jshargo/mts-medical-trainset2 huggingface dataset:
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: PASTSURGICAL
Patient Information: Include left total hip replacement many years ago, history of hysterectomy, and appendectomy in the young age.

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 past surgeries that I should know of?

user: I had a hip replacement years ago.

assistant: Both hips?

user: My left.

assistant: Total?

user: Yeah.

assistant: Got it.

user: I also had my uterus and appendix removed. I was young when I had my appendix taken out.

assistant: Do you happen to remember who did your most recent surgeries?

user: Wish I did. I'd have to look back at my records and get back to you. I have everything at home.

assistant: That's no problem. I should be able to look it up from my end, too.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: ROS
Patient Information: PSYCHIATRIC: The patient lives with his mother and has been staying with her for a few years now.  We have talked to her.  She is very supportive.  His only sister is also very supportive of him.  He has lived in the ABCD houses in the past.  He has done poorly in some of them.

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 live?

user: I live with my mother around the corner where the Whole Foods is. I have been there for a few years now.

assistant: Are you the mother of the patient?

user: Yes, I'm the mother.

assistant: How are you dealing with everything?

user: We just want what is best for him. We want to support him in every possible way. He has only one elder sister. She lives in Texas and she also wants the same for him. Before he started living with us, he has been living in the A B C D places and some were in very bad condition. He was not striving there. That's why we asked him to move in with us.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: MEDICATIONS
Patient Information: Accutane and takes no other 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: Are you taking any medications?

user: Yes, I am taking Accutane for my acne issues.

assistant: Okay, any other medicines?

user: No, just that.

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

Section: PASTSURGICAL
Patient Information: 1.  He has a surgery on his stomach as a child.  He does not know the type. 2.  Surgery for a leg fracture. 3.  Craniotomy seven years ago for an intracranial hemorrhage/subdural hematoma.

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 history of surgeries, sir?

user: The most recent was seven years ago. I had a craniotomy. I had a brain hemorrhage and there was bleed inside and outside the brain that they had to fix.

assistant: How was the recovery for that?

user: I took a while but the doctors said I had a normal recovery time.

assistant: That is good. Have you had any other surgeries?

user: I had surgery on my leg for a fracture. They put some pins in my leg.

assistant: Okay.

user: I had some kind of surgery done on my stomach when I was a kid. I am not sure what the surgery was. All I know is that it was a very common procedure with no complications.

assistant: Okay. Is that all?

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

Section: PASTMEDICALHX
Patient Information: No significant past medical 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 past medical problems that I should know about?

user: Well, what exactly do you mean by that, doctor?

assistant: Well, it could be anything from A D H D to depression to epilepsy.

user: Oh, no. I don't have anything like that.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: Both parents experienced memory problems in their ninth decades, but not earlier. 5 siblings have had no memory trouble. There are no neurological illnesses in his 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: So, lets talk about your family, anybody in your family have any neurological problems?

user: No, I don't think so, my parents did experience some memory loss but that was when they were in their nineties. And I am assuming it was mostly from the old age rather than any neuro problem.

assistant: Yeah, that is true. And how about your brothers and sisters, do you have any?

user: Oh yeah, I have five siblings and they are pretty healthy! I mean all of them are doing good, no one has any memory issues as far as I know or any neuro related illness.

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

Section: FAM/SOCHX
Patient Information: Mother with history of coronary artery 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: Do you have any family history of heart disease?

user: My mother has coronary artery disease.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: Migraine headaches on maternal side, including her mother. No family history of thrombosis.

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 migraine headaches run in the family?

user: My mother gets migraines and she told me that it runs on her side of the family.

assistant: Any family history of blood clots?

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

Section: FAM/SOCHX
Patient Information: She attained a High School education and had been widowed for over 30 years. She lived alone for 15 years until to 12/94, when her daughters began sharing the task of caring for her. She had no history of tobacco, alcohol or 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?

user: I was, but my husband died thirty years ago.

assistant: Are you working?

user: Nope.

assistant: What is your highest degree?

user: I did high school. I was living alone for fifteen years until December of ninety four.

assistant: How is your living situation now? Who is taking care of you?

user: My daughters have started taking care of me on a shareable basis.

assistant: Do you smoke? Or drink or have ever used any drugs.

