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: The patient is 13-year-old male with persistent left knee pain.  He was initially seen at Sierra Pacific Orthopedic Group where an MRI demonstrated unstable OCD lesion of the left knee.  The patient presented here for a second opinion.  Surgery was recommended grossly due to the instability of the fragment.  Risks and benefits of surgery were discussed.  The risks of surgery include risk of anesthesia, infection, bleeding, changes in sensation and motion extremity, failure to relieve pain or restore the articular cartilage, possible need for other surgical procedures, and possible early arthritis.  All questions were answered and parents agreed to the above plan.

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, young man.

user: Good afternoon, doctor.

assistant: How old are you, sir?

user: I'm thirteen.

assistant: So, what brings you in today?

user: Well, at first, we went to Sierra Pacific Orthopedic Group, and he had an M R I that showed, um, O C D in the left knee.

assistant: Yes, I see that from the report.

user: So, we're here for a second opinion on that.

assistant: Yes, we should do surgery on this knee. There's gross instability of the fragment, and we don't want that get worse.

user: Okay, that's about what we've heard so far. What are the risks of infection of the procedure?

assistant: It's less than one percent. We use antibiotics to control for infection. Other risks include bleeding, changes in sensation of the limb, changes in motion, failure to relieve pain or restore the articular cartilage, the possible need for another procedure, and possible early arthritis. I would not worry, though. These things are rare.

user: Okay, will he be asleep the entire time?

assistant: Yes, he won't feel a thing.

user: Okay, my husband agrees. We want to do the surgery.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: She has had no recent STDs and she is not currently sexually active.  PPD status was negative in the past.  PPD will be placed again today. Treatment adherence counseling was performed by both nursing staff and myself.  Again, the patient is a 100% compliant with her meds.  Last dental exam was in 11/07, where she had 2 teeth extracted.  Last Pap smear was 1 year ago was negative.  The patient has not had mammogram yet, as she is not of the age where she would start screening mammogram.  She has no family history of breast 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: Good afternoon, young lady.

user: Good afternoon, doctor.

assistant: Let's get the personal questions out of the way to begin, shall we?

user: Sure.

assistant: Have you had any S T D s recently?

user: No, not that I know of.

assistant: Are you sexually active?

user: No, I'm not.

assistant: I'm looking here, and your last P P D was negative, but we'll do another one today.

user: Okay, that's fine, doctor.

assistant: Have you been compliant with all of the medicine you've been prescribed?

user: Yes, I've taken everything exactly as you told me to.

assistant: Good, do you remember when your last dentist appointment was?

user: Yeah, it was in November of two thousand seven.

assistant: What did they do for you at your last visit?

user: They pulled two teeth for me.

assistant: Good, and when was your last pap smear?

user: It was about a year ago.

assistant: I assume it was negative?

user: Yes, thankfully.

assistant: Have you had a mammogram yet?

user: No, not yet. I'm not old enough.

assistant: Do you have a family history of breast cancer?

user: No, I don't, at least not that I know of.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: EXAM
Patient Information: RECTAL: Examination was deferred.

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, I would like to physically examine your rectal area, ok?

user: No, I am not comfortable with that. I don't want you to do that.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This 51y/o RHF fell four times on 1/3/93, because her "legs suddenly gave out." She subsequently noticed weakness involving the right leg, and often required the assistance of her arms to move it. During some of these episodes she appeared mildly pale and felt generally weak; her husband would give her 3 teaspoons of sugar and she would appear to improve, thought not completely. During one episode she held her RUE in an "odd fisted posture." She denied any other focal weakness, sensory change, dysarthria, diplopia, dysphagia or alteration of consciousness. She did not seek medical attention despite her weakness. Then, last night, 1/4/93, she fell again ,and because her weakness did not subsequently improve she came to UIHC for evaluation on 1/5/93.

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, what brings you here today?

user: I fell four times on third of this month because my leg suddenly gave out.

assistant: How old are you?

user: You don't ask age of a lady. She will never tell you the truth.

assistant: I know I'm in the wrong profession. I have to do that every time I meet someone. So how old are you?

user: That's true. I'm just teasing you. I'm fifty one.

assistant: Are you right handed or left handed?

user: I am right handed.

assistant: So, you said that your legs suddenly gave out. What happened exactly? Was it sudden? Or were you noticing some weakness before as well?

user: Oh, I noticed weakness in my right leg before as well and sometimes, like, I have to give the support of my arm to actually move it. Sometimes during these episodes I just turn pale and it's like overall weakness. I feel so tired. My husband, he gives me some sugar, three teaspoons, and then it helps a little bit but not completely.

assistant: So, is your weakness like overall in your legs or it is at any single point?

user: It's overall. I remember in one of these episodes I was, like, in an odd fisted posture.

assistant: Is there any change in your sensations? Like if I touch you, is it like same before or was there any change?

user: No, nothing like that.

assistant: Is there change in vision? Are you seeing double?

user: Nope.

assistant: Any difficulty in swallowing or eating? Any loss of consciousness?

user: Nope.

assistant: Any difficulty in speech? Slurring, or anything like that?

user: No.

assistant: You said that these episodes have been happening for some time, so did you see anyone for those before?

user: Nope. It's just that I fall and then fell again last night. I was feeling so weak. Nothing was helping me. That's when, in the morning, my husband brought me to the U I H C hospital for the evaluation on the fifth.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: Mother suffered stroke in her 70's. DM and Htn in family.

