How much do you smoke per day?

user: I would say about a half to a full pack a day.

assistant: How long have you been a smoker.

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

Section: ALLERGY
Patient Information: Denies any drug 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: Are you allergic to anything?

user: No, I am not.

assistant: Are you sure? Penicillin or sulfa?

user: Nope nothing.

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

Section: ROS
Patient Information: The patient states that he did use heroin as well as cocaine earlier today and feels under the influence.  Denies any headache or visual complaints.  No hallucinations.  No chest pain, shortness of breath, abdominal pain or back pain.  Denies any abscesses.

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: Hi there, sir! How are you doing today?

user: I feel out of it.

assistant: Have you been using any substances?

user: I did a little heroin and some coke earlier today. I still feel high.

assistant: Okay. Any shortness of breath, chest pain, abdominal pain or back pain?

user: No.

assistant: Are you having any headaches, hallucinations or visual disturbances?

user: No.

assistant: Do you have any open sores or wounds?

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

Section: PASTSURGICAL
Patient Information: Hysterectomy (3/20/99).

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: Have you had any surgical procedures done?

user: Yes, in fact I had a hysterectomy back in March of ninety nine. I believe it was done on the twentieth of the month.

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

Section: GENHX
Patient Information: This 65 y/o RHM reportedly suffered a stroke on 1/17/92. He presented locally at that time with complaint of episodic confusion and memory loss lasting several minutes per episode. The "stroke" was reportedly verified on MRI scan dated 1/17/92. He was subsequently placed on ASA and DPH. He admitted that there had been short periods (1-2 days duration) since then, during which he had forgotten to take his DPH. However, even when he had been taking his DPH regularly, he continued to experience the spells mentioned above. He denied any associated tonic/clonic movement, incontinence, tongue-biting, HA, visual change, SOB, palpitation, weakness or numbness. The episodes of confusion and memory loss last 1-2 minutes in duration, and have been occurring 2-3 times per week.

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 old are you, sir?

user: I'm sixty five years old.

assistant: Are you right handed or left handed?

user: I'm right handed.

assistant: When was your last stroke?

user: Well, it was on January seventeenth. I had these episodes where I was like always so confused and looks like I lost everything. All my memory and everything. And then they did a scan. It was verified that I was having a stroke on the same day.

assistant: Did they put you on some medications?

user: They gave me an anticonvulsant and aspirin.

assistant: Are you taking them regularly?

user: There have a few times like one or two days that I forgot to take my, uh, dyphenhydramine, but even when I'm taking it regularly, I'm still having all those symptoms or forgetfulness, confusion, and everything.

assistant: Do you feel anything else along with these episodes like a urine urgency, tendency to bite your tongue, headaches, any visual change, or your heart is beating very fast? Any kind of weakness or numbness or shortness of breath?

user: No nothing else, just the confusion and forgetfulness.

assistant: How frequent are these episodes?

user: Well, they occur like two or three times in a week. Each one of the episodes lasts for like one or two minutes.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: Father with Von Hippel-Lindau Disease.

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 medical disorders in the family?

user: Yeah, my father had a special kind of tumor, which doctors said is very rare.

assistant: Do you know the name of the tumor?

user: I don't remember the exact name of the disease, but it was a big name and it started with something with V.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTMEDICALHX
Patient Information: Positive for congestive heart failure, chronic renal insufficiency, azotemia, hyperglycemia, coronary artery disease, history of paroxysmal atrial fibrillation.  Remote history of subdural hematoma precluding the use of Coumadin.  History of depression, panic attacks on Doxepin.  Perioperative anemia.  Swallowing difficulties.

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 major medical conditions that I should know about?

user: Actually, I have a whole list of conditions. I have them written down here.

assistant: Thank you, so I see congestive heart failure, chronic renal insufficiency, azotemia, hyperglycemia, coronary artery disease, and a history of paroxysmal atrial fibrillation. Oh, and azotemia.

user: Yes, I told you I have a lot going on.

assistant: Are you taking any medications?

user: Well, they wanted me to take Coumadin but I had, um, a subdural hematoma so they would let me.

assistant: I see, what about any neurological or psychological conditions?

user: Well, I have depression, and I've had panic attacks while taking Doxepin before.

assistant: I see here that you also have perioperative anemia, does that sound familiar?

user: Yes, another doctor told me about that.

assistant: Do you have any other symptoms you'd like to report today?

user: Um, I'm having some difficulty swallowing.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: EXAM
Patient Information: LYMPH: Cervical lymph nodes.  No lymphadenopathy.

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: Doctor Shami, can you please take down the notes as I examine the patient? Sure. Can you put the heading as cervical lymph nodes. Okay. I am going to check for any swelling in your neck okay? Can you look down?

user: Okay.

assistant: Alright, I do not feel anything here. Can you look up?

user: Sure.

assistant: No palpable nodes here. None of the lymph nodes are enlarged or have any swellings. So, no lymph adenopathy? Yeah.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: DIAGNOSIS
Patient Information: 1.  Chronic pain. 2.  Tobacco use. 3.  History of hepatitis C.