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

Section: FAM/SOCHX
Patient Information: 2ppd smoker since his teens; quit 2 years ago. 6-pack beer plus 2 drinks per day for many years: now claims he has been dry for 2 years. Denies 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: Do you smoke, or have you smoked in the past?

user: Yeah, I quit two years ago. But before that I used to smoke two packs per day. I first started smoking as a teenager.

assistant: Do you drink at all?

user: I used to drink six packs of beer plus two additional drinks a day for many years. Good news is that I've been dry for two years now.

assistant: Any illicit drug use, such as cocaine, marijuana or heroin?

user: No none of that.
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 COPD and emphysema.  She was last seen in the clinic in March 2004.  Since that time, she has been hospitalized for psychiatric problems and now is in a nursing facility.  She is very frustrated with her living situation and would like to return to her own apartment, however, some believes she is to ill to care for herself. At the present time, respiratory status is relatively stable.  She is still short of breath with activity, but all-in-all her pulmonary disease has not changed significantly since her last visit.  She does have occasional cough and a small amount of sputum production.  No fever or chills.  No chest pains.

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, miss. How are you doing today? It looks like we are evaluating C O P D and emphysema.

user: Yes, the last time I was seen in Pulmonary Medicine Clinic was March two thousand and four.

assistant: It has been quite some time. How are you feeling?

user: I have actually been hospitalized for psychiatric problems and now live in a nursing facility. Things have not been too great. I don't like living there.

assistant: I understand the frustration. When you live in a nursing facility you lose a lot of your freedom.

user: I want to live back in my apartment, but I know I am too ill to care for myself.

assistant: In spite of all of that how are your respiratory issues?

user: I feel pretty stable. I still have shortness of breath when I do activities, but with my condition I feel like that is something I will have to live with.

assistant: Unfortunately, that is the nature of the disease. I am happy to see that the pulmonary disease has not changed significantly since your last visit.

user: The only thing that seems to have changed is that I have a small cough and produce some mucus.

assistant: Okay. Do you have any fever or chills?

user: No, none of that.

assistant: Do you experience any chest pains? I want to check especially since you have been coughing up some mucus.

user: No, I luckily do not have any chest pains.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: He was released to regular work.

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: You can continue working, I just want you to be careful.

user: Thanks Doctor. I will be.

assistant: Great.
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 56-year-old noted to have microscopic hematuria with overactive bladder.  Her cystoscopy performed was unremarkable.  She continues to have some episodes of frequency and urgency mostly with episodes during the day and rare at night.  No gross hematuria, dysuria, pyuria, no other outlet obstructive and/or irritative voiding symptoms.  The patient had been previously on Ditropan and did not do nearly as well.  At this point, what we will try is a different medication.  Renal ultrasound is otherwise unremarkable, notes no evidence of any other 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: Can you confirm your age for me, ma'am?

user: Sure, I'm fifty six years old.

assistant: Great, so what brings you in to see me today?

user: Um, I'm peeing a lot, and I'm having  a little bit blood in that urine as well.

assistant: Have you ever had a cystoscopy?

user: Yes, it was unremarkable, that's what they told me.

assistant: When are your episodes for the most part?

user: Um, usually during the day. I don't usually have them at night.

assistant: Are you having any pain with urination?

user: No, no pain.

assistant: Aside from the little bit of blood, can you tell if there's any pus in your urine?

user: No, I don't have any of that, it's just the little bit of blood.

assistant: Have you taken any medications for this?

user: Um, I had Ditropan, and it didn't do very well.

assistant: Well, this ultrasound of the kidney is also unremarkable, so at this time I think we should try a different medication.
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: Any health issues on your mom or dad's side?

user: No, we're a pretty healthy family.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This 64 y/o RHM had had difficulty remembering names, phone numbers and events for 12 months prior to presentation, on 2/28/95. This had been called to his attention by the clerical staff at his parish--he was a Catholic priest. He had had no professional or social faux pas or mishaps due to his memory. He could not tell whether his problem was becoming worse, so he brought himself to the Neurology clinic on his own referral.

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, how are you?

user: I don't know, I don't know whether I am good, or my problem is getting worse and that is the reason I got myself to your clinic for a neurological consult.

assistant: Hm, don't worry! We will take care of you, let me start by taking some details.

user: Sure!

assistant: So were you referred by someone or-

user: Oh, no I referred myself to your clinic.

assistant: Okay. And what is your age?

user: I am sixty four years young!

assistant: Ah, that's clever, you certainly look very young. And which is your dominant hand? Are you left handed, or right?

user: I am right handed.

assistant: So, tell me what is going on with you?

user: Well, lately I am having difficulty remembering names and phone numbers or even events.

assistant: Well, it's not uncommon.

user: I know, but I am usually very good at remembering things. I would have not worried that much, but it was brought to my attention by my clerical staff.

assistant: Oh, okay. What do you do?

user: Well, I was the catholic priest at my parish, like we have our own small administrative district and church.

assistant: Okay, and when did you notice first that you are forgetting things?

user: Around twelve months back.

assistant: And did it cause any problem at work or any mishaps?

user: No, not at all! No social or professional faux pas whatsoever.

assistant: Okay, I have my notes let me put the date, oh what is the date-

user: It's twenty eighth of February.

