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values | item_id large_stringlengths 1 6 | distractor_type large_stringclasses 2
values | clean_transcript large_stringlengths 42 13k | distracted_transcript large_stringlengths 236 13.3k | reference_note large_stringlengths 5 4.8k | distractor_conversation large_stringlengths 168 395 | insert_after_turn int64 1 86 | distractor_summary large_stringlengths 83 186 | distractor_topic large_stringlengths 32 76 | generation_model large_stringclasses 1
value |
|---|---|---|---|---|---|---|---|---|---|---|---|
aci_bench_test | ACI-Bench | D2N120 | nonliteral | [doctor] hello larry how are you doing today
[patient] i've been better my primary care doctor wanted me to see you for this back pain that i've been having for a couple of years now
[doctor] okay
[patient] and i have tried so many things and just nothing seems to work
[doctor] i'm sorry to hear that now do you remembe... | [doctor] hello larry how are you doing today
[patient] i've been better my primary care doctor wanted me to see you for this back pain that i've been having for a couple of years now
[doctor] okay
[patient] and i have tried so many things and just nothing seems to work
[doctor] i'm sorry to hear that now do you remembe... | HISTORY OF PRESENT ILLNESS
Larry Garcia is a pleasant 41-year-old male who presents to the clinic today for the evaluation of back pain.
The onset of his pain began 2 years ago, after moving furniture. He denies any specific injury. The patient describes his pain as sharp and stabbing. He locates his pain to his lowe... | Patient: While I'm getting settled, did you ever see Concussion, the movie with Will Smith?
Doctor: I did, actually. He was really good in that.
Patient: Yeah, I ended up watching it on a flight and got way more into it than I expected.
Doctor: Those are the ones that make the flight go faster. | 31 | The patient briefly chats with the doctor about the movie Concussion and watching it on a flight. | the film Concussion (musculoskeletal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N121 | nonliteral | [patient] hi kenneth how are you the medical assistant told me that you had some knee pain yeah i was getting ready for the holiday weekend and i was out on my boat skiing and i i did a jump and kinda twisted when i landed and my knee has been hurting me ever since
[doctor] okay so that was about five days ago then
[pa... | [patient] hi kenneth how are you the medical assistant told me that you had some knee pain yeah i was getting ready for the holiday weekend and i was out on my boat skiing and i i did a jump and kinda twisted when i landed and my knee has been hurting me ever since
[doctor] okay so that was about five days ago then
[pa... | CHIEF COMPLAINT
Right knee pain.
MEDICAL HISTORY
Patient reports history of hypertension.
SURGICAL HISTORY
Patient reports history of tonsillectomy.
SOCIAL HISTORY
Patient reports that he has a boat on Lake Martin. He is frequent water skier.
MEDICATIONS
Patient reports taking lisinopril 20 mg once a day.
REV... | Patient: This weekend my brother said our football team's defence has a hernia, it keeps giving way.
Doctor: That's a pretty good line, sadly accurate for a lot of teams.
Patient: Yeah, every third down you can almost set your watch by it.
Doctor: Sounds like a long season ahead for him on the couch. | 12 | The patient makes a joking comment about his brother's football team over the weekend, and the doctor chats about the joke. | a football team's 'hernia' of a defence (musculoskeletal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N122 | nonliteral | [doctor] hey kyle it's nice to see you today can you tell me a little bit about what brought you in
[patient] yeah i went to see my pcp for a cough which they diagnosed as bronchitis but then they did that chest x-ray to make sure i did n't have pneumonia and they found this lung nodule i went for a cat scan that confi... | [doctor] hey kyle it's nice to see you today can you tell me a little bit about what brought you in
[patient] yeah i went to see my pcp for a cough which they diagnosed as bronchitis but then they did that chest x-ray to make sure i did n't have pneumonia and they found this lung nodule i went for a cat scan that confi... | CHIEF COMPLAINT
Cough.
MEDICAL HISTORY
Patient reports a history of rheumatoid arthritis. He denies any previous history of lung infections or pneumonia.
SOCIAL HISTORY
Patient reports he stopped smoking tobacco 7 years ago and has felt better since doing so. He notes that he enjoys biking.
FAMILY HISTORY
Patien... | Patient: that camera and scope bit made me think of Outbreak, that old game where everything goes sideways fast.
Doctor: oh wow, i haven't heard that title in ages.
Patient: my son used to laugh at how bad i was at it.
Doctor: those old games had a way of humbling everybody. | 31 | The patient briefly jokes about the video game Outbreak, and the doctor responds with casual nostalgia. | a video game called Outbreak (respiratory) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N123 | nonliteral | [doctor] so tyler is a 56 -year-old male who presents today complaining of difficulty swallowing and has a past medical history of diabetes and high blood pressure so tyler tell me what's going on with your swallowing problem
[patient] well it's just been something that i have noticed over the last you know four to fiv... | [doctor] so tyler is a 56 -year-old male who presents today complaining of difficulty swallowing and has a past medical history of diabetes and high blood pressure so tyler tell me what's going on with your swallowing problem
[patient] well it's just been something that i have noticed over the last you know four to fiv... | SUBJECTIVE
Difficulty swallowing. Tyler Green is a 56-year-old male who presents today complaining of difficulty swallowing.
The patient noticed the difficulty swallowing approximately 4 to 5 weeks ago. He describes it as something stuck in his throat. He states that it bothers him a little bit throughout the day as ... | Patient: my football team’s defense has a hernia—it just keeps giving way.
Doctor: that’s rough, sounds like they need a sturdier line.
Patient: seriously, every sunday it’s the same comedy show. | 29 | The patient makes a light, nonliteral joke about a football team's weak defense, and the doctor plays along. | a football team's 'hernia' of a defence (gastrointestinal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N124 | nonliteral | [doctor] so jerry is a 45 -year-old male who came in today with an ankle injury jerry what happened
[patient] hey doctor michael yeah so my son sean i think you met in the past he he started playing basketball and there we do multiple seasons and so we're kinda getting ready for the next season that starts in in april ... | [doctor] so jerry is a 45 -year-old male who came in today with an ankle injury jerry what happened
[patient] hey doctor michael yeah so my son sean i think you met in the past he he started playing basketball and there we do multiple seasons and so we're kinda getting ready for the next season that starts in in april ... | CHIEF COMPLAINT
Right ankle injury.
HISTORY OF PRESENT ILLNESS
Jerry Cook is a 45-year-old male who presents today with a right ankle injury.
The patient sustained an injury to the right ankle while playing basketball with his son. He reports he landed awkwardly and twisted his right ankle after jumping to make a l... | Patient: Oh, changing gears for a second, my wife handed me a novel with a really fractured plot, and I kept losing the thread.
Doctor: Those can be tough if you're reading in short bursts.
Patient: Exactly, I was reading a few pages at a time and it felt like a puzzle.
Doctor: Sometimes that's fun, sometimes it just m... | 24 | The patient makes a brief small-talk remark about reading a novel with a fractured plot, and the doctor responds conversationally about that kind of book. | a novel with a 'fractured' plot (musculoskeletal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N125 | nonliteral | [patient] miss edwards is here for evaluation of facial pain this is a 54 -year-old male
[doctor] how're you doing doctor cruz nice to see you today
[patient] good to see you mister edwards i'm doctor
[doctor] tell me what's been going on yeah so i've got this stabbing shooting pain i've had for a while you know and it... | [patient] miss edwards is here for evaluation of facial pain this is a 54 -year-old male
[doctor] how're you doing doctor cruz nice to see you today
[patient] Sorry, my jacket's all twisted up—our puppy Tremor thinks every zipper is a tug-of-war challenge.
[doctor] Tremor is a fantastic puppy name.
[patient] He earned ... | CHIEF COMPLAINT
Right-sided facial pain.
REVIEW OF SYSTEMS
Eyes: Denies vision changes or weakness in right eye.
HENT: Reports right sided facial pain. Denies left sided facial pain. Neurological: Reports headaches. Denies sensory loss, numbness, or tingling in the right cheek. Denies right sided facial weakness.
P... | Patient: Sorry, my jacket's all twisted up—our puppy Tremor thinks every zipper is a tug-of-war challenge.
Doctor: Tremor is a fantastic puppy name.
Patient: He earned it; he pounces like a tiny earthquake.
Doctor: Sounds like he runs the house already. | 2 | The patient makes small talk about a puppy named Tremor while settling in, and the doctor responds casually. | a puppy named Tremor (neurological) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N126 | nonliteral | [doctor] hi michelle what's been going on the medical assistant told me that you injured your knee
[patient] yeah i'm gon na have to keep this my favorite story is that i had a sandra who injured her knee cold dancing so that would immediately came up to mine but let's try skiing so i was skiing in vermont last weekend... | [doctor] hi michelle what's been going on the medical assistant told me that you injured your knee
[patient] yeah i'm gon na have to keep this my favorite story is that i had a sandra who injured her knee cold dancing so that would immediately came up to mine but let's try skiing so i was skiing in vermont last weekend... | CHIEF COMPLAINT
Right knee injury
HISTORY OF PRESENT ILLNESS
Michelle King is a pleasant 44-year-old male who presents to the clinic today for the evaluation of a right knee injury. Her injury was sustained while skiing in Vermont last weekend after she caught her ski when coming off of the lift and fell. She report... | Patient: one of my twins says our cat Lupus sounds less like a pet and more like a tiny supervillain.
Doctor: that is a spectacular cat name.
Patient: he mostly just steals warm spots and judges my crutches from the couch.
Doctor: honestly, classic villain behavior. | 21 | The patient makes a light joke about her cat named Lupus acting like a tiny supervillain, and the doctor plays along. | a cat named Lupus (musculoskeletal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N127 | nonliteral | [doctor] hey brandon you know glad to see you in here today i see on your chart that you're experiencing some neck pain could you tell me a bit about what happened
[patient] yeah i was in a car crash
[doctor] wow okay when was that
[patient] well which car crash
[doctor] okay so multiple car crashes alright so let's se... | [doctor] hey brandon you know glad to see you in here today i see on your chart that you're experiencing some neck pain could you tell me a bit about what happened
[patient] yeah i was in a car crash
[doctor] wow okay when was that
[patient] well which car crash
[doctor] okay so multiple car crashes alright so let's se... | CHIEF COMPLAINT
Neck pain.
HISTORY OF PRESENT ILLNESS
Brandon Green is a pleasant 46-year-old male who presents to the clinic today for the evaluation of neck pain. His pain began when he was involved in a motor vehicle accident in 02/2022 when he was on his way home from a pain clinic. The patient notes that he has... | Patient: That title Concussion always makes me think of the movie, like Will Smith was personally diagnosing football in every scene.
Doctor: Ha, yeah, he gave that role so much intensity the popcorn probably needed a follow-up visit.
Patient: Right, even the trailer felt like it needed a helmet. | 47 | The patient briefly jokes with the doctor about the film Concussion and Will Smith's intense performance. | the film Concussion (musculoskeletal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N146 | nonliteral | [doctor] hey good morning bobby how are you
[patient] i'm doing okay i as you're aware doctor miller sent me over for this pain in my belly that i've had for several weeks they did he did an ultrasound and and said i had gallstones and they recommended i stay several way from some high fat food but i'm just still havin... | [doctor] hey good morning bobby how are you
[patient] Sorry, I was settling in and thinking about my sourdough starter at home—it went into remission and just stopped rising.
[doctor] That's a rough turn for a loaf's career.
[patient] Yeah, it retired without giving notice.
[doctor] Mine would probably do the same if I... | CHIEF COMPLAINT
Abdominal pain.
MEDICAL HISTORY
Patient reports history of type 2 diabetes.
SOCIAL HISTORY
Patient reports enjoying nature photography.
FAMILY HISTORY
Patient reports family history of cholelithiasis. Both of his parents have had cholecystectomies.
REVIEW OF SYSTEMS
Constitutional: Reports low-... | Patient: Sorry, I was settling in and thinking about my sourdough starter at home—it went into remission and just stopped rising.
Doctor: That's a rough turn for a loaf's career.
Patient: Yeah, it retired without giving notice.
Doctor: Mine would probably do the same if I were in charge of it. | 1 | The patient jokes with the doctor about a sourdough starter that 'went into remission' and stopped rising. | a sourdough starter 'in remission' (gastrointestinal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N147 | nonliteral | [doctor] hi matthew how are you the medical assistant told me that you injured your shoulder
[patient] hey yeah i'm i'm hanging in there
[doctor] what happened
[patient] yeah so well when i was younger i used to be a little bit more active with my friends with the playing
[doctor] pick up football and so you know me be... | [doctor] hi matthew how are you the medical assistant told me that you injured your shoulder
[patient] hey yeah i'm i'm hanging in there
[doctor] what happened
[patient] yeah so well when i was younger i used to be a little bit more active with my friends with the playing
[doctor] pick up football and so you know me be... | CHIEF COMPLAINT
Right shoulder injury.
HISTORY OF PRESENT ILLNESS
Matthew Allen is a 67-year-old male, right-hand-dominant, male who presents to the clinic today for the evaluation of a right shoulder injury. The patient sustained this injury 4 days ago, when he was tackled a couple of times playing pick up football... | Patient: Funny enough, my buddy says our team defense has a hernia—it keeps giving way.
Doctor: Ha, that's a rough scouting report.
Patient: Yeah, every third down turns into a parade.
Doctor: Sounds like they need a new coordinator. | 9 | The patient makes a joking remark about a football team's weak defense, and the doctor chats about the team. | a football team's 'hernia' of a defence (musculoskeletal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N148 | nonliteral | [doctor] hi jeremy how are you the medical assistant told me that you injured your back
[patient] yeah i was moving some boxes when my son was moving out of his college dorm and i really hurt my lower back
[doctor] okay how long ago did that happen
[patient] this was about four months ago
[doctor] about four months ago... | [doctor] hi jeremy how are you the medical assistant told me that you injured your back
[patient] yeah i was moving some boxes when my son was moving out of his college dorm and i really hurt my lower back
[doctor] okay how long ago did that happen
[patient] this was about four months ago
[doctor] about four months ago... | HISTORY OF PRESENT ILLNESS
Jeremy Adams is a pleasant 57-year-old male who presents to the clinic today for the evaluation of low back pain. The onset of his pain began 4 months ago, when he was moving boxes out of his son's college dorm. At that time, he noted tingling in his right toes, which resolved after approxim... | Patient: changing the subject for a second, my son left a novel in the car with a really fractured plot, and I kept losing track of who was who.
Doctor: Those can be fun if you're in the mood for them, but they definitely make you work.
Patient: Yeah, I think I need a simpler one next time. | 29 | The patient makes a brief nonmedical remark about a novel with a fractured plot, and the doctor responds with casual small talk. | a novel with a 'fractured' plot (musculoskeletal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N149 | nonliteral | [doctor] so dennis is a 57 -year-old male today complaining of shortness of breath he has also got a history of diabetes high blood pressure and history of asthma so dennis tell me what's going on how're you doing
[patient] not too good
[doctor] okay how long have you been feeling not too well
[patient] about a couple ... | [doctor] so dennis is a 57 -year-old male today complaining of shortness of breath he has also got a history of diabetes high blood pressure and history of asthma so dennis tell me what's going on how're you doing
[patient] not too good
[doctor] okay how long have you been feeling not too well
[patient] about a couple ... | CHIEF COMPLAINT
Shortness of breath with hemoptysis.
MEDICAL HISTORY
Patient reports history of diabetes, hypertension, and asthma. He also has a long history of knee pain.
MEDICATIONS
Patient reports taking metformin and Norvasc.
