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 *.zip filter=lfs diff=lfs merge=lfs -text
 *.zst filter=lfs diff=lfs merge=lfs -text
 *tfevents* filter=lfs diff=lfs merge=lfs -text
+Docs/Cloudflare[[:space:]]Interview[[:space:]]Guide[[:space:]]_[[:space:]]Strategic[[:space:]]Account[[:space:]]Executive,[[:space:]]Dubai.pdf filter=lfs diff=lfs merge=lfs -text
+Docs/RCEM_BPC_Procedural_Sedation_Final_Aug_22_10772cef06[[:space:]](1).pdf filter=lfs diff=lfs merge=lfs -text
+Docs/RCEM_BPC_Procedural_Sedation_Final_Aug_22_10772cef06.pdf filter=lfs diff=lfs merge=lfs -text

Docs/.txt

@@ -0,0 +1,27 @@
+Doctor: tom
+Patient: 
+General: 
+Subjective
+Martin reports that his depressive symptoms have worsened and are now more frequent and intense. He feels fatigued both mentally and physically, and finds it difficult to concentrate. He also experiences feelings of worthlessness and self-loathing, and has suicidal ideation daily but no plan or intent to act.
+
+Objective
+Martin denies any hallucinations, delusions, or other psychotic-related symptomatology. His compliance with medication is good. He appears to have gained better control over his impulsive behavior as they are being observed less frequently. Martin appears to have lost weight and reports a diminished interest in food and a decreased intake. He exhibits speech that is normal in rate, volume and articulation is coherent and spontaneous. Language skills are intact. There are signs of severe depression. Body posture, eye contact, and attitude portray a depressed mood. The slowness of physical movement helps reveal depressive symptomatology. There are no apparent signs of hallucinations, delusions, or any other indicators of psychotic processes. Associations are intact, and thinking is logical. He appears to have good insight. The thought process seems to be intact, and Martin is fully orientated.
+
+Assessment
+Martin presents as listless, distracted, and minimally communicative. He
+
+Doctor: Jackson
+Patient: 
+General: 
+The patient has caught a cold and is experiencing a slight headache. The doctor has prescribed medication and advised the patient to take baths in tepid water for a few days.
+
+Doctor: John
+Patient: 
+General: 
+The patient has caught a cold and is experiencing a slight headache. The doctor has prescribed medication and advised the patient to take baths in tepid water for a few days.
+
+Doctor: Jackson
+Patient: 
+General: 
+The patient has caught a cold and is experiencing a slight headache. The doctor has prescribed medication and advised the patient to take baths in tepid water for a few days.
+

Docs/Charlos.txt

@@ -0,0 +1,9 @@
+Patient Name: Charlos
+Doctor Name: John
+
+Subjective: Charlos reports that he has been feeling down and has been struggling to concentrate. He states that he has been feeling more irritable than usual and has been having difficulty sleeping. He reports that he has been feeling more anxious than usual and has been having difficulty focusing on tasks.
+Objective: Charlos appears to be listless, distracted, and minimally communicative. His speech is normal in rate, volume, and articulation and is coherent and spontaneous. His language skills are intact. There are signs of severe depression, including body posture, eye contact, and attitude. The slowness of physical movement helps reveal depressive symptomatology. There are no apparent signs of hallucinations, delusions, or any other indicators of psychotic processes. Associations are intact, and thinking is logical. He appears to have good insight. The thought process seems to be intact, and Charlos is fully orientated.
+Assessment: Charlos presents with symptoms of major depressive disorder, which interfere with his day-to-day functioning and require ongoing treatment and support.
+Plan: 1. Meet with Charlos again in 2 days, Friday, 20th May
+2. Refer Charlos to a mental health professional for further assessment and treatment
+

Docs/Cloudflare Interview Guide _ Strategic Account Executive, Dubai.pdf

@@ -0,0 +1,3 @@
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+oid sha256:150c0f231d48c4e43b3ec18fbdf19c747ec8142376370b371caf59e76b69a7e2
+size 3970017

Docs/Conversation Charlos.txt

@@ -0,0 +1,24 @@
+5. Conversation Between Patient and Doctor about Indigestion
+
+Doctor name: John
+Patient Name: Charlos 
+
+Patient: Good Morning Doctor.
+
+Doctor: Morning. What is wrong with you?
+
+Patient: I am suffering from indigestion since last few days.
+
+Doctor: Have you noticed any other symptoms?
+
+Patient: I have also headache. I couldn’t sleep at night.
+
+Doctor: I think this is happening because of anxiety and bad eating habit.
+
+Patient: Yes, Doctor. I have a lot of work pressure and due to my field work, I eat a lot of junk food.
+
+Doctor: I will suggest you to take a break from your work and eat healthy foods like fruits, vegetables etc. Besides, I am also prescribing some medicines, take them 2 times a day.
+
+Patient: Thank you Doctor.
+
+Doctor: Welcome. Take care.

Docs/Converzation2.txt

@@ -0,0 +1,24 @@
+Patient Name: John
+Doctor Name: Jackson
+
+Patient: May I come in, doctor?
+
+Doctor: Yes, come in, please.
+
+Patient: Thank you, doctor.
+
+Doctor: Please, be seated. What ails you?
+
+Patient: I had high temperature last night. It was 103°C. Moreover, I have a chest pain. I also cough.
+
+Doctor: I see. Now lie down on the bed. I’ll check your chest. It’s cold weather now. You should be careful.
+
+Patient: Last week I had gone to a village to do some field work on the potable water. I’d to work even at late evening under the open sky. I felt sick there, I returned with pain in chest.
+
+Doctor: Any headache?
+
+Patient: It is slight. Not severe. Is it serious anything?
+
+Doctor: Nothing serious. You’ve caught cold. Take these medicines. You’ll be ok. Have your bath only in tepid water for some days.
+
+Patient: Thank you, doctor.

Docs/Convesation-fever.txt

@@ -0,0 +1,31 @@
+1. Conversation Between Doctor and Patient about Fever
+
+Doctor name : John.
+
+Patient name: Tom Smith. 
+
+Doctor: Hello! What can I do for you?
+
+Patient: I am suffering from Fever and sore throat since yesterday.
+
+Doctor: Do you have cough problem also?
+
+Patient: Yes I have
+
+Doctor: Do you have any other symptoms?
+
+Patient: I also feel headache and shivering.
+
+Doctor: Have you taken any medicine so far?
+
+Patient: No Doctor.
+
+Doctor: Let me check your temperature. Now the fever is 101 degrees.
+
+Patient: Is there something serious Doctor?
+
+Doctor: Don’t worry. Take the prescribed medicines two times a day for 3 days and get some rest.
+
+Patient: Thank you very much Doctor.
+
+Doctor: Welcome. Get well soon.

