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: None.

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: Were you ever diagnosed with any blood or heart disease?

user: Uh no.

assistant: Any other past medical issues?

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

Section: PASTSURGICAL
Patient Information: Unknown.

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 major or minor surgeries done in the past?

user: Sorry, I have no idea about it. I just started working for him.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: MEDICATIONS
Patient Information: Accutane and Ovcon.

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: I can see your medication list here. Do you take Accutane and Ovcon?

user: Yes, I do.

assistant: Okay.

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

Section: MEDICATIONS
Patient Information: Tylenol.

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?

user: I take Tylenol.

assistant: Is that only for pain?

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

Section: GENHX
Patient Information: The patient returns to the Pulmonary Medicine Clinic for followup evaluation of interstitial disease secondary to lupus pneumonitis.  She was last seen in the Pulmonary Medicine Clinic in January 2004.  Since that time, her respiratory status has been quite good.  She has had no major respiratory difficulties; however, starting yesterday she began with increasing back and joint pain and as a result a deep breath has caused some back discomfort.  She denies any problems with cough or sputum production.  No fevers or chills.  Recently, she has had a bit more problems with fatigue.  For the most part, she has had no pulmonary limitations to her activity.

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, doctor. Let me give you a run down as to what we are dealing with today. This patient was last seen in January two thousand and four. She is coming for a follow up on interstitial disease secondary to lupus pneumonitis. I will let her tell you more about what happened yesterday. Thanks, nurse. How are you feeling today, miss? Welcome back to the Pulmonary Medicine Clinic. What happened yesterday?

user: Well, I was doing fine since last time. My respiratory issues have been great and I have had no major difficulties breathing.

assistant: That's good to hear. What happened yesterday that caused you to want to come in so urgently?

user: Yesterday I noticed that I have some back and joint pain.  When I breathe deep my back hurts.

assistant: Are you experiencing any coughing?

user: No, coughing at this moment.

assistant: Have you been producing any mucus the times that you do cough?

user: No, I already said I didn't cough.

assistant: Okay. Any fevers or chills?

user: Nothing so far.

assistant: Do you have any other symptoms currently?

user: I do notice that I am more tired than usual.

assistant: During physical activity do you seem out of breath or more tired than usual? I want to see if your pulmonary system is inhibited.

user: No. I don't have issues with breathing when I do daily activities.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: IMAGING
Patient Information: She has had no recent radiological procedures.

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 finished with your cancer treatments?

user: Yes.  I am in remission now.

assistant: That is great! When was your last radiation treatment?

user: It has been over two years since my last treatment.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: He smokes one pack of cigarettes per day.  He is a social drinker.  He is not married, but has two children.  Hobbies:  Computers, hiking, camping, fishing.

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: Yeah. I smoke about a pack a day.

assistant: Do you have any plans of quitting?

user: Eh not really.

assistant: As your doctor, I'd advise that you consider nicotine patches and find ways to break your smoking habit.

user: Okay. I'll see what I can do.

assistant: Do you drink?

user: Socially.

assistant: Are you married?

user: No, but I have two littles ones.

assistant: Aw, how old are they?

user: I have a four year old and a six year old.

assistant: That's great. I'm sure they keep you busy. Any hobbies?

user: They really do, especially the four year old. As for hobbies, I like fixing up computers. I also like fishing, hiking, and camping with the family.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This is a 79-year-old female who has disabling bilateral knee degenerative arthritis.  She has been unresponsive to conservative measures.  All risks, complications, anticipated benefits, and postoperative course were discussed.  The patient has agreed to proceed with surgery as described below.

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. Before we begin today, can you confirm your age for me?

user: Good morning, doctor. Sure, I'm seventy nine years old.

assistant: Great, thank you. What seems to be the problem today, ma'am?

user: Well, I have this arthritis, as you know.

assistant: Yes, how would you describe your arthritis?

user: Well, at this point I'd say it's debilitating.

assistant: I see, so the antiinflammatories and rest haven't helped at all?

user: No, I haven't had any improvement, doctor. It's still so bad.

assistant: I see, I believe you'd be a good candidate for a knee replacement.

user: Yes, I thought so. What are the risks of infection for the surgery?

assistant: Um, it's less than one percent, we use prophylactic antibiotics to control for infection the entire time.

user: That's great, what about anesthesia, will I be asleep for this?