REVIEW OF SYSTEMS
Constitutional: Denies fever.
HENT: Denies bleeding gums.
Respir... | Patient: While I was settling in, I kept thinking about that movie Contagion; finally watched it last weekend.
Doctor: Oh yeah? Did it live up to the hype?
Patient: Pretty much—very tense, and my Dexcom alarm picked the quietest scene to beep.
Doctor: That's almost too perfect; movie nights always seem to find the nois... | 25 | The patient briefly chats about watching the film Contagion, and the doctor responds with light movie-night small talk. | the film Contagion (respiratory) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N150 | nonliteral | [doctor] alright scott so so i understand that you you had some right knee injury can you tell me a little bit about what happened
[patient] yeah i was trying to go out and play some pickup soccer games over the weekend and went to go plank kick the ball and and just felt a pop in my right knee
[doctor] okay and and ho... | [doctor] alright scott so so i understand that you you had some right knee injury can you tell me a little bit about what happened
[patient] yeah i was trying to go out and play some pickup soccer games over the weekend and went to go plank kick the ball and and just felt a pop in my right knee
[doctor] okay and and ho... | CHIEF COMPLAINT
Right knee injury.
HISTORY OF PRESENT ILLNESS
Scott Miller is a pleasant 36-year-old male who presents to the clinic today for the evaluation of a right knee injury. The injury occurred 3 days ago, when he was playing pickup soccer games and felt a pop in his right knee. He reports swelling at the ti... | Patient: Funny name, but my cat's called Lupus, so when you said names earlier it made me think of him.
Doctor: Lupus? That's a memorable cat name.
Patient: Yeah, he acts like he owns the whole house.
Doctor: Sounds like most cats, honestly. | 28 | The patient briefly makes small talk about his cat named Lupus, and the doctor responds with a light comment about cats. | a cat named Lupus (musculoskeletal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N151 | nonliteral | [doctor] alright teresa i see here in your chart that you seem to be experiencing some elbow pain could you tell me where it hurts
[patient] yeah so it's hurting on the inside of my elbow
[doctor] mm-hmm
[patient] and when i i i've been doing some pottery i've been creating you know i have a pottery wheel and i've been... | [doctor] alright teresa i see here in your chart that you seem to be experiencing some elbow pain could you tell me where it hurts
[patient] yeah so it's hurting on the inside of my elbow
[doctor] mm-hmm
[patient] and when i i i've been doing some pottery i've been creating you know i have a pottery wheel and i've been... | CHIEF COMPLAINT
Right elbow pain.
HISTORY OF PRESENT ILLNESS
Teresa Sullivan is a pleasant 33-year-old female who presents to the clinic today for the evaluation of right elbow pain. Her pain began 4 days ago, without any improvement. She denies any specific injury; however, she has recently increased her usage of a... | Patient: That "coming soon" line made me think of Concussion, the movie title, not anything else.
Doctor: Oh yeah, I remember that one; Will Smith was in it, right?
Patient: Yes, that's the one. My husband quotes the trailer voice all the time.
Doctor: Ha, those dramatic trailer voices really had a moment. | 63 | The patient briefly brings up the film Concussion as a movie title, and the doctor makes casual small talk about its trailer style. | the film Concussion (musculoskeletal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N152 | nonliteral | [doctor] good morning noah tell me a little bit about why you are here today
[patient] hi document i'm i'm just had you know the back pain you know and i've i've had it for you know about a week and
[doctor] oh
[patient] you know i mean i tried some you know i mean medications but you know some over the counter stuff b... | [doctor] good morning noah tell me a little bit about why you are here today
[patient] hi document i'm i'm just had you know the back pain you know and i've i've had it for you know about a week and
[doctor] oh
[patient] you know i mean i tried some you know i mean medications but you know some over the counter stuff b... | CHIEF COMPLAINT
Back pain.
MEDICAL HISTORY
Patient reports history of diabetes.
SOCIAL HISTORY
The patient's family owns and runs a bakery.
MEDICATIONS
Patient reports taking metformin twice daily.
REVIEW OF SYSTEMS
Musculoskeletal: Reports back pain.
Neurological: Denies numbness or tingling in feet.
PHYSICA... | Patient: while you're typing, my team looks like the defense has a hernia, it just keeps giving way.
Doctor: that's rough, who are you rooting for this year?
Patient: the Jets, so I'm used to it.
Doctor: fair enough, every fan has a long season now and then. | 23 | The patient jokes about his football team's weak defense, and the doctor makes brief small talk about fandom. | a football team's 'hernia' of a defence (musculoskeletal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N153 | nonliteral | [patient] i hope i did n't hurt it again
[doctor] hi gregory how are you i the medical assistant told me that you injured your knee
[patient] yeah yeah i heard it stepping off a curb
[doctor] how long ago did that happen
[patient] about two and a half weeks ago
[doctor] two and a half weeks ago and what what knee is bo... | [patient] i hope i did n't hurt it again
[doctor] hi gregory how are you i the medical assistant told me that you injured your knee
[patient] yeah yeah i heard it stepping off a curb
[doctor] how long ago did that happen
[patient] about two and a half weeks ago
[doctor] two and a half weeks ago and what what knee is bo... | HISTORY OF PRESENT ILLNESS
Gregory Price is a pleasant 68-year-old male who presents to the clinic today for the evaluation of a right knee injury. The onset of his pain began 2.5 weeks ago, when he stepped off of a curb and turned over his ankle. He locates his pain to the lateral aspect of his right knee. The patien... | Patient: while you're typing, have you ever read one of those novels with a really fractured plot where you have to keep flipping back a chapter
Doctor: yeah those can be fun if i'm in the mood for a puzzle
Patient: exactly i finished one last week and realized the ending was hiding in plain sight the whole time | 41 | The patient makes small talk about reading a novel with a fractured plot, and the doctor comments on liking puzzle-like books. | a novel with a 'fractured' plot (musculoskeletal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N154 | nonliteral | [doctor] hi dennis how are you today
[patient] good
[doctor] so what what brings you into the office i do n't believe i have ever seen you before here
[patient] the i'm training for a triathlon and the back of my heel hurts typically after a workout or when i first get up in the morning it will really hurt in the back ... | [doctor] hi dennis how are you today
[patient] good
[doctor] so what what brings you into the office i do n't believe i have ever seen you before here
[patient] the i'm training for a triathlon and the back of my heel hurts typically after a workout or when i first get up in the morning it will really hurt in the back ... | HISTORY OF PRESENT ILLNESS
Dennis Martin is a pleasant 46-year-old male who presents to the clinic today for the evaluation of right heel pain. The onset of his pain began 10 days ago while training for a triathlon. He locates his pain to the posterior aspect of his heel, which radiates proximally into his calf. His p... | Patient: while you're typing, my cat Lupus has decided the keyboard is his sworn enemy.
Doctor: Lupus is a strong name for a cat.
Patient: he acts like a tiny medieval duke patrolling the desk.
Doctor: sounds like he takes his title seriously. | 39 | The patient makes a joking aside about his cat named Lupus, and the doctor chats about the cat's grand name. | a cat named Lupus (musculoskeletal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N155 | nonliteral | [doctor] so hey christina good to see you today i see you're here you have a nonhealing foot ulcer well also looks like in my notes that you got some you've got type two diabetes and that probably the reason for your ear but ulcer not healing so how you doing today what's going on
[patient] doing pretty good except i c... | [doctor] so hey christina good to see you today i see you're here you have a nonhealing foot ulcer well also looks like in my notes that you got some you've got type two diabetes and that probably the reason for your ear but ulcer not healing so how you doing today what's going on
[patient] While I was settling in, I k... | CHIEF COMPLAINT
Non-healing right foot ulcer.
HISTORY OF PRESENT ILLNESS
Christina Cooper is a pleasant 77-year-old female who presents to the clinic today for the evaluation of a non-healing right foot ulcer. The onset of her wound began 1 year ago with no specific injury. The patient states that it seemed like a b... | Patient: While I was settling in, I kept thinking about that movie Concussion; the title sounds so dramatic.
Doctor: It really does. Did you watch it recently?
Patient: Yeah, on TV last weekend. It felt more like a courtroom movie than I expected.
Doctor: I can see that. Those fact-based films always end up making ever... | 1 | The patient briefly chats with the doctor about the film Concussion as a movie and its dramatic tone. | the film Concussion (musculoskeletal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N156 | nonliteral | [doctor] alright julia so you've been coming to see me for a while now ever since you had an rca stent placed back in twenty eighteen but i see you're here for follow-up after an interior stemi where we had to put in another stent right so like how are you doing
[patient] well i mean it was a real shock for me i though... | [doctor] alright julia so you've been coming to see me for a while now ever since you had an rca stent placed back in twenty eighteen but i see you're here for follow-up after an interior stemi where we had to put in another stent right so like how are you doing
[patient] well i mean it was a real shock for me i though... | CHIEF COMPLAINT
Follow up status post inferior STEMI.
SURGICAL HISTORY
RCA stent 2018
MEDICATIONS
aspirin 81 mg daily
Brilinta 90 mg twice daily
Lipitor 80 mg daily
Toprol 50 mg daily
lisinopril 20 mg daily
metformin
REVIEW OF SYSTEMS
Cardiovascular: Denies chest pain.
Respiratory: Denies shortness of breath.
Mu... | Patient: Sorry, getting settled here. Feels like the stock market had a stroke this week.
Doctor: Seriously, one day up, the next day down.
Patient: My neighbor keeps refreshing the app like it's going to apologize.
Doctor: Ha, mine did that all through my LASIK waiting room. | 10 | The patient jokes about volatile stock prices, and the doctor responds with casual small talk about a neighbor and a LASIK waiting room. | a stock market 'stroke' (cardiovascular) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N157 | nonliteral | [doctor] hey jose how are you doing it's been about you know three or four months since i last saw you what's going on
[patient] i'm doing okay i i guess the medications are helping i'm concerned about all the medications i'm taking but i think i'm doing okay
[doctor] yeah yeah you are on a fair amount of medications y... | [doctor] hey jose how are you doing it's been about you know three or four months since i last saw you what's going on
[patient] while i'm getting settled i passed a poster in the hall for a racehorse named Palpitation and had to laugh at that name.
[doctor] that's a pretty dramatic name for a horse.
[patient] right it... | CHIEF COMPLAINT
Follow-up.
MEDICAL HISTORY
Patient reports having a heart attack 6 months ago, coronary artery disease, diabetes.
SURGICAL HISTORY
Patient reports history of stent placement at the left anterior descending artery.
SOCIAL HISTORY
Patient reports that he is from the west coast and is a San Francisc... | Patient: while i'm getting settled i passed a poster in the hall for a racehorse named Palpitation and had to laugh at that name.
Doctor: that's a pretty dramatic name for a horse.
Patient: right it sounds like it should be wearing a tiny cape.
Doctor: if it wins, the cape is definitely earned. | 1 | The patient jokes with the doctor about seeing a poster for a racehorse named Palpitation. | a racehorse named Palpitation (cardiovascular) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N158 | nonliteral | [doctor] yeah so sorry so barbara is a 31 -year-old female and she has history of diabetes type two and asthma and she is here today with abdominal pain so barbara tell me a little more about your abdominal pain what's been going on
[patient] so i've been having this pain for the past one week and as you know i have a ... | [doctor] yeah so sorry so barbara is a 31 -year-old female and she has history of diabetes type two and asthma and she is here today with abdominal pain so barbara tell me a little more about your abdominal pain what's been going on
[patient] so i've been having this pain for the past one week and as you know i have a ... | CHIEF COMPLAINT
Abdominal pain.
MEDICAL HISTORY
Patient reports history of diabetes type 2, asthma, and gastritis.
SOCIAL HISTORY
Patient reports history of moderately heavy alcohol use. She also enjoys coffee.
MEDICATIONS
Patient reports taking metformin 500 mg twice daily, Flovent twice daily, and albuterol as... | Patient: Oh, changing gears for a second, I passed that plant nursery called Colic on the way here.
Doctor: Colic? That's quite a name for a nursery.
Patient: I know, it sounds dramatic, but their little herb display was actually really cute. | 34 | The patient makes a brief non-clinical remark about seeing a plant nursery named Colic, and the doctor comments on the unusual name. | a plant nursery called Colic (gastrointestinal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N159 | nonliteral | [doctor] good afternoon alexis i understand you're having some issues with your hand
[patient] yes i sit at the keyboard all day long and recently i've been having some numbness and tingling in my right hand
[doctor] okay how long has that been going on
[patient] i do n't know probably on and off for six months but ove... | [doctor] good afternoon alexis i understand you're having some issues with your hand
[patient] yes i sit at the keyboard all day long and recently i've been having some numbness and tingling in my right hand
[doctor] okay how long has that been going on
[patient] i do n't know probably on and off for six months but ove... | CHIEF COMPLAINT
Right hand pain.
HISTORY OF PRESENT ILLNESS
Alexis Gutierrez is a pleasant 33-year-old female who presents to the clinic today for the evaluation of right hand pain.
Approximately 6 months ago, the patient began experiencing intermittent episodes of numbness and tingling in the 1st, 2nd, and 3rd dig... | Patient: My football team’s defense has a hernia—it keeps giving way.
Doctor: That’s rough; sounds like they need a sturdier line.
Patient: At this rate the mascot could run straight through them.
Doctor: I’ve seen better defending in a grocery checkout line. | 35 | The patient makes a light joke about a football team's weak defense, and the doctor joins in with playful comments. | a football team's 'hernia' of a defence (musculoskeletal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N160 | nonliteral | [doctor] hey good to see you philip so i see here you're coming in you had some right elbow pain also you have a past medical history of hypertension diabetes we are gon na check up on those as well so can you tell me what happened to your elbow
[patient] sure i hurt it about a week ago playing lacrosse with my kids ju... | [doctor] hey good to see you philip so i see here you're coming in you had some right elbow pain also you have a past medical history of hypertension diabetes we are gon na check up on those as well so can you tell me what happened to your elbow
[patient] sure i hurt it about a week ago playing lacrosse with my kids ju... | CHIEF COMPLAINT
Right elbow pain.
REVIEW OF SYSTEMS
Cardiovascular: Denies chest pain.
Gastrointestinal: Denies abdominal pain.
Musculoskeletal: Reports right elbow pain.
VITALS
Blood pressure: 150/90 mmHg
PHYSICAL EXAM
Respiratory
- Auscultation of Lungs: Clear bilaterally.
Cardiovascular
Grade 2/6 systolic ej... | Patient: oh and changing the subject for a second i started a novel with a really fractured plot last night and had to flip back three chapters
Doctor: those can be fun once they click what was it called
Patient: i can never remember the title but the cover had a bright yellow bird on it | 31 | The patient makes a brief aside about reading a novel with a fractured plot, and the doctor responds with casual small talk about the book. | a novel with a 'fractured' plot (musculoskeletal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N161 | nonliteral | [doctor] patient is an 82 -year-old male with past medical history significant for hypertension and stage three chronic kidney disease who presents for hospital follow-up after an acute on chronic chf exacerbation alright hey hey kevin how are you doing today
[patient] hi document well i mean i thought i was doing good... | [doctor] patient is an 82 -year-old male with past medical history significant for hypertension and stage three chronic kidney disease who presents for hospital follow-up after an acute on chronic chf exacerbation alright hey hey kevin how are you doing today
[patient] hi document well i mean i thought i was doing good... | CHIEF COMPLAINT
Hospital follow-up after acute on chronic CHF exacerbation.
MEDICAL HISTORY
Patient reports history of hypertension and stage 3 chronic kidney disease.
SOCIAL HISTORY
Patient reports being a football fan.