Docs/General.txt

@@ -0,0 +1,705 @@
+General: 
+Subjective
+Tom reports that he has been feeling down and has been struggling to concentrate. He states that he has been feeling fatigued and has been having difficulty sleeping. He reports that he has been feeling hopeless and has been having thoughts of self-harm.
+
+Objective
+Tom appears to be in a depressed mood. His speech is slow and his body posture is slumped. He has poor eye contact and his attitude is apathetic. He has lost weight and reports a decreased appetite.
+
+Assessment
+Tom presents with signs of severe depression. His thought process is intact, and he is fully orientated. He has good insight and his behavior is cooperative.
+
+Plan
+Tom requires ongoing treatment and support. He should meet with a mental health professional as soon as possible. He should also make his family aware of his current state of mind. He should also follow his safety plan if required.
+
+General: Subjective
+Pamela reports that she has been feeling down and has been struggling to concentrate. She states that she has been feeling overwhelmed and has been having difficulty sleeping. She reports that she has been feeling anxious and has been having difficulty managing her emotions.
+
+Objective
+Pamela appears to be in a low mood and her speech is slow and monotone. She has poor eye contact and her body language is closed off. She reports that she has been feeling fatigued and has been having difficulty with her concentration.
+
+Assessment
+Pamela appears to be suffering from depression and anxiety.
+
+Plan
+1. Meet with Pamela again in two days to review her progress.
+2. Refer Pamela to a mental health professional for further assessment and treatment.
+3. Encourage Pamela to practice relaxation techniques and mindfulness to help manage her anxiety.
+
+General: Pamela Rogers is a 56 year old woman who has been having chest pains for the last week and has come to the Emergency Department for treatment.
+
+General: 
+Subjective
+Mrs. Jones states that Julia is "doing okay." Mrs. Jones said her daughter seems to be engaging with other children in her class. Mrs. Jones said Julia is still struggling to get to sleep and that "she may need to recommence the magnesium." Despite this, Mrs. Jones states she is "not too concerned about Julia's depressive symptomatology.
+
+Objective
+Mrs. Jones thinks Julia's condition has improved.
+
+Assessment
+Julia will require ongoing treatment.
+
+Plan
+Plan to meet with Julia and Mrs. Jones next week to review mx. To continue to meet with Julia. Encourage Julia to eat more salmon as part of her diet.
+
+General: 
+Subjective
+Mrs. Jones states that Julia is "doing okay." Mrs. Jones said her daughter seems to be engaging with other children in her class. Mrs. Jones said Julia is still struggling to get to sleep and that "she may need to recommence the magnesium." Despite this, Mrs. Jones states she is "not too concerned about Julia's depressive symptomatology.
+
+Objective
+Mrs. Jones thinks Julia's condition has improved.
+
+Assessment
+Julia will require ongoing treatment.
+
+Plan
+Plan to meet with Julia and Mrs. Jones next week to review mx. To continue to meet with Julia. Encourage Julia to eat more salmon as part of her diet.
+
+General: 
+Subjective
+Pamela reports that she has been feeling fatigued and has been having difficulty sleeping. She also reports feeling anxious and having difficulty concentrating.
+
+Objective
+Pamela appears to be in a low mood and her speech is slow. She has difficulty making eye contact and her body posture is slumped.
+
+Assessment
+Pamela is exhibiting signs of depression and anxiety.
+
+Plan
+1. Meet with Pamela again in two days to review her condition.
+2. Encourage Pamela to follow her safety plan if needed.
+3. Encourage Pamela to eat more salmon as part of her diet.
+
+General: Subjective
+Pamela reports that she has been feeling down and has been having difficulty sleeping. She states that she has been feeling overwhelmed and has been having difficulty concentrating. She also reports that she has been feeling anxious and has been having difficulty making decisions.
+
+Objective
+Pamela appears to be in a depressed mood. She has a flat affect and her speech is slow and monotone. She has poor eye contact and her posture is slumped. She reports that she has been having difficulty sleeping and has been feeling overwhelmed.
+
+Assessment
+Pamela is exhibiting signs of depression. She has a flat affect, poor eye contact, and her speech is slow and monotone. She has difficulty sleeping and is feeling overwhelmed.
+
+Plan
+1. Refer Pamela to a mental health professional for further assessment and treatment.
+
+2. Provide Pamela with resources and information about depression and anxiety.
+
+3. Encourage Pamela to engage in activities that she enjoys and to practice self-care.
+
+General: 
+Patient Name: John
+Doctor Name: Jackson
+
+Patient: May I come in, doctor?
+
+Doctor: Yes, come in, please.
+
+Patient: Thank you, doctor.
+
+Doctor: Please, be seated. What ails you?
+
+Patient: I had high temperature last night. It was 103°C. Moreover, I have a chest pain. I also cough.
+
+Doctor: I see. Now lie down on the bed. I’ll check your chest. It’s cold weather now. You should be careful.
+
+Patient: Last week I had gone to a village to do some field work on the potable water. I’d to work even at late evening under the open sky. I felt sick there, I returned with pain in chest.
+
+Doctor: Any headache?
+
+Patient: It is slight. Not severe. Is it serious anything?
+
+Doctor: Nothing serious. You’ve caught cold. Take these medicines. You’ll be ok. Have your bath only in tepid water for some days.
+
+Patient: Thank you, doctor.
+
+SOAP
+
+General: 
+Subjective
+Martin reports that his depressive symptoms continue to worsen, with them being more frequent and intense. He feels fatigued both mentally and physically, and finds it difficult to concentrate. He also experiences feelings of worthlessness and self-loathing, as well as suicidal ideation daily.
+
+Objective
+Martin denies any hallucinations, delusions, or other psychotic-related symptomatology. His compliance with medication is good. He appears to have gained better control over his impulsive behavior as they are being observed less frequently. Martin appears to have lost weight and reports a diminished interest in food and a decreased intake. He exhibits speech that is normal in rate, volume and articulation is coherent and spontaneous. Language skills are intact. There are signs of severe depression. Body posture, eye contact, and attitude portray a depressed mood. The slowness of physical movement helps reveal depressive symptomatology. There are no apparent signs of hallucinations, delusions, or any other indicators of psychotic processes. Associations are intact, and thinking is logical. He appears to have good insight. The thought process seems to be intact, and Martin is fully orientated.
+
+Assessment
+Martin presents with severe depression and suicidal ideation.
+
+Plan
+Martin continues to require outpatient
+
+General: 
+Subjective
+Patient reports feeling generally unwell and has been experiencing a lack of energy and motivation. Patient has been feeling down and has been having difficulty sleeping. Patient has been feeling anxious and has been having difficulty concentrating.
+
+Objective
+Patient appears to be in a low mood and has a flat affect. Patient is speaking slowly and has difficulty making eye contact. Patient is oriented to person, place, and time.
+
+Assessment
+Patient is exhibiting signs of depression and anxiety.
+
+Plan
+1. Refer patient to a mental health professional for further assessment and treatment.
+
+2. Prescribe medication to help manage symptoms.
+
+3. Provide patient with resources to help manage symptoms.
+
+4. Follow up with patient in two weeks to assess progress.
+
+General: 
+Subjective
+Pamela reports that she has been feeling down and has been struggling to concentrate. She states that she has been feeling overwhelmed and has been having difficulty sleeping. She reports that she has been feeling more irritable than usual and has been having difficulty connecting with her friends.
+
+Objective
+Pamela appears to be in a low mood and her speech is slow and monotone. She has poor eye contact and her body language is closed off.
+
+Assessment
+Pamela is exhibiting signs of depression and is in need of further assessment and treatment.
+
+Plan
+1. Refer Pamela to a mental health professional for further assessment and treatment.
+
+2. Encourage Pamela to practice self-care activities such as exercise, healthy eating, and relaxation techniques.
+
+3. Follow up with Pamela in two weeks to assess her progress.
+
+General: 
+Plan: Take prescribed medicines and take baths in tepid water for a few days. Drink 5 ltrs of water every night.
+
+General: 
+Tom has caught a cold and has a slight headache. The doctor has prescribed some medicines and advised the patient to take baths in tepid water for a few days and to drink 5 liters of water every day.
+
+General: 
+Plan: Take prescribed medicines, take baths in tepid water for a few days, and drink 5 liters of water every day.
+
+General: 
+Doctor: 
+Patient: Tom 
+General: 
+The doctor has advised Tom to drink 5 liters of water every day in addition to taking the prescribed medicines and taking baths in tepid water for a few days.
+
+General: 
+Angela's SOAP note would depend on her individual situation. A SOAP note is a medical record that includes subjective information (what the patient reports), objective information (what the doctor observes), assessment (the doctor's diagnosis), and plan (the doctor's treatment plan).
+
+General: 
+Subjective
+Angela reports that her daughter has been feeling better lately. She states that her daughter has been engaging with other children in her class and that she is sleeping better. Angela is not too concerned about her daughter's depressive symptomatology.
+
+Objective
+Angela believes her daughter's condition has improved.
+
+Assessment
+Angela's daughter will require ongoing treatment.
+
+Plan
+Plan to meet with Angela and her daughter next week to review treatment. To continue to meet with Angela's daughter.
+
+General: 
+Subjective
+Patient Angela states that she has been feeling more fatigued than usual and has been having difficulty sleeping. She reports that she has been feeling more anxious and has been having difficulty concentrating. She also reports that she has been feeling more irritable and has been having difficulty managing her emotions.
+
+Objective
+Patient Angela appears to be in good physical health. She is alert and oriented to person, place, and time. Her speech is normal in rate, volume, and articulation. Her language skills are intact. Her body posture, eye contact, and attitude portray a depressed mood.
+
+Assessment
+Patient Angela appears to be suffering from depression. She is exhibiting signs of fatigue, difficulty sleeping, anxiety, difficulty concentrating, irritability, and difficulty managing her emotions.
+
+Plan
+1. Refer Patient Angela to a mental health professional for further evaluation and treatment.
+
+2. Provide Patient Angela with resources and information about depression and its treatment.
+
+3. Follow up with Patient Angela in two weeks to assess her progress.
+
+General: 
+Subjective
+Mrs. Jones reports that her daughter, Julia, is doing okay. She is engaging with other children in her class and Mrs. Jones is not too concerned about Julia's depressive symptomatology. Mrs. Jones believes Julia's condition has improved.
+
+Objective
+No objective data was provided.
+
+Assessment
+Julia will require ongoing treatment.
+
+Plan
+Plan to meet with Julia and Mrs. Jones next week to review mx. To continue to meet with Julia.
+
+General: 
+Subjective
+Patient Angela states that she has been feeling more fatigued than usual and has been having difficulty sleeping. She reports that she has been feeling more anxious and has been having difficulty concentrating. She also reports that she has been feeling more irritable and has been having difficulty managing her emotions.
+
+Objective
+Patient Angela appears to be in good physical health. She is alert and oriented to person, place, and time. Her speech is normal in rate, volume, and articulation. Her language skills are intact. Her body posture, eye contact, and attitude portray a depressed mood.
+
+Assessment
+Patient Angela appears to be suffering from depression. She is exhibiting signs of fatigue, difficulty sleeping, anxiety, difficulty concentrating, irritability, and difficulty managing her emotions.
+
+Plan
+1. Refer Patient Angela to a mental health professional for further evaluation and treatment.
+
+2. Provide Patient Angela with resources and information about depression and its treatment.
+
+3. Follow up with Patient Angela in two weeks to assess her progress.
+
+General: 
+Subjective
+Patient Charlos reports that he has been feeling fatigued and has been having difficulty concentrating. He also reports feeling irritable and having feelings of worthlessness and self-loathing. He states that he has been experiencing suicidal ideation but has no plan or intent to act.
+
+Objective
+Patient Charlos denies any hallucinations, delusions, or other psychotic-related symptomatology. His compliance with medication is good. He appears to have gained better control over his impulsive behavior as they are being observed less frequently. Patient Charlos appears to have lost weight and reports a diminished interest in food and a decreased intake.
+
+Assessment
+Patient Charlos presents with signs of severe depression. His speech is normal in rate, volume and articulation is coherent and spontaneous. Language skills are intact. His body posture, eye contact, and attitude portray a depressed mood. The slowness of physical movement helps reveal depressive symptomatology. There are no apparent signs of hallucinations, delusions, or any other indicators of psychotic processes. Associations are intact, and thinking is logical. He appears to have good insight. The thought process seems to be intact, and Patient Charlos is fully orientated.
+
+Plan
+Patient Charlos
+
+General: 
+Subjective
+Patient Charlos reports that he has been feeling fatigued and has been having difficulty concentrating. He also reports feeling irritable and having feelings of worthlessness and self-loathing. He states that he has been experiencing suicidal ideation but has no plan or intent to act.
+
+Objective
+Patient Charlos denies any hallucinations, delusions, or other psychotic-related symptomatology. His compliance with medication is good. He appears to have gained better control over his impulsive behavior as they are being observed less frequently. Patient Charlos appears to have lost weight and reports a diminished interest in food and a decreased intake.
+
+Assessment
+Patient Charlos presents with signs of severe depression. His body posture, eye contact, and attitude portray a depressed mood. The slowness of physical movement helps reveal depressive symptomatology. There are no apparent signs of hallucinations, delusions, or any other indicators of psychotic processes. Associations are intact, and thinking is logical. He appears to have good insight. The thought process seems to be intact, and Patient Charlos is fully orientated.
+
+Plan
+Patient Charlos continues to require outpatient treatment. He consistently exhibits symptoms of major depressive disorder, and which interfere with his day
+
+General: 
+Subjective
+Charlos reports that he has been feeling down and has been struggling to concentrate. He states that he has been feeling fatigued and has been having difficulty sleeping. He also reports that he has been feeling worthless and has been experiencing self-loathing. Charlos denies any hallucinations, delusions, or other psychotic-related symptomatology.
+
+Objective
+Charlos appears to be listless, distracted, and minimally communicative. His speech is normal in rate, volume, and articulation and is coherent and spontaneous. His language skills are intact. There are signs of severe depression, including body posture, eye contact, and attitude. The slowness of physical movement helps reveal depressive symptomatology. There are no apparent signs of hallucinations, delusions, or any other indicators of psychotic processes. Associations are intact, and thinking is logical. He appears to have good insight. The thought process seems to be intact, and Charlos is fully orientated.
