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

Section: PASTMEDICALHX
Patient Information: Essentially unchanged from my visit of 04/08/2005.

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 last visit was on April seventh two thousand five, correct.

user: Ah no, it was on April eighth two thousand five, doctor.

assistant: That's right. So, has anything changed since then?

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

Section: ROS
Patient Information: No nausea, vomiting, or diarrhea.

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 nausea, vomiting or diarrhea?

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

Section: ROS
Patient Information: Not obtainable as the patient is drowsy and confused.

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. I'll be your doctor today. How are you feeling?

user: Um uh who? Where am I?

assistant: You're in the emergency room.

user: I'm where?

assistant: The police found you outside of the local bar. Do you remember what happened prior to your arrival here?

user: I'm no longer at the bar?

assistant: No, you're here because someone was worried you may need medical attention.

user: I don't know what's going on. Can you call my girlfriend? She was there with me before we got into a fight.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: She is married.  She is a nonsmoker.

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 your husband doing?

user: He's good. He usually comes with me to my appointments, but he had to run some errands this morning.

assistant: Happy to hear that he's also doing well.

user: Me too.

assistant: I just have one more question for you regarding your social history. Do you smoke?

user: No, never.

assistant: Okay, so no changes.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: ROS
Patient Information: The patient has been eating fairly well, sleeping well, doing well with her sprints.  A little difficulty with her stools hard versus soft as mentioned with the diet situation up in HPI.

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?

user: I am doing good, considering.

assistant: Are you sleeping well?

user: Yes.  I was able to get some good sleep last night.

assistant: Have you been able to eat without any trouble?

user: Yes. I ate a little bit of breakfast this morning.

assistant: Have you been able to have a bowel movement yet?

user: Yes, I did this morning.

assistant: Did you experience any difficulties with your movement?

user: It was still a little difficult and hard.

assistant: Okay. Continue the high fiber diet that we discussed, and it should improve. Please let me or one of the nurses know if it has not improved or becomes worse.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: IMMUNIZATIONS
Patient Information: Up-to-date.

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: Our records show that he is up to date with his vaccinations.

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

Section: GYNHX
Patient Information: Last pap performed 10/2001. Gravida: 1. Para: 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: Hello, I'm here for my appointment.

assistant: So, do you remember when your last pap smear was?

user: I have it written down right here in my notes. It was in October of two thousand one.

assistant: Great, do you have any children?

user: Yes, I have a beautiful daughter.

assistant: That's wonderful. Have you only been pregnant once?

user: Yes, I've just pregnant once and it was with my daughter.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTSURGICAL
Patient Information: Bilateral tubal ligation in 2001, colon polyp removed at 14 years old.

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 undergone any surgeries?

user: I had both my tubes tied in O one and I had a polyp removed when I was fourteen.

assistant: And that was a-

user: Oh, sorry I didn't mean to interrupt.

assistant: It's alright. I just wanted to know if that polyp was found in your colon?

user: Yes, it was.
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: Where's your rash?

user: All over my torso and arms.

assistant: When did you first notice it?

user: Well, it started on my back and then it made its way to my torso and arms.

assistant: Have you found yourself itching it?

user: Yes.

assistant: Any potential triggers for the rash, such as dietary changes, new medications, or unfamiliar exposures?

user: Nope. I mean I did remove some insulation in my basement a few days ago, but I didn't feel itchy that day.

assistant: Any shortness of breath, wheezing, facial swelling, tongue or lip swelling, or other associated symptoms?

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

Section: ALLERGY
Patient Information: 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: Are you allergic to anything?

user: As in drugs?

assistant: Yes, sorry. I was referring to drug allergies.

user: Oh yeah. I'm allergic to Sulfa drugs.

assistant: What happens when you take Sulfa drugs?

user: Break out in a terrible rash. I remember I had to go to the E R the first and last time I took it.

assistant: Wow, I'm sorry. Rashes can be very uncomfortable and sometimes require immediate attention.

user: Yeah, so no more Sulfa drugs for me. That's for sure.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: The patient current smokes.