MEDICATIONS
Patient reports taking Bumex 2 mg once daily, Cozaar 100 mg daily, and Norvasc 5... | Patient: Speaking of that cuff, my old Buick's engine has an "arrhythmia" lately—it stalls every time I stop at the light by the stadium.
Doctor: Oh no, the dramatic kind of arrhythmia. Those old cars always pick the busiest intersection.
Patient: Every single time, like it wants an audience. | 13 | The patient makes a joking remark about his old car's engine stalling, and the doctor responds with light small talk about old cars. | a car with an 'arrhythmia' (cardiovascular) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N162 | nonliteral | [patient] okay
[doctor] hi gregory hi how are you doing today
[patient] good how are you
[doctor] i'm alright so i understand that you were having some you know right ankle pain and some swelling after you fell can you can you tell me a little bit about what happened
[patient] yeah so i was going out to take off the tr... | [patient] okay
[doctor] hi gregory hi how are you doing today
[patient] good how are you
[doctor] i'm alright so i understand that you were having some you know right ankle pain and some swelling after you fell can you can you tell me a little bit about what happened
[patient] yeah so i was going out to take off the tr... | CHIEF COMPLAINT
Right ankle pain and swelling.
HISTORY OF PRESENT ILLNESS
Gregory Hernandez is a pleasant 42-year-old male who presents to the clinic today for evaluation of right ankle pain and swelling. The onset of his pain began yesterday after he slipped and fell on the ice while taking out the trash. He states... | Patient: while you're typing, my cat Lupus would probably try to sit on that keyboard.
Doctor: Lupus is a pretty dramatic cat name.
Patient: it fits him, he acts like he owns the whole house.
Doctor: sounds like he's running a very tight operation. | 31 | The patient makes small talk about a cat named Lupus, and the doctor jokes about the cat's personality. | a cat named Lupus (musculoskeletal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N163 | nonliteral | [doctor] julie cruz is a 17 -year-old non- binary immensipated minor with no significant past medical history presents for evaluation of newly diagnosed hypercholesterolemia patient is here at the clinic hi julie how're you doing
[patient] i'm okay
[doctor] so i now i know you're worried about you know what's been happ... | [doctor] julie cruz is a 17 -year-old non- binary immensipated minor with no significant past medical history presents for evaluation of newly diagnosed hypercholesterolemia patient is here at the clinic hi julie how're you doing
[patient] Sorry, I'm getting settled—your waiting room playlist had The Strokes on, I thin... | CHIEF COMPLAINT
Hypercholesterolemia.
SOCIAL HISTORY
Patient denies any history of smoking; however, they note that their parents smoked when they lived with them. They enjoy being outside and riding their bike on trails.
FAMILY HISTORY
Patient reports a cousin who died of a heart attack in their 40's. but denies ... | Patient: Sorry, I'm getting settled—your waiting room playlist had The Strokes on, I think.
Doctor: It did, "Last Nite" sneaks in there a lot.
Patient: That guitar part is impossible to hear without picturing a movie montage.
Doctor: Totally, it makes even logging into the computer feel dramatic. | 1 | The patient and doctor briefly chat about hearing The Strokes and how cinematic the music feels while the patient settles in. | the band The Strokes (cardiovascular) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N164 | nonliteral | [doctor] so elizabeth is a 53 -year-old female today complaining of chest pain and she has a past medical history of diabetes and high blood pressure so elizabeth tell me what's going on with your with your chest pain
[patient] i do n't know every time i start walking i'm just having this kind of pressure and chest pai... | [doctor] so elizabeth is a 53 -year-old female today complaining of chest pain and she has a past medical history of diabetes and high blood pressure so elizabeth tell me what's going on with your with your chest pain
[patient] i do n't know every time i start walking i'm just having this kind of pressure and chest pai... | CHIEF COMPLAINT
Chest pain on exertion.
MEDICAL HISTORY
The patient has a medical history of diabetes type 2. She has not been formally diagnosed with hypertension, but her blood pressures have been trending high.
FAMILY HISTORY
Patient reports family history of heart disease.
MEDICATIONS
Patient reports taking ... | Patient: While you're typing, my garden went into shock after that late frost.
Doctor: Oh no, after it had already leafed out?
Patient: Yeah, the tomatoes looked personally offended.
Doctor: That sounds about right, plants can be dramatic. | 15 | The patient makes small talk about a garden reacting badly to a late frost, and the doctor responds casually. | a garden 'in shock' after frost (cardiovascular) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N165 | nonliteral | [doctor] hey sophia how are you doing today
[patient] i've been better my primary care doctor wanted me to see you because of this knee pain that i've been having for about six months now
[doctor] okay do you remember what caused the pain initially
[patient] you know i really ca n't recall any specific event that cause... | [doctor] hey sophia how are you doing today
[patient] while i was settling in i was thinking about that movie Concussion, the will smith one
[doctor] oh yeah i remember that one, pretty intense
[patient] definitely, i mostly remember the courtroom scenes more than the football parts
[patient] i've been better my primar... | CHIEF COMPLAINT
Bilateral knee pain.
HISTORY OF PRESENT ILLNESS
Sophia Jackson is a pleasant 30-year-old female who presents to the clinic today for the evaluation of bilateral knee pain. She was referred by her primary care provider. The onset of her pain began 6 months ago. She denies any specific injury. The pati... | Patient: while i was settling in i was thinking about that movie Concussion, the will smith one
Doctor: oh yeah i remember that one, pretty intense
Patient: definitely, i mostly remember the courtroom scenes more than the football parts | 1 | The patient briefly mentions the film Concussion and the doctor makes casual small talk about the movie. | the film Concussion (musculoskeletal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N166 | nonliteral | [doctor] hey kyle so i see here on your chart that you've been having some back pain could you tell me like how you've been doing what's going on
[patient] yeah i have this real bad low back pain it started a couple of weeks ago i was lifting something and i just felt a pop and i i do n't know what's going on
[doctor] ... | [doctor] hey kyle so i see here on your chart that you've been having some back pain could you tell me like how you've been doing what's going on
[patient] yeah i have this real bad low back pain it started a couple of weeks ago i was lifting something and i just felt a pop and i i do n't know what's going on
[doctor] ... | HISTORY OF PRESENT ILLNESS
Kyle Morales is a pleasant 58-year-old male who presents to the clinic today for the evaluation of low back pain.
Onset of his pain began 2 weeks ago, when he was lifting a box of books and felt a pop. The pain is described as aching and sharp. His pain has been increasing since the time of... | Patient: honestly Spurs' defense has a hernia this season, it just keeps giving way.
Doctor: Ha, that's a brutal scouting report.
Patient: Every counterattack feels like a guaranteed goal.
Doctor: As a Manu fan, I can't say I disagree. | 44 | The patient jokes with the doctor about Tottenham's defense 'having a hernia,' and the doctor banters back as a rival fan. | a football team's 'hernia' of a defence (musculoskeletal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N167 | nonliteral | [doctor] angela good to see you today so i'm writing here in my notes that you're you're coming in you had some left knee pain so how did you hurt your knee
[patient] yeah so i hurt my knee the other day when i was running around with my niece she she is learning how to take off the training wheels for her bike
[doctor... | [doctor] angela good to see you today so i'm writing here in my notes that you're you're coming in you had some left knee pain so how did you hurt your knee
[patient] yeah so i hurt my knee the other day when i was running around with my niece she she is learning how to take off the training wheels for her bike
[doctor... | HISTORY OF PRESENT ILLNESS
Angela Powell is a pleasant 81-year-old female who presents to the clinic today for the evaluation of left knee pain. The onset of her pain began 1 week ago, when she was running around with her niece and fell. At the time of the injury, she heard a pop and believes that she twisted her knee... | Patient: oh and changing the subject for a second i started this novel with a really fractured plot and i keep losing track of who's in which timeline
Doctor: those can be fun when they click though i usually end up flipping back a few pages
Patient: exactly i like it but it makes the tramadol sound straightforward by ... | 34 | The patient makes a brief aside about reading a novel with a fractured plot, and the doctor responds with casual small talk about confusing timelines. | a novel with a 'fractured' plot (musculoskeletal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N186 | nonliteral | [doctor] hey sean nice to see you i heard you that you have some back pain
[patient] yeah it's nice to see you too it's been a while
[doctor] yeah
[patient] yeah yeah you know i had some back surgery and for some reason i always had lower
[doctor] left back pain when was your back surgery
[patient] it was in november o... | [doctor] hey sean nice to see you i heard you that you have some back pain
[patient] yeah it's nice to see you too it's been a while
[patient] Sorry, I’ve got cat hair everywhere today—Lupus decided my shirt was his throne.
[doctor] That’s a strong name for a cat.
[patient] He acts like a tiny emperor, especially when ... | CHIEF COMPLAINT
Low back pain, left side.
HISTORY OF PRESENT ILLNESS
Sean Phillips is a pleasant 35-year-old male who presents to the clinic today for the evaluation of left-sided low back pain.
The patient has been experiencing pain in the left side of his low back, generally localized around the surgical site of ... | Patient: Sorry, I’ve got cat hair everywhere today—Lupus decided my shirt was his throne.
Doctor: That’s a strong name for a cat.
Patient: He acts like a tiny emperor, especially when he sees a pill bottle.
Doctor: Sounds like he runs the house. | 2 | The patient makes small talk about his cat named Lupus, and the doctor jokes about the cat’s personality. | a cat named Lupus (musculoskeletal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N187 | nonliteral | [doctor] well good morning emily how are you
[patient] good morning
[doctor] how are you doing
[patient] doing okay i'm okay
[doctor] i understand you're having some sudden visual distortions and some blurring of your vision is that right
[patient] it is yes
[doctor] okay so what's going on
[patient] sorry to put you o... | [doctor] well good morning emily how are you
[patient] good morning
[doctor] how are you doing
[patient] doing okay i'm okay
[doctor] i understand you're having some sudden visual distortions and some blurring of your vision is that right
[patient] it is yes
[doctor] okay so what's going on
[patient] sorry to put you o... | CHIEF COMPLAINT
Changes in vision.
SOCIAL HISTORY
Patient smokes approximately 1 pack of cigarettes per day.
REVIEW OF SYSTEMS
Eyes: Reports visual distortions and blurred vision.
PHYSICAL EXAM
Eyes
- Examination: Anterior segment examination reveals posterior chamber intraocular lenses in both eyes.
Right eye: ... | Patient: This weekend my husband wants to try that bakery called Cavity; the name sounds like trouble in a cartoon way.
Doctor: Cavity is a wild name for a bakery. Weekend plans usually end with pastries somehow.
Patient: Right? If the sign has a giant smiling tooth, I won't be surprised. | 22 | The patient makes light weekend small talk about visiting a bakery named Cavity, and the doctor responds casually about pastries. | a bakery called Sweet Tooth Cavity (ent_ophthalmic_dental) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N188 | nonliteral | [doctor] hi jaqueline how are you i heard that you injured your ankle
[patient] yeah it's not going so great
[doctor] what what happened to your ankle
[patient] well i was doing something i did n't really want to be doing and i fell and now my ankle hurts
[doctor] okay well what were you doing were you hiking or biking... | [doctor] hi jaqueline how are you i heard that you injured your ankle
[patient] yeah it's not going so great
[doctor] what what happened to your ankle
[patient] well i was doing something i did n't really want to be doing and i fell and now my ankle hurts
[doctor] okay well what were you doing were you hiking or biking... | CHIEF COMPLAINT
Right ankle injury.
HISTORY OF PRESENT ILLNESS
Jacqueline Price is a pleasant 28-year-old female who presents to the clinic today for the evaluation of a right ankle injury. The patient sustained the injury when she fell while in mountain biking lessons. She states that her ankle twisted outward. The... | Patient: over the weekend my cousin kept quoting Concussion like it was a pep talk for the mountain biking lesson.
Doctor: that's a pretty dramatic pick for a weekend movie.
Patient: yeah, everybody got very serious about popcorn.
Doctor: sounds like one of those movies that makes the whole room go quiet. | 36 | The patient and doctor briefly make small talk about the movie Concussion and the patient's weekend. | the film Concussion (musculoskeletal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N189 | nonliteral | [doctor] hi betty how are you i i read in the medical records that you ended you did end up having a heart attack they ended up putting a stent in your right coronary artery how are you doing
[patient] i'm thankful to be alive but definitely struggling and definitely scary time for me
[doctor] yeah you know i'm i'm i'm... | [doctor] hi betty how are you i i read in the medical records that you ended you did end up having a heart attack they ended up putting a stent in your right coronary artery how are you doing
[patient] i'm thankful to be alive but definitely struggling and definitely scary time for me
[doctor] yeah you know i'm i'm i'm... | CHIEF COMPLAINT
Follow up.
MEDICAL HISTORY
Patient reports an myocardial infarction.
SURGICAL HISTORY
Patient reports stent placement in the right coronary artery.
SOCIAL HISTORY
Patient is a fan of the Denver Nuggets basketball team. He also enjoys swimming.
MEDICATIONS
Patient reports taking Brilinta twice a... | Patient: changing the subject for a second, the stock market had a stroke this week, the prices were all over the place.
Doctor: I know, every headline made it sound like a roller coaster.
Patient: even my neighbor with the Brilinta commercials on all day was joking about it.
Doctor: those commercials really do show up... | 23 | The patient makes a figurative joke about the stock market's prices this week, and the doctor responds with light small talk about the headlines and commercials. | a stock market 'stroke' (cardiovascular) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N190 | nonliteral | [patient] and good morning hi beverly
[doctor] good morning
[patient] how do you see your last name
[doctor] howard
[patient] howard nice to meet you
[doctor] you too
[patient] what can i do for you today
[doctor] well i think i like fell off of my tandem bike with my partner and my knee has been hurting ever since and... | [patient] and good morning hi beverly
[doctor] good morning
[patient] how do you see your last name
[doctor] howard
[patient] howard nice to meet you
[doctor] you too
[patient] what can i do for you today
[doctor] well i think i like fell off of my tandem bike with my partner and my knee has been hurting ever since and... | HISTORY OF PRESENT ILLNESS
Beverly Howard is a pleasant 33-year-old female who presents to the clinic today for the evaluation of right knee pain.
The patient reports that she fell off of a tandem bicycle and struck her right knee on a curb approximately 2 weeks ago. After the injury, she took ibuprofen and treated t... | Patient: While you're typing, my football team’s defense has a hernia this year.
Doctor: A hernia?
Patient: Yeah, it keeps giving way every Sunday.
Doctor: That is a rough way to spend a weekend. | 78 | The patient jokes to the clinician about a football team's weak defense by saying it 'has a hernia,' and the clinician responds with light small talk. | a football team's 'hernia' of a defence (musculoskeletal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N192 | nonliteral | [doctor] karen is a 34 -year-old female with a history of chronic migraines and hypertension who is here today with abdominal pain so hi there karen it's nice to see you again listen i'm sorry you're not feeling well and you've got abdominal pain like to talk about that in some detail with you but hey i wan na use this... | [doctor] karen is a 34 -year-old female with a history of chronic migraines and hypertension who is here today with abdominal pain so hi there karen it's nice to see you again listen i'm sorry you're not feeling well and you've got abdominal pain like to talk about that in some detail with you but hey i wan na use this... | CHIEF COMPLAINT
Abdominal pain.
MEDICAL HISTORY
Patient reports history of chronic migraines and hypertension.
SOCIAL HISTORY
Patient reports enjoyment in traveling and notes that she has not had any big trips since visiting Europe last summer.