+
+Assessment
+Charlos presents with symptoms of major depressive disorder, which interfere with his day-to-day functioning and require ongoing treatment and support.
+
+Plan
+1. Meet with Charlos again in 2 days, Friday, 20th May
+2. Charlos to
+
+General: 
+Subjective
+Charlos reports that he has been feeling down and has been struggling to concentrate. He states that he has been feeling more irritable than usual and has been having difficulty sleeping. He reports that he has been feeling more anxious than usual and has been having difficulty focusing on tasks.
+
+Objective
+Charlos appears to be in a low mood. He has poor eye contact and his body language is indicative of a depressed mood. His speech is slow and his thoughts are disorganized.
+
+Assessment
+Charlos appears to be suffering from depression.
+
+Plan
+1. Meet with Charlos again in two days to review his condition.
+
+2. Refer Charlos to a mental health professional for further assessment and treatment.
+
+3. Encourage Charlos to practice relaxation techniques and to engage in activities that he enjoys.
+
+General: 
+Charlos is a male in his late twenties or early thirties. He appears to be listless, distracted, and minimally communicative. His speech is normal in rate, volume, and articulation and is coherent and spontaneous. His language skills are intact. He reports feeling down, irritable, anxious, and having difficulty sleeping and concentrating. He has poor eye contact and his body language is indicative of a depressed mood. His speech is slow and his thoughts are disorganized.
+
+General: 
+The patient, Martin, is exhibiting symptoms of major depressive disorder, including anhedonia, fatigue, difficulty concentrating, irritability, feelings of worthlessness and self-loathing, and suicidal ideation. In the SOAP note format, this would be documented in the Subjective section as reported by the patient. The Objective section would include any observations made by the social worker, such as Martin's compliance with medication, weight loss, and decreased interest in food. The Assessment section would include a summary of the therapeutic focus of the session, as well as any signs of depression observed by the social worker. The Plan section would include any recommendations for treatment, such as meeting with Martin again in two days, having him follow his safety plan if necessary, and making his family aware of his current state of mind.
+
+General: 
+The patient, Martin, is exhibiting symptoms of major depressive disorder, including anhedonia, fatigue, difficulty concentrating, irritability, feelings of worthlessness and self-loathing, and suicidal ideation. In the SOAP note format, this would be documented in the Subjective section as reported by the patient. The Objective section would include any observations made by the social worker, such as body posture, eye contact, attitude, physical movement, language skills, and thought process. The Assessment section would include a summary of the patient's condition and any relevant diagnostic information. The Plan section would include any recommendations for treatment, such as meeting with the patient again, following a safety plan, and making family aware of the patient's state of mind.
+
+General: 
+No, the given information is not a Tom SOAP Note. It is a SOAP note example for a Pediatrician and a Social Worker.
+
+General: 
+Tom's SOAP Note does not exist as it has not been provided in the context information.
+
+General: 
+James does not have a SOAP note in this context.
+
+General: James is not mentioned in the context information.
+
+General: 
+This is a conversation between a doctor and a patient named Tom. The doctor is listening carefully to Tom's report of his medical symptoms and is making an analysis based on what Tom has said.
+
+General: 
+This is a conversation between a doctor and a patient named Tom. The doctor is listening carefully to Tom's report of his medical symptoms and is making an analysis based on what Tom has said.
+
+General: 
+This is a conversation between a doctor and a patient named Tom. The doctor is listening carefully to Tom's report of his medical symptoms and is making an analysis based on what Tom has said.
+
+General: 
+This is a conversation between a doctor and a patient named Tom. The doctor is listening carefully to Tom's report of his medical symptoms and is making an analysis based on what Tom has said.
+
+General: 
+This is a conversation between a doctor and a patient named Tom. The doctor is listening carefully to Tom's report of his medical symptoms and is making an analysis based on what Tom has said.
+
+General: 
+Charlos is a person who is exhibiting symptoms of major depressive disorder.
+
+General: 
+Subjective
+Charlos reports that he has been feeling down and has been struggling to concentrate. He states that he has been feeling more irritable than usual and has been having difficulty sleeping. He reports that he has been feeling more anxious than usual and has been having difficulty focusing on tasks.
+
+Objective
+Charlos appears to be in a low mood. He has poor eye contact and his body language is indicative of a depressed mood. His speech is slow and his thoughts are disorganized. There are signs of severe depression, including body posture, eye contact, and attitude. The slowness of physical movement helps reveal depressive symptomatology. There are no apparent signs of hallucinations, delusions, or any other indicators of psychotic processes. Associations are intact, and thinking is logical. He appears to have good insight. The thought process seems to be intact, and Charlos is fully orientated.
+
+Assessment
+Charlos presents with symptoms of major depressive disorder, which interfere with his day-to-day functioning and require ongoing treatment and support.
+
+Plan
+1. Meet with Charlos again in 2 days, Friday, 20th May
+2. Refer Charlos to a mental health professional for further assessment and treatment.
+3. Enc
+
+General: 
+Subjective
+Charlos reports that he has been feeling down and has been struggling to concentrate. He states that he has been feeling more irritable than usual and has been having difficulty sleeping. He reports that he has been feeling more anxious than usual and has been having difficulty focusing on tasks.
+
+Objective
+Charlos appears to be in a low mood. He has poor eye contact and his body language is indicative of a depressed mood. His speech is slow and his thoughts are disorganized. There are signs of severe depression, including body posture, eye contact, and attitude. The slowness of physical movement helps reveal depressive symptomatology. There are no apparent signs of hallucinations, delusions, or any other indicators of psychotic processes. Associations are intact, and thinking is logical. He appears to have good insight. The thought process seems to be intact, and Charlos is fully orientated.
+
+Assessment
+Charlos presents with symptoms of major depressive disorder, which interfere with his day-to-day functioning and require ongoing treatment and support.
+
+Plan
+1. Meet with Charlos again in 2 days, Friday, 20th May
+2. Refer Charlos to a mental health professional for further assessment and treatment.
+3. Enc
+
+General: 
+Subjective
+Charlos reports that he has been feeling down and has been struggling to concentrate. He states that he has been feeling more irritable than usual and has been having difficulty sleeping. He reports that he has been feeling more anxious than usual and has been having difficulty focusing on tasks.
+
+Objective
+Charlos appears to be in a low mood. He has poor eye contact and his body language is indicative of a depressed mood. His speech is slow and his thoughts are disorganized.
+
+Assessment
+Charlos appears to be suffering from major depressive disorder, which interferes with his day-to-day functioning and requires ongoing treatment and support.
+
+Plan
+1. Meet with Charlos again in two days to review his condition.
+2. Refer Charlos to a mental health professional for further assessment and treatment.
+3. Encourage Charlos to practice relaxation techniques and to engage in activities that he enjoys.
+
+General: 
+Subjective
+Charlos reports that he has been feeling down and has been struggling to concentrate. He states that he has been feeling more irritable than usual and has been having difficulty sleeping. He reports that he has been feeling more anxious than usual and has been having difficulty focusing on tasks.
+
+Objective
+Charlos appears to be in a low mood. He has poor eye contact and his body language is indicative of a depressed mood. His speech is slow and his thoughts are disorganized.
+
+Assessment
+Charlos appears to be suffering from major depressive disorder, which interferes with his day-to-day functioning and requires ongoing treatment and support.
+
+Plan
+1. Meet with Charlos again in two days to review his condition.
+2. Refer Charlos to a mental health professional for further assessment and treatment.
+3. Encourage Charlos to practice relaxation techniques and to engage in activities that he enjoys.
+
+General: 
+Subjective
+Charlos reports that he has been feeling listless, distracted, and minimally communicative. He states that he has been feeling more irritable than usual and has been having difficulty sleeping. He reports that he has been feeling more anxious than usual and has been having difficulty focusing on tasks.
+
+Objective
+Charlos appears to be in a low mood. He has poor eye contact and his body language is indicative of a depressed mood. His speech is slow and his thoughts are disorganized. There are signs of severe depression, including body posture, eye contact, and attitude. The slowness of physical movement helps reveal depressive symptomatology. There are no apparent signs of hallucinations, delusions, or any other indicators of psychotic processes. Associations are intact, and thinking is logical. He appears to have good insight. The thought process seems to be intact, and Charlos is fully orientated.
+
+Assessment
+Charlos presents with symptoms of major depressive disorder, which interfere with his day-to-day functioning and require ongoing treatment and support.
+
+Plan
+1. Meet with Charlos again in 2 days, Friday, 20th May
+2. Refer Charlos to a mental health professional for further assessment and treatment.
+
+
+General: 
+Subjective
+Charlos reports that he has been feeling down and has been struggling to concentrate. He states that he has been feeling more irritable than usual and has been having difficulty sleeping. He reports that he has been feeling more anxious than usual and has been having difficulty focusing on tasks.
+
+Objective
+Charlos appears to be in a low mood. He has poor eye contact and his body language is indicative of a depressed mood. His speech is slow and his thoughts are disorganized.
+
+Assessment
+Charlos appears to be suffering from major depressive disorder, which interferes with his day-to-day functioning and requires ongoing treatment and support.
+
+Plan
+1. Meet with Charlos again in two days to review his condition.
+
+2. Refer Charlos to a mental health professional for further assessment and treatment.
+
+3. Encourage Charlos to practice relaxation techniques and to engage in activities that he enjoys.
+
+General: Charlos appears to be suffering from major depressive disorder, which is causing him to experience symptoms such as feeling down, irritability, difficulty sleeping, anxiety, and difficulty concentrating.
+
+General: 
+John's last visit was likely the one he is currently on.
+
+General: 
+The last visit Pamela did is not specified in the context information.
+
+General: 
+It is not stated when Julia's last visit was.
+
+General: 
+It is not possible to answer this question with the given context information.
+
+General: 
+Pamela is a 28-year-old female who presents with a cold and a slight headache. She reports feeling fatigued and having difficulty concentrating. On physical examination, Pamela appears to be in good health. Her vital signs are within normal limits. She has no signs of fever, and her throat is not inflamed. Her breathing is clear and her lungs are clear to auscultation. Pamela has a cold and a slight headache. The doctor has prescribed medication and advised the patient to take baths in tepid water for a few days. The patient has been instructed to follow up with the doctor if her symptoms worsen.
+
+General: 
+Pamela is a 28-year-old female who is presenting with a cold and a slight headache.
+
+General: 
+Unfortunately, it appears that transcription using Whisper is not currently supported.
+
+General: 
+Unfortunately, it appears that transcription using Whisper is not currently supported.
+
+General: 
+Unfortunately, it appears that transcription using Whisper is not currently supported.
+
+General: 
+Unfortunately, it appears that transcription using Whisper is not currently supported.
+
+General: 
+Pamela is a 28-year-old female who has caught a cold and is experiencing a slight headache. She reports feeling fatigued and having difficulty concentrating. On physical examination, she appears to be in good health with her vital signs being within normal limits. She has no signs of fever, and her throat is not inflamed. Her breathing is clear and her lungs are clear to auscultation. The doctor has prescribed medication and advised her to take baths in tepid water for a few days, and instructed her to follow up with the doctor if her symptoms worsen.
+
+General: 
+Pamela is a 28-year-old female who has caught a cold and is experiencing a slight headache. She reports feeling fatigued and having difficulty concentrating. On physical examination, she appears to be in good health with her vital signs being within normal limits. She has no signs of fever, and her throat is not inflamed. Her breathing is clear and her lungs are clear to auscultation. The doctor has prescribed medication and advised her to take baths in tepid water for a few days, and instructed her to follow up with the doctor if her symptoms worsen.
+
+General: 
+Per is not mentioned in the context information provided. Please provide more information about the person you are asking about.
+
+General: 
+Familiars are people who are close to Tom, such as family members, friends, or other people who are important to him. They are the people who know him best and can provide emotional support and understanding. It is important for Tom to make his family aware of his current state of mind so that they can provide the necessary support and help him get the help he needs.
+
+General: 
+Tom is an individual who is in need of help. He is likely feeling overwhelmed and may be struggling with his mental health. It is important for Tom to make his family aware of his current state of mind so that they can provide support and understanding. It is also important for Tom to be referred to a mental health professional for further assessment and treatment.
+
+General: 
+Tom is an individual who is in need of help. He is likely feeling overwhelmed and may be struggling with his mental health. It is important for Tom to make his family aware of his current state of mind so that they can provide support and understanding. It is also important for Tom to be referred to a mental health professional for further assessment and treatment.
+
+General: 
+Tom is an individual who is in need of help. He is likely feeling overwhelmed and may be struggling with his mental health. It is important for Tom to make his family aware of his current state of mind so that they can provide support and understanding. It is also important for Tom to be referred to a mental health professional for further assessment and treatment.
+
+General: 
+Tom is an individual who is in need of help with his mental health. He is likely feeling overwhelmed, anxious, or depressed, and needs to make his family aware of his current state of mind. It is important that Tom is referred to a mental health professional for further assessment and treatment. A mental health professional can provide Tom with the support and resources he needs to manage his mental health.
+
+General: 
+James is not mentioned in the context information, so there is no additional information to provide.
+
+General: 
+James is not mentioned in the context information, so it is not possible to answer this question.
+
+General: 