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 traits in the family?

user: Oh yeah. Diabetes and high blood pressure runs in my family.

assistant: Anything else?

user: Yeah, my mom suffered with a stroke when she was in her seventies.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: She is divorced.  She does not have support at home.  She denies tobacco, alcohol, and 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, ma'am?

user: No, I'm divorced.

assistant: Do you live alone?

user: Yes, so I have no support at home, it's difficult.

assistant: Do you drink or smoke?

user: No, I never have.

assistant: What about more illicit substances?

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

Section: FAM/SOCHX
Patient Information: His father died of a cerebral hemorrhage at age 49.  His mother died in her 70s from complications of congestive heart failure.  He has one sister who died during a cardiac surgery two years ago.  He has another sister with diabetes.  He has one daughter with hypercholesterolemia.  He is unaware of any family members with neurological disorders.

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, sir?

user: We have some heart issues in my family. My sister died during heart surgery two years ago.

assistant: I am so sorry.

user: Thank you. My mom died of a heart attack.

assistant: How old was she when she passed?

user: She was in her seventies? My dad died from a brain hemorrhage. He was only forty nine.

assistant: Your family had been through a lot of loss.

user: Yes, we have.

assistant: Do you have any siblings that are still living?

user: I have another sister. Oh yeah. She is a diabetic.

assistant: Do you have kids?

user: Yes, I have daughter. The only health problem she has is high cholesterol.

assistant: Do you know of anyone else in the family with neurological disorders?

user: No. I don't think so.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: ALLERGY
Patient Information: No known 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: Do you have any known allergies?

user: Not that I know.

assistant: Any allergies to any drug?

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

Section: FAM/SOCHX
Patient Information: Missionary. Married. 4 children ( ages 7,5,3,6 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: Are you married?

user: Yes, I am.

assistant: Is the baby your first kid?

user: You see, I am a missionary. I have four kids. My eldest is seven years old. Then the other ones are five and three and this one is the youngest. She is just six weeks old.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This 39-year-old female presents to ABCD General Hospital with the above chief complaint.  The patient states that she has had bunion for many months.  It has been progressively getting more painful at this time.  The patient attempted conservative treatment including wider shoe gear without long-term relief of symptoms and desires surgical treatment.

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 A B C D General Hospital. Before we get started, ma'am, how old are you?

user: I'm thirty nine, doctor.

assistant: Great, and what seems to be the problem today?

user: I've had this bunion for a good few months now.

assistant: Is the pain getting worse?

user: Absolutely, I can't take it anymore.

assistant: How have you managed this bunion so far?

user: I got some wider shoes, and it's done absolutely nothing.

assistant: I see.

user: Is there surgery or something we can do? I can't take the pain.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This is a 28-year-old female who comes for dietary consultation for diabetes during pregnancy.  Patient reports that she had gestational diabetes with her first pregnancy.  She did use insulin at that time as well.  She does not fully understand what ketones are.  She walks her daughter to school and back home each day which takes 20 minutes each way.  She is not a big milk drinker, but she does try to drink some.

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?

user: I'm twenty eight.

assistant: So, you are here for the dietary consultation. Is this your first pregnancy?

user: No, this is my second pregnancy. I had gestational diabetes with my first one as well.

assistant: Were you taking any insulin at that time?

user: Yes, I used insulin last time as well. I'm just here to understand if diet can help me with my gestational diabetes.

assistant: Sure.

user: My Gynecologist was saying something about ketones, I don't know what they are. She asked me to talk about them with you.

assistant: Sure, I will explain everything to you. We also have a pamphlet to explain it. Here have a look. You can take it with you.

user: Thank you.

assistant: Are you exercising?

user: I walk everyday with my daughter. I go to drop her to school and then back home.

assistant: How long is the walk to school?

user: It takes around twenty minutes on one side. So, everyday it is like forty minutes in the morning and same in the evening around four.

assistant: Do you drink milk?

user: I try to, I know it is a good source of calcium and is very essential especially with my pregnancy, but I am not a big fan of drinking milk.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: Of kyphosis in great grandmother and second cousin.