MEDICATIONS
Patient reports use of Excedrin Migraine when needed and... | Patient: Sorry, just getting settled here—my brother says our football team's defense has a hernia; it keeps giving way.
Doctor: That's a pretty good line. Who's the unlucky team this week?
Patient: The Bears, according to him. He says even my lisinopril bottle has a better cap on it.
Doctor: Ha, that's harsh. | 1 | The patient makes a joking comment about a football team's weak defense, and the doctor chats along about the team. | a football team's 'hernia' of a defence (gastrointestinal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N193 | nonliteral | [doctor] good alright hello hannah how are you today
[patient] i'm doing well
[doctor] you're doing well
[patient] i did have this this hacking cough for about three days now
[doctor] okay tell me more about that cough
[patient] it started three days ago i was around my sister and she has been sick with the same kind o... | [doctor] good alright hello hannah how are you today
[patient] i'm doing well
[doctor] you're doing well
[patient] i did have this this hacking cough for about three days now
[doctor] okay tell me more about that cough
[patient] it started three days ago i was around my sister and she has been sick with the same kind o... | CHIEF COMPLAINT
Cough.
MEDICAL HISTORY
Patient reports history of seasonal allergies, diabetes type 2, and hypertension.
MEDICATIONS
Patient reports taking metformin 500 mg as well as hydrochlorothiazide every day.
REVIEW OF SYSTEMS
Constitutional: Denies any fever or body aches.
HENT: Reports sore throat and na... | Patient: While you're typing, my nephew keeps trying to get me to play Outbreak with him.
Doctor: Oh yeah? Is that the one where everyone starts yelling at the screen after ten minutes?
Patient: Pretty much, and he acts like he's my coach the whole time.
Doctor: That's funny, tiny coach energy is very real. | 47 | The patient makes brief small talk about a nephew wanting them to play the video game Outbreak, and the doctor jokes about it. | a video game called Outbreak (respiratory) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N194 | nonliteral | [doctor] hey betty how're you
[patient] i'm doing okay aside from this left shoulder pain that i've been having for a few weeks now
[doctor] wow well i'm sorry to hear that do you remember what you were doing when the pain started
[patient] i you know i ca n't think about anything specifically but i am very active and ... | [doctor] hey betty how're you
[patient] Sorry, I was up too late finishing this novel with a really fractured plot, and I kept flipping back to figure out who was where.
[doctor] Those can be fun when they click, though.
[patient] Exactly, it felt like putting together a little puzzle.
[doctor] I like books that make y... | CHIEF COMPLAINT
Left shoulder pain.
HISTORY OF PRESENT ILLNESS
Betty Rogers is a pleasant 50-year-old female who presents to the clinic today for the evaluation of left shoulder pain.
For the past few weeks, the patient has been experiencing constant pain isolated to the left shoulder. She denies any known injury o... | Patient: Sorry, I was up too late finishing this novel with a really fractured plot, and I kept flipping back to figure out who was where.
Doctor: Those can be fun when they click, though.
Patient: Exactly, it felt like putting together a little puzzle.
Doctor: I like books that make you work a bit. | 1 | The patient makes small talk about staying up late reading a novel with a fractured plot, and the doctor chats about liking puzzle-like books. | a novel with a 'fractured' plot (musculoskeletal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N195 | nonliteral | [doctor] hey matthew how is it going good to see you today i see here in your notes you are here for some right knee pain and we are also going to check up on your hypertension and diabetes so can you tell me what happened to your knee
[patient] yes so i was playing basketball yesterday and when i went up for a rebound... | [doctor] hey matthew how is it going good to see you today i see here in your notes you are here for some right knee pain and we are also going to check up on your hypertension and diabetes so can you tell me what happened to your knee
[patient] yes so i was playing basketball yesterday and when i went up for a rebound... | CHIEF COMPLAINT
Right knee pain
HISTORY OF PRESENT ILLNESS
Matthew Allen is a pleasant 40-year-old male who presents to the clinic today for the evaluation of right knee pain. The onset of his pain began yesterday after he went up for a rebound while playing basketball and felt a pop in his knee. He states that he e... | Patient: changing the subject for a second, my cat's named Lupus, so the name on that meloxicam bottle made me laugh.
Doctor: Lupus is a great cat name.
Patient: he acts very serious until a paper bag shows up.
Doctor: that sounds about right for a cat. | 47 | The patient briefly jokes about his cat named Lupus, and the doctor makes light small talk about the cat. | a cat named Lupus (musculoskeletal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N196 | nonliteral | [doctor] mister thompson is a 67 -year-old male with a history of essential hypertension hyperlipidemia and osteoarthritis who is here today with elevated and fluctuating blood pressures so hi there mister thompson it's nice to see you again listen i understand you're having some trouble with your blood pressure contro... | [doctor] mister thompson is a 67 -year-old male with a history of essential hypertension hyperlipidemia and osteoarthritis who is here today with elevated and fluctuating blood pressures so hi there mister thompson it's nice to see you again listen i understand you're having some trouble with your blood pressure contro... | CHIEF COMPLAINT
Elevated and fluctuating blood pressures.
MEDICAL HISTORY
Patient reports history of essential hypertension, hyperlipidemia, and osteoarthritis.
SOCIAL HISTORY
Patient reports he enjoys playing golf.
MEDICATIONS
Patient reports he is taking lisinopril 20 mg twice per day, atorvastatin, and occasi... | Patient: My old Buick's engine has an arrhythmia lately—it stalls right at the stop sign by my house.
Doctor: Ha, only there? Sounds like it has a favorite stage.
Patient: Exactly, very dramatic. Maybe it just wants attention like my pillbox app did.
Doctor: Cars and apps both know how to pick their moments. | 24 | The patient jokes about his old car stalling and the doctor makes light small talk about the car and app. | a car with an 'arrhythmia' (cardiovascular) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N197 | nonliteral | [doctor] so donna is a 37 -year-old female she is here with complaint of headache she has a history of hypertension and diabetes so donna tell me what's going on
[patient] yeah lately i've just been having quite a bit of a headache and i mean every now and then i'll get it but lately it's just been getting worse and i'... | [doctor] so donna is a 37 -year-old female she is here with complaint of headache she has a history of hypertension and diabetes so donna tell me what's going on
[patient] yeah lately i've just been having quite a bit of a headache and i mean every now and then i'll get it but lately it's just been getting worse and i'... | CHIEF COMPLAINT
Headache.
MEDICAL HISTORY
Patient reports history of hypertension and diabetes. She has migraines rarely every 1 to 2 years.
SOCIAL HISTORY
Patient reports she walks for exercise.
ALLERGIES
Patient reports history of seasonal allergies.
MEDICATIONS
Patient reports taking lisinopril 20 mg once a... | Patient: Funny name change of subject, but The Strokes always sounds less like a band and more like a bowling team to me.
Doctor: Ha, I can hear that.
Patient: Especially with names like Tylenol and lisinopril floating around, it all starts sounding like a lineup card.
Doctor: That's pretty good. | 24 | The patient makes a joking, nonliteral remark about the band The Strokes, and the doctor briefly laughs along. | the band The Strokes (cardiovascular) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N198 | nonliteral | [doctor] okay michael so i see in here that you're here because you're experiencing some symptoms that your pcp was concerned about i also see that he ordered a ct so could you tell me what what started what happened why do you think you are here
[patient] hi doctor how are you
[doctor] hi i'm great thanks for asking
[... | [doctor] okay michael so i see in here that you're here because you're experiencing some symptoms that your pcp was concerned about i also see that he ordered a ct so could you tell me what what started what happened why do you think you are here
[patient] hi doctor how are you
[doctor] hi i'm great thanks for asking
[... | CHIEF COMPLAINT
Back pain.
MEDICAL HISTORY
Patient reports that he has a frequent history of strep throat with 4 episodes within the last 5 months.
SOCIAL HISTORY
Patient reports that he is a student. He also mentions that he rides his bike every so often and that he is in the process of switching jobs. His new jo... | Patient: While I'm getting settled, my friend keeps trying to name his garage band Kidney Stone.
Doctor: That's a memorable one. What kind of music do they play?
Patient: Loud enough to rattle the folding chairs, apparently.
Doctor: Honestly, that sounds exactly right for a garage band. | 3 | The patient makes small talk about a friend's garage band called Kidney Stone, and the doctor chats about the band's style. | a band called Kidney Stone (genitourinary) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N199 | nonliteral | [doctor] hi billy how are you doing the medical assistant told me that you have a cough today
[patient] yep i'm doing pretty good you know cough started about a week ago or so you know i just started bringing up some yellow stuff and not feeling the greatest the last two days though
[doctor] okay alright so the cough s... | [doctor] hi billy how are you doing the medical assistant told me that you have a cough today
[patient] yep i'm doing pretty good you know cough started about a week ago or so you know i just started bringing up some yellow stuff and not feeling the greatest the last two days though
[doctor] okay alright so the cough s... | CHIEF COMPLAINT
Cough.
MEDICAL HISTORY
Patient reports history of hypertension and diabetes.
SOCIAL HISTORY
Patient reports that he is a teacher.
MEDICATIONS
Patient reports taking lisinopril 20 mg daily and metformin 1000 mg twice a day.
REVIEW OF SYSTEMS
Constitutional: Reports "feeling warm". Denies chills.... | Patient: speaking of all this, my wife had Contagion on last night and I got pulled into it.
Doctor: oh wow, that movie really knows how to make a couch feel uncomfortable.
Patient: yeah, even with my DayQuil on the table it felt a little too dramatic.
Doctor: I remember the soundtrack being half the tension. | 53 | The patient and doctor briefly chat about the movie Contagion and its tense vibe, with a passing mention of DayQuil as a table detail. | the film Contagion (respiratory) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N200 | nonliteral | [doctor] alright okay theresa so i understand that you're you're having a bit of some headache here and then your blood pressure has been running high can you tell me a little bit about what's happening
[patient] yeah i've had blood high blood pressure for a long time my provider gave me chlorthalidone i do n't really ... | [doctor] alright okay theresa so i understand that you're you're having a bit of some headache here and then your blood pressure has been running high can you tell me a little bit about what's happening
[patient] yeah i've had blood high blood pressure for a long time my provider gave me chlorthalidone i do n't really ... | CHIEF COMPLAINT
Headache and high blood pressure.
REVIEW OF SYSTEMS
Respiratory: Denies shortness of breath.
Cardiovascular: Denies chest pain.
Neurological: Reports blurry vision, dizziness, and headaches.
VITALS
Blood pressure today was 172/98. Oxygenation is within normal limits.
PHYSICAL EXAM
Neck
- General ... | Patient: speaking of things going sideways, my garden went into shock after that late frost.
Doctor: oh no, after it had started coming up already?
Patient: yeah, the tomatoes looked offended for two days.
Doctor: plants can be dramatic like that. | 24 | The patient makes a brief figurative comment about a garden reacting badly to a late frost, and the doctor responds with casual small talk. | a garden 'in shock' after frost (cardiovascular) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N201 | nonliteral | [doctor] hey steven so i see that you're here and you've been experiencing some back pain for a while could you tell me a bit about that
[patient] yeah it's been back has been hurting for a while
[doctor] mm-hmm
[patient] for about a couple of years and tried a couple things but nothing seems to work
[doctor] okay so l... | [doctor] hey steven so i see that you're here and you've been experiencing some back pain for a while could you tell me a bit about that
[patient] yeah it's been back has been hurting for a while
[doctor] mm-hmm
[patient] for about a couple of years and tried a couple things but nothing seems to work
[doctor] okay so l... | CHIEF COMPLAINT
Back pain.
HISTORY OF PRESENT ILLNESS
Steven Reed is a pleasant 60-year-old male who presents to the clinic today for evaluation of back pain. The onset of his pain began 2 years ago after he fell and landed onto his back while playing basketball. His pain is rated at 7 out of 10 and is described a s... | Patient: Concussion was on TV last night, and I was like, that title sounds more intense than this injection.
Doctor: Yeah, that movie does not exactly whisper "relaxing evening."
Patient: Right, it's basically a popcorn thriller that forgot the popcorn.
Doctor: Ha, all tension, no butter. | 74 | The patient and doctor briefly joke about the movie Concussion and its intense title, unrelated to the visit. | the film Concussion (musculoskeletal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N202 | nonliteral | [doctor] good morning sharon how you doing
[patient] hi i'm i'm okay today i'm having some shoulder pain
[doctor] i see that i see that here in the nurse's notes it looks like you're having some right shoulder pain says here that you've guys have been remodeling your house what do you do you remember what you were doin... | [doctor] good morning sharon how you doing
[patient] sorry, getting settled here—my husband says our football team's defence has a hernia, it keeps giving way.
[doctor] that's a rough season slogan.
[patient] it really is. he says it every Sunday.
[doctor] sounds like he's committed to the bit.
[patient] hi i'm i'm oka... | CHIEF COMPLAINT
Right shoulder pain.
HISTORY OF PRESENT ILLNESS
Sharon Wright is a pleasant 36-year-old female who presents to the clinic today for the evaluation of right shoulder pain. The onset of her pain began 3 weeks ago, when she was painting on a ladder when she reached out to catch herself because she fell.... | Patient: sorry, getting settled here—my husband says our football team's defence has a hernia, it keeps giving way.
Doctor: that's a rough season slogan.
Patient: it really is. he says it every Sunday.
Doctor: sounds like he's committed to the bit. | 1 | The patient makes a joking comment about her husband's football-team complaint, and the doctor responds with light small talk. | a football team's 'hernia' of a defence (musculoskeletal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N203 | nonliteral | [doctor] good afternoon matthew how are you
[patient] i'm okay
[doctor] it looks like here that the that you've been brought in for some vision changes and looks like you're having trouble with your right eye can you tell me a little bit about what brought you in to see me today
[patient] yeah you know i started notici... | [doctor] good afternoon matthew how are you
[patient] i'm okay
[patient] sorry, i was wrestling with my jacket there; the zipper tab says Vertigo, which always sounds more like a moody sailboat name than anything else.
[doctor] it really does—like a sleek little racer with a navy hull.
[patient] exactly, tied up at the... | CHIEF COMPLAINT
Vision changes in the right eye.
MEDICAL HISTORY
Patient reports history of high blood pressure.
SOCIAL HISTORY
Patient reports he is smoking 1 pack of cigarettes daily.
REVIEW OF SYSTEMS
Eyes: Reports right eye vision changes.
PHYSICAL EXAM
Eyes
- Examination of the right eye: Posterior chambe... | Patient: sorry, i was wrestling with my jacket there; the zipper tab says Vertigo, which always sounds more like a moody sailboat name than anything else.
Doctor: it really does—like a sleek little racer with a navy hull.
Patient: exactly, tied up at the marina looking far more dramatic than it needs to.
Doctor: and so... | 2 | While settling in, the patient jokes that 'Vertigo' sounds like the name of a dramatic sailboat, and the doctor plays along. | a sailboat named Vertigo (ent_ophthalmic_dental) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N204 | nonliteral | [doctor] okay well hi joe i understand you've hurt your knee how how are you doing
[patient] i'm doing okay this feels you know definitely feels like it's swollen and kinda hurts me a little bit
[doctor] so what did you do what happened
[patient] i was i was skiing with some with some friends and i was going down it wa... | [doctor] okay well hi joe i understand you've hurt your knee how how are you doing
[patient] i'm doing okay this feels you know definitely feels like it's swollen and kinda hurts me a little bit
[doctor] so what did you do what happened
[patient] i was i was skiing with some with some friends and i was going down it wa... | CHIEF COMPLAINT
Right knee injury.
