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: Negative.

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 medical conditions that I should know about?

user: No, not that I know of.

assistant: So, there's no history of depression, or cancer, or high blood pressure?

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

Section: ROS
Patient Information: No headaches. No visual, hearing, or swallowing difficulties. No changes in bowel or urinary habits.

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 been experiencing any mental difficulties or confusion?

user: No.

assistant: Any hallucinations? Are you seeing hearing thing that is not real?

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

Section: PASTSURGICAL
Patient Information: She had an anterior cruciate ligament reconstruction in 03/2008, and subsequently had a revision ACL reconstruction in 12/2008.  She has also had arm surgery when she was 6 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: Good afternoon, which gender do you identify with?

user: Good afternoon, doctor, thank you for asking, I identify as a female.

assistant: Great, thank you. Have you ever had surgery on this knee?

user: Yes, I actually had an A C L reconstruction done in March of two thousand eight. Um, it didn't go well, so they did a revision at the end of that year, in December.

assistant: I see, thank you. What about your upper body? Is there any history of surgery there?

user: Actually, yes, I had surgery on my arm when I was six.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: Negative for use of alcohol or tobacco.  He is a professor at College and teaches history and bible.

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

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

assistant: Welcome in, sir.

user: Thank you.

assistant: What do you do for work?

user: I am professor at the college up on the hill.

assistant: What do you teach?

user: I teach history and the bible.

assistant: Do you drink alcohol or use tobacco products?

user: No. I do not partake in either of those activities.

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

Section: PASTMEDICALHX
Patient Information: Past medical history is significant for allergies and thyroid problems.

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: Yeah, I have a history of thyroid problems, actually.

assistant: I'm seeing here that you have a history of allergies too, is that correct?

user: Oh yes, that's right too.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: DISPOSITION
Patient Information: Stable.

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

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

assistant: How's the patient? He's stable. Heart rate sixty five. Normal rhythm. Oxygen ninety seven percent on room air.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTMEDICALHX
Patient Information: Significant for recurrent UTIs as she was recently to the hospital about 3 weeks ago for urinary tract infection.  She has chronic incontinence and bladder atony, for which eventually it was decided for the care of the patient to put a Foley catheter and leave it in place.  She has had right-sided CVA.  She has had atrial fibrillation status post pacemaker.  She is a type 2 diabetic with significant neuropathy.  She has also had significant pain on the right side from her stroke.  She has a history of hypothyroidism.  Past surgical history is significant for cholecystectomy, colon cancer surgery in 1998.  She has had a pacemaker placement.

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: Tell me about your past problems.

user: Sure. I just came into the hospital I think about three weeks back for recurrent urine infections.

assistant: Yes it says here that you have bladder problems from a long time, mostly related to tone and capacity.

user: Yes that is why they put catheter in me.

assistant: Okay and you have recently had right side C V A?

user: Yes, because of my heart problems they had to put pacemaker in.

assistant: Okay. Good.

user: I have hereditary diabetes.

assistant: Okay and your neural problem is associated to that as well.

user: That's right.

assistant: You have pain on the right side now?

user: Yes, because of my stroke.

assistant: And you take thyroid medications too?

user: Yes, for my hypothyroidism.

assistant: Okay.

user: Yeah.

assistant: What surgeries have you had in the past?

user: I have had many surgeries. They took out my gall bladder, then colon cancer surgery was in nineteen ninety eight.

assistant: And now pacemaker placement, right?

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

Section: FAM/SOCHX
Patient Information: Noncontributory.

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 running in your family history that you know about?

user: No, there's nothing of note.

assistant: So, there's no history of arthritis, or cancer that you're aware of?

user: No, 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: Noncontributory to the present condition and review of his previous charts.

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, does high blood pressure run in your family?

user: Um, no it's just me.

assistant: Okay and this was your first time?

user: Yes.

assistant: Because I am looking at your previous charts and I don't see it mentioned before.

user: Oh yeah first time it shot up this high. I never had a high blood pressure problem before.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: Family history is remarkable for a remote history of cancer. Family history of heart disease and osteoarthritis.

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: Now, let's talk about your family history. Have any of them had cancer?

user: Actually, yes, I know a few family members have, but I can't remember who had what kind.

assistant: That's okay. What about heart disease? Can you remember anyone having that?

user: Yes, that rings some bells.

assistant: Thank you, has anyone in your family had a joint replacement?

user: I know that a lot of my family has had arthritis in the past, but I can't remember whether or not they had joint replacements, honestly.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: CC
Patient Information: Pressure decubitus, right hip.