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: Yes.

assistant: How much do you smoke?

user: Honestly, I smoke every day.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: Mother died of MI, age 70. Father died of prostate cancer, age 80. Bother died of CAD and prostate cancer, age 74.

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: Does any of your family member have any major medical problems?

user: Yeah, my mother died of heart attack. She was seventy years old. My father died of cancer; it was prostate cancer. He was around eighty.

assistant: Anything anyone else?

user: Hm, my brother had both heart disorder and prostate cancer and he died around seventy four.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: CC
Patient Information: Abdominal pain and discomfort for 3 weeks.

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: Where's your pain?

user: Right above my belly button. It's been bothering me for three weeks now.

assistant: Does the pain come and go?

user: Um it's pretty constant, but it does seem to get worse at night.

assistant: Do you find that sitting or laying down in certain positions helps the pain?

user: Eh not really. I can't seem to really get comfortable since it started.

assistant: Have you taken any medicine for the pain?

user: I uh-

assistant: Yes?

user: Um I took Pepto Bismol a few times, but that didn't do much.

assistant: Did they already take you back for your C T scan?

user: Yeah.

assistant: We should be getting the results of your scan fairly soon then. In the meantime, I'm going to put in some additional orders.
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 not working.  Rates her stress level as an 8/10.  She is single with no children.  Does not smoke, drink, or utilize illicit substances.

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.

user: Good afternoon, doctor.

assistant: So, what do you do for a living?

user: Right now, actually, I'm not working.

assistant: That's okay, I'm not here to judge. Are you married?

user: No, I'm happily single right now.

assistant: Good for you, do you have any kids?

user: No, I don't have any, its just me.

assistant: Do you drink or smoke?

user: No, I don't do any of that.

assistant: Good, and do you use anything harder? Like illicit drugs?

user: No, I absolutely do not.

assistant: Good, and with ten being the most stressful day every, how would you rate your stress level out of ten?

user: Today, I'd say its about an eight out of ten.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTMEDICALHX
Patient Information: otherwise unchanged.

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 today?

user: My head has been hurting a lot.

assistant: I see. Did the nurse come in and ask you questions about past medical history? Sorry, Doctor. I was looking for you. I reviewed his history with him, and nothing has changed. Perfect. Let's do some tests to see why your head has been hurting.

user: I'm ready for less pain. Let's go.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: EXAM
Patient Information: NEUROLOGIC: Deep tendon reflexes were symmetrical at the patellar area.  Sensation was grossly intact by touch.

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: We're going to check around your knee now.

user: Okay, sounds good.

assistant: Looks like your deep tendon reflexes are the same on both legs. Sensation seems great and intact.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: Paternal grandmother has diabetes and hypertension, paternal grandfather has emphysema and was a smoker.  There are no children needing the use of a pediatric subspecialist or any childhood deaths less than 1 year of age.

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 something about your family? Any illnesses in family?

user: My dad's mom has diabetes and hypertension and my dad's dad had emphysema and he was a smoker.

assistant: Okay.

user: Yeah.

assistant: Is there any history of death of child who was less than a year maybe?

user: No, there isn't.

assistant: Okay. That's great. No illnesses for small children?

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

Section: ASSESSMENT
Patient Information: Diabetes type II uncontrolled.  Acute cystitis.

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: Alright, I am looking at your urine report and it confirms what I was suspecting. You have a urinary tract infection.

user: I kind of knew it was a U T I. I have had it before, but nothing this painful and severe. I feel like I am going to die!

assistant: Oh yes, it is because you got something called as acute cystitis and its usually very painful and can cause some serious complications.

user: Well, is it because of my diabetes?

assistant: I am afraid I don't have better news for you, but your diabetes is out of control. It's way too high and you must be really careful. Are you taking your medicines?

user: Yes!

assistant: How bout diet?

user: Yeah, sometimes I don't care about my diet.

assistant: Well, you must watch your diet, you can't just be careless. I am going to change your diabetes medication. And let's start you on the antibiotic that should give you relief. Also stay hydrated drink plenty of fluids it will help you flush the infection out.

user: Alright, thank you!