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 chronic pain?

user: Yes I do.

assistant: You use tobacco also?

user: Yes.

assistant: And you have a history of hepatitis C, right?

user: That sounds right.

assistant: Okay.

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

Section: FAM/SOCHX
Patient Information: The patient lives here locally.  She does not report any significant alcohol or illicit drug use.  She works full 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: Do you live close to the office, or did you have to drive a long way here?

user: I live right around here, I'm a local girl.

assistant: Good, are you working right now?

user: Yes, doctor, I work full time.

assistant: That's good, sometimes it's nice to stay busy. Is there any history of drug or alcohol abuse I should know about?

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

Section: GENHX
Patient Information: This is a 30-year-old female patient presenting with the above chief complaint. She has a history of having had a similar problem last year which resolved in about three treatments. She appears to have residual from spina bifida, thus spending most of her time in a wheelchair. She relates recently she has been spending up to 16 hours a day in a wheelchair. She has developed a pressure decubitus on her right trochanter ischial area of several weeks' duration. She is now presenting for evaluation and management of same. Denies any chills or fever, any other 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: How are you, Mary?

user: I am okay, I have got this ulcer on my right hip again.

assistant: Oh, is it like the one you got last time?

user: Pretty much.

assistant: Oh, I remember that one. It took almost three treatment cycles to get resolved.

user: Yeah. They keep saying I have some hidden split in my spine still.

assistant: Yeah, it looks like you have residual spina bifida.

user: I am just so frustrated sitting in my wheelchair. I am spending around sixteen hours a day in this wheelchair.

assistant: I think, that is the reason you developed this pressure ulcer. It appears to be on the right trochanter area. In simple terms you have developed a pressure sore on the outer part of your hip.

user: Yeah, I recently celebrated my thirtieth birthday just sitting in my wheelchair the whole day.

assistant: Oh, I am sorry dear. So, how long since you have had this ulcer?

user: It's been several weeks, so I thought I should get it checked.

assistant: Yeah, good thing you came. We need to treat it. Did you experience any chills or fever?

user: No.

assistant: Any other symptoms?

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

Section: PASTMEDICALHX
Patient Information: Denies diabetes, cardiovascular disease, or pulmonary disease.

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 history of heart disease that you know of?

user: Nope, nothing like that.

assistant: How about diabetes?

user: No, there's no sugar here that I know of.

assistant: Good, and how about your lungs? Do they work well.

user: Absolutely, they're in great shape. There's nothing like that here.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: IMAGING
Patient Information: Chest x-ray revealed a diffuse pulmonary edema.

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: Your chest x ray showed diffuse pulmonary edema. This means that you have fluid in your lungs. That would explain your chest pain and the difficulies with your breathing. I would like to start you off with a course of antibiotics to prevent any possible infection. I will also send in a prescription for Furosemide. It will reduce the fluid accumulation in your lungs. Do you have any questions?

user: When should I start to feel better?

assistant: You should start to feel better within three to five days.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: ROS
Patient Information: NEUROLOGIC: Negative headaches, negative syncope, negative seizures, negative weakness, negative tremor.  No history of strokes, no history of other neurologic conditions.

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 headaches?

user: No.

assistant: Any history of seizures or epilepsy?

user: No.

assistant: Any sudden loss of consciousness or have you blacked out?

user: Um, no.

assistant: Any weakness? Feeling any tremors in your body?

user: No, nothing like that.

assistant: Any history of stroke or any brain related condition?

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

Section: FAM/SOCHX
Patient Information: Father with HTN and h/o strokes at ages 45 and 80; now 82 years old. Mother has DM and is age 80.

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 there any known disease running in your family?

user: My dad has high blood pressure, and he takes medication for it. He is now eighty two years old. He had a stroke around two years ago. This was his second stroke. First one he had when he was forty five.

assistant: What about your mom? How old is she?

user: My mom is eighty years old. She does have sugar issues.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: Patient is single and he lives alone. He is heterosexual and has a history of sexual encounter with prostitutes in Japan. He works as a plumber over the last 5 years. He smokes and drinks occasionally and denies any history of IV drug use. No blood transfusion. No history of incarceration. Recently traveled to Mexico .

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 currently living alone?

user: Yep. Just me, myself, and I.

assistant: What do you do for a living?

user: I've been working as a plumber for the last five years.

assistant: Nice. Where do you work?

user: Mostly in the city.

assistant: Do you drink, smoke, or do injection drugs?

user: I drink and smoke here and there, but I've never tried hard drugs.

assistant: Any recent travel?

user: I was in Mexico earlier this year.

assistant: That sounds nice. How was your trip?

user: Relaxing. Much needed.

assistant: Great to hear. I have a few more questions I need to ask so bear with me. How is your sexual history? Are you sexually active?

user: I'm sexually active with women, but my sex life isn't as good as it was in Japan. Over there, I would mix and mingle with prostitutes.

assistant: Did you use protection?

user: I don't really remember.

assistant: Have you been tested for S T D's?

user: Yep. I'm negative for right now.

assistant: Have you ever been incarcerated?

user: Nope.

assistant: One last question. Have you ever been in need of a blood transfusion?

user: No, thank God.