+This question cannot be answered with the given context information.
+
+General: 
+James is not mentioned in the context information, so it is not possible to answer the question.
+
+General: 
+James is not mentioned in the context information, so it is not possible to answer the question.
+
+General: 
+James is a 28-year-old male who presents with a chief complaint of migraines. He has been having migraines for the past two to three months, and they usually start around 9am and get worse until noon. He states that the migraines are worse when he has a sugary breakfast or drinks a lot of soda. He also reports that the migraines can affect his vision, causing sparkles that occlude his vision. His last visit was on 21/04/2023 at 16:00.
+
+General: 
+Hello John, how are you? I'm doing well, thank you. How are you feeling today? I'm not feeling very well. I'm feeling exhausted. Do you feel exhausted too? Yes, let me check your temperature. Your temperature is 39.5�C, which is very high. Do you feel anything in your chest? Yes. Alright, John, I suggest we do a trade and spiritual trade and we should meet after three weeks from now. Okay, Doctor. Let's talk directly and check all the situation and prepare for the meeting.
+
+General: 
+Yes, of course, John. I will need you to come back in two weeks for a follow-up appointment to check on your condition. Take care of yourself in the meantime.
+
+General: 
+Yes, of course, John. I will need you to come back in two weeks for a follow-up appointment to check on your condition. Take care of yourself in the meantime.
+
+General: 
+No, there are no urinary symptoms mentioned in the context information, and the patient has not passed any medical examinations. The doctor has prescribed medication and advised the patient to take baths in tepid water for a few days. There is no mention of any allergies.
+
+General: 
+Tom is an individual who is in need of mental health support. He may be feeling overwhelmed, anxious, or depressed, and is likely in need of professional help. It is important for Tom to make his family aware of his current state of mind so that they can provide support and understanding. It is also important to refer Tom to a mental health professional for further assessment and treatment.
+
+General: 
+Tom is an individual who is in need of help with his mental health. He is looking to make his family aware of his current state of mind, and is in need of further assessment and treatment from a mental health professional.
+
+General: 
+Pamela Rogers is a 56-year-old female who presents to the Emergency Department with chest pain. She reports that the pain began one week ago with an abrupt onset of dull, aching pain in the left para-sternal area that radiated up to her neck. She has had two additional episodes of similar pain since the initial episode, one while walking her dog and one that awoke her from sleep. She has not attempted any specific measures to relieve her pain other than rest. She has no associated symptoms during these episodes, including dizziness or palpitations. She becomes short of breath during the episodes but describes no other exertional dyspnea, orthopnea, or paroxysmal nocturnal dyspnea. She has no history of heart problems, chest pains, claudication, or cancer. She does not smoke nor does she have diabetes. She was diagnosed with hypertension 3 years ago and had a TAH with BSO 6 years ago. She is not on hormone replacement therapy. There is a family history of premature CAD. She does not know her cholesterol level. She occasionally takes OTC ibuprofen for headache. She has an allergy to penicillin, which caused a rash and itching in the past.
+
+General: 
+Pamela Rogers is a 56-year-old female who presents to the Emergency Department with chest pain.
+
+General: 
+Pamela Rogers is a 56-year-old female who presents to the Emergency Department with chest pain.
+
+General: 
+Pamela is a 56-year-old female who presents to the Emergency Department with chest pain.
+
+General: 
+Pamela Rogers is a 56-year-old female who presents to the Emergency Department with chest pain.
+
+General: 
+Subjective
+Pamela reports that she has been feeling down and has been struggling to concentrate. She states that she has been feeling overwhelmed and has been having difficulty sleeping. She reports that she has been feeling more irritable than usual and has been having difficulty connecting with her friends.
+
+Objective
+Pamela appears to be in a low mood and her speech is slow and monotone. She has poor eye contact and her body language is closed off.
+
+Assessment
+Pamela is exhibiting signs of depression and is in need of further assessment and treatment.
+
+Plan
+1. Refer Pamela to a mental health professional for further assessment and treatment.
+
+2. Encourage Pamela to practice self-care activities such as exercise, healthy eating, and relaxation techniques.
+
+3. Follow up with Pamela in two weeks to assess her progress.
+
+General: 
+Based on the context information provided, it is not possible to answer this question.
+
+General: 
+This conversation is between a doctor named John and a patient named Tom Smith. Tom is suffering from fever, sore throat, cough, headache, and shivering. The doctor checks Tom's temperature and finds it to be 101 degrees. The doctor prescribes medicine to be taken twice a day for three days and advises Tom to get some rest.
+
+General: 
+This conversation is between a doctor named John and a patient named Tom Smith. Tom is suffering from fever, sore throat, cough, headache, and shivering. The doctor checks Tom's temperature and finds it to be 101 degrees. The doctor prescribes medicine to be taken twice a day for three days and advises Tom to get some rest.
+
+General: 
+I'm sorry, but I do not have access to the soap reports of the patient Tom.
+
+General: 
+More information about Pamela Rogers can be found by taking a detailed medical history. This would include questions about her past medical history, family history, lifestyle, medications, allergies, and any other relevant information. Additionally, a physical examination should be performed to assess her vital signs, general appearance, skin, and head, eyes, ears, nose, and throat (HEENT).
+
+General: 
+Given the context information provided, the differential diagnosis of the 27-year-old gentleman is likely acute appendicitis. The plan of action should include a full blood count, CRP, abdominal ultrasound, and referral to a surgeon for possible appendicectomy.
+
+General: 
+No problem. Is there anything else I can help you with today?
+
+General: No problem. Take care.
+
+General: 
+Given the context information, the positive sign in the 27-year-old gentleman is rebound tenderness. Rebound tenderness is a sign of peritoneal inflammation, which is a common symptom of acute appendicitis. Other signs of acute appendicitis include tenderness in the right iliac fossa, percussion tenderness, and a positive Robust Ring sign. Based on the information provided, the plan of action is to do a full blood count, CRP, arrange an abdominal ultrasound, and refer the patient to a surgeon as they may need an appendicectomy.
+
+General: 
+Given the context information provided, it is likely that the 27-year-old gentleman is suffering from acute appendicitis. The symptoms he is experiencing, such as pain in the right iliac fossa, nausea, and tenderness in the right iliac fossa, are all consistent with this diagnosis. Additionally, the absence of any other medical history, regular medications, or allergies further supports this diagnosis. As such, it is recommended that a full blood count and CRP be ordered, an abdominal ultrasound be arranged, and the patient be referred to a surgeon for possible appendicectomy.
+
+General: 
+Subjective
+James reports that he has been feeling down and has been struggling to concentrate. He states that he has been feeling fatigued and has been having difficulty sleeping. He reports that he has been feeling hopeless and has been having thoughts of self-harm.
+
+Objective
+James appears to be in a depressed mood. His speech is slow and his body posture is slumped. He has poor eye contact and his attitude is apathetic. He is fully orientated and his language skills are intact.
+
+Assessment
+James appears to be suffering from major depressive disorder. His symptoms are severe and interfere with his day-to-day functioning.
+
+Plan
+1. Meet with James again in 2 days, Friday, 20th May
+2. James to follow his safety plan if required
+3. James to make his family aware of his current state of mind
+4. Referral to a mental health professional for further assessment and treatment
+
+General: 
+Subjective
+Sameer reports that he has been feeling down and has been struggling to concentrate. He states that he has been feeling tired and has been having difficulty sleeping. He reports that he has been feeling hopeless and has been having thoughts of self-harm.
+
+Objective
+Sameer appears to be in a depressed mood. He has poor eye contact and his speech is slow and monotone. He is cooperative and attentive during the session.
+
+Assessment
+Sameer appears to be suffering from major depressive disorder.
+
+Plan
+1. Meet with Sameer again in 2 days, Friday, 20th May
+2. Sameer to follow his safety plan if required
+3. Sameer to make his family aware of his current state of mind
+4. Refer Sameer to a mental health professional for further assessment and treatment.
+
+General: 
+Subjective
+Pamela reports that she has been feeling down and has been struggling to concentrate. She states that she has been feeling overwhelmed and has been having difficulty sleeping. She reports that she has been feeling more irritable than usual and has been having difficulty connecting with her friends.
+
+Objective
+Pamela appears to be in a low mood and her speech is slow and monotone. She has poor eye contact and her body language is closed off.
+
+Assessment
+Pamela is exhibiting signs of depression and is in need of further assessment and treatment.
+
+Plan
+1. Refer Pamela to a mental health professional for further assessment and treatment.
+
+2. Encourage Pamela to practice self-care activities such as exercise, healthy eating, and relaxation techniques.
+
+3. Follow up with Pamela in two weeks to assess her progress.
+
+General: 
+Given the context information provided, it is likely that the 27-year-old gentleman is suffering from acute appendicitis. The symptoms he is experiencing, such as pain in the right iliac fossa, nausea, and rebound tenderness, are all indicative of appendicitis. In addition, the positive sign on examination and the clear urine dip are further evidence of this diagnosis. As such, it is recommended that a full blood count, CRP, and abdominal ultrasound be performed to confirm the diagnosis. If the diagnosis is confirmed, the patient should be referred to a surgeon for an appendectomy.
+
+General: 
+Given the context information provided, it is likely that the 27-year-old gentleman is suffering from acute appendicitis. The symptoms he is experiencing, such as pain in the right iliac fossa, nausea, and rebound tenderness, are all indicative of appendicitis. In order to confirm the diagnosis, a full blood count, CRP, and abdominal ultrasound should be ordered. If the diagnosis is confirmed, the patient should be referred to a surgeon for an appendectomy.
+
+General: 
+Subjective
+Pamela reports that she has been feeling down and has been struggling to concentrate. She states that she has been feeling overwhelmed and has been having difficulty sleeping. She reports that she has been feeling more irritable than usual and has been having difficulty connecting with her friends.
+
+Objective
+Pamela appears to be in a low mood and her speech is slow and monotone. She has poor eye contact and her body language is closed off.
+
+Assessment
+Pamela is exhibiting signs of depression and is in need of further assessment and treatment.
+
+Plan
+1. Refer Pamela to a mental health professional for further assessment and treatment.
+
+2. Encourage Pamela to practice self-care activities such as exercise, healthy eating, and relaxation techniques.
+
+3. Follow up with Pamela in two weeks to assess her progress.
+
+General: 
+Pamela Rogers' last visit was on 6/2/04. Her medical SOAP note included information about her chief complaint (chest pains for the last week), history of present illness (onset, character, location, radiation, duration, resolution, associated symptoms), past medical history (surgical, medical, allergies), social history (alcohol use, tobacco use, medications, family history), review of systems (HEENT, cardiovascular, gastrointestinal, genitourinary, musculoskeletal, neurological), physical examination (vital signs, general, skin, HEENT, neck, chest), and a grade 2/6 systolic decrescendo murmur heard best at the second right inter-costal space which radiated to the neck.
+
+General: 
+Subjective
+Pamela reports that she has been feeling down and has been struggling to concentrate. She states that she has been feeling overwhelmed and has been having difficulty sleeping. She reports that she has been feeling more irritable than usual and has been having difficulty connecting with her friends.
+
+Objective
+Pamela appears to be in a low mood and her speech is slow and monotone. She has poor eye contact and her body language is closed off.
+
+Assessment
+Pamela is exhibiting signs of depression and is in need of further assessment and treatment.
+
+Plan
+1. Refer Pamela to a mental health professional for further assessment and treatment.
+
+2. Encourage Pamela to practice self-care activities such as exercise, healthy eating, and relaxation techniques.
+
+3. Follow up with Pamela in two weeks to assess her progress.
+
+General: 
+Subjective
+James is a 16-year-old male who has been experiencing symptoms of depression for the past two months. He reports feeling sad and hopeless most of the time, and has difficulty sleeping and concentrating. He has also been experiencing low energy levels and has lost interest in activities he used to enjoy. He has been having thoughts of self-harm but has no plan or intent to act on them.
+
+Objective
+James appears to be in a depressed mood. He has a flat affect and his speech is slow and monotone. He has poor eye contact and his body posture is slumped. He is fully orientated and his language skills are intact. He denies any hallucinations, delusions, or other psychotic-related symptomatology.
+
+Assessment
+James is exhibiting signs of major depressive disorder. His symptoms are interfering with his day-to-day functioning and require ongoing treatment and support.
+
+Plan
+1. Meet with James again in 2 days, Friday, 20th May
+2. James to follow his safety plan if required
+3. James to make his family aware of his current state of mind
+4. Referral to a mental health professional for further assessment and treatment
+
+General: No problem. Take care.
+
+General: 
+Level sedation training requirements vary depending on the type of sedation being administered. Generally, the requirements include completion of a course in basic life support, completion of a course in advanced cardiac life support, and completion of a course in pediatric advanced life support. Additionally, the practitioner must have experience in the administration of sedation and must be able to demonstrate competency in the administration of sedation.
+
+General: 
+Level 1 Sedation Training Requirements: ASA grading, pre-procedural assessment including prediction of difficult airway, pre-procedural fasting and risk benefit assessment, consent and documentation, drug selection and preparation, monitoring, complications and rescue strategies, and governance and audit.
+
+Level 2 Sedation Training Requirements: As per level 1, drug selection with emphasis on potential alternative strategies and/or lighter sedation, safe use of propofol, safe use of ketamine, and governance and audit.
+
+General: 
+Jerry Tylor is a 56-year-old male who presented to the emergency department with sudden onset of severe chest pain. He has a history of hypertension and type 2 diabetes, and is taking metformin 1000 mg twice daily and lisinopril 20 mg once daily.
+
+General: 
+Jerry Tylor is a 56-year-old male who presented to the emergency department with sudden onset of severe chest pain. He has a history of hypertension and type 2 diabetes, and is taking metformin 1000 mg twice daily and lisinopril 20 mg once daily.
+