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

Section: PASTMEDICALHX
Patient Information: Childhood Illnesses: (+) strep throat (+) mumps (+) chickenpox

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: Before we begin, I just have a few questions. Do you remember what illnesses you had as a child?

user: Yes, I got a few. I had strep throat, mumps, and, um, chickenpox growing up.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: CC
Patient Information: Urology.

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! I am Doctor Sherman.

user: Hello! It is nice to meet you.

assistant: It looks like your P C P sent you to us for a possible prostate problem.

user: Yes. I am nervous.

assistant: Do not be nervous. We will start with discussing the symptoms you have been experiencing, a physical exam and then we will get a urine sample if you are able.

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

Section: MEDICATIONS
Patient Information: Claritin for allergic rhinitis.

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 are you taking for allergies?

user: Claritin.

assistant: Okay.

user: For my allergic rhinitis.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: Father died, MI age 61.

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 dad had a heart attack and passed away at sixty one.

assistant: I am so sorry to hear that.

user: Thank you.

assistant: Do you know of any other major health conditions in your family?

user: No. None that I know of. Everyone is relatively healthy.

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

Section: GENHX
Patient Information: The patient states that he feels sick and weak.

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: I feel terrible. Very sick and I can barely move. I feel so weak.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: IMAGING
Patient Information: The patient's CBC results from before were reviewed.  Her CBC performed in the office today showed hemoglobin of 13.7, white count of 13.3, lymphocyte count of 7.6, and platelet count of 26,000.

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, we looked at your previous blood work results, now let me see what these reports say from today's C B C exam.

user: Sure.

assistant: Okay so your hemoglobin levels look within range, white counts are thirteen point three, then seven point six lymphocytes and twenty six thousand platelets. Okay?

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

Section: PASTSURGICAL
Patient Information: C-section and D&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: What type of surgery have you had in past? Anything big or small?

user: I had a C section for my kiddo and one D and C.

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

Section: FAM/SOCHX
Patient Information: GF with CAD, otherwise unremarkable.

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 again!

user: Hi!

assistant: The results from you M R I showed nothing concerning.  The growth factors were normal with normal cell function and no signs of decreased blood supply to the brain.

user: That's great news.

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

Section: GENHX
Patient Information: This 58 y/o RHF had a 2 yr h/o increasing gait difficulty which she attributed to generalized weakness and occasional visual obscurations. She was evaluated by a local physician several days prior to this presentation (1/7/91), for clumsiness of her right hand and falling. HCT and MRI brain revealed bilateral posterior clinoid masses.

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, I understand that you had a fall.

user: Yes. I did fall.

assistant: What happened?

user: I don't really know. I have balancing problems. I have been to my P C P for this issue a few days ago. I saw her about a week and a half ago because I had another fall. Maybe around late December since today is January seventh.  I have been having trouble with my right hand. It is like I am clumsy on my right side. I ended up falling because my right hand missed the railing when I grabbed it to head up the stairs.

assistant: Are you left or right handed?

user: Right.

assistant: Can you tell me a little bit more about the trouble that you are having with the right hand? Is it localized to the right hand?

user: Yes, it is only on my right side. It is like the right side of my body is weak and it has been getting worse.

assistant: How long has this issue been progressing for?

user: About two years.

assistant: Have you experienced any blurred vision or visual disturbances?

user: Yes. Every once and a while.

assistant: How old are you?

user: I just turned fifty eight last week.

assistant: Happy belated birthday!

user: Thank you!

assistant: Did your P C P have any bloodwork or imaging done?

user: Yes, she did. She did both. She said she would send my records over.

assistant: Oh. I see it here! Did Doctor Madison discuss the results of your H C T and the M R I yet?

user: No.

assistant: Okay. The results showed clinoid masses. This explains that problems that you have been having with your right side, your balancing problems, and the visual disturbances. With only the M R I I cannot tell if the masses are malignant or not.

user: So, are the masses cancer?

assistant: I don't know yet. I will have to run some more tests and potently have to do a biopsy.

user: Okay.