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, how are you?

user: I am good, how about you?

assistant: Well, I am good too, thank you for asking. So, what brings you here?

user: Um, I have developed this painful ulcer on my hip.

assistant: Oh, let me take a look. Which side?

user: On my right hip.

assistant: Okay, I see it. Looks like you have developed pressure ulcer.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: A 14-day-old was seen by private doctor because of blister.  On Friday, she was noted to have a small blister near her umbilicus.  They went to their doctor on Saturday, culture was drawn.  It came back today, growing MRSA.  She has been doing well.  They put her on bacitracin ointment near the umbilicus.  That has about healed up.  However today, they noticed a small blister on her left temporal area.  They called the private doctor.  They direct called the Infectious Disease doctor here and was asked that they come into the hospital.  Mom states she has been diagnosed with MRSA on her buttocks as well and is on some medications.  The child has not had any fever.  She has not been lethargic or irritable.  She has been eating well up to 2 ounces every feed.  Eating well and sleeping well.  No other changes have been noted.

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: Okay, tell me what's going on and what's brought you here.

user: I am her mother. She has this blister on the side of her head right above her ear, here. I was just worried and concerned about my baby.

assistant: How old is the baby? When did you first notice it?

user: She is just fourteen days old. Let me tell you from the beginning. On Friday, when I was taking her for a bath, I noticed a blister near her umbilicus area. We went to our doctor on Saturday, and they did a test.

assistant: Did you get the test result?

user: I got it today. Here is the report.

assistant: Okay, let me have a look. It says she is having a growing M R S A.

user: Yeah, I've been diagnosed with that too. And I am on medications. I had it on my buttock area.

assistant: Okay, so you know about it, and I don't have to explain it more.

user: Yeah.

assistant: So how is the blister on the umbilicus now?

user: She has been doing good. We put on some bacitracin ointment, and it almost healed up. But today I noticed that another small blister on her head. It really scared me, and I did not want to take any chance. That's why I reached out to the Infectious Disease center. I know it is private. But still, I don't want to take any chance with my baby's health. I called the center directly and they asked me to come to the hospital.

assistant: You did good. I will start the treatment. How are her eating and sleeping habits?

user: She hasn't missed any of her meals. She is taking around two ounces of milk in every feed. I don't think I have any issues with her eating or sleeping.

assistant: Did she have any fever?

user: Not that I noticed.

assistant: Has she been lethargic or crying more than normal?

user: No.

assistant: Any other changes in her daily routine that you might have noticed?

user: No, I didn't notice any changes.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This is a 6-year-old male who comes in rechecking his ADHD medicines.  We placed him on Adderall, first time he has been on a stimulant medication last month.  Mother said the next day, he had a wonderful improvement, and he has been doing very well with the medicine.  She has two concerns.  It seems like first thing in the morning after he takes the medicine and it seems like it takes a while for the medicine to kick in.  It wears off about 2 and they have problems in the evening with him.  He was initially having difficulty with his appetite but that seems to be coming back but it is more the problems early in the morning after he takes this medicine than in the afternoon when the thing wears off.  His teachers have seen a dramatic improvement and she did miss a dose this past weekend and said he was just horrible.  The patient even commented that he thought he needed his medication.

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. Is this your mother?

user: Hi, doctor. Yes, this is my mom.

assistant: Good, can you tell me more about your son, ma'am?

user: Sure, well, he's six years old now, and we're here to follow up his A D H D medicines.

assistant: He's been taking Adderall, correct? How long has he been taking this?

user: It's been about a month now.

assistant: How has he responded to the Adderall?

user: The first day he took it, truthfully, he was wonderful. There's been a lot of improvement in his behavior, and he's really been doing well, so far.

assistant: That's great!

user: Yes, but I have two concerns. When he takes the medicine first thing in the morning it seems to take a while to kick in, and then it wears off at about two P M and he has problems in the evening.

assistant: Has he had problems with his appetite?

user: Um, he did at first, but it's been coming back. It's more of a problem in the morning when he first takes the medicine in the morning, not so much in the afternoon after it wears off.

assistant: Have you gotten any reports from his teachers?

user: They have seen a dramatic improvement with it.

assistant: Has he taken every dose?

user: Well, I missed one last weekend, and he was just horrible. Yeah, mommy, I thought I needed it, but you didn't give it to me.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: Grand Aunt (stroke), MG (CAD), Mother (CAD, died MI age 63), Father (with unknown CA), Sisters (HTN), No DM in relatives.