Docs/Give.txt

@@ -0,0 +1,52 @@
+Subjective: Patient is reporting fever, sore throat, cough, headache, and shivering.
+Objective: Temperature is 101 degrees.
+Assessment: Patient has a fever and other symptoms.
+Plan: Prescribe medicines two times a day for 3 days and get some rest.
+
+Subjective: Ms. Rogers is a 56-year-old woman who has been having chest pains for the last week. She has no history of heart problems, but does have a family history of premature CAD. She was diagnosed with hypertension 3 years ago and had a total abdominal hysterectomy and bilateral oophorectomy for uterine fibroids in 1994. She does not smoke nor does she have diabetes. She occasionally takes OTC ibuprofen for headaches.
+Objective: On physical examination, her vital signs are normal, and her lungs are clear to auscultation and percussion bilaterally, except for crackles heard in the lung bases bilaterally. A grade 2/6 systolic decrescendo murmur is heard best at the second right inter-costal space which radiates to the neck.
+Assessment: Chest pain of an acute onset, dull and aching in character, located in the left para-sternal area and radiating up to her neck.
+Plan: Prescribe HMG Co-reductases to lower cholesterol, diuretics to treat dyspnea and high blood pressure, and possibly other medications depending on the results of the cardiac catheterization
+
+Subjective: Mrs. Jones reports that Julia is "doing okay" and is engaging with other children in her class, but is struggling to get to sleep and has some depressive symptomatology.
+Objective: Julia is a 56 year old pediatric patient.
+Assessment: Julia is struggling to get to sleep and has some depressive symptomatology.
+Plan: Meet with Julia and Mrs. Jones next week to review treatment and to continue to meet with Julia.
+
+Subjective: Tom Smith is feeling fever, sore throat, cough, headache, and shivering.
+Objective: Temperature is 101 degrees.
+Assessment: Fever is present.
+Plan: Prescribe medicines two times a day for 3 days and get some rest.
+
+General: 
+Subjective
+John reports that he has been feeling down and has been struggling to concentrate. He states that he has been feeling fatigued and has been having difficulty sleeping. He reports that he has been feeling hopeless and has been having thoughts of self-harm.
+
+Objective
+John appears to be in a depressed mood. His speech is slow and his body posture is slumped. He has poor eye contact and his attitude is apathetic.
+
+Assessment
+John appears to be suffering from major depressive disorder. His symptoms are severe and interfere with his day-to-day functioning.
+
+Plan
+1. Meet with John again in 2 days, Friday, 20th May
+2. John to follow his safety plan if required
+3. John to make his family aware of his current state of mind
+4. Refer John to a mental health professional for further assessment and treatment.
+
+General: 
+Subjective
+Tom reports that he has been feeling down and has been struggling to concentrate. He states that he has been feeling fatigued and has been having difficulty sleeping. He reports that he has been feeling hopeless and has been having thoughts of self-harm.
+
+Objective
+Tom appears to be in a depressed mood. His speech is slow and his body posture is slumped. He has poor eye contact and his attitude is apathetic.
+
+Assessment
+Tom appears to be suffering from major depressive disorder. His symptoms are severe and are interfering with his day-to-day functioning.
+
+Plan
+1. Meet with Tom again in 2 days, Friday, 20th May
+2. Tom to follow his safety plan if required
+3. Tom to make his family aware of his current state of mind
+4. Refer Tom to a mental health professional for further assessment and treatment.
+

Docs/James.txt

@@ -0,0 +1,15 @@
+Patient name: James
+Last visit: 21/04/2023 at 16:00.
+
+Subjective: James is a 28-year-old male who presents with a chief complaint of migraines. He reports that he has been having migraines for the past two to three months, and they usually start around 9am and get worse until noon. He states that the migraines are worse when he has a sugary breakfast or drinks a lot of soda. He also reports that the migraines can affect his vision, causing sparkles that occlude his vision.
+Objective: James is an alert and oriented male in no acute distress. His vital signs are within normal limits. He has no physical signs of distress.
+Assessment: Migraines
+Plan: Prescribe ibuprofen to be taken daily. If symptoms persist, return in two weeks for sumatriptan.
+
+James i a quiet and calm patient came to our clinic first time in January 2020.Subjective: James is a 28-year-old male who presents with a chief complaint of migraines. He reports that he has been having migraines for the past two to three months, and they usually start around 9am and get worse until noon. He states that the migraines are worse when he has a sugary breakfast or drinks a lot of soda. He also reports that the migraines can affect his vision, causing sparkles that occlude his vision.
+Objective: James is an alert and oriented male in no acute distress. His vital signs are within normal limits. He has no physical signs of distress.
+Assessment: Migraines
+Plan: Prescribe ibuprofen to be taken daily. If symptoms persist, return in two weeks for sumatriptan.
+
+Regarding travel by plane, James can travel by plane as long as he takes the prescribed ibuprofen daily and follows up with his doctor if symptoms persist.
+

Docs/Jones.txt

@@ -0,0 +1,8 @@
+Subjective: Mrs. Jones reports that Julia is "doing okay" and is engaging with other children in her class. Mrs. Jones states that Julia is still struggling to get to sleep and may need to recommence the magnesium. Mrs. Jones is not too concerned about Julia's depressive symptomatology.
+Objective: Julia appears to be in good physical health.
+Assessment: Julia is exhibiting signs of mild depression and is in need of ongoing treatment.
+Plan: 1. Meet with Julia and Mrs. Jones next week to review treatment plan.
+2. Continue to meet with Julia on a regular basis.
+3. Monitor Julia's sleep patterns and adjust medication as needed.
+4. Encourage Julia to engage in activities that she enjoys.
+

Docs/Pamela.txt

@@ -0,0 +1,58 @@
+
+Doctor: None
+Patient: Pamela
+General: 
+The patient has caught a cold and is experiencing a slight headache. The doctor has prescribed medication and advised the patient to take baths in tepid water for a few days.
+
+Subjective: Pamela is a 28-year-old female who presents with a cold and a slight headache. She reports feeling fatigued and having difficulty concentrating.
+Objective: On physical examination, Pamela appears to be in good health. Her vital signs are within normal limits. She has no signs of fever, and her throat is not inflamed. Her breathing is clear and her lungs are clear to auscultation.
+Assessment: Pamela has a cold and a slight headache.
+Plan: The doctor has prescribed medication and advised the patient to take baths in tepid water for a few days. The patient has been instructed to follow up with the doctor if her symptoms worsen.
+
+Subjective: Pamela reports having caught a cold and experiencing a slight headache.
+Objective: Patient appears to be in good health, with no signs of fever or other symptoms. Vital signs are within normal range.
+Assessment: Patient has a cold and a slight headache.
+Plan: Prescribed medication and advised to take baths in tepid water for a few days.
+
+Subjective: Pamela is a 28-year-old female who presents with a cold and a slight headache. She reports feeling fatigued and having difficulty concentrating.
+Objective: On physical examination, Pamela appears to be in good health. Her vital signs are within normal limits. She has no signs of fever, and her throat is not inflamed. Her breathing is clear and her lungs are clear to auscultation.
+Assessment: Pamela has a cold and a slight headache.
+Plan: The doctor has prescribed medication and advised the patient to take baths in tepid water for a few days. The patient has been instructed to follow up with the doctor if her symptoms worsen.
+
+Subjective: Pamela is a 28-year-old female who presents with a cold and a slight headache. She reports feeling fatigued and having difficulty concentrating.
+Objective: On physical examination, Pamela appears to be in good health. Her vital signs are within normal limits. She has no signs of fever, and her throat is not inflamed. Her breathing is clear and her lungs are clear to auscultation.
+Assessment: Pamela has a cold and a slight headache.
+Plan: The doctor has prescribed medication and advised the patient to take baths in tepid water for a few days. The patient has been instructed to follow up with the doctor if her symptoms worsen.
+
+Subjective: Pamela is a 28-year-old female who presents with a cold and a slight headache. She reports feeling fatigued and having difficulty concentrating.
+Objective: On physical examination, Pamela appears to be in good health. Her vital signs are within normal limits. She has no signs of fever, and her throat is not inflamed. Her breathing is clear and her lungs are clear to auscultation.
+Assessment: Pamela has a cold and a slight headache.
+Plan: The doctor has prescribed medication and advised the patient to take baths in tepid water for a few days. The patient has been instructed to follow up with the doctor if her symptoms worsen.
+
+Subjective: Pamela is a 28-year-old female who presents with a cold and a slight headache. She reports feeling fatigued and having difficulty concentrating.
+Objective: On physical examination, Pamela appears to be in good health. Her vital signs are within normal limits. She has no signs of fever, and her throat is not inflamed. Her breathing is clear and her lungs are clear to auscultation.
+Assessment: Pamela has a cold and a slight headache.
+Plan: The doctor has prescribed medication and advised the patient to take baths in tepid water for a few days. The patient has been instructed to follow up with the doctor if her symptoms worsen.
+
+Subjective: Pamela is a 28-year-old female who presents with a cold and a slight headache. She reports feeling fatigued and having difficulty concentrating.
+Objective: On physical examination, Pamela appears to be in good health. Her vital signs are within normal limits. She has no signs of fever, and her throat is not inflamed. Her breathing is clear and her lungs are clear to auscultation.
+Assessment: Pamela has a cold and a slight headache.
+Plan: The doctor has prescribed medication and advised the patient to take baths in tepid water for a few days. The patient has been instructed to follow up with the doctor if her symptoms worsen.
+
+Subjective: Pamela is a 28-year-old female who presents with a cold and a slight headache. She reports feeling fatigued and having difficulty concentrating.
+Objective: On physical examination, Pamela appears to be in good health. Her vital signs are within normal limits. She has no signs of fever, and her throat is not inflamed. Her breathing is clear and her lungs are clear to auscultation.
+Assessment: Pamela has a cold and a slight headache.
+Plan: The doctor has prescribed medication and advised the patient to take baths in tepid water for a few days. The patient has been instructed to follow up with the doctor if her symptoms worsen.
+
+Subjective: Pamela is a 28-year-old female who presents with a cold and a slight headache. She reports feeling fatigued and having difficulty concentrating.
+Objective: On physical examination, Pamela appears to be in good health. Her vital signs are within normal limits. She has no signs of fever, and her throat is not inflamed. Her breathing is clear and her lungs are clear to auscultation.
+Assessment: Pamela has a cold and a slight headache.
+Plan: The doctor has prescribed medication and advised the patient to take baths in tepid water for a few days. The patient has been instructed to follow up with the doctor if her symptoms worsen.
+
+Subjective: Pamela is a 28-year-old female who presents with a cold and a slight headache. She reports feeling fatigued and having difficulty concentrating.
+Objective: On physical examination, Pamela appears to be in good health. Her vital signs are within normal limits. She has no signs of fever, and her throat is not inflamed. Her breathing is clear and her lungs are clear to auscultation.
+Assessment: Pamela has a cold and a slight headache.
+Plan: The doctor has prescribed medication and advised the patient to take baths in tepid water for a few days. The patient has been instructed to follow up with the doctor if her symptoms worsen.
+
+Conclusion: Pamela is a 28-year-old female who presents with a cold and a slight headache. She is in good health, with no signs of fever or other symptoms. Vital signs are within normal range. The doctor has prescribed medication and advised the patient to take baths in tepid water for a few days. The patient has been instructed to follow up with the doctor if her symptoms worsen.
+

Docs/Patient.txt

@@ -0,0 +1,25 @@
+Subjective: Patient Tom is a 35-year-old male who reports having a cold and a slight headache.
+Objective: Patient's vital signs are within normal limits. Patient has a runny nose and a slight headache.
+Assessment: Patient has a cold.
+Plan: Prescribe medications and advise patient to take baths in tepid water for a few days.
+
+Subjective: Patient Tom reports having a cold and a slight headache.
+Objective: Patient appears to have a cold and a slight headache.
+Assessment: Patient has a cold and a slight headache.
+Plan: Prescribe medications and advise patient to take baths in tepid water for a few days.
+
+Subjective: Patient Tom reports having a cold and a slight headache.
+Objective: Patient appears to be in good health, with no visible signs of distress.
+Assessment: Patient has a cold and a slight headache.
+Plan: Prescribe medications and advise patient to take baths in tepid water for a few days.
+
+Subjective: Patient John is a 35-year-old male who presents with a high fever of 103�C, chest pain, and a slight headache. He reports that he recently returned from a village where he was doing field work on potable water and was exposed to cold weather.
+Objective: Patient's temperature is 39.5�C. Patient has chest pain and a slight headache.
+Assessment: Patient has a high fever and chest pain.
+Plan: Prescribe medications for fever and chest pain. Advise patient to take baths in tepid water for the next few days. Schedule follow-up appointment in three weeks.
+
+Subjective: Patient Tom Smith is a 28 year old male who is presenting with fever, sore throat, cough, headache, and shivering since yesterday. He has not taken any medication for his symptoms.
+Objective: Patient's temperature is 101 degrees.
+Assessment: Patient is suffering from fever and other symptoms.
+Plan: Prescribe medications two times a day for 3 days and advise patient to get some rest.
+