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

user: Great, yes, I'd like to do the surgery, doctor.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: Married, unemployed. 2 children. Patient was born and raised in Iowa. Denied any h/o Tobacco/ETOH/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: Welcome to the clinic.

user: Thank you.

assistant: Are you from the area?

user: I was born and raised in Iowa. My husband and I moved here twenty years ago, and we have been here ever since.

assistant: It is a wonderful city. Do you have kids?

user: Yes! We have two kids.

assistant: Do you have any history or present use of tobacco, alcohol and recreational drugs or substances?

user: I have a glass of wine every once and a while but no to the rest.
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 strong history of epilepsy on the maternal side of family including mom with some nonconvulsive seizure during childhood and additional seizures in maternal great grandmother and a maternal great aunt.  There is no other significant neurological history on the paternal side of the 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 of your family members have issues like seizures?

user: None on my father's side, but, yeah, on my mom's side some of the family members had seizures. Like, my mom had them during her childhood. I know that my great grandmother had it and so does my great aunt.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: ROS
Patient Information: Negative as far as sore throat, earache, or cough.

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 a sore throat, cough or earache?

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

Section: PASTMEDICALHX
Patient Information: Significant for hypertension, type 2 diabetes mellitus, asthma, and high cholesterol.

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 what are the diseases you have been diagnosed with in the past?

user: Sure, I have had hypertension, diabetes, asthma and cholesterol problem.

assistant: Ok, is there anything else?

user: Nope.

assistant: And it is type two diabetes, right?

user: Yes.

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

Section: PASTMEDICALHX
Patient Information: Status post right orchiectomy secondary to his testicular cancer 18 years ago approximately 1989, GERD, irritable bowel syndrome, seasonal asthma (fall and spring) triggered by postnasal drip, history of bilateral carpal tunnel syndrome, and status post excision of abdominal teratoma and incisional hernia.

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, sir. Do you remember the details of your surgery?

user: No, can you remind me?

assistant: Well, um, we did a right orchiectomy due to your testicular cancer, when did you have that?

user: Um, it was about eighteen years ago now, so that was about nineteen eighty nine.

assistant: Good, while you're here, do you have any other conditions that I should be aware of?

user: Sure, I have G E R D, and um, I B S.

assistant: Thank you, what about allergies, do those bother you?

user: Yeah, unfortunately I have those.

assistant: Do you have them in the spring, or in the fall?

user: Actually, I have them in both. It's really annoying.

assistant: What allergy symptoms do you have usually?

user: Um, another doctor called it a postnasal drip.

assistant: Okay, yes, I'm familiar with that. Have you ever had any other surgeries?

user: Yeah, um, I had a hernia removed and repaired some time ago.

assistant: I see, what about any other major medical conditions?

user: I've had carpal tunnel before.

assistant: Which hands did you have it in?

user: I've had it in both.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient is to come to the hospital for bilateral L5 kyphoplasty.  The patient is an 86-year-old female with an L5 compression fracture. The patient has a history of back and buttock pain for some time.  She was found to have an L5 compression fracture.  She was treated conservatively over several months, but did not improve.  Unfortunately, she has continued to have significant ongoing back pain and recent CT scan has shown a sclerosis with some healing of her L5 compression fracture, but without complete healing.  The patient has had continued pain and at this time, is felt to be a candidate for kyphoplasty. She denies bowel or bladder incontinence.  She does complain of back pain.  She has been wearing a back brace and corset.  She does not have weakness.

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 eighty six years old.

assistant: What gender do you identify with?

user: I identify as a female.

assistant: How long have you had this back and buttock pain?

user: Its been a while, now. I know I have a fracture in my lower back.

assistant: How have you been managing this?

user: Another doctor called this conservative treatment. I've been resting a lot, and using antiinflammatories.

assistant: Has there been any improvement?

user: Its been several months at this point, and honestly no, there's been no improvement. I'm still in a lot of pain.

assistant: This C T Scan you had recently shows sclerosis, with some healing of a L five compression fracture, but if you look here, the healing is not complete.

user: What can we do about this? I'm in so much pain.

assistant: I believe you'd be a candidate for a bilateral L five kyphoplasty.

user: What's that?

assistant: It's a small procedure on that L five vertebra. Its minimally invasive, and we can actually do it as an outpatient procedure.

user: Oh, wow, that's good to hear. What are the risks of infection?