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

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

assistant: Is there any family medical history?

user: I have a whole list. See, my grand aunt had a stroke. My M G had heart issues same as my mom, who died of a heart attack at sixty three. My father had some sort of cancer. I don't know what exactly. And my sisters have blood pressure issues.

assistant: Wow, that sure is a list. Anyone with diabetes?

user: No. Well, that is one thing that skipped my family.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This 46-year-old white male with Down's syndrome presents with his mother for followup of hypothyroidism, as well as onychomycosis.  He has finished six weeks of Lamisil without any problems.  He is due to have an ALT check today.  At his appointment in April, I also found that he was hypothyroid with elevated TSH.  He was started on Levothroid 0.1 mg and has been taking that daily.  We will recheck a TSH today as well.  His mother notes that although he does not like to take the medications, he is taking it with encouragement.  His only other medications are some eyedrops for his cornea.

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, can you tell me more about your son, ma'am.

user: Sure, he's forty six, White, and he has Down syndrome.

assistant: Great, thank you. Is he still having problems with his hypothyroidism and onychomycosis?

user: Yes, that's correct doctor.

assistant: Has he remained complaint with his Lamisil?

user: Yes, he's taken six weeks of it with no problems.

assistant: Good, so we'll do an A L T blood test today.

user: Why is that doctor?

assistant: Well, at his last appointment in April, he had an elevated T S H level. So, we should recheck that today.

user: Yes, I remember that.

assistant: Has he been taking his Levothroid daily as well?

user: Yes, he has, he doesn't like it, but I help him with it, and he eventually takes it.

assistant: Good, thanks for taking care of him, Mom.

user: Oh, it's my job.

assistant: Does he take any other medications?

user: He has some medicated eye drops for his cornea.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: CC
Patient Information: Surgery.

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 questions regarding your surgery?

user: Yes, I do, multiple.

assistant: Go ahead shoot.

user: I have them all written down on this.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: Negative for illicit drugs, alcohol, and tobacco.

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 about any drugs, alcohol, or tobacco?

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

Section: ASSESSMENT
Patient Information: Severe nausea and vomiting likely secondary gastroenteritis, resolved.

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: Hey, how are you?

user: I think I am better.

assistant: So you do not have any more nausea or vomiting?

user: No I don't.

assistant: How about any acidity?

user: I think it's all better.

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

Section: DISPOSITION
Patient Information: Stable.

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?

user: I am good.

assistant: That's great. You are stable.

user: Can I go home now?

assistant: Yes, you can.

user: Thank you!
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 7-year-old male who comes in today with a three-day history of emesis and a four-day history of diarrhea.  Apparently, his brother had similar symptoms.  They had eaten some chicken and then ate some more of it the next day, and I could not quite understand what the problem was because there is a little bit of language barrier, although dad was trying very hard to explain to me what had happened.  But any way, after he and his brother got done eating with chicken, they both felt bad and have continued to feel bad.  The patient has had diarrhea five to six times a day for the last four days and then he had emesis pretty frequently three days ago and then has just had a couple of it each day in the last two days.  He has not had any emesis today.  He has urinated this morning.  His parents are both concerned because he had a fever of 103 last night.  Also, he ate half of a hamburger yesterday and he tried drinking some milk and that is when he had an emesis.  He has been drinking Pedialyte, Gatorade, white grape juice, and 7Up, otherwise he has not been eating anything.

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, are these your parents?

user: Yes, doctor.

assistant: Can you tell me more about your son, please?

user: Well, he is seven years old, and he has had diarrhea for four days, and he's been throwing up for three days. Yeah, my brother has been doing this too. We had some chicken one day, and then we had more of it the next day. After they ate it they started to feel bad and still feel bad.

assistant: How many times has he had diarrhea per day since this began?

user: Well, it's been about five or six times a day for the last four days.

assistant: How many times has he thrown up per day?

user: Um, it has been frequent.

assistant: Has he been throwing up today?

user: No, I haven't today.

assistant: Has he gone to the bathroom today?

user: Yes, I peed this morning.

assistant: Has he had any fever symptoms?

user: Yes, he had a fever of one hundred three last night.

assistant: Has he eaten any solid food?

user: Yeah, I had half a hamburger and some milk last night.

assistant: Was he able to keep the food down?

user: No, he threw it up.

assistant: What has he drank?

user: Um, Pedialyte, Gatorade, white grape juice, and seven up, the soda.