Docs/RCEM_BPC_Procedural_Sedation_Final_Aug_22_10772cef06 (1).pdf

@@ -0,0 +1,3 @@
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+oid sha256:9b027e23797452af394ee8c863d180044c1ceb4666fba9349341eaa874d44040
+size 1206647

Docs/RCEM_BPC_Procedural_Sedation_Final_Aug_22_10772cef06.pdf

@@ -0,0 +1,3 @@
+version https://git-lfs.github.com/spec/v1
+oid sha256:9b027e23797452af394ee8c863d180044c1ceb4666fba9349341eaa874d44040
+size 1206647

Docs/Rogers.txt

@@ -0,0 +1,23 @@
+General: Subjective:
+Pamela Rogers is a 56-year-old female who presents to the Emergency Department with chest pain. She reports that the pain began one week ago with an abrupt onset of dull, aching pain in the left para-sternal area that radiated up to her neck. She has had two additional episodes of similar pain since the initial episode, one while walking her dog and one that awoke her from sleep. She has not attempted any specific measures to relieve her pain other than rest. She has no associated symptoms during these episodes, including dizziness or palpitations. She becomes short of breath during the episodes but describes no other exertional dyspnea, orthopnea, or paroxysmal nocturnal dyspnea.
+
+Objective:
+Vital signs: Blood Pressure 168/98, Pulse 90, Respirations 20, Temperature 37 degrees.
+General: Ms. Rogers appears alert, oriented and cooperative.
+Skin: Normal in appearance, texture, and temperature.
+HEENT: Scalp normal. Pupils equally round, 4 mm, reactive to light and accommodation, sclera and conjunctiva normal. Fundoscopic examination reveals normal vessels without hemorrhage. Tympanic membranes and external auditory
+
+General: 
+Subjective:
+Ms. Rogers is a 56 y/o WF who presents with chest pain for the last week. She describes the pain as dull and aching in character, beginning in the left para-sternal area and radiating up to her neck. She has had three episodes of pain, the first occurring one week ago while working in her garden, the second three days ago while walking her dog, and the third this evening while asleep. The pain has lasted 5-10 minutes and resolves with rest. She has no associated symptoms during these episodes, including dizziness or palpitations. She becomes short of breath during the episodes but has no other exertional dyspnea, orthopnea, or paroxysmal nocturnal dyspnea. She has no history of heart problems, chest pains, claudication, or cancer. She does not smoke nor does she have diabetes. She was diagnosed with hypertension 3 years ago and had a TAH with BSO 6 years ago. She is not on hormone replacement therapy. There is a family history of premature CAD. She does not know her cholesterol level. She occasionally takes OTC ibuprofen for headache. She has an allergy to penicillin, which caused a rash and
+
+General: 
+Subjective:
+Ms. Rogers is a 56 y/o WF who presents with chest pain for the last week. She describes the pain as dull and aching in character, beginning in the left para-sternal area and radiating up to her neck. She has had three episodes of pain, the first occurring one week ago while working in her garden, the second three days ago while walking her dog, and the third this evening while asleep. She has not attempted any specific measures to relieve her pain other than rest. She has no associated symptoms during these episodes, including dizziness or palpitations. She becomes short of breath during the episodes but describes no other exertional dyspnea, orthopnea, or paroxysmal nocturnal dyspnea.
+
+Objective:
+Vital Signs: Blood Pressure 168/98, Pulse 90, Respirations 20, Temperature 37 degrees.
+General: Ms. Rogers appears alert, oriented and cooperative.
+Skin: Normal in appearance, texture, and temperature.
+HEENT: Scalp normal. Pupils equally round, 4 mm, reactive to light and accommodation, sclera and conjunctiva normal. Fundoscopic examination reveals normal vessels without hemorrhage. Tymp
+

Docs/Test1.txt

@@ -0,0 +1,33 @@
+SOAP note example for Pediatrician
+Subjective
+Mrs. Jones states that Julia is "doing okay." Mrs. Jones said her daughter seems to be engaging with other children in her class. Mrs. Jones said Julia is still struggling to get to sleep and that "she may need to recommence the magnesium." Despite this, Mrs. Jones states she is "not too concerned about Julia's depressive symptomatology.
+
+Objective
+Mrs. Jones thinks Julia's condition has improved.
+
+Assessment
+Julia will require ongoing treatment.
+
+Plan
+Plan to meet with Julia and Mrs. Jones next week to review mx. To continue to meet with Julia.
+
+SOAP note example for Social Worker
+Subjective
+Martin has had several setbacks, and his condition has worsened. Martin reports that the depressive symptoms continue to worsen for him. He feels that they are 'more frequent and more intense. Depressive symptomatology is chronically present. He expressed that he has experienced no change in anhedonia and his energy levels are lower than they have been in the past month. He states that he now constantly feels fatigued both mentally and physically. Martin finds concentrating difficult, and that he quickly becomes irritated. Feelings of worthlessness and self-loathing are described. Martin describes experiencing suicidal ideation daily but that he has no plan or intent to act.
+
+Objective
+Martin denies any hallucinations, delusions, or other psychotic-related symptomatology. His compliance with medication is good. He appears to have gained better control over his impulsive behavior as they are being observed less frequently. Martin appears to have lost weight and reports a diminished interest in food and a decreased intake.
+
+Assessment
+The therapeutic focus of this session was to ascertain the severity of Martin's ongoing depression and help Martin increase his insight and understanding of his depression. The content of the therapy was to focus on coping with depression and tools that can be used to enable Martin to make progress.
+
+Martin presents as listless, distracted, and minimally communicative. He exhibits speech that is normal in rate, volume and articulation is coherent and spontaneous. Language skills are intact. There are signs of severe depression. Body posture, eye contact, and attitude portray a depressed mood. The slowness of physical movement helps reveal depressive symptomatology. There are no apparent signs of hallucinations, delusions, or any other indicators of psychotic processes. Associations are intact, and thinking is logical. He appears to have good insight. The thought process seems to be intact, and Martin is fully orientated. Martin describes experiencing suicidal ideation daily but that he has no plan or intent to act. Martin's behavior in this session was cooperative and attentive.  
+
+Plan
+Martin continues to require outpatient treatment. He consistently exhibits symptoms of major depressive disorder, and which interfere with his day-to-day functioning and requires ongoing treatment and support.
+
+1.  Meet with Martin again in 2 days, Friday, 20th May
+
+2.  Martin to follow his safety plan if required
+
+3.  Martin to make his family aware of his current state of mind

Docs/Tom .txt

@@ -0,0 +1,10 @@
+Doctor: 
+Patient: Tom 
+General: 
+This patient is John.
+
+Doctor: 
+Patient: Tom 
+General: 
+The patient has caught a cold and has a slight headache. The doctor has prescribed some medicines and advised the patient to take baths in tepid water for a few days.
+

Docs/Tom.txt

@@ -0,0 +1,55 @@
+Subjective: Tom reports that he has been feeling down and has been struggling to concentrate. He states that he has been feeling fatigued and has been having difficulty sleeping. He reports that he has been feeling hopeless and has been having thoughts of self-harm.
+Objective: Tom appears to be in a depressed mood. His speech is slow and his body posture is slumped. He has poor eye contact and his attitude is apathetic.
+Assessment: Tom appears to be suffering from major depressive disorder. His symptoms are severe and are interfering with his day-to-day functioning.
+Plan: Meet with Tom again in 2 days, Friday, 20th May. Tom to follow his safety plan if required. Tom to make his family aware of his current state of mind. Refer Tom to a mental health professional for further assessment and treatment.
+
+Subjective: Tom reports that he has been feeling down and has been struggling to concentrate. He states that he has been feeling fatigued and has been having difficulty sleeping. He reports that he has been feeling hopeless and has been having thoughts of self-harm.
+Objective: Tom appears to be in a depressed mood. His speech is slow and his body posture is slumped. He has poor eye contact and his attitude is apathetic.
+Assessment: Tom appears to be suffering from major depressive disorder. His symptoms are severe and are interfering with his day-to-day functioning.
+Plan: 1. Meet with Tom again in 2 days, Friday, 20th May; 2. Tom to follow his safety plan if required; 3. Tom to make his family aware of his current state of mind; 4. Refer Tom to a mental health professional for further assessment and treatment; 5. Run 5 times a week.
+
+Subjective: Tom reports that he has been feeling down and has been struggling to concentrate. He states that he has been feeling fatigued and has been having difficulty sleeping. He reports that he has been feeling hopeless and has been having thoughts of self-harm.
+Objective: Tom appears to be in a depressed mood. His speech is slow and his body posture is slumped. He has poor eye contact and his attitude is apathetic.
+Assessment: Tom appears to be suffering from major depressive disorder. His symptoms are severe and are interfering with his day-to-day functioning.
+Plan: 1. Meet with Tom again in 2 days, Friday, 20th May 2. Tom to follow his safety plan if required 3. Tom to make his family aware of his current state of mind 4. Refer Tom to a mental health professional for further assessment and treatment.
+
+Doctor: 
+Patient: Tom
+General: 
+Subjective
+Martin reports that his depressive symptoms have worsened and are more frequent and intense. He feels fatigued both mentally and physically, has difficulty concentrating, and quickly becomes irritated. He also experiences feelings of worthlessness and self-loathing. Martin denies any hallucinations, delusions, or other psychotic-related symptomatology and his compliance with medication is good. He has lost weight and has a diminished interest in food and a decreased intake.
+
+Objective
+Martin appears listless, distracted, and minimally communicative. His speech is normal in rate, volume and articulation is coherent and spontaneous. Language skills are intact. There are signs of severe depression. Body posture, eye contact, and attitude portray a depressed mood. The slowness of physical movement helps reveal depressive symptomatology. There are no apparent signs of hallucinations, delusions, or any other indicators of psychotic processes. Associations are intact, and thinking is logical. He appears to have good insight. The thought process seems to be intact, and Martin is fully orientated. Martin's behavior in this session was cooperative and attentive.
+
+Assessment
+Martin presents with severe depression and requires ongoing treatment and support.
+
+Plan
+1. Meet with Martin again in 2 days, Friday,
+
+Doctor: 
+Patient: Tom
+General: 
+A SOAP note is a structured format for documenting a patient's medical or clinical status. It is an acronym for Subjective, Objective, Assessment, and Plan. The subjective section includes the patient's reported symptoms and concerns. The objective section includes the clinician's observations and measurements. The assessment section includes the clinician's diagnosis and treatment recommendations. The plan section includes the clinician's instructions for follow-up care.
+
+Subjective: Tom reports that he has been feeling down and has been struggling to concentrate. He states that he has been feeling fatigued and has been having difficulty sleeping. He reports that he has been feeling hopeless and has been having thoughts of self-harm.
+Objective: Tom appears to be in a depressed mood. His speech is slow and his body posture is slumped. He has poor eye contact and his attitude is apathetic.
+Assessment: Tom appears to be suffering from major depressive disorder. His symptoms are severe and are interfering with his day-to-day functioning.
+Plan: 1. Meet with Tom again in 2 days, Friday, 20th May; 2. Tom to follow his safety plan if required; 3. Tom to make his family aware of his current state of mind; 4. Refer Tom to a mental health professional for further assessment and treatment; 5. Monitor Tom's symptoms and progress regularly; 6. Provide psychoeducation and support to Tom and his family.
+
+Subjective: Tom reports that his depressive symptoms have worsened and are more frequent and intense. He feels fatigued both mentally and physically, has difficulty concentrating, and quickly becomes irritated. He also experiences feelings of worthlessness and self-loathing. Tom denies any hallucinations, delusions, or other psychotic-related symptomatology and his compliance with medication is good. He has lost weight and has a diminished interest in food and a decreased intake.
+Objective: Tom appears listless, distracted, and minimally communicative. His speech is normal in rate, volume and articulation is coherent and spontaneous. Language skills are intact. There are signs of severe depression. Body posture, eye contact, and attitude portray a depressed mood. The slowness of physical movement helps reveal depressive symptomatology. There are no apparent signs of hallucinations, delusions, or any other indicators of psychotic processes. Associations are intact, and thinking is logical. He appears to have good insight. The thought process seems to be intact, and Tom is fully orientated. Tom's behavior in this session was cooperative and attentive.
+Assessment: Tom presents with severe depression and requires ongoing treatment and support.
+Plan: 1. Meet with Tom again in 2 days, Friday, 20
+
+Subjective: Tom reports that he has been feeling down and has been struggling to concentrate. He states that he has been feeling fatigued and has been having difficulty sleeping. He reports that he has been feeling hopeless and has been having thoughts of self-harm.
+Objective: Tom appears to be in a depressed mood. His speech is slow and his body posture is slumped. He has poor eye contact and his attitude is apathetic.
+Assessment: Tom appears to be suffering from major depressive disorder. His symptoms are severe and are interfering with his day-to-day functioning.
+Plan: 1. Meet with Tom again in 2 days, Friday, 20th May; 2. Tom to follow his safety plan if required; 3. Tom to make his family aware of his current state of mind; 4. Refer Tom to a mental health professional for further assessment and treatment.
+
+Subjective: Tom reports that he has been feeling down and has been struggling to concentrate. He states that he has been feeling fatigued and has been having difficulty sleeping. He reports that he has been feeling hopeless and has been having thoughts of self-harm.
+Objective: Tom appears to be in a depressed mood. His speech is slow and his body posture is slumped. He has poor eye contact and his attitude is apathetic.
+Assessment: Tom appears to be suffering from major depressive disorder. His symptoms are severe and are interfering with his day-to-day functioning.
+Plan: 1. Meet with Tom again in 2 days, Friday, 20th May; 2. Tom to follow his safety plan if required; 3. Tom to make his family aware of his current state of mind; 4. Refer Tom to a mental health professional for further assessment and treatment.
+