HISTORY OF PRESENT ILLNESS
Joe Reed is a pleasant 42-year-old male who presents to the clinic today for the evaluation of a right knee injury. The patient sustained this injury when he was skiing with some friends. He states the front end of his skis dug into the snow and he ended ... | Patient: over the weekend i started a novel with a really fractured plot and had to keep flipping back.
Doctor: those can be fun if you're in the mood for a puzzle.
Patient: yeah once i settled in with the advil bottle on the table it finally clicked. | 21 | The patient makes small talk about a weekend novel with a fractured plot, and the doctor responds casually. | a novel with a 'fractured' plot (musculoskeletal) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N205 | nonliteral | [doctor] hey angela how are you
[patient] i'm good how are you
[doctor] i'm good so i see we are here you had a recent diagnosis of stage three nonsmol cell lung cancer and so we are following up on your neo adevant chemotherapy so you can you tell me how you're doing today
[patient] yeah you know i'm i'm doing okay i ... | [doctor] hey angela how are you
[patient] Sorry, I was up too late watching my nephew play Outbreak, and now that theme music is stuck in my head.
[doctor] Oh no, one of those game soundtracks that follows you around all day?
[patient] Exactly, and he kept insisting I try one level.
[doctor] That’s how they get you; my... | CHIEF COMPLAINT
Follow-up of stage III non-small cell lung cancer.
MEDICAL HISTORY
Patient reports recent diagnosis of stage III non-small cell lung cancer.
SOCIAL HISTORY
Patient reports she was previously active taking mile long walks with her doberman. She states her husband is her support system and has been h... | Patient: Sorry, I was up too late watching my nephew play Outbreak, and now that theme music is stuck in my head.
Doctor: Oh no, one of those game soundtracks that follows you around all day?
Patient: Exactly, and he kept insisting I try one level.
Doctor: That’s how they get you; my brother did that with his old conso... | 1 | The patient makes small talk about her nephew playing the video game Outbreak, and the doctor responds with a casual anecdote. | a video game called Outbreak (respiratory) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N206 | bystander | [doctor] hey joshua good to see you today so take a look at your chart here brenda and i see that you're coming in you you have i think you have a kidney stone so can you tell me what's going on how are you feeling and you're my my patient
[patient] and i'm your patient yeah
[doctor] yeah
[patient] i've been having pai... | [doctor] hey joshua good to see you today so take a look at your chart here brenda and i see that you're coming in you you have i think you have a kidney stone so can you tell me what's going on how are you feeling and you're my my patient
[patient] and i'm your patient yeah
[doctor] yeah
[patient] i've been having pai... | CHIEF COMPLAINT
Right flank pain.
HISTORY OF PRESENT ILLNESS
Joshua Reyes is a pleasant 18-year-old male who presents to the clinic today for evaluation of right flank pain.
For the last 2 weeks, the patient has been experiencing pain that starts in his right flank and radiates down into his groin. He also recalls ... | Patient: Speaking of that, a friend's father had lithotripsy for a stone that would not pass.
Doctor: Oh wow, those names always sound more dramatic than they are.
Patient: Yeah, he said the shockwave part sounded like a sci-fi movie.
Doctor: It really does, doesn't it? | 35 | The patient makes a passing remark about a friend's father having lithotripsy for a stone that would not pass, and the doctor responds with light small talk. | lithotripsy (a friend's father; genitourinary) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N207 | bystander | [doctor] hi frank how are you i heard the medical assistant told me that you're having some shortness of breath
[patient] i am i am i am okay i am not great
[doctor] you are okay you are not great okay well how long have you been having some shortness of breath
[patient] it's been about a week
[doctor] it's been about ... | [doctor] hi frank how are you i heard the medical assistant told me that you're having some shortness of breath
[patient] i am i am i am okay i am not great
[doctor] you are okay you are not great okay well how long have you been having some shortness of breath
[patient] it's been about a week
[doctor] it's been about ... | CHIEF COMPLAINT
Shortness of breath.
MEDICAL HISTORY
Patient reports a history of coronary disease, acute myocardial infarction in 2018, stage 3 chronic kidney disease, and knee pain. He denies a history of gout.
SURGICAL HISTORY
Patient reports placement of a coronary artery stent in the right coronary artery in ... | Patient: a friend of mine just got a pacemaker for a slow heart rhythm he said now he finally has an excuse for being late
Doctor: that’s pretty good did he go full cyborg with it
Patient: basically he’s calling it his built in metronome | 52 | The patient briefly jokes about a friend who recently got a pacemaker for a slow heart rhythm, which is unrelated to the patient. | pacemaker (a friend; cardiovascular) | gpt-5.4 |
mts_dialog_test1 | MTS-Dialog | 0 | bystander | Doctor: Good afternoon, sir. Did you just have a birthday? I don't have my chart with me right now, the nurse is bringing it.
Patient: Good afternoon, sir. Yes, I just turned fifty five.
Doctor: You identify as African American, correct?
Patient: Yes, that's right.
Doctor: When was your last visit, sir?
Patient: U... | Doctor: Good afternoon, sir. Did you just have a birthday? I don't have my chart with me right now, the nurse is bringing it.
Patient: Good afternoon, sir. Yes, I just turned fifty five.
Patient: My aunt has a pinched nerve in the neck and is doing traction at physio; she says she looks like a kite on a string.
Docto... | The patient is a 55-year-old African-American male that was last seen in clinic on 07/29/2008 with diagnosis of new onset seizures and an MRI scan, which demonstrated right contrast-enhancing temporal mass. Given the characteristics of this mass and his new onset seizures, it is significantly concerning for a high-gra... | Patient: My aunt has a pinched nerve in the neck and is doing traction at physio; she says she looks like a kite on a string.
Doctor: That’s quite an image.
Patient: She says if it fixes her posture, she’ll start charging for neck-lengthening tips. | 2 | The patient briefly jokes about his aunt, who has a pinched nerve in her neck and is being treated with traction at physiotherapy. | pinched nerve in the neck (my aunt; neurological) | gpt-5.4 |
mts_dialog_test1 | MTS-Dialog | 1 | bystander | Doctor: Any medical issues running in your families?
Patient: Oh yes, stroke.
Doctor: Anything else?
Patient: Sleep apnea. | Doctor: Any medical issues running in your families?
Patient: Oh yes, stroke.
Patient: While I'm getting settled, a guy on my softball team had varicose vein surgery and wears compression stockings now.
Doctor: Oh wow, softball stories always come with something unexpected.
Patient: Yeah, he jokes they're part of the... | Positive for stroke and sleep apnea. | Patient: While I'm getting settled, a guy on my softball team had varicose vein surgery and wears compression stockings now.
Doctor: Oh wow, softball stories always come with something unexpected.
Patient: Yeah, he jokes they're part of the uniform.
Doctor: Sounds like he's got a good sense of humor about it. | 2 | The patient makes small talk about a softball teammate who had varicose vein surgery and now wears compression stockings. | varicose vein surgery (a guy on my softball team; cardiovascular) | gpt-5.4 |
mts_dialog_test1 | MTS-Dialog | 2 | bystander | Doctor: Any pain in your muscles?
Patient: No, no pain.
Doctor: How about joint pain?
Patient: Um no, I don't feel any joint pain.
Doctor: Okay, good.
Doctor: Do you feel any stiffness or weakness in your muscle?
Patient: Um, nothing like that.
Doctor: Do you have any back pain?
Patient: No.
Doctor: Okay. | Doctor: Any pain in your muscles?
Patient: No, no pain.
Doctor: How about joint pain?
Patient: Um no, I don't feel any joint pain.
Doctor: Okay, good.
Doctor: Do you feel any stiffness or weakness in your muscle?
Patient: Um, nothing like that.
Doctor: Do you have any back pain?
Patient: Changing the subject for a ... | MSK: Negative myalgia, negative joint pain, negative stiffness, negative weakness, negative back pain. | Patient: Changing the subject for a second, a guy on my softball team had a hip replacement and is walking with a cane for now.
Doctor: Oh wow, is he still making it out to the games just to watch?
Patient: Yeah, he came by last week and heckled us from the bench. | 8 | The patient briefly mentions that a man on his softball team had a hip replacement and is using a cane, and the doctor makes casual small talk about it. | hip replacement (a guy on my softball team; musculoskeletal) | gpt-5.4 |
mts_dialog_test1 | MTS-Dialog | 3 | bystander | Doctor: Anyone in family with any blood or heart issues?
Patient: No.
Doctor: Anyone diabetic or with any other issues in family?
Patient: No. | Doctor: Anyone in family with any blood or heart issues?
Patient: No.
Doctor: Anyone diabetic or with any other issues in family?
Patient: No.
Patient: My brother had a plantar wart frozen off the other week.
Doctor: Oh wow, did he say it was quick?
Patient: Yeah, he said the freezing part was over fast.
Doctor: Thos... | Noncontributory. | Patient: My brother had a plantar wart frozen off the other week.
Doctor: Oh wow, did he say it was quick?
Patient: Yeah, he said the freezing part was over fast.
Doctor: Those little procedures can be surprisingly quick. | 4 | The patient makes brief small talk about their brother having a plantar wart frozen off, which is unrelated to the patient's care. | wart freezing (my brother; dermatological) | gpt-5.4 |
mts_dialog_test1 | MTS-Dialog | 4 | bystander | Doctor: Can you tell me about your family? Did anyone in your family have any medical problems?
Patient: Oh yeah. My father died of thoracic aortic aneurysm. He was seventy one years old at that time.
Doctor: Anything for anyone else?
Patient: Yeah, my mom died of stroke. She was around eighty one. | Doctor: Can you tell me about your family? Did anyone in your family have any medical problems?
Patient: Oh yeah. My father died of thoracic aortic aneurysm. He was seventy one years old at that time.
Doctor: Anything for anyone else?
Patient: Yeah, my mom died of stroke. She was around eighty one.
Patient: One of m... | Father died of a thoracic aortic aneurysm, age 71. Mother died of stroke, age 81. | Patient: One of my coworkers is doing a sleep programme for insomnia with a little wrist tracker, and now he brags that he's finally training for the Olympics of napping.
Doctor: If they add medals for power naps, he sounds like a strong contender.
Patient: He'd definitely podium if snoring counted for style points. | 4 | The patient makes a light joke about a coworker who is in a sleep programme for insomnia using a wrist tracker, and the doctor jokes along. | insomnia treatment (a coworker; psychiatric) | gpt-5.4 |
mts_dialog_test1 | MTS-Dialog | 5 | bystander | Doctor: It is good to see you again. How have you been?
Patient: It is good to see you too. I have been good.
Doctor: Have anything changes to your medical history or social history since the last time I saw you?
Patient: No. No changes. | Doctor: It is good to see you again. How have you been?
Patient: It is good to see you too. I have been good.
Doctor: Have anything changes to your medical history or social history since the last time I saw you?
Patient: No. No changes.
Patient: Oh, changing the subject for a second, a friend's father just had a voc... | Reviewed and remained unchanged. | Patient: Oh, changing the subject for a second, a friend's father just had a vocal cord nodule removed and he's on voice rest now.
Doctor: Wow, that must make for some very quiet dinners.
Patient: Apparently he's carrying a little notepad everywhere.
Doctor: That's one way to get everyone's attention. | 4 | The patient briefly mentions that a friend's father had a vocal cord nodule removed and is on voice rest, and they make small talk about it. | vocal cord nodule (a friend's father; respiratory) | gpt-5.4 |
mts_dialog_test1 | MTS-Dialog | 6 | bystander | Guest_clinician: How old is the patient?
Doctor: Seventy seven.
Guest_clinician: She was sedated with Ativan, correct?
Doctor: Yeah, we had to sedate her. She wasn't doing so well upon arrival and appeared short of breath. She couldn't give us a history and we immediately had Xray come in to scan her lungs.
Guest_c... | Guest_clinician: How old is the patient?
Doctor: Seventy seven.
Guest_clinician: My weekend was mostly phone calls—my mother-in-law had haemorrhoid surgery and keeps complaining about the recovery.
Doctor: Oh no, that sounds like a long weekend.
Guest_clinician: Yeah, she had the procedure Friday and has been very vo... | The patient is a 77-year-old female who is unable to give any information. She has been sedated with Ativan and came into the emergency room obtunded and unable to give any history. On a chest x-ray for what appeared to be shortness of breath she was found to have what was thought to be free air under the right diaph... | Guest_clinician: My weekend was mostly phone calls—my mother-in-law had haemorrhoid surgery and keeps complaining about the recovery.
Doctor: Oh no, that sounds like a long weekend.
Guest_clinician: Yeah, she had the procedure Friday and has been very vocal about every step since then. | 2 | The guest clinician makes brief weekend small talk about their mother-in-law recovering from haemorrhoid surgery, which is unrelated to the patient. | haemorrhoid surgery (my mother-in-law; gastrointestinal) | gpt-5.4 |
mts_dialog_test1 | MTS-Dialog | 7 | bystander | Doctor: What is your family medical history?
Patient: My parents do not have any health conditions. I have two half brothers that are in good health as well.
Doctor: How old are your brothers?
Patient: Twenty six and twenty eight. My grandmother on my mom's side had D V T in her leg. I think she was in her forty's.
... | Doctor: What is your family medical history?
Patient: My parents do not have any health conditions. I have two half brothers that are in good health as well.
Doctor: How old are your brothers?
Patient: Twenty six and twenty eight. My grandmother on my mom's side had D V T in her leg. I think she was in her forty's.
... | Two half-brothers, ages 26 and 28, both in good health. Parents are in good health. A maternal great-grandmother had a deep venous thrombosis (DVT) of leg in her 40s. A maternal great-uncle developed leukemia around age 50. A maternal great-grandfather had bone cancer around age 80. His paternal grandfather died o... | Patient: My aunt needed a root canal and complained about the billsaid the tooth was cheaper before it had a personality.
Doctor: Dental invoices do have a way of sounding dramatic.
Patient: Right? She made it sound like the molar had taken out a loan. | 6 | The patient briefly jokes about their aunt having a root canal and complaining about the cost, which is unrelated to the patient's care. | root canal (my aunt; ent_ophthalmic_dental) | gpt-5.4 |
mts_dialog_test1 | MTS-Dialog | 8 | bystander | Doctor: Are you still working, sir?
Patient: No, I am retired now. I worked for twenty years in social security administration.
Patient: Now I just enjoy my life with my wife, we travel a lot. I like to be extremely active.
Doctor: That's awesome.
Doctor: Do you drink?
Patient: Yes, but only socially.
Doctor: How ... | Doctor: Are you still working, sir?
Patient: No, I am retired now. I worked for twenty years in social security administration.
Patient: Now I just enjoy my life with my wife, we travel a lot. I like to be extremely active.
Patient: Speaking of family stories, my uncle had ear tubes put in as a child.
Doctor: Oh wow... | He is retired from the social security administration x 20 years. He travels a lot and is extremely active. He does not smoke. He consumes alcohol socially only. He does not use illicit drugs. He is married. | Patient: Speaking of family stories, my uncle had ear tubes put in as a child.
Doctor: Oh wow, those old family stories always seem to come up at random.
Patient: They do, especially when we're all traveling together. | 3 | The patient makes a passing remark about his uncle having ear tubes as a child, and the doctor responds with casual small talk. | ear tubes (my uncle; ent_ophthalmic_dental) | gpt-5.4 |
mts_dialog_test1 | MTS-Dialog | 9 | bystander | Doctor: Do you know about any allergies from any medications?
Patient: No. | Doctor: Do you know about any allergies from any medications?
Patient: No.
Patient: My cousin had laser eye surgery and no longer needs glasses.
Doctor: Oh wow, that's a big change.