assistant: Very low, historically, they're less than one percent.

user: How is this possible?

assistant: We'll use antibiotics in order to control for infection.

user: That's great, will I be under anesthesia?

assistant: Yes, you'll be asleep for the whole thing.

user: Great, yes, I'd like to have this done, I can't keep living in this pain.

assistant: Awesome, I agree. Do you have control over your bladder and bowel movements?

user: Yes, thankfully, I have complete control over everything like that still.

assistant: Do you wear a brace or corset normally?

user: Yes, I usually wear both.

assistant: Okay, last question, can you notice any weakness in your body?

user: No, I'm still very strong, even at my age.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: The patient is an 18-year-old girl brought in by her father today for evaluation of a right knee injury.  She states that approximately 3 days ago while playing tennis she had a non-contact injury in which she injured the right knee.  She had immediate pain and swelling.  At this time, she complains of pain and instability in the knee.  The patient's past medical history is significant for having had an ACL injury to the knee in 2008.  She underwent anterior cruciate ligament reconstruction by Dr. X at that time, subsequently in the same year she developed laxity of the graft due in part to noncompliance and subsequently, she sought attention from Dr. Y who performed a revision ACL reconstruction at the end of 2008.  The patient states she rehabbed the knee well after that and did fine with good stability of the knee until this recent injury.

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, sir, and who's the patient today? You, or your daughter?

user: Not me today, its my daughter.

assistant: And how old are you, dear?

user: I'm eighteen.

assistant: What seems to be the problem today?

user: I hurt my right knee while playing tennis, um, it was about three days ago now. It really hurts.

assistant: I see, tennis, huh? Was there any contact involved?

user: No, I took a step wrong when I went for an awkward shot.

assistant: Are you able to stand on this knee?

user: Not well, it feels unstable, like I'm going to fall over.

assistant: Have you ever hurt this knee before?

user: Yeah, tore my ACL in two thousand eight.

assistant: I assume you had surgery for that?

user: Yeah I did, um, with Doctor X. He called it an, um, A C L reconstruction.

assistant: How did you recover from this?

user: She didn't do well, she didn't do what we or the others doctors suggested, and the knee never really got the same tightness back.

assistant: What did they do about that?

user: I have it in my notes here, they did an, um, A C L revision. That was done by Doctor Y.

assistant: When was that done?

user: Looks like it was at the end of two thousand eight.

assistant: Following the revision, how did you cover?

user: I did everything they said, I did it exactly as they wanted, and I did fine until this last injury.

assistant: Good, was there any instability following the revision?

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

Section: PASTMEDICALHX
Patient Information: He has had some wheezing in the past but nothing recently.

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're you feeling today?

user: Much better. The antibiotics seemed to really help.

assistant: Are you still experiencing any symptoms?

user: Um no, thankfully. I had some wheezing when I first started the antibiotics, but it's improved a ton. I don't think the wheeze is even there anymore.

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

Section: FAM/SOCHX
Patient Information: 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: Any medical problems that run in the family?

user: No, nothing that comes to mind.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: Mr. B is a 42-year-old man who was running to catch a taxi when he stumbled, fell and struck his face on the sidewalk.  He denies loss of consciousness but says he was dazed for a while after it happened.  He complains of pain over the chin and right forehead where he has abrasions.  He denies neck pain, back pain, extremity pain or pain in the abdomen.

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 Mister B, nurse tells me you had a fall?

user: Yes, a pretty bad one.

assistant: Okay, tell me what happened?

user: Well, I was running to catch a taxi and stumbled upon a piece of rock, lost my balance and fell. I fell face down and my head hit the sidewalk. The next thing I remember is I am all dazed and people trying to help me.

assistant: I see, did you lose consciousness after the fall?

user: No.

assistant: So, is your head hurting?

user: Only the right forehead where I have the scrape and my chin.

assistant: Okay, any neck or back pain?

user: No.

assistant: Any stomach pain?

user: No.

assistant: Pain anywhere else, in extremities, hand or leg?

user: No.

assistant: Okay, and how old are you?

user: I am forty two.

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

Section: FAM/SOCHX
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: Let's talk about your family history.

user: Okay.

assistant: Can you tell me about any kind of medical traits that run in your family?

user: I think my family has been blessed or I don't know if any.

assistant: What about any heart disease?

user: Nope. No heart disease or diabetes or any other kind of issues that I'm aware of.