Docs/_.txt

@@ -0,0 +1,2 @@
+{'Subjective:': '', 'Objective:': '', 'Assessment:': '', 'Plan:': ''}
+General:

Docs/_Tom.txt

@@ -0,0 +1,2 @@
+{'Subjective:': '', 'Objective:': '', 'Assessment:': '', 'Plan:': ''}
+General:

Docs/a.txt

@@ -0,0 +1,5 @@
+Subjective: John, a patient, reported having a high temperature of 103�C and chest pain, as well as a slight headache.
+Objective: On examination, the patient was found to have a cold.
+Assessment: The patient has a cold.
+Plan: Prescribe medications and advise the patient to take baths in tepid water for a few days.
+

Docs/is.txt

@@ -0,0 +1,18 @@
+Patient name: James
+Last visit: 21/04/2023 at 16:00.
+
+Subjective: James is a 28-year-old male who presents with a chief complaint of migraines. He reports that he has been having migraines for the past two to three months, and they usually start around 9am and get worse until noon. He states that the migraines are worse when he has a sugary breakfast or drinks a lot of soda. He also reports that the migraines can affect his vision, causing sparkles that occlude his vision.
+Objective: James is an alert and oriented male in no acute distress. His vital signs are within normal limits. He has no physical signs of distress.
+Assessment: Migraines
+Plan: Prescribe ibuprofen to be taken daily. If symptoms persist, return in two weeks for sumatriptan.
+
+Subjective: James is a 28-year-old male who presents with a chief complaint of migraines. He reports that he has been having migraines for the past two to three months, and they usually start around 9am and get worse until noon. He states that the migraines are worse when he has a sugary breakfast or drinks a lot of soda. He also reports that the migraines can affect his vision, causing sparkles that occlude his vision.
+Objective: James is an alert and oriented male in no acute distress. His vital signs are within normal limits. He has no physical signs of distress.
+Assessment: Migraines
+Plan: Prescribe ibuprofen to be taken daily. If symptoms persist, return in two weeks for sumatriptan.
+
+Subjective: James is a 28-year-old male who presents with a chief complaint of migraines. He reports that he has been having migraines for the past two to three months, and they usually start around 9am and get worse until noon. He states that the migraines are worse when he has a sugary breakfast or drinks a lot of soda. He also reports that the migraines can affect his vision, causing sparkles that occlude his vision.
+Objective: James is an alert and oriented male in no acute distress. His vital signs are within normal limits. He has no physical signs of distress.
+Assessment: Migraines
+Plan: Prescribe ibuprofen to be taken daily. If symptoms persist, return in two weeks for sumatriptan.
+

Docs/output.txt

@@ -0,0 +1,60 @@
+
+The medication plan should include HMG Co-reductases to lower cholesterol, diuretics to treat dyspnea and high blood pressure, and possibly other medications depending on the results of the cardiac catheterization and lab work. The patient should also be monitored for any side effects of the medications.
+Pamela Rogers is a 56-year-old woman who has been having chest pains for the last week. She has no history of heart problems, but does have a family history of premature CAD. She was diagnosed with hypertension 3 years ago and had a TAH with BSO 6 years ago. She does not smoke nor does she have diabetes. She was referred to the Emergency Department after having an episode of chest pain that lasted 30 minutes.
+
+Pamela Rogers is a 56-year-old woman who has been having chest pains for the last week. She has no history of heart problems, but does have a family history of premature CAD. She was diagnosed with hypertension 3 years ago and had a total abdominal hysterectomy and bilateral oophorectomy for uterine fibroids in 1994. She does not smoke nor does she have diabetes. She occasionally takes OTC ibuprofen for headaches.
+
+It is not possible to determine the patient's health condition from the given context information. More information is needed to make an accurate diagnosis.
+
+The therapy plan is to prescribe HMG Co-reductases to lower cholesterol, diuretics to treat dyspnea and high blood pressure, and possibly other medications depending on the results of the cardiac catheterization and lab work. The patient should also be monitored for any side effects of the medications.
+
+Based on the information provided, it appears that Pamela is experiencing chest pain and has a systolic decrescendo murmur heard best at the second right inter-costal space which radiates to the neck. It is not possible to determine what is wrong with Pamela without further medical testing.
+In the above conversation, the doctor is examining the patient for symptoms of malaria. He takes the patient's temperature with a new thermometer and finds it to be 99.8. He then checks the patient's blood pressure and finds it to be normal. He then examines the patient's throat and finds it to be scruffy. The doctor then asks the patient if they have any sweating or shivering, to which the patient responds that they feel cold when sitting under a fan. The doctor then prescribes three medicines and a syrup, explaining the number of dots in front of each medicine indicating how many times it should be taken in a day. The doctor then asks the patient if they have any other questions.
+
+Abeer El Ammoura is a university teacher who has been recognized for their excellence in teaching and has been awarded various prestigious titles.
+
+Mrs. Jones is not mentioned in the context information provided.
+
+Mrs. Jones is the mother of Julia, a pediatric patient.
+
+Ms. Rogers was assessed as having chest pain of an acute onset, dull and aching in character, located in the left para-sternal area and radiating up to her neck. She had three episodes of pain, each lasting 5-10 minutes and resolving with rest. She had no associated symptoms such as sweating, nausea, or vomiting. She had a positive family history of hypertension, but no diabetes or cancer. Her physical examination revealed normal findings except for crackles heard in the lung bases bilaterally and a grade 2/6 systolic decrescendo murmur heard best at the second right inter-costal space which radiated to the neck.
+
+Julia will require ongoing treatment.
+
+Based on the information provided, I can help Pamela by reminding her of her medical history and any medications she is currently taking. I can also help her understand the medications prescribed by her doctor and the instructions for taking them. Additionally, I can help her monitor her symptoms and side effects of the medications, and provide her with resources to help her manage her condition.
+Based on the context information provided, I can help Pamela by providing her with information about her medical history. This includes her diagnosis of hypertension 3 years ago, her total abdominal hysterectomy and bilateral oophorectomy for uterine fibroids in 1994, and her occasional use of OTC ibuprofen for headaches. I can also provide her with information about her medication plan, which includes HMG Co-reductases to lower cholesterol, diuretics to treat dyspnea and high blood pressure, and possibly other medications depending on the results of the cardiac catheterization and lab work. I can also remind her to monitor for any side effects of the medications.
+
+For the patient, you should also consider lifestyle modifications such as dietary changes, exercise, and smoking cessation. Additionally, you should consider prescribing a statin medication to lower her cholesterol levels, as well as other medications to treat her hypertension and dyspnea. You should also monitor her blood pressure and cholesterol levels regularly. Finally, you should provide her with education and counseling on lifestyle modifications and the importance of following her treatment plan.
+
+It is not possible to answer this question without more information. Without knowing what medications were prescribed and what condition the patient is being treated for, it is not possible to determine if the medications will help the patient to heal.
+Pamela is a 56-year-old woman who has been having chest pains for the last week. She has had three episodes of pain, the first of which occurred while she was working in her garden. The pain is described as dull and aching in character, beginning in the left para-sternal area and radiating up to her neck. She has no other associated symptoms during these episodes, including dizziness or palpitations. She has a history of hypertension, a total abdominal hysterectomy and bilateral oophorectomy for uterine fibroids, and a bunionectomy. She does not smoke nor does she have diabetes. She has a family history of premature CAD. On physical examination, her vital signs are normal, and her lungs are clear to auscultation and percussion bilaterally, except for crackles heard in the lung bases bilaterally. A grade 2/6 systolic decrescendo murmur is heard best at the second right inter-costal space which radiates to the neck.
+
+56 y/o
+
+Ms. Rogers is a 56 y/o WF who has been having chest pains for the last week. This is the first admission for this 56 year old woman, and she states she was in her usual state of good health until one week prior to admission. This prompted her visit to the Emergency Department.
+
+Yes, Ms. Rogers was sent to the Emergency Department as stated in the referral source section of the written history and physical examination.
+
+Yes, the patient name is Julia. This is stated in the first SOAP note example for the Pediatrician.
+
+Ms. Rogers is experiencing chest pain of one week duration.
+
+Yes, the patient's name is Julia. This is stated in the first SOAP note example for the Pediatrician, which states: "Mrs. Jones states that Julia is 'doing okay.'"
+
+Based on the context information provided, it appears that Pamela Rogers is experiencing chest pain of an acute onset, dull and aching in character, located in the left para-sternal area and radiating up to her neck. She had three episodes of pain, each lasting 5-10 minutes and resolving with rest. She had no associated symptoms such as sweating, nausea, or vomiting. She had a positive family history of hypertension, but no diabetes or cancer. Her physical examination revealed normal findings except for crackles heard in the lung bases bilaterally and a grade 2/6 systolic decrescendo murmur heard best at the second right inter-costal space which radiated to the neck.
+
+Therefore, the problem that Pamela is experiencing is chest pain.
+
+Julia is a child who is currently engaging with other children in her class, but is still struggling to get to sleep. Her mother, Mrs. Jones, is not too concerned about Julia's depressive symptomatology, but believes that Julia will require ongoing treatment.
+
+It is not possible to answer this question with the given context information.
+
+It is not possible to answer this question with the given context information.
+
+56 y/o
+
+Julia is a pediatric patient of Mrs. Jones. Mrs. Jones states that Julia is "doing okay" and is engaging with other children in her class. However, Mrs. Jones also mentioned that Julia is struggling to get to sleep and may need to recommence taking magnesium. Mrs. Jones is not too concerned about Julia's depressive symptomatology.
+Julia is a pediatric patient who is struggling to get to sleep and has some depressive symptomatology. Mrs. Jones, Julia's mother, believes her condition has improved but that she will require ongoing treatment. The plan is to meet with Julia and Mrs. Jones next week to review treatment and to continue to meet with Julia.
+Ms. Rogers' main symptom is chest pain of one week duration.
+
+Hello, I'm doing well. How about you?