Patient: Yeah, they said the LASIK was pretty quick.
Doctor: I've heard people are amazed the first time they wake up and can see clearly. | No known drug allergies. | Patient: My cousin had laser eye surgery and no longer needs glasses.
Doctor: Oh wow, that's a big change.
Patient: Yeah, they said the LASIK was pretty quick.
Doctor: I've heard people are amazed the first time they wake up and can see clearly. | 2 | The patient makes small talk about their cousin having LASIK and not needing glasses anymore. | LASIK (my cousin; ent_ophthalmic_dental) | gpt-5.4 |
mts_dialog_test1 | MTS-Dialog | 10 | bystander | Doctor: Good afternoon, ma'am. Can you tell me more about yourself, please?
Patient: Well, I'm seventy nine, and I'm an African American women.
Doctor: Did the nurses get your height?
Patient: No, they didn't.
Doctor: How tall are you?
Patient: I'm five foot three inches.
Doctor: Thank you, and how much do you we... | Doctor: Good afternoon, ma'am. Can you tell me more about yourself, please?
Patient: Well, I'm seventy nine, and I'm an African American women.
Doctor: Did the nurses get your height?
Patient: No, they didn't.
Doctor: How tall are you?
Patient: I'm five foot three inches.
Doctor: Thank you, and how much do you we... | The patient is a 79-year-old African-American female with a self reported height of 5 foot 3 inches and weight of 197 pounds. She was diagnosed with type 2 diabetes in 1983. She is not allergic to any medicines. | Patient: One of my coworkers had a benign thyroid nodule removed, and she joked that even her thyroid wanted a little less paperwork.
Doctor: That's a good one.
Patient: She came back with a tiny scar and a bigger sense of humor.
Doctor: Sometimes that's the best souvenir. | 10 | The patient briefly jokes about a coworker who had a benign thyroid nodule removed and recovered with a small scar. | thyroid nodule removal (a coworker; endocrine) | gpt-5.4 |
mts_dialog_test1 | MTS-Dialog | 11 | bystander | Doctor: Did he get his B C G vaccine?
Guest_family: Yes, he did back in the Philippines before starting his elementary school.
Doctor: Okay, did you have his immunization records?
Guest_family_2: Yes, we submitted it at the front desk.
Doctor: Okay, how long has he been complaining of uneasiness in his stomach?
Guest_... | Doctor: Did he get his B C G vaccine?
Guest_family: Yes, he did back in the Philippines before starting his elementary school.
Doctor: Okay, did you have his immunization records?
Guest_family_2: Yes, we submitted it at the front desk.
Guest_family: While he was settling in, our neighbour mentioned she had an appendec... | Non-contributory. The patient denied fever, chills, ulcers, liver disease or history of gallstones. Vaccines: The patient was vaccinated with BCG before starting elementary school in the Philippines. | Guest_family: While he was settling in, our neighbour mentioned she had an appendectomy two weeks ago.
Doctor: Oh wow, hopefully she's taking it easy now.
Guest_family_2: Yes, she said they sent her home with a small bandage and told her to rest. | 4 | The family briefly mentions that their neighbour had an appendectomy two weeks ago and is recovering, which is unrelated to the patient. | appendectomy (a neighbour; gastrointestinal) | gpt-5.4 |
mts_dialog_test1 | MTS-Dialog | 12 | bystander | Doctor: What's your living situation like?
Patient: I uh live alone, but I can count on my family and friends to keep me company.
Doctor: Do they serve as a good support system for you?
Patient: Yeah, I'd say so.
Doctor: And as for drinking and drugs, do you drink or use tobacco products?
Patient: I smoke, but I d... | Doctor: What's your living situation like?
Patient: I uh live alone, but I can count on my family and friends to keep me company.
Doctor: Do they serve as a good support system for you?
Patient: Yeah, I'd say so.
Patient: My son's teacher had a deviated septum repaired and said the splint made him sound like a kazo... | He is a tobacco user. He does not drink. He lives alone, but has family and social support to look on him. | Patient: My son's teacher had a deviated septum repaired and said the splint made him sound like a kazoo for a week.
Doctor: That's a rough audition for the school concert.
Patient: He said the kids were very supportive critics. | 4 | The patient makes a light joke about their son's teacher recovering from a deviated septum repair and sounding funny because of a splint. | deviated septum repair (my son's teacher; respiratory) | gpt-5.4 |
mts_dialog_test1 | MTS-Dialog | 13 | bystander | Doctor: How've you been feeling lately?
Patient: Good, I guess.
Doctor: How've you been managing your anxiety?
Patient: I recently started therapy and I'm scheduled to see a psychiatrist sometime next week.
Doctor: Good, good. And any problems with your blood pressure?
Patient: I've been taking my blood pressure m... | Doctor: How've you been feeling lately?
Patient: Good, I guess.
Doctor: How've you been managing your anxiety?
Patient: I recently started therapy and I'm scheduled to see a psychiatrist sometime next week.
Patient: My neighbour just started counselling for anxiety and says it really helps.
Doctor: Oh, that's good ... | Generalized anxiety and hypertension, both under fair control. | Patient: My neighbour just started counselling for anxiety and says it really helps.
Doctor: Oh, that's good to hear. Did they say how often they go?
Patient: Once a week, I think, and they seem to like the counselor. | 4 | The patient makes small talk about a neighbour who started weekly counseling for anxiety and feels it is helping. | anxiety counselling (a neighbour; psychiatric) | gpt-5.4 |
mts_dialog_test1 | MTS-Dialog | 14 | bystander | Doctor: Hello, how are you today?
Patient: I am doing well.
Doctor: Great. What would you like to bring up today?
Patient: I have some questions about my liver.
Doctor: Alright. Let's start with the basics. Do you drink? Excessive drinking can cause issues with the liver.
Patient: No, I do not. I take a lot of Tyleno... | Doctor: Hello, how are you today?
Patient: I am doing well.
Doctor: Great. What would you like to bring up today?
Patient: I have some questions about my liver.
Patient: Oh, that reminds me, a guy on my softball team had their gallbladder out laparoscopically.
Doctor: Wow, hopefully they're taking it easy for a bit.
... | Negative for use of alcohol or tobacco. | Patient: Oh, that reminds me, a guy on my softball team had their gallbladder out laparoscopically.
Doctor: Wow, hopefully they're taking it easy for a bit.
Patient: Yeah, he said he was back to walking around pretty quickly. | 4 | The patient makes a passing comment about a softball teammate who had laparoscopic gallbladder surgery, and the doctor responds with casual small talk. | gallbladder removal (a guy on my softball team; gastrointestinal) | gpt-5.4 |
mts_dialog_test1 | MTS-Dialog | 15 | bystander | Doctor: Hello, I will ask you a few questions.
Patient: Hm.
Doctor: Any headaches or breathlessness?
Patient: Nope.
Doctor: Any skin problems?
Patient: Nope, nothing new.
Doctor: Any pain in the chest or anywhere else?
Patient: Nope.
Doctor: Any other problem that I should know.
Patient: I can't think of any. | Doctor: Hello, I will ask you a few questions.
Patient: Hm.
Doctor: Any headaches or breathlessness?
Patient: Nope.
Doctor: Any skin problems?
Patient: Nope, nothing new.
Doctor: Any pain in the chest or anywhere else?
Patient: Nope.
Patient: Pretty quiet weekend, actually—my mother-in-law had cataract surgery and c... | Not otherwise pertinent. | Patient: Pretty quiet weekend, actually—my mother-in-law had cataract surgery and can finally read the paper again.
Doctor: That's nice to hear. Did she celebrate by tackling the whole Sunday edition?
Patient: Pretty much, yes—she was thrilled. | 8 | The patient makes brief weekend small talk about their mother-in-law recovering from cataract surgery and being able to read the newspaper again. | cataract surgery (my mother-in-law; ent_ophthalmic_dental) | gpt-5.4 |
mts_dialog_test1 | MTS-Dialog | 16 | bystander | Doctor: Did you ever see that your skin is turning blue or greyish in color?
Patient: Not that I notice.
Doctor: Any swelling like there is water filled inside?
Patient: Nope.
Doctor: Have you ever noticed any kind of swelling in your fingers or toes?
Patient: No. | Doctor: Did you ever see that your skin is turning blue or greyish in color?
Patient: Not that I notice.
Patient: Sorry, I was just thinking our mail carrier said their blood pressure medication got changed to amlodipine.
Doctor: Oh, really? Hopefully the route's a little easier on them this week.
Patient: Yeah, they ... | EXTREMITIES: No cyanosis, clubbing or edema. | Patient: Sorry, I was just thinking our mail carrier said their blood pressure medication got changed to amlodipine.
Doctor: Oh, really? Hopefully the route's a little easier on them this week.
Patient: Yeah, they were joking they know every shady porch in the neighborhood now. | 2 | The patient makes small talk about their mail carrier having a blood pressure medication changed to amlodipine, and the doctor responds casually. | blood pressure medication change (our mail carrier; cardiovascular) | gpt-5.4 |
mts_dialog_test1 | MTS-Dialog | 17 | bystander | Doctor: Any health problems or health conditions?
Patient: No. I have never had any health issues. Other than why I am why I am her today.
Doctor: Lucky you. No prior surgeries?
Patient: I know right? No, I have never had any surgeries. | Doctor: Any health problems or health conditions?
Patient: No. I have never had any health issues. Other than why I am why I am her today.
Doctor: Lucky you. No prior surgeries?
Patient: I know right? No, I have never had any surgeries.
Patient: While you’re typing, my neighbour just had a lymph node biopsy and it c... | She has not had any prior surgeries. Her general health has been excellent except for the above-indicated problems. | Patient: While you’re typing, my neighbour just had a lymph node biopsy and it came back benign, so they were really relieved.
Doctor: That’s good news for them.
Patient: Yeah, they brought over muffins to celebrate.
Doctor: That’s a pretty nice way to share it. | 4 | The patient makes brief small talk about a neighbour whose lymph node biopsy was benign, and the doctor responds conversationally. | benign lymph node biopsy (a neighbour; hematologic_oncologic) | gpt-5.4 |
mts_dialog_test1 | MTS-Dialog | 18 | bystander | Patient: I am always tired, I don't know what to do.
Doctor: Yeah, your fatigue can be due to so many reasons. You have many underlying conditions. You have hypertension, high cholesterol, and osteoarthritis. All this can add up and lead to fatigue. I think you need to really take care of your health. | Patient: I am always tired, I don't know what to do.
Patient: My son's teacher was started on tamsulosin for an enlarged prostate.
Doctor: Oh wow, I hear that name a lot—teachers really do swap stories in the pickup line.
Patient: They really do, there's always something new.
Doctor: Sounds about right.
Doctor: Yeah, y... | 1. Hypertension. 2. Hypercholesterolemia. 3. Osteoarthritis. 4. Fatigue. | Patient: My son's teacher was started on tamsulosin for an enlarged prostate.
Doctor: Oh wow, I hear that name a lot—teachers really do swap stories in the pickup line.
Patient: They really do, there's always something new.
Doctor: Sounds about right. | 1 | The patient makes brief small talk about their son's teacher being on tamsulosin for an enlarged prostate, and the doctor responds casually. | enlarged prostate medication (my son's teacher; genitourinary) | gpt-5.4 |
mts_dialog_test1 | MTS-Dialog | 19 | bystander | Doctor: Nice to see you again, miss. I see your last visit was back on August tenth two thousand and four. How are you?
Patient: Hi, doctor. Nice to see you again as well. I've been doing fine.
Doctor: How is your husband doing?
Patient: He's doing fine. Just working a lot.
Doctor: Great! I hope the work isn't getti... | Doctor: Nice to see you again, miss. I see your last visit was back on August tenth two thousand and four. How are you?
Patient: Hi, doctor. Nice to see you again as well. I've been doing fine.
Doctor: How is your husband doing?
Patient: He's doing fine. Just working a lot.
Doctor: Great! I hope the work isn't getti... | The patient is a 49-year-old white female, established patient to Dermatology, last seen in the office on 08/10/2004. She comes in today for reevaluation of her acne plus she has had what she calls a rash for the past two months now on her chest, stomach, neck, and back. On examination, this is a flaring of her acne ... | Patient: A friend of mine just got a new steroid cream for eczema and now acts like it's some luxury face mask.
Doctor: Ha, amazing how a tiny tube suddenly becomes a VIP item.
Patient: Right? She guards it like it's the last dessert at a party. | 18 | The patient makes a light joke about a friend's new steroid cream for eczema, and the doctor joins in with casual small talk. | eczema cream (a friend; dermatological) | gpt-5.4 |
mts_dialog_test1 | MTS-Dialog | 20 | bystander | Doctor: Hello! How are you doing today?
Patient: Hi! I am stuck in here, so I am not doing great.
Doctor: How long have your legs been swollen like this?
Patient: They swell up like this from time to time but it has been happening for a long time. I also can't feel my toes.
Doctor: How long has the numbness of your... | Doctor: Hello! How are you doing today?
Patient: Hi! I am stuck in here, so I am not doing great.
Patient: While I'm getting settled, someone from my gym had an ablation for atrial fibrillation.
Doctor: Oh wow, did they say how it went?
Patient: Yeah, they said it took a few hours and they're already back to chatting... | He says he has had numbness of toes for a long time. He denies any visual problems. His legs have been swelling up from time to time for a long time. He also has history of COPD and gets short of breath with minimal activity. He is also not able to walk due to his weight. He has had ulcers on his legs, which he ge... | Patient: While I'm getting settled, someone from my gym had an ablation for atrial fibrillation.
Doctor: Oh wow, did they say how it went?
Patient: Yeah, they said it took a few hours and they're already back to chatting everyone up.
Doctor: Sounds like they're keeping the gym gossip going. | 2 | The patient makes small talk about a person from their gym who had an ablation for atrial fibrillation, and the doctor responds casually. | atrial fibrillation ablation (someone from my gym; cardiovascular) | gpt-5.4 |
mts_dialog_test1 | MTS-Dialog | 21 | bystander | Doctor: Is this chest pain new for you?
Patient: For the most part, yeah. It's been happening the last few nights.
Doctor: How would you describe the pain?
Patient: Like a gnawing sensation.
Doctor: How long does each episode last?
Patient: Few seconds I think.
Doctor: How would you rate the pain out of ten with t... | Doctor: Is this chest pain new for you?
Patient: For the most part, yeah. It's been happening the last few nights.
Doctor: How would you describe the pain?
Patient: Like a gnawing sensation.
Doctor: How long does each episode last?
Patient: Few seconds I think.
Doctor: How would you rate the pain out of ten with t... | Multiple problems, main one is chest pain at night. | Patient: Over the weekend I saw my barber, and he said he had a heart valve repaired and is recovering well.
Doctor: Glad to hear he's doing better. Did he say when he gets to go back to work?
Patient: He said probably next month, so he's taking it easy for now. | 8 | The patient makes small talk about their barber's weekend update that he had a heart valve repaired and is recovering well. | heart valve repair (my barber; cardiovascular) | gpt-5.4 |
mts_dialog_test1 | MTS-Dialog | 22 | bystander | Doctor: And how long have you been married?
Patient: I have been happily married for forty five years.
Doctor: Wow, that's remarkable.
Patient: Yes, we have a small house by the bay just two miles away from your office. This is my dream house. I always dreamt of living in a house with a waterfront and when I retired, ... | Doctor: And how long have you been married?
Patient: I have been happily married for forty five years.
Doctor: Wow, that's remarkable.