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

Section: DISPOSITION
Patient Information: She is being discharged to home.  She will stay with a friend for a couple of days.  She will be following up with Dr. X on Monday or Tuesday.  Apparently Dr. Y has already discussed the situation and the plan with her.  She will continue on her usual medications except for discontinuing the Prozac.

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: All right, you can go home now.

user: Thank you doctor.

assistant: You can stay at your friend's place and make sure to take good care of yourself.

user: Yes.

assistant: Make sure you follow up with Doctor X on Monday or Tuesday. I know that Doctor Y already discussed his plans. Continue taking your medicines except Prozac. Okay?
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: FAM/SOCHX
Patient Information: She does not drink or smoke.

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 or drink?

user: Nope, I've never touched a cigarette nor do I plan on ever doing so. Same goes for alcohol.
system: You are a medical doctor conducting a patient consultation. Here is the patient's background information:

Section: GENHX
Patient Information: This 67 y/oRHM first began experiencing horizontal binocular diplopia 25 years prior to presentation in the Neurology Clinic. The diplopia began acutely and continued intermittently for one year. During this time he was twice evaluated for myasthenia gravis (details of evaluation not known) and was told he probably did not have this disease. He received no treatment and the diplopia spontaneously resolved. He did well until one year prior to presentation when he experienced sudden onset horizontal binocular diplopia. The diplopia continues to occur daily and intermittently; and lasts for only a few minutes in duration. It resolves when he covers one eye. It is worse when looking at distant objects and objects off to either side of midline. There are no other symptoms associated with the diplopia.

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! Welcome to the Neurology clinic, sir.

user: Hi! Thank you.

assistant: What brings you in to the clinic today?

user: I was diagnosed with binocular diplopia twenty five years ago but I haven't had much of an issue with it until about a year ago.

assistant: What did you notice as far as symptoms?

user: Suddenly, I started having double vision.

assistant: Did the double vision happen more than one time?

user: It has been happening almost every day off and on through out the day.

assistant: How long do the episodes last?

user: They last for only a few minutes at a time. When I was first diagnosed years ago it happened for a year and then it stopped happening. It was not happening as often as it is now.

assistant: Did you ever receive any treatment for your binocular diplopia?

user: No. It spontaneously resolved and so I didn't need to seek any treatment. Back when all this was happening it had two episodes of a drooping eyelid. I thought I had myasthenia gravis but I was told that that was probably not the case.

assistant: What eyelid was drooping?

user: I don't remember?

assistant: What is your dominate hand?

user: I am right handed.

assistant: And how old are you?

user: I am sixty seven.

assistant: Involving the double vision, does it become worse when looking at distant objects?

user: Yes.

assistant: When you look at objects off to either side of midline does it become worse?

user: Yes. That makes it worse too. When I put my hand over one eye is goes away.

assistant: Do you have any other symptoms related to the vision issues?

user: No.
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 5-year-4-month-old male who presents for evaluation of feet.  He has been having significant feet pain with significant planovalgus deformity.  The patient was noted to have flexible vertical talus.  It was decided that the patient would benefit by subtalar arthrodesis, possible autograft, and Achilles lengthening.  This was explained to the mother in detail.  This is going to be a stabilizing measure and the patient will probably need additional surgery at a later day when his foot is more mature.  Risks of surgery include risks of anesthesia, infection, bleeding, changes in sensation and motion of the extremity, hardware failure, need for other surgical procedures, need to be nonweightbearing for some time.  All questions were answered and the mother 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: How old is your son?

user: He is almost five and a half years old now.

assistant: What seems to be the problem?

user: He has a lot of pain about both feet, and if you look at it, it looks like his feet rotate inwards.

assistant: Okay, let me see, okay, um, he has rocker bottom feet.

user: Okay.

assistant: I believe he would benefit from a subtalar arthrodesis, possible autograft, and lengthening of the Achilles. I'll go over the details of that procedure right now.

user: Can we do the surgery soon?

assistant: Yes we can. But we'll probably need to do another procedure until his foot matures some more.   This is a stabilizing measure.

user: What are the risks of infection if we do the surgery?

assistant: Historically, the risk of infection is very low, usually less than one percent.

user: How do you get the risk so low?

assistant: We use prophylactic antibiotics to minimize the infection risk.

user: Will he be able to walk again right after the surgery?

assistant: No, he'll need to stay off it for a while, we call this nonweightbearing. It will only be for some time after the procedure, it's not permanent.

user: What are the rest of the risks?

assistant: The total risks of surgery include risks of anesthesia, infection, bleeding, changes in sensation and motion of the extremity, hardware failure, need for other surgical procedures, need to be nonweightbearing for some time. I would not worry about these risks, though. The risk is low.

user: Okay. Let's do the surgery.