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: This is a 78-year-old male who recently had his right knee replaced and also back surgery about a year and a half ago.  He has done well with that.  He does most of the things that he wants to do.  He travels at every chance he has, and he just got back from a cruise.  He denies any type of chest pain, heaviness, tightness, pressure, shortness of breath with stairs only, cough or palpitations.  He sees Dr. Ferguson.  He is known to have Crohn's and he takes care of that for him.  He sees Dr. Roszhart for his prostate check.  He is a nonsmoker and denies swelling in his ankles.

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. Looks like we are here for a general wellness check?

user: Yes, sir. In my seventy eight years on this Earth, I have learned to take my health more seriously. I need to start catching things before they come, not after.

assistant: I could not agree more. From your last checkup notes, it looks like you had right knee surgery and back surgery about eighteen months ago. How is that going? Any pain?

user: Yes, I had a right knee replacement. I am doing great so far. Nothing to complain about. I can do almost anything I desire now. It is such a good lifestyle change from before surgery.

assistant: What do you do with your new body?

user: I travel every chance I get. I just got back from a cruise.

assistant: I hope to be as agile as you when I get to retirement. Now let's check the other systems. Do you feel any type of chest pain? Any heaviness, tightness or pressure?

user: No, nothing like that.

assistant: How about shortness of breath?

user: I only get short of breath when I walk up the stairs.

assistant: That is decently normal. I get out of breath when walking from floor to floor in this hospital too.

user: I thought so. I remember being young and still struggling with stairs.

assistant: Unfortunately, some things are just with us for life. Do you have any coughing fits or irregular heart beating?

user: No.

assistant: Great! You are getting a clean bill of health from me today. On the notes it says you have Crohn's disease. Are you getting regularly checked for that?

user: Yes. Doctor Ferguson takes care of me for that.

assistant: Excellent. Are you scheduled for a prostate check?

user: Yes, I go to Doctor Roszhart.

assistant: You are wonderfully on top of it. What a breath of fresh air. From all of your travelling, how are your ankles? Have you noticed any swelling?

user: Surprisingly, from all the walking I do, I do not have any swelling. After quitting smoking ten years ago I had to get addicted to something else and that was walking and travelling.
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: And when did you had your last tetanus shot?

user: Um, I don't remember correctly, but it should be in my reports. I did have one sometime back, just don't remember when exactly.

assistant: Ah, no problem. I see it here in your reports and it's up to date. So that's good.

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

Section: FAM/SOCHX
Patient Information: She lives with her boyfriend.  The patient has a history of heavy tobacco and alcohol abuse for many years.

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 where do you stay?

user: I stay nearby in my apartment.

assistant: Alone?

user: No, I stay with my boyfriend.

assistant: Okay, and do you smoke and drink?

user: Both.

assistant: And how much would say you smoke per day?

user: Well, I smoke a lot. Seven to eight packs per day.

assistant: Oh! And for how many years?

user: I don't remember exactly but for many, many years, I have a long history of chain smoking.

assistant: Hm. And alcohol?

user: Same, I drink heavily. I have been drinking for many years.

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

Section: GENHX
Patient Information: 59y/o male experienced a "pop" in his head on 10/10/92 while showering in Cheyenne, Wyoming. He was visiting his son at the time. He was found unconscious on the shower floor 1.5 hours later. His son then drove him Back to Iowa. Since then he has had recurrent headaches and fluctuating level of consciousness, according to his wife. He presented at local hospital this AM, 10/13/92. A HCT there demonstrated a subarachnoid hemorrhage. He was then transferred to UIHC.

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, sir?

user: One less than sixty.

assistant: So, what happened?

user: I was visiting my son in Cheyenne, Wyoming, then I on October tenth when I was taking a shower, I felt a pop in my head. I don't know what happened after that. We thought he was having a long shower that day. Then about one and a half hours later my son suspected something is not right and we went up to check. There we found him unconscious on the shower floor. Our son, he then drove us back to Iowa and since then he is complaining of these headaches and that he's not feeling well. He gets unconscious or falls asleep I don't know but it is happening a lot of the time. We got him to local hospital today in the morning. It is three days after that shower incident.

assistant: Yeah, his report says he got a hemorrhage, I mean, blood clot in his brain.

user: Yeah, after that report they transferred us to this hospital.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTSURGICAL
Patient Information: Hernia repair.