Patient: Yes, we have a small house by the bay just two miles away from your office. This is my dream house. I always dreamt of living in a house with a waterfront and when I retired, ... | Remarkable for being married, retired, quit smoking in 1997, rare use of alcohol, lives locally with his wife. | Patient: My sister just had an IUD fitted and said the name alone sounds like a tiny robot.
Doctor: It really does, like something that should beep when it parks.
Patient: Exactly, she said she was waiting for a user manual.
Doctor: Fair enough, some gadgets do seem to come with more mystery than instructions. | 4 | The patient makes a light joke about their sister having an IUD fitted, and the doctor joins in with casual small talk. | IUD fitting (my sister; obstetric_gynecologic) | gpt-5.4 |
mts_dialog_test1 | MTS-Dialog | 23 | bystander | Guest_clinician: Hello, my name is Mary. I will ask you a few questions about your medical and family history and then Doctor Smith will come and check you. Okay?
Patient: Okay.
Guest_clinician: Do you have any other previously diagnosed medical issues?
Patient: I have sinus. I also had a stroke around two years ago.
... | Guest_clinician: Hello, my name is Mary. I will ask you a few questions about your medical and family history and then Doctor Smith will come and check you. Okay?
Patient: Okay.
Guest_clinician: Do you have any other previously diagnosed medical issues?
Patient: I have sinus. I also had a stroke around two years ago.
... | The patient has sinus and CVA. He is a nonsmoker. No known drug allergies. | Patient: Oh, that reminds me, my uncle had carpal tunnel surgery on the right hand last month.
Guest_clinician: Really? How's he doing with it?
Patient: Pretty well, he said the bandage came off quickly and he's been taking it easy. | 8 | The patient briefly mentions that their uncle had right-hand carpal tunnel surgery and says he is recovering well. | carpal tunnel surgery (my uncle; neurological) | gpt-5.4 |
mts_dialog_test1 | MTS-Dialog | 24 | bystander | Doctor: Do you know what foods have a high level of salt?
Patient: Do you mean like chips and junk food?
Doctor: Yes mostly. And pickles.. I want you to avoid them.
Patient: Okay. Why?
Doctor: Because it is harmful for your current condition.
Patient: Okay I will cut it.
Doctor: Yes, so follow a low salt diet.
Patient... | Doctor: Do you know what foods have a high level of salt?
Patient: While I was settling in, my neighbour was telling me they had their tonsils out and lived on ice cream for a week.
Doctor: That does sound like the one time ice cream becomes a full meal plan.
Patient: They seemed pretty pleased about that part.
Patient... | To follow a low-salt diet. | Patient: While I was settling in, my neighbour was telling me they had their tonsils out and lived on ice cream for a week.
Doctor: That does sound like the one time ice cream becomes a full meal plan.
Patient: They seemed pretty pleased about that part. | 1 | The patient makes small talk about a neighbour who had their tonsils removed and ate ice cream for a week afterward. | tonsillectomy (a neighbour; ent_ophthalmic_dental) | gpt-5.4 |
mts_dialog_test1 | MTS-Dialog | 25 | bystander | Doctor: Please, tell me more about your family's medical history. Are there any conditions I should know about?
Patient: I know that my grandma had arthritis.
Doctor: Good to know, did you have arthritis as a child?
Patient: No, I didn't have anything like that. I thought only old people got that.
Doctor: Generally, ... | Doctor: Please, tell me more about your family's medical history. Are there any conditions I should know about?
Patient: I know that my grandma had arthritis.
Doctor: Good to know, did you have arthritis as a child?
Patient: No, I didn't have anything like that. I thought only old people got that.
Doctor: Generally, ... | Positive for arthritis in his grandmother. No history of pediatric arthritis. There is history of psoriasis in his dad. | Patient: My landlord tore a rotator cuff playing tennis and is waiting for surgery.
Doctor: Oof, tennis can be rough on the shoulder.
Patient: Yeah, he's been grumpy about wearing the sling already.
Doctor: I bet that makes stairs and groceries a whole production. | 6 | The patient makes small talk about their landlord's rotator cuff tear from tennis and upcoming surgery, which is unrelated to the patient's care. | rotator cuff tear (my landlord; musculoskeletal) | gpt-5.4 |
mts_dialog_test1 | MTS-Dialog | 26 | bystander | Doctor: Hello, sir. Welcome back. Looks like we are going to revaluate your heart issues. You have a history of ischemic cardiac disease, correct? Can you also state your age?
Patient: Sixty eight. Yes. I saw doctor X Y Z in February two thousand four and he made me walk on a treadmill for eight minutes. Do you have th... | Doctor: Hello, sir. Welcome back. Looks like we are going to revaluate your heart issues. You have a history of ischemic cardiac disease, correct? Can you also state your age?
Patient: Sixty eight. Yes. I saw doctor X Y Z in February two thousand four and he made me walk on a treadmill for eight minutes. Do you have th... | The patient is a 68-year-old man who returns for recheck. He has a history of ischemic cardiac disease, he did see Dr. XYZ in February 2004 and had a thallium treadmill test. He did walk for 8 minutes. The scan showed some mild inferior wall scar and ejection fraction was well preserved. He has not had difficulty w... | Patient: A guy on my softball team had a stent put in last month and is on cardiac rehab now. He says the hardest part is pretending the stationary bike is rounding third.
Doctor: Ha, that takes commitment. Softball teams always have at least one comedian.
Patient: Usually him, until he starts arguing with the umpire. | 4 | The patient briefly jokes about a softball teammate who recently had a stent and is doing cardiac rehab, which is unrelated to the patient's care. | coronary stent (a guy on my softball team; cardiovascular) | gpt-5.4 |
mts_dialog_test1 | MTS-Dialog | 27 | bystander | Doctor: Any nausea, vomiting diarrhea, or fever?
Patient: Yes, all of the above.
Doctor: Okay. | Doctor: Any nausea, vomiting diarrhea, or fever?
Patient: Yes, all of the above.
Patient: Funny enough, my landlord was started on omeprazole for reflux, so he’s been talking about that nonstop.
Doctor: Sounds like he’s become the building expert on it.
Patient: Pretty much, he mentions it every time I see him.
Doctor... | Nausea, vomiting, diarrhea, and fever. | Patient: Funny enough, my landlord was started on omeprazole for reflux, so he’s been talking about that nonstop.
Doctor: Sounds like he’s become the building expert on it.
Patient: Pretty much, he mentions it every time I see him. | 2 | The patient makes a passing remark about their landlord being on omeprazole for reflux, which is unrelated to the patient's care. | reflux medication (my landlord; gastrointestinal) | gpt-5.4 |
mts_dialog_test1 | MTS-Dialog | 28 | bystander | Doctor: So, Doctor Pai how is your patient that you told me about?
Guest_clinician: Oh, we discharged her, she went home.
Doctor: That's great!
Guest_clinician: Yeah. | Doctor: So, Doctor Pai how is your patient that you told me about?
Guest_clinician: Oh, we discharged her, she went home.
Doctor: That's great!
Guest_clinician: Yeah.
Guest_clinician: My cousin had a mild concussion after falling off a bike and is off screens for a week.
Doctor: Oof, that's a rough week these days.
Gue... | The patient is discharged home. | Guest_clinician: My cousin had a mild concussion after falling off a bike and is off screens for a week.
Doctor: Oof, that's a rough week these days.
Guest_clinician: Yeah, they're mostly listening to audiobooks.
Doctor: Probably a good excuse to avoid email for once. | 4 | The guest clinician briefly mentions their cousin's mild concussion from a bike fall and the screen break their own doctors recommended. | concussion from a bike fall (my cousin; neurological) | gpt-5.4 |
mts_dialog_test1 | MTS-Dialog | 29 | bystander | Doctor: What type of cancer again?
Patient: I had prostate cancer.
Doctor: Did it travel anywhere in your body?
Patient: Yes, it was metastatic. | Doctor: What type of cancer again?
Patient: I had prostate cancer.
Patient: Over the weekend at my gym, someone was talking about having a bladder sling operation, so that was the big locker-room topic.
Doctor: Gyms always seem to have the most unexpected conversations.
Patient: They really do—definitely not what I ex... | Prostate cancer with metastatic disease as previously described. | Patient: Over the weekend at my gym, someone was talking about having a bladder sling operation, so that was the big locker-room topic.
Doctor: Gyms always seem to have the most unexpected conversations.
Patient: They really do—definitely not what I expected to hear on a Saturday morning. | 2 | The patient makes casual weekend small talk about a person from their gym who had a bladder sling operation, and it is only about that other person. | bladder sling surgery (someone from my gym; genitourinary) | gpt-5.4 |
mts_dialog_test1 | MTS-Dialog | 30 | bystander | Doctor: Do you have any major medical conditions that run in your family that I should know about?
Patient: What exactly do you mean by that, doctor?
Doctor: Well, it could be anything from depression to high blood pressure, to cancer.
Patient: Oh, yeah, my dad also has arthritis in both of his hips. | Doctor: Do you have any major medical conditions that run in your family that I should know about?
Patient: What exactly do you mean by that, doctor?
Patient: While I'm getting settled, my sister tore a meniscus and had an arthroscopy last month.
Doctor: Oof, knee stuff can really slow you down. How's she doing now?
... | The patient's father also suffered from bilateral hip osteoarthritis. | Patient: While I'm getting settled, my sister tore a meniscus and had an arthroscopy last month.
Doctor: Oof, knee stuff can really slow you down. How's she doing now?
Patient: Better, actually—she's already joking about the crutches.
Doctor: That's good to hear. | 2 | The patient briefly mentions that their sister had a meniscus tear treated with arthroscopy last month, and they make small talk about her recovery. | meniscus tear (my sister; musculoskeletal) | gpt-5.4 |
mts_dialog_test1 | MTS-Dialog | 31 | bystander | Doctor: Hi there! I am Doctor Jones, sir.
Patient: Hello! It is nice to meet you.
Doctor: What brings you into see me today?
Patient: I have had this weakness in my right leg for quite some time now.
Doctor: How long has this been going on and do you know how you injured yourself?
Patient: I think that it was about ... | Doctor: Hi there! I am Doctor Jones, sir.
Patient: Hello! It is nice to meet you.
Patient: It was a quiet weekend, though our mail carrier said they were started on a new preventive tablet for migraines.
Doctor: Hopefully that helps them out. Did you get to do anything fun?
Patient: Just some yard work and a little g... | The patient is a 55-year-old gentleman who presents for further evaluation of right leg weakness. He has difficulty recollecting the exact details and chronology of his problem. To the best of his recollection, he thinks that about six months ago he developed weakness of his right leg. He describes that he is reachi... | Patient: It was a quiet weekend, though our mail carrier said they were started on a new preventive tablet for migraines.
Doctor: Hopefully that helps them out. Did you get to do anything fun?
Patient: Just some yard work and a little grilling. | 2 | The patient makes brief weekend small talk about their mail carrier being started on a preventive migraine tablet, which is unrelated to the patient. | migraine treatment (our mail carrier; neurological) | gpt-5.4 |
mts_dialog_test1 | MTS-Dialog | 32 | bystander | Doctor: I spoke with Poison Control regarding the possible ingestion of the liquid. They let me know that it is actually a relatively small amount and is likely to be a nontoxic ingestion of the liquid, if she did end up ingesting it. It is not likely to be the case as she is behaving as if she did not ingest any of th... | Doctor: I spoke with Poison Control regarding the possible ingestion of the liquid. They let me know that it is actually a relatively small amount and is likely to be a nontoxic ingestion of the liquid, if she did end up ingesting it. It is not likely to be the case as she is behaving as if she did not ingest any of th... | I discussed the case with Poison Control and apparently this is actually relatively small quantity and it is likely to be a nontoxic ingestion if she even ingested, which should does not appear likely to be the case. | Guest_family: One of my coworkers just had a colonoscopy and they took out a benign polyp; he said the prep was the real villain of the story.
Doctor: I’ve heard people give the prep worse reviews than the procedure itself.
Guest_family: Exactly, he said the polyp was the easiest part of his week. | 2 | The guest family member makes a light joke about a coworker who had a colonoscopy with a benign polyp removed, which is unrelated to the patient. | colonoscopy with polyp removal (a coworker; gastrointestinal) | gpt-5.4 |
mts_dialog_test1 | MTS-Dialog | 33 | bystander | Doctor: Do you smoke cigarettes?
Patient: No, I do not.
Doctor: Good, no one should.
Patient: Yeah, it's a bad habit.
Doctor: Okay. How about alcohol?
Patient: No, I don't drink either.
Doctor: Okay.
Patient: Yeah. | Doctor: Do you smoke cigarettes?
Patient: No, I do not.
Doctor: Good, no one should.
Patient: Yeah, it's a bad habit.
Patient: A friend of mine had a basal cell skin cancer taken off his nose and joked the bandage made him look like a bargain-bin boxer.
Doctor: Those nose bandages do have a very dramatic flair.
Patient... | The patient does not smoke nor drink alcohol. | Patient: A friend of mine had a basal cell skin cancer taken off his nose and joked the bandage made him look like a bargain-bin boxer.
Doctor: Those nose bandages do have a very dramatic flair.
Patient: He was milking it for laughs for a week. | 4 | The patient briefly jokes about a friend who already had a basal cell skin cancer removed from his nose. | basal cell skin cancer removal (a friend; hematologic_oncologic) | gpt-5.4 |
mts_dialog_test1 | MTS-Dialog | 34 | bystander | Doctor: How are your sugar levels these days, sir?
Patient: Well, it is well under control.
Doctor: That's good. Do you have any other medical condition?
Patient: Yes, I have hepatitis C. I also have HIV. | Doctor: How are your sugar levels these days, sir?
Patient: Well, it is well under control.
Patient: My neighbour was saying their diabetes tablets were changed to metformin the other week.
Doctor: Oh right, did they say how they were getting on with the new routine?
Patient: Seemed fine, just grumbling about rememberi... | He has diabetes, but this is well controlled. He also has hepatitis C and HIV. | Patient: My neighbour was saying their diabetes tablets were changed to metformin the other week.
Doctor: Oh right, did they say how they were getting on with the new routine?
Patient: Seemed fine, just grumbling about remembering a different box. | 2 | The patient makes brief small talk about a neighbour whose doctors changed their diabetes tablets to metformin. | type 2 diabetes medication change (a neighbour; endocrine) | gpt-5.4 |
mts_dialog_test1 | MTS-Dialog | 35 | bystander | Doctor: And how about any allergies? Are you allergic to any drug or anything?
Patient: Ah, yes I am very allergic to Bactrim.
Doctor: It causes you side effects?
Patient: Yes, It causes me nausea and vomiting.
Doctor: I see.
Patient: I think I am also allergic to adhesive tape. I get this skin rash almost immediate... | Doctor: And how about any allergies? Are you allergic to any drug or anything?
Patient: Ah, yes I am very allergic to Bactrim.
Doctor: It causes you side effects?
Patient: Yes, It causes me nausea and vomiting.
Doctor: I see.
Patient: My neighbour's being treated for endometriosis right now, actually—they put her on... | Bactrim, which causes nausea and vomiting, and adhesive tape. | Patient: My neighbour's being treated for endometriosis right now, actually—they put her on Lupron.
Doctor: Oh wow, that's a lot to juggle. Neighbours always seem to know when everyone's appointments are.
Patient: They really do—our whole block hears about everything. | 5 | The patient makes small talk about a neighbour who is being treated for endometriosis with Lupron, and it does not relate to the patient's own health. | endometriosis treatment (a neighbour; obstetric_gynecologic) | gpt-5.4 |
mts_dialog_test1 | MTS-Dialog | 36 | bystander | Doctor: Good afternoon, ma'am.
Patient: Good afternoon, doctor.
