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

Section: GENHX
Patient Information: Ms. A continues to have some residual left leg weakness and continues to use a rolling walker for ambulation, but she reported that her motor functioning had improved significantly.  She was diagnosed with sleep apnea approximately two years ago and was recently counseled by Dr. X on the need to use her CPAP because she indicated she never used it at night.  She reported that since her appointment with Dr. X, she has been using it "every other night."  When asked about daytime fatigue, Ms. A initially denied that she was having any difficulties, but repeatedly indicated that she was falling asleep at work and thought that it was due to looking at a computer screen.  She reported at times "snoring" and forgetting where she is at and said that a supervisor offered to give her coffee at one point.  She receives approximately two to five hours of sleep per night.  Other current untreated risk factors include obesity and hypercholesterolemia.  Her medical history is also significant for hypertension, asthma, abdominal adenocarcinoma status post hysterectomy with bilateral salpingo-oophorectomy, colonic benign polyps status post resection, benign lesions of the breast status post lumpectomy, and deep vein thrombosis in the left lower extremity status post six months of anticoagulation (which she had discontinued just prior to her stroke).

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, Miss A.

user: Thank you.

assistant: Let's start with your medical history. What medical conditions do you have?

user: Okay. I have high blood pressure, asthma and sleep apnea. I had blood clots in my left leg about six months ago. I also have cancer.

assistant: What kind of cancer do you have?

user: I have stomach cancer. They also did a total abdominal hysterectomy.

assistant: Did they put you on an anticoagulant medication for the blood clotting?

user: Yes. I took it for six months. I stopped taking it and then I had the stroke.

assistant: Have you had any other surgeries?

user: Yes. I had a colonic resection to remove benign polyps. I had another benign lump removed from my breast.

assistant: How are you feeling today?

user: I am still having weakness in my left leg. That is why I still have to us my walker, but I have been able to get around easier.

assistant: Have you been experiencing any daytime fatigue?

user: No. I have been falling asleep at work. I think it is from looking at my computer screen all day. My supervisor caught me snoring one day and forgot where I was at. My supervisor offered to give me a coffee. This has happened more than once.

assistant: This could be due to your sleep apnea. Who is treating you for your sleep apnea?

user: Doctor X did a consult and had me do one of those sleep test about two years ago. I only get sleepy when I look at my computer screen.

assistant: Did Doctor X recommend a C P A P machine to use at night?

user: Yes, but I never used to use it. I had another follow up visit with her and she told me that I need to use it every night. I have been using it every other night.

assistant: How much uninterrupted sleep do you think that you get per night?

user: Maybe two to five hours, on a good night.

assistant: That is not enough sleep. No wonder you are falling asleep at work. I recommend following up again with Doctor X regarding your sleep apnea. You are at a much higher risk for obesity and high cholesterol if you continue to not address the issues you have been having with the lack of sleep and sleep apnea.

user: Okay. I will make a follow up visit with her.