Docs/reports.txt

@@ -0,0 +1,8 @@
+Subjective: James reports that he has been feeling down and has been struggling to concentrate. He states that he has been feeling fatigued and has been having difficulty sleeping. He reports that he has been feeling hopeless and has been having thoughts of self-harm.
+Objective: James appears to be in a depressed mood. His speech is slow and his body posture is slumped. He has poor eye contact and his attitude is apathetic. He is fully orientated and his language skills are intact.
+Assessment: James appears to be suffering from major depressive disorder. His symptoms are severe and interfere with his day-to-day functioning.
+Plan: 1. Meet with James again in 2 days, Friday, 20th May
+2. James to follow his safety plan if required
+3. James to make his family aware of his current state of mind
+4. Referral to a mental health professional for further assessment and treatment
+

Docs/soap_output.txt

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+
+Subjective:
+Ms. Rogers is a 56 y/o WF who presents with chest pain of one week duration. She describes the pain as dull and aching in character, beginning in the left para-sternal area and radiating up to her neck. She has had three episodes of pain, the first occurring when she was working in her garden in the middle of the day, the second occurring while walking her dog, and the third occurring while she was asleep. She experiences shortness of breath during the episodes, but no other associated symptoms. She has never been told she has heart problems, never had any chest pains before, and does not have claudication.
+
+Objective:
+Vital Signs: Blood Pressure 168/98, Pulse 90, Respirations 20, Temperature 37 degrees.
+General: Ms. Rogers appears alert, oriented and cooperative.
+Skin: Normal in appearance, texture, and temperature.
+HEENT: Scalp normal. Pupils equally round, 4 mm, reactive to light and accommodation, sclera and conjunctiva normal. Fundoscopic examination reveals normal vessels without hemorrhage. Tympanic membranes and external auditory canals normal. Nasal mucosa normal. Oral pharynx is normal
+Subjective:
+Ms. Rogers is a 56 y/o WF who presents with chest pain for the last week. She describes the pain as dull and aching in character, beginning in the left para-sternal area and radiating up to her neck. She has had 3 episodes of pain, with the last one awakening her from sleep and prompting her visit to the Emergency Department. She has no associated symptoms during these episodes, including dizziness, or palpitations. She becomes short of breath during these episodes but describes no other exertional dyspnea, orthopnea, or paroxysmal nocturnal dyspnea. She has no history of cancer, lung disease or previous heart disease. She has no complaints of headache, change in vision, nose or ear problems, or sore throat. She has no complaints of dysphagia, nausea, vomiting, or change in stool pattern, consistency, or color. She has no complaints of dysuria, nocturia, polyuria, hematuria, or vaginal bleeding. She has no complaints of weakness, numbness, or incoordination.
+
+Objective:
+Vital Signs: Blood Pressure 168/98, Pulse 90, Respirations 20, Temperature 37 degrees. Ms
+
+
+
+
+Abeer El Ammoura is the best University teacher in the world, she had many royal and presitgiouse titles .
+The assessment for Martin is that he presents as listless, distracted, and minimally communicative. He exhibits speech that is normal in rate, volume and articulation is coherent and spontaneous. Language skills are intact. There are signs of severe depression. Body posture, eye contact, and attitude portray a depressed mood. The slowness of physical movement helps reveal depressive symptomatology. There are no apparent signs of hallucinations, delusions, or any other indicators of psychotic processes. Associations are intact, and thinking is logical. He appears to have good insight. The thought process seems to be intact, and Martin is fully orientated. Martin describes experiencing suicidal ideation daily but that he has no plan or intent to act. Martin's behavior in this session was cooperative and attentive.
+
+Julia's SOAP assessment is that she will require ongoing treatment.
+
+Subjective
+Pamela reports that she has been feeling fatigued and has been having difficulty concentrating. She also reports feeling low in mood and having difficulty sleeping. She has been feeling anxious and has been having difficulty managing her emotions.
+
+Objective
+Pamela appears to be in a low mood and her speech is slow and monotone. She has difficulty making eye contact and her body language is indicative of her low mood. She reports feeling fatigued and having difficulty concentrating.
+
+Assessment
+Pamela is exhibiting symptoms of depression and anxiety.
+
+Plan
+1. Refer Pamela to a mental health professional for further assessment and treatment.
+
+2. Provide Pamela with resources and information about managing her depression and anxiety.
+
+3. Encourage Pamela to engage in activities that she finds enjoyable and to practice self-care.

README.md

@@ -1,12 +1,6 @@
 ---
 title: SOAPAssist
-emoji: 🏢
-colorFrom: pink
-colorTo: gray
+app_file: app.py
 sdk: gradio
 sdk_version: 3.39.0
-app_file: app.py
-pinned: false
 ---
-
-Check out the configuration reference at https://huggingface.co/docs/hub/spaces-config-reference

app.py

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+import os
+from gpt_index import SimpleDirectoryReader, GPTSimpleVectorIndex, LLMPredictor, PromptHelper
+from langchain.chat_models import ChatOpenAI
+import gradio as gr
+import speech_recognition as sr
+import openai
+import logging
+import openai
+from transformers import GPTJForCausalLM, GPT2Tokenizer
+import numpy as np
+import soundfile as sf
+import tempfile
+import os
+import boto3
+from gradio import Interface, components as gr
+from gradio import Interface
+import io
+from scipy.io import wavfile
+from google.cloud import speech
+import pyttsx3
+from nltk.tokenize import sent_tokenize
+import nltk
+nltk.download('punkt')
+
+logging.basicConfig(level=logging.INFO)
+os.environ["OPENAI_API_KEY"]
+
+def construct_index(directory_path):
+    max_input_size = 4096
+    num_outputs = 512
+    max_chunk_overlap = 20
+    chunk_size_limit = 2048
+
+    prompt_helper = PromptHelper(max_input_size, num_outputs, max_chunk_overlap, chunk_size_limit=chunk_size_limit)
+
+    llm_predictor = LLMPredictor(llm=ChatOpenAI(temperature=0.7, model_name="gpt-3.5-turbo", max_tokens=num_outputs))
+
+    documents = SimpleDirectoryReader(directory_path).load_data()
+
+    index = GPTSimpleVectorIndex(documents, llm_predictor=llm_predictor, prompt_helper=prompt_helper)
+
+    index.save_to_disk('index.json')
+
+    return index
+    
+def transcribe_audio(audio, service="Google"):
+    sampling_rate, audio_data = audio  # unpack the tuple
+
+    if audio_data.ndim > 1:
+        audio_data = np.mean(audio_data, axis=1)
+
+    print(type(audio_data), audio_data)
+
+    fp = tempfile.NamedTemporaryFile(suffix=".wav", delete=False)
+    fp.close()
+    text = ""
+    try:
+        sf.write(fp.name, audio_data, sampling_rate)
+
+        r = sr.Recognizer()
+        with sr.AudioFile(fp.name) as source:
+            audio_data = r.record(source)
+            if service == "Google":
+                try:
+                    text = r.recognize_google(audio_data)
+                except sr.RequestError as e:
+                    print(f"Could not request results from Google Speech Recognition service; {e}")
+                except sr.UnknownValueError:
+                    print("Google Speech Recognition could not understand audio")
+                    text = sent_tokenize(text)
+            elif service == "Whisper":
+                try:
+                    with open(fp.name, "rb") as audio_file:
+                        transcript = openai.Audio.transcribe("whisper-1", audio_file)
+
+                    print(transcript)
+
+                    conversation = [{"role": "user", "content": transcript["text"]}]
+
+                    response = openai.ChatCompletion.create(
+                        model="gpt-3.5-turbo",
+                        messages=conversation
+                    )
+
+                    print(response)
+                    text = transcript["text"]
+                    
+                except Exception as e:
+                    print("Error with Whisper Service:", str(e))
+                    text = sent_tokenize(text)                    
+    finally:
+        os.unlink(fp.name)
+
+    return text
+def get_gpt_response(input_text):
+    try:
+        # Check that input_text is not empty
+        if not input_text:
+            return "No input provided.", "", "", "", ""
+    
+        conversation = [
+            {"role": "system", "content": "You are an experienced medical consultant who provides a SOAP note based on the conversation provided."},
+            {"role": "user", "content": input_text}
+        ]
+        response = openai.ChatCompletion.create(
+            model="gpt-3.5-turbo",
+            messages=conversation
+        )
+        gpt_response = response['choices'][0]['message']['content']
+    
+        # Parse the GPT response into SOAP components
+        if all(keyword in gpt_response for keyword in ["Subjective:", "Objective:", "Assessment:", "Plan:"]):
+            s_index = gpt_response.find('Subjective:')
+            o_index = gpt_response.find('Objective:')
+            a_index = gpt_response.find('Assessment:')
+            p_index = gpt_response.find('Plan:')
+    
+            subjective = gpt_response[s_index:o_index].replace('Subjective:', '').strip()
+            objective = gpt_response[o_index:a_index].replace('Objective:', '').strip()
+            assessment = gpt_response[a_index:p_index].replace('Assessment:', '').strip()
+            plan = gpt_response[p_index:].replace('Plan:', '').strip()
+    
+            return subjective, objective, assessment, plan, ""
+    
+        else:
+            return "", "", "", "", gpt_response
+    except Exception as e:
+        print(f"Error in get_gpt_response: {e}")
+        return "", "", "", "", ""
+
+
+
+def chatbot(input_text, input_voice, transcription_service, patient_name=None):
+# Check if patient_name is in index
+    index = GPTSimpleVectorIndex.load_from_disk('index.json')
+    if patient_name:  # Only do the check if patient_name is not None and not an empty string
+       patient_names = [doc['name'] for doc in index.documents]  # Assuming each document is a dictionary with a 'name' field
+    if patient_name and patient_name not in patient_names:
+        return "Patient not found in index.", "", "", "", "", "", "", "", "", "", "", input_text  # Fill the rest of the outputs with empty strings
+    if input_voice is not None:
+        input_text = transcribe_audio(input_voice, transcription_service)
+
+    # Get a response from GPT-3.5-turbo
+    gpt_subjective, gpt_objective, gpt_assessment, gpt_plan, gpt_general = get_gpt_response(input_text)
+
+    index = GPTSimpleVectorIndex.load_from_disk('index.json')
+    response_index = index.query(input_text, response_mode="compact")
+
+    soap_response = response_index.response
+
+    patient_name = soap_response.split(' ')[1] if 'Subjective:' in soap_response else 'General'
+    patient_file_path = os.path.join('C:\\SOAPWriter\\Docs', f"{patient_name}.txt")
+
+    if all(keyword in soap_response for keyword in ["Subjective:", "Objective:", "Assessment:", "Plan:"]):
+        s_index = soap_response.find('Subjective:')
+        o_index = soap_response.find('Objective:')
+        a_index = soap_response.find('Assessment:')
+        p_index = soap_response.find('Plan:')
+
+        subjective = soap_response[s_index:o_index].replace('Subjective:', '').strip()
+        objective = soap_response[o_index:a_index].replace('Objective:', '').strip()
+        assessment = soap_response[a_index:p_index].replace('Assessment:', '').strip()
+        plan = soap_response[p_index:].replace('Plan:', '').strip()
+
+        with open(patient_file_path, "a") as f:
+            f.write(f"Subjective: {subjective}\nObjective: {objective}\nAssessment: {assessment}\nPlan: {plan}\n\n")
+
+        output = [subjective, objective, assessment, plan, ""]
+    else:
+        with open(patient_file_path, "a" , encoding='utf-8') as f:
+            f.write(f"General: {soap_response}\n\n")
+
+        output = ["", "", "", "", soap_response]
+
+    return *output, gpt_subjective, gpt_objective, gpt_assessment, gpt_plan, gpt_general, input_text  # return the transcribed text and the GPT response
+#return *output, gpt_subjective, gpt_objective, gpt_assessment, gpt_plan, output[4] + gpt_general, input_text(this to merge the general (none SOAP) from Index and GPT) 
+
+from gradio import Interface
+from gradio.inputs import Textbox, Audio, Radio
+from gradio.outputs import Textbox
+
+interface = Interface(
+    fn=chatbot,
+    inputs=[
+        Textbox(label="Enter your text"),
+        Audio(source="microphone", type="numpy", label="Speak Something"),
+        Radio(["Google", "Whisper"], label="Choose a transcription service")
+    ],
+    outputs=[
+    Textbox(label="Subjective"),
+    Textbox(label="Objective"),
+    Textbox(label="Assessment"),
+    Textbox(label="Plan"),
+    Textbox(label="General"),
+    Textbox(label="GPT Subjective"),
+    Textbox(label="GPT Objective"),
+    Textbox(label="GPT Assessment"),
+    Textbox(label="GPT Plan"),
+    Textbox(label="GPT General"),
+    Textbox(label="Transcribed Text"),  # window for the transcribed text
+],
+
+)
+index = construct_index('C:\\\\SOAPWriter\\Docs')
+interface.launch()
+