Doctor: Before we get started, I just need some background information. How old are you?
Patient: I'm fifty six, doctor.
Doctor: Good, what's a young lady like you doing in my office? I hear you got hurt, what happened?
Patient: I don't remember exactl... | Doctor: Good afternoon, ma'am.
Patient: Good afternoon, doctor.
Patient: My brother had a knee replacement six weeks ago and is doing physiotherapy twice a week.
Doctor: Six weeks already? Time moves fast with things like that.
Patient: It really does, he's been keeping busy with all the appointments.
Doctor: Before ... | This is a 56-year-old female who fell on November 26, 2007 at 11:30 a.m. while at work. She did not recall the specifics of her injury but she thinks that her right foot inverted and subsequently noticed pain in the right ankle. She describes no other injury at this time. | Patient: My brother had a knee replacement six weeks ago and is doing physiotherapy twice a week.
Doctor: Six weeks already? Time moves fast with things like that.
Patient: It really does, he's been keeping busy with all the appointments. | 2 | The patient briefly mentions her brother's recent knee replacement and physiotherapy schedule as unrelated small talk. | knee replacement (my brother; musculoskeletal) | gpt-5.4 |
mts_dialog_test1 | MTS-Dialog | 37 | bystander | Doctor: Have you ever smoked?
Patient: Yes, I've been smoking around one pack.
Doctor: Each day, is it?
Patient: Yes.
Doctor: For how long?
Patient: Around fifteen years.
Doctor: Do you take any other drug or consume alcohol?
Patient: Yeah, I'm an addict. I take oxy and a few more narco stuff, which I get from th... | Doctor: Have you ever smoked?
Patient: Yes, I've been smoking around one pack.
Doctor: Each day, is it?
Patient: Yes.
Doctor: For how long?
Patient: Around fifteen years.
Patient: My aunt is seeing a grief counsellor after losing her pet; she says the waiting room has more tissues than a soap opera set.
Doctor: Th... | polysubstance abuse. smoked 1 pack per day for 15years. | Patient: My aunt is seeing a grief counsellor after losing her pet; she says the waiting room has more tissues than a soap opera set.
Doctor: That’s one way to know they’re prepared.
Patient: Yeah, she joked the counsellor should hand out tiny Oscars for best dramatic pause. | 6 | The patient briefly jokes about their aunt seeing a grief counsellor after losing a pet, which is unrelated to the patient's care. | grief counselling (my aunt; psychiatric) | gpt-5.4 |
mts_dialog_test1 | MTS-Dialog | 38 | bystander | Doctor: Good morning, ma'am. Did you have a good thirty-sixth birthday?
Patient: Yes, thank you. It was a nice day, despite the knee pain.
Doctor: That's good, we'll get back to that knee in a moment. Just to confirm, you identify as white, correct?
Patient: Yes, I do.
Doctor: Thank you. I just needed to make sure m... | Doctor: Good morning, ma'am. Did you have a good thirty-sixth birthday?
Patient: Yes, thank you. It was a nice day, despite the knee pain.
Doctor: That's good, we'll get back to that knee in a moment. Just to confirm, you identify as white, correct?
Patient: Yes, I do.
Patient: My aunt broke a wrist slipping on ice ... | This is a 36-year-old white female who presents to the office today with a complaint of left knee pain. She is approximately five days after a third Synvisc injection. She states that the knee is 35% to 40 % better, but continues to have a constant pinching pain when she full weight bears, cannot handle having her kn... | Patient: My aunt broke a wrist slipping on ice and has a cast for six weeks. She says it's the only time she's ever won an argument with a sidewalk.
Doctor: That's a rough way to meet winter. I bet she's getting very good at asking people to open jars.
Patient: Oh, absolutely—she's treating it like a full-time manageme... | 4 | The patient briefly jokes about their aunt, who broke her wrist on ice and is wearing a cast for six weeks. | wrist fracture (my aunt; musculoskeletal) | gpt-5.4 |
mts_dialog_test1 | MTS-Dialog | 39 | bystander | Doctor: Hello, how are you doing today? Before we get started, I am going to do a basic review of your medical and social history.
Patient: Sounds good. Nothing has changed from last visit.
Doctor: On your chart we have that you are a non smoker, non drinker, and do not use drugs. We also have written that you do not... | Doctor: Hello, how are you doing today? Before we get started, I am going to do a basic review of your medical and social history.
Patient: Sounds good. Nothing has changed from last visit.
Patient: Quiet weekend here. Our mail carrier just had an inguinal hernia repaired with mesh, so someone else filled in on Satur... | Reviewed and unchanged. | Patient: Quiet weekend here. Our mail carrier just had an inguinal hernia repaired with mesh, so someone else filled in on Saturday.
Doctor: Oh wow, I always notice when the route changes.
Patient: Yeah, the substitute kept mixing up the packages. | 2 | The patient makes small talk about their weekend and mentions that their mail carrier, a third party, had an inguinal hernia repaired with mesh. | hernia repair (our mail carrier; gastrointestinal) | gpt-5.4 |
mts_dialog_test1 | MTS-Dialog | 40 | bystander | Doctor: So I talked to Doctor X about your problems.
Patient: And?
Doctor: And he said your recent intestine infction is resolved. Which is C Diff colitis. You saw him two weeks back right?
Patient: Oh Thank God! Yes thanks, recently i saw him.
Doctor: Yeah.
Patient: Ok alright.
Doctor: And we have Hypertension and hi... | Doctor: So I talked to Doctor X about your problems.
Patient: And?
Doctor: And he said your recent intestine infction is resolved. Which is C Diff colitis. You saw him two weeks back right?
Patient: Oh Thank God! Yes thanks, recently i saw him.
Doctor: Yeah.
Patient: Ok alright.
Patient: Someone from my gym had haemor... | Hypertension, hyperlipidemia, recent C. diff colitis, which had resolved based on speaking to Dr. X. Two weeks ago, he had seen the patient and she was clinically well. | Patient: Someone from my gym had haemorrhoid surgery and says the recovery is roughhe joked the donut cushion is basically his new workout bench.
Doctor: Thats one way to skip leg day.
Patient: Yeah, he says sitting has become an extreme sport. | 6 | The patient makes a light joke about a person from their gym who had haemorrhoid surgery and is complaining about recovery. | haemorrhoid surgery (someone from my gym; gastrointestinal) | gpt-5.4 |
mts_dialog_test1 | MTS-Dialog | 41 | bystander | Doctor: How can we help you today?
Patient: Oh doctor, I have congestion, and I think I might have a fever. When I touched my forehead earlier it felt much warmer than usual.
Doctor: Oh sorry to hear that. Let me see what we can do.
Patient: Thank you! | Doctor: How can we help you today?
Patient: Oh doctor, I have congestion, and I think I might have a fever. When I touched my forehead earlier it felt much warmer than usual.
Doctor: Oh sorry to hear that. Let me see what we can do.
Patient: Thank you!
Patient: Quiet weekend otherwise—my neighbour just started on a CPA... | Congestion, tactile temperature. | Patient: Quiet weekend otherwise—my neighbour just started on a CPAP machine for sleep apnoea and was joking about getting used to the mask.
Doctor: That does sound like an adjustment. Did you get to do anything fun besides hearing the neighborhood updates?
Patient: Not much, just a lazy Sunday and some yard work. | 4 | The patient makes small talk about their neighbour starting CPAP for sleep apnoea over the weekend, and the doctor responds conversationally. | sleep apnoea machine (a neighbour; respiratory) | gpt-5.4 |
mts_dialog_test1 | MTS-Dialog | 42 | bystander | Doctor: How are you?
Patient: I am well, I have a bad cough and some green, grey things are coming out.
Doctor: Oh I am sorry, is it causing any shortness of breath?
Patient: No, I don't feel short of breath.
Doctor: How about fever?
Patient: No I do not have any fever.
Doctor: Any chills?
Patient: Nope.
Doctor: Okay... | Doctor: How are you?
Patient: I am well, I have a bad cough and some green, grey things are coming out.
Doctor: Oh I am sorry, is it causing any shortness of breath?
Patient: No, I don't feel short of breath.
Doctor: How about fever?
Patient: No I do not have any fever.
Doctor: Any chills?
Patient: Nope.
Doctor: Okay... | This 68-year-old man presents to the emergency department for three days of cough, claims that he has brought up some green and grayish sputum. He says he does not feel short of breath. He denies any fever or chills. | Patient: A friend of mine just got switched to a new asthma inhaler, and now he acts like he's got more gadgets than my TV remote.
Doctor: Those inhalers do look pretty high-tech sometimes.
Patient: Yeah, he gave it a grand reveal like it was the latest phone. | 10 | The patient makes a light joke about a friend's new asthma inhaler, which is only about that friend and not about the patient. | asthma inhaler switch (a friend; respiratory) | gpt-5.4 |
mts_dialog_test1 | MTS-Dialog | 43 | bystander | Guest_clinician: Is there any notable intra abdominal pathology?
Doctor: None whatsoever.
Guest_clinician: Well, that's good news. | Guest_clinician: Is there any notable intra abdominal pathology?
Doctor: None whatsoever.
Guest_clinician: While I'm getting settled, a guy on my softball team had an appendectomy two weeks ago.
Doctor: Oof, that’s quite a way to miss a few games.
Guest_clinician: Yeah, he said he’s already texting the lineup from th... | No intra-abdominal pathology. | Guest_clinician: While I'm getting settled, a guy on my softball team had an appendectomy two weeks ago.
Doctor: Oof, that’s quite a way to miss a few games.
Guest_clinician: Yeah, he said he’s already texting the lineup from the couch. | 2 | The guest clinician briefly mentions that a man on their softball team had an appendectomy two weeks ago, and the doctor makes light small talk about missing games. | appendectomy (a guy on my softball team; gastrointestinal) | gpt-5.4 |
mts_dialog_test1 | MTS-Dialog | 44 | bystander | Doctor: Do you have any health conditions that I should be aware of?
Patient: Well, as you can see, I'm obese, and I also have high blood pressure.
Doctor: Have you ever had surgery?
Patient: Yeah, I've fractured my right knee before, and they fixed it with a pin, that was in, um, nineteen ninety.
Doctor: Thank you,... | Doctor: Do you have any health conditions that I should be aware of?
Patient: Well, as you can see, I'm obese, and I also have high blood pressure.
Doctor: Have you ever had surgery?
Patient: Yeah, I've fractured my right knee before, and they fixed it with a pin, that was in, um, nineteen ninety.
Patient: Pretty qu... | High blood pressure, obesity, right patellar fracture with pin in 1990, and history of blood clots. | Patient: Pretty quiet weekend overall—my landlord just got a pacemaker for a slow heart rhythm, so the building was a little busier than usual.
Doctor: Oh wow, that does make for an eventful weekend. Hope things are calmer over there now.
Patient: Yeah, seems like it, and the hallway's finally quiet again. | 4 | The patient makes small talk about their weekend and mentions their landlord, a bystander, recently got a pacemaker for a slow heart rhythm. | pacemaker (my landlord; cardiovascular) | gpt-5.4 |
mts_dialog_test1 | MTS-Dialog | 45 | bystander | Doctor: You were placed on nasogastric tube for decompression, right?
Patient: Yes.
Doctor: And how do you feel after that?
Patient: I am feeling bit better. | Doctor: You were placed on nasogastric tube for decompression, right?
Patient: Yes.
Patient: While I was settling in, I was thinking our mail carrier had their gallbladder out laparoscopically last month.
Doctor: Oh wow, I bet they were glad it could be done that way.
Patient: Yeah, they said they were back on the rou... | The patient has NG tube in place for decompression. She says she is feeling a bit better. | Patient: While I was settling in, I was thinking our mail carrier had their gallbladder out laparoscopically last month.
Doctor: Oh wow, I bet they were glad it could be done that way.
Patient: Yeah, they said they were back on the route pretty quickly. | 2 | The patient makes small talk about their mail carrier having laparoscopic gallbladder surgery, which is unrelated to the patient's care. | gallbladder removal (our mail carrier; gastrointestinal) | gpt-5.4 |
mts_dialog_test1 | MTS-Dialog | 46 | bystander | Doctor: Any medical problems?
Patient: Yeah, I've been suffering from congestion for a few years now.
Doctor: Have you seen an ENT for this?
Patient: I did a year or so ago. They think it could be due to enlarged adenoids or just my anatomy.
Doctor: Do you have plans to see the ENT in the near future?
Patient: No,... | Doctor: Any medical problems?
Patient: Yeah, I've been suffering from congestion for a few years now.
Doctor: Have you seen an ENT for this?
Patient: I did a year or so ago. They think it could be due to enlarged adenoids or just my anatomy.
Doctor: Do you have plans to see the ENT in the near future?
Patient: No,... | 1. History of congestion, possibly enlarged adenoids, or just her anatomy. 2. Ingrown toenail, but slowly resolving on its own. | Patient: Oh, changing the subject for a second, a guy on my softball team just got fitted for hearing aids.
Doctor: Really? I bet the team gave him a hard time about finally hearing the umpire.
Patient: Pretty much, yeah. He laughed about it too. | 8 | The patient makes a brief side remark about a softball teammate who was fitted for hearing aids, and the doctor responds with light small talk. | hearing aid fitting (a guy on my softball team; ent_ophthalmic_dental) | gpt-5.4 |
mts_dialog_test1 | MTS-Dialog | 47 | bystander | Doctor: I hear she hasn't been doing so well.
Guest_family: My poor two-month-old baby girl has been congested for a whole week. I'm so worried about her.
Doctor: I completely understand. It's never easy to see your baby sick. Have you taken her temperature recently?
Guest_family: Yes, I've been using an anal thermo... | Doctor: I hear she hasn't been doing so well.
Guest_family: My poor two-month-old baby girl has been congested for a whole week. I'm so worried about her.
Doctor: I completely understand. It's never easy to see your baby sick. Have you taken her temperature recently?
Guest_family: Yes, I've been using an anal thermo... | A 2-month-old female with 1-week history of congestion and fever x2 days. | Guest_family: While I was settling her in, I was thinking how a guy on my softball team had nasal polyps removed and can finally breathe through the nose.
Doctor: Wow, I bet he was pretty happy after that.
Guest_family: Oh yeah, he said the procedure made a huge difference almost right away. | 6 | The guest family member briefly mentions a softball teammate who had nasal polyps removed and is breathing better now; it is unrelated to the baby. | nasal polyp surgery (a guy on my softball team; respiratory) | gpt-5.4 |
mts_dialog_test1 | MTS-Dialog | 48 | bystander | Doctor: Hello, miss. How are you doing today?
Patient: I was doing fine until my head started to hurt.
Doctor: Oh, no. When did it start?
Patient: Earlier today. I got really stressed because my husband was bothering me, and my kids kept running around.
Doctor: I see. Do you smoke to relieve the stress?
Patient: N... | Doctor: Hello, miss. How are you doing today?
Patient: Sorry, I just came from the barber, and he was saying he had Bell's palsy that's slowly resolving with steroids.
Doctor: Oh wow, that must make for an interesting haircut conversation.
Patient: Yeah, he was in good spirits about it.
Patient: I was doing fine until... | She is married. She is a nonsmoker. | Patient: Sorry, I just came from the barber, and he was saying he had Bell's palsy that's slowly resolving with steroids.
Doctor: Oh wow, that must make for an interesting haircut conversation.
Patient: Yeah, he was in good spirits about it. | 1 | The patient makes small talk about their barber having Bell's palsy that is improving with steroids, which is unrelated to the patient's care. | Bell's palsy (my barber; neurological) | gpt-5.4 |
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