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 know of any family history of kyphosis?

user: I'm sorry, what's that?

assistant: It has to do with rounding of the spine. Does anyone in your family have a rounded posture?

user: Actually, yeah, my great grandmother had that, and my mom would talk about my second cousin, he had it too.
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 and 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: When did you retire from your job?

user: About eleven years ago. It's definitely been nice. I'm able to spend more time with my grandkids.

assistant: Aw, how many grandkids do you have? And do you live alone?

user: I have four grandkids between the ages of two and eleven. I live in the county with my wife and dog. My wife and I've been together for thirty some years now.

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

Section: GENHX
Patient Information: She is here for a followup on her weight loss on phentermine.  She has gained another pound since she was here last.  We talked at length about the continued plateau she has had with her weight.  She gained a pound the month before and really has not been able to get her weight any farther down than she had when her lowest level was 136.  She is frustrated with this as well.  We agree that if she continues to plateau she really should not stay on phentermine.  We would not want her to take it to maintain her weight but only to help her get her weight down, and she may have really lost any benefit from it, and she agrees. 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: Good afternoon, young lady.

user: Good afternoon, doctor.

assistant: How has your weight been since your last visit, with the phentermine?

user: Well, since the last visit I've gained about a pound.

assistant: Well, it could be worse, but we're at a plateau, I'd like to see you lose some more per month.

user: Yeah, I've been working really hard, but I haven't been able to get the weight down any further so far.

assistant: What has been your lowest weight?

user: My lowest? That was one hundred thirty six. I'm just as frustrated as you are, doctor.

assistant: Well, if this plateau continues, we should discontinue the phentermine.

user: Why is that?

assistant: It shouldn't be used to maintain your weight, but only to get the weight down. So, if it's not serving that purpose, we shouldn't use it. There's no real benefit there.

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

Section: FAM/SOCHX
Patient Information: Negative for cerebrovascular accident or cardiac 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: Anyone in the family had a stroke?

user: No, no one had a stroke in my family.

assistant: How about someone in the family with heart disease?

user: No one that I can remember.

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

Section: FAM/SOCHX
Patient Information: Significant for her being without a companion at this point.  She was born in Munich, Germany.  She immigrated to of America in 1957 after her family had to move to Eastern Germany, which was under Russian occupation at that time.  She is divorced.  She used to work as a secretary and later worked as a clerical worker at IBM.  She stopped working more than 20 years ago due to complications from her mesothelioma.  She denies any significant tobacco, alcohol or illicit drugs.  She is bilingual speaking, German and English.  She has known English from before her teens.  She has the equivalent of a high school education in Germany.  She has one brother and one sister, both of whom are healthy and she does not spend much time communicating with them.  She has one son who lives in Santa Cruz.  He has grandchildren.  She is trying to contact with her grandchildren.

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: You know doctor, I was born in Munich, Germany.

assistant: Wow, I cannot tell, you speak English so well, no German accent.

user: Yeah, I always knew how to speak English even before I was a teen. So, when I moved to America I did not have any language problem.

assistant: Okay and did you move with your family?

user: No, my family moved to the eastern side of the Germany which was occupied by Russia at that time, but I decided to move to America in nineteen fifty seven. I had a high school degree from Germany, and I could speak German and English fluently. As soon as I landed here in America, I started working. I started as a secretary at a private firm and later did clerical work at I B M. Now I am retired for almost twenty years due to my cancer complications.

assistant: Your Mesothelioma?

user: Yeah.

assistant: Okay, and who all are there in your family?

user: Well currently I am alone without any companion. I am divorced. I have a son who lives in Santa Cruz he has grand children, but I have not seen them, I am trying to get in touch with them. I want to see my grandkids. Other than him I have a brother and a sister both are healthy and living their life we don't talk much.

assistant: Okay. And do you drink or smoke?

user: Hm, nothing significant.

assistant: Any funny drugs like heroine or coke?

user: No.

assistant: Okay.
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 45-year-old male complaining of abdominal pain.  The patient also has a long-standing history of diabetes which is treated with Micronase daily.

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? Can you also please state your age?

user: Yeah. I am forty five. I've had really bad stomach pain on my right side since last week.

assistant: On a scale of one to ten, how bad is the pain at its worst?

user: I'd have to say a seven.

assistant: How would you rate it now?

user: Oh um it's at a five at the moment.

assistant: Have you been taking your diabetes medication?

user: Micronase?

assistant: Yes.

user: Yeah, I've been taking it every day.

assistant: Great. Okay, let's try to get to the bottom of this stomach pain.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: CORONARY RISK FACTORS: History of hypertension, history of diabetes mellitus, nonsmoker.  Cholesterol elevated.  History of established coronary artery disease in the family and family history positive.

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 cholesterol appears to be elevated today. Is this the first time you've been told that your cholesterol levels are high?

user: No, unfortunately. I suffer from a few medical problems so maybe that's to blame.

assistant: I see here that you have diabetes and high blood pressure.

user: Right.

assistant: Does diabetes or high blood pressure run-

user: In the family? No, but heart disease does.