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 this your first surgery or have you had other surgeries in the past?

user: This will be my second. I had a hernia repair back in O ten.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: Employed cook. Denied ETOH/Tobacco/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: Where do you work?

user: I work at the Hilton as a head chef.

assistant: Do you smoke or consume any form of tobacco?

user: Nope.

assistant: Do you drink or have ever used any illegal drug?

user: No, none of that.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: ROS
Patient Information: Positive findings of the foot that have been recorded. All other systems reviewed were 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: Where do you feel the most pain?

user: I'd have to say at the heels of my feet. I spend a lot of time on my feet at work.

assistant: I see. What kind of shoes do you normally wear to work?

user: Regular tennis shoes.

assistant: Are they cushioned?

user: Eh not really, but they're pretty durable.

assistant: I'd advise getting an orthotic for your shoes to help with the heel pain and resting your feet when you're home. In the meantime, I'd like for you to see a specialist to make sure nothing else is going on.

user: Alright, I'm good with that plan.

assistant: Are you having any other problems? Joint pain, difficulty walking, nausea, vomiting, or other symptoms?

user: No, just heel pain for now.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: The patient has a history of inhalation on intravenous drug abuse.  She is currently on methadone maintenance.  She is being followed in Psychiatry for depression and substance abuse issues.  She lives with a room-mate.

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'm here to take your social history. So, tell me about yourself.

user: I was taking drugs. I tried all the methods, mainly I was using inhalation and I V drugs.

assistant: Right now, you are on methadone, right?

user: Yes. I'm also going to the psychiatry department for my depression and these drug issues.

assistant: What is your living status?

user: I live with my roommate.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: His father and mother had diabetes.

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 will ask you a few questions about your family history, sir.

user: That's okay.

assistant: Does anyone in your family ever have any medical problems?

user: Both of my parents had diabetes.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: She did not know her father and was not in contact with her mother.

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 aware of any medical issues in your family?

user: I don't know.

assistant: What about your paternal family?

user: I don't know my father. No idea about his family.

assistant: What about your mom?  Maternal family?

user: I have no idea. I'm not in contact with her.
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 41-year-old male with left knee pain for approximately two years secondary to hockey injury where he did have a prior MCL sprain.  He has had a positive symptomology of locking and pain since then.  He had no frank instability to it, however.

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, sir. Before we begin, how old are you?

user: Good morning, doctor. I'm forty one.

assistant: Thank you, and how long have you had this left knee pain?

user: It's been about two years now.

assistant: Is there an injury?

user: Yeah, I sprained my MCL while playing hockey back then.

assistant: What kind of symptoms have you had in this knee since then?

user: Well, the knee locks up on me, I can't extend it all the way, and it just hurts really bad if I try to.

assistant: Do you feel any instability?

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

Section: GENHX
Patient Information: 69-year-old Caucasian male complaining of difficulty breathing for 3 days.  He also states that he has been coughing accompanying with low-grade type fever.  He also admits to having intermittent headaches and bilateral chest pain that does not radiate to upper extremities and jaws but worse with coughing.  Patient initially had this type of episodes about 10 months ago but has intermittently getting worse since.

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 see here that you've been feeling more short of breath.

user: Yes, for three days now.

assistant: Is it worse when you exert yourself?

user: Um no, not really. I've had a terrible cough along with frequent headaches and chest congestion. I have also had a low fever.

assistant: Did these symptoms start around the same time?

user: I think so.

assistant: Where does your chest feel most congested? And how would you rate the pain right now? Ten being the worst.

user: Both sides. I'd say it's at a three currently.

assistant: Does it send pain or numbness or tingling down your arms? How about any jaw pain as a result?

user: No, but it does get worse whenever I cough.

assistant: Is this your first time experiencing this type of congestion?

user: Oh no. I had something like it about ten months ago.

assistant: Did that improve on its own?

user: It would come and go, but over the past few days it's gotten worse. I am a strong German man so I held out coming to the doctor as long as I could.

assistant: You are very strong! You are sixty nine though, so I don't think anyone would see it as weak if you came to the doctor more often.
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: Are you aware of any medical problems in your family?

user: No.

assistant: Anyone with any heart disease or diabetes?

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

Section: ROS
Patient Information: Focal left eye pain without any changes in visual acuity or photophobia.  He has no prior ophthalmologic problems.  Review of systems for cardiac, pulmonary, GI, GU, neurologic, musculoskeletal, endocrine, immunologic systems is 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: Besides pain in your left eye, are you having any other problems?

user: No.

assistant: Do you happen to have a history of eye problems?

user: None.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: CC
Patient Information: Anxiety, alcohol abuse, and chest pain.

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 have a lot of anxiety.

assistant: Anything else?

user: I have a lot of pain in my chest as well.

assistant: Do you drink?

user: Yes, I cannot stop myself. I have tried many times but it's hard to control.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: He is a nonsmoker.  He has been drinking alcohol today, but has no history of alcohol or drug abuse.

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 smoke?

user: No.

assistant: How about alcohol?

user: I drink, but just normal. I don't have any alcohol problem.

assistant: Okay. So, no history of any drug or alcohol abuse, right?

user: No, not at all.

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

Section: GENHX
Patient Information: ABC is in today for a followup of her atrial fibrillation.  They have misplaced the Cardizem.  She is not on this and her heart rate is up just a little bit today.  She does complain of feeling dizziness, some vertigo, some lightheadedness, and has attributed this to the Coumadin therapy.  She is very adamant that she wants to stop the Coumadin.  She is tired of blood draws.  We have had a difficult time getting her regulated.  No chest pains.  No shortness of breath.  She is moving around a little bit better.  Her arm does not hurt her.  Her back pain is improving as well.

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 can I help you?

user: I am here for a follow up on my heart rhythm problem. I think it is atrial fibrillation.

assistant: Oh yes. You are not on Cardizem and your heart rate is up just a little bit today.

user: That's right. I misplaced it.

assistant: Okay. Let me see. What symptoms are you experiencing right now?

user: I am feeling very dizzy. I do have some vertigo and lightheadedness.

assistant: You are on blood thinners, right? That is Coumadin therapy? Or am I wrong here?

user: No, you are right but please stop the Coumadin. I am tired of these regular blood draws.

assistant: See, I understand it is hard to control it. It is difficult to regulate that.

user: Yes exactly. That is why I don't want it. Give me something simple.

assistant: Okay I will investigate it. Are you experiencing any chest pain or shortness of breath?

user: Oh no, I am not feeling that.

assistant: Okay great!

user: Actually, I am moving around a little bit better now and my arm does not hurt.

assistant: How about your back pain?

user: Um, it is improving as well.

assistant: Okay, cool.

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

Section: GENHX
Patient Information: This is a 61-year-old woman with a history of polyarteritis nodosa, mononeuritis multiplex involving the lower extremities, and severe sleep apnea returns in followup following an overnight sleep study, on CPAP and oxygen to evaluate her for difficulty in initiating and maintaining sleep.  She returns today to review results of an inpatient study performed approximately two weeks ago. In the meantime, the patient reports she continues on substantial doses of opiate medication to control leg pain from mononeuritis multiplex. She also takes Lasix for lower extremity edema. The patient reports that she generally initiates sleep on CPAP, but rips her mask off, tosses and turns throughout the night and has "terrible quality sleep."

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. Can you confirm your age for me, please?

user: Sure, good afternoon, doctor. I'm sixty one years old.

assistant: Great, what brings you in for a visit today?

user: I have some notes here with me, but I have a history of polyarteritis nodosa mononeuritis multiplex.

assistant: Is this in your legs, or arms?

user: Um, it's in my legs.

assistant: I see here that you have sleep apnea too.

user: Yeah, I was involved in an overnight sleep study on C P A P and oxygen.

assistant: Why did they do this?

user: It was in order to determine why I had difficulty falling asleep and staying asleep.

assistant: Have You had any other treatments?

user: Yeah, I had a review done while I was in the hospital about two weeks ago, I have the results right here.

assistant: Thank you, so, how is your leg pain been managed?

user: Um, I take pretty substantial doses of opioids in order to control it.

assistant: Do you have any swelling?

user: Yes, I take Lasix for my leg swelling.

assistant: How do you sleep with the C P A P?

user: I can fall asleep with it, but I usually rip my mask off because I toss and turn.

assistant: How would you rate your quality of sleep?

user: I'd, um, say it's pretty terrible.
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 83-year-old lady, a resident of a skilled nursing facility, with past medical history of a stroke and dementia with expressive aphasia, was found today with a right-sided facial droop, and was transferred to the emergency room for further evaluation.  While in the emergency room, she was found to having the right-sided upper extremity weakness and right-sided facial droop.  The CT scan of the head did not show any acute events with the impression of a new-onset cerebrovascular accident, will be admitted to monitor bed for observation and treatment and also she was recently diagnosed with urinary tract infection, which was resistant to all oral medications.

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, what's going on?

user: I am her daughter. I brought her to the emergency. She lives in a skilled nursing home. Today, when I went to meet her, I found her with the right side of her face drooping. I immediately rushed her here.

assistant: Oh, you did the right thing. Ma'am, how are you feeling?

user: She has dementia, most of the time she doesn't even remember me.

assistant: Oh, okay.How old is she?

user: She is eighty three. She also has a history of stroke after which she developed this condition where she knows what she wants to speak but is unable to make the word or sentence.

assistant: Oh, I see. She has expressive aphasia, correct?

user: Yes, that.

assistant: Okay, let me check her. She does have a droop to her right side of the face. Ma'am, do you feel any weakness on the right side of your body?

user: She says yes.

assistant: She had her C T scan earlier today and I have the report. It does not show any acute attack or anything.

user: Okay!

assistant: But it does show that she has a new onset of a stroke.

user: Is there anything to worry?

assistant: I think we need to admit her for observation. We need to monitor her. We will also get her a proper treatment for her urinary infection which is not getting better due to resistance to the oral medicines.

user: Yeah, sounds good!

assistant: Yeah, let me talk to the nurse.

user: Thank you.