source_dataset large_stringclasses 5
values | family large_stringclasses 2
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
mts_dialog_valid | MTS-Dialog | 50 | nonliteral | Doctor: Okay, so let's go over the plan again. I'd like you to apply Acticoat dressing daily and make sure you're spending at least eight hours out of the chair for pressure relief. Any questions?
Patient: That sounds doable. I'll try my best. No questions about the plan.
Doctor: I'd also like you to come back in a we... | Doctor: Okay, so let's go over the plan again. I'd like you to apply Acticoat dressing daily and make sure you're spending at least eight hours out of the chair for pressure relief. Any questions?
Patient: That sounds doable. I'll try my best. No questions about the plan.
Doctor: I'd also like you to come back in a we... | Daily applications of Acticoat, pressure relief, at least getting out of the chair for half of the time, at least eight hours out of the chair, and we will see her in one week. | Patient: While you're typing, my sister keeps insisting all Cancers are homebodies.
Doctor: That's funny—every Cancer I know is the one organizing dinner plans.
Patient: Exactly, she acts like the horoscope is a binding contract. | 4 | The patient makes brief small talk with the doctor about the astrology sign Cancer and horoscope stereotypes. | the zodiac sign Cancer (dermatological) | gpt-5.4 |
mts_dialog_valid | MTS-Dialog | 51 | nonliteral | Doctor: When are you planning to quit?
Patient: I always plan to do it.
Doctor: Okay let me refer you to a substance abuse clinic because you need it.
Patient: Okay, I will look at it.
Doctor: Sure. But please try to stop your substance abuse. It is a bad habit.
Patient: Yes. | Doctor: When are you planning to quit?
Patient: I always plan to do it.
Doctor: Okay let me refer you to a substance abuse clinic because you need it.
Patient: Okay, I will look at it.
Patient: Delirium is such a dramatic name for a coffee shop.
Doctor: It really is; sounds like they serve espresso by the thunderbolt.... | Substance abuse. | Patient: Delirium is such a dramatic name for a coffee shop.
Doctor: It really is; sounds like they serve espresso by the thunderbolt.
Patient: Exactly, like one cup and you'd start narrating your life in poetry. | 4 | The patient and doctor briefly joke about the dramatic name of a coffee shop called Delirium. | a coffee shop called Delirium (psychiatric) | gpt-5.4 |
mts_dialog_valid | MTS-Dialog | 52 | nonliteral | Doctor: Do you have a history of tobacco, alcohol or recreational drug use?
Patient: No. | Doctor: Do you have a history of tobacco, alcohol or recreational drug use?
Patient: No.
Patient: Sorry, scooting this chair in—my team's defence has a hernia, it keeps giving way every Sunday.
Doctor: That's a rough season, then.
Patient: Brutal. Even my neighbor with the giant foam finger has gone quiet.
Doctor: Tha... | Denies history of Tobacco/ETOH/illicit drug use. | Patient: Sorry, scooting this chair in—my team's defence has a hernia, it keeps giving way every Sunday.
Doctor: That's a rough season, then.
Patient: Brutal. Even my neighbor with the giant foam finger has gone quiet.
Doctor: That's when you know it's serious for the fans. | 2 | The patient makes a nonliteral joke about a football team's weak defence, and the doctor chats briefly about the fans. | a football team's 'hernia' of a defence (gastrointestinal) | gpt-5.4 |
mts_dialog_valid | MTS-Dialog | 53 | nonliteral | Doctor: How are you Miss G?
Patient: I am good doctor, thank you for asking.
Doctor: So, tell me what is going on?
Patient: I have this ear pain and headache for some time. It's better than before but I still want to get it checked.
Doctor: Okay, when exactly did it start?
Patient: Um, almost three weeks ago. I am h... | Doctor: How are you Miss G?
Patient: I am good doctor, thank you for asking.
Doctor: So, tell me what is going on?
Patient: I have this ear pain and headache for some time. It's better than before but I still want to get it checked.
Doctor: Okay, when exactly did it start?
Patient: Um, almost three weeks ago. I am h... | A 49-year-old female with history of atopic dermatitis comes to the clinic with complaint of left otalgia and headache. Symptoms started approximately three weeks ago and she was having difficulty hearing, although that has greatly improved. She is having some left-sided sinus pressure and actually went to the dentis... | Patient: My neighbor just bought a sailboat named Vertigo—bold name for something that’s supposed to stay upright.
Doctor: That’s either confidence or a challenge to the sea.
Patient: I said if it starts spinning, at least the boat can’t blame the passengers. | 12 | The patient makes a light joke with the doctor about a neighbor’s sailboat named Vertigo. | a sailboat named Vertigo (ent_ophthalmic_dental) | gpt-5.4 |
mts_dialog_valid | MTS-Dialog | 54 | nonliteral | Doctor: So, I have the evaluation report from your psychiatrist.
Patient: Ah, okay and what does it says?
Doctor: Well, he thinks you are doing really good.
Patient: Nice! | Doctor: So, I have the evaluation report from your psychiatrist.
Patient: Ah, okay and what does it says?
Doctor: Well, he thinks you are doing really good.
Patient: Nice!
Patient: Hearing “Hysteria” always makes me think of the Def Leppard album, not anything dramatic.
Doctor: Fair—now I’ve got “Pour Some Sugar on Me... | PSYCHIATRIC: See psychiatric evaluation. | Patient: Hearing “Hysteria” always makes me think of the Def Leppard album, not anything dramatic.
Doctor: Fair—now I’ve got “Pour Some Sugar on Me” stuck in my head.
Patient: If this visit turns into karaoke, I’m blaming the paperwork.
Doctor: I make no promises on the chorus. | 4 | The patient makes a light joke about Def Leppard’s album Hysteria, and the doctor joins in with a playful comment about the song. | the album Hysteria (psychiatric) | gpt-5.4 |
mts_dialog_valid | MTS-Dialog | 55 | nonliteral | Doctor: How are you today?
Patient: I am doing okay.
Doctor: Just to confirm, you are fifty seven years old?
Patient: Yes.
Doctor: What brings you to see me today?
Patient: I have been having these headaches every day for the last six months.
Doctor: That is a long time. I am sorry that you have been experiencing... | Doctor: How are you today?
Patient: I am doing okay.
Doctor: Just to confirm, you are fifty seven years old?
Patient: Yes.
Patient: Over the weekend my brother put on Concussion, and we ended up debating whether Will Smith disappears into roles or not.
Doctor: That is a funny weekend argument. I thought he was pret... | Daily headaches for 6 months in a 57-year-old. | Patient: Over the weekend my brother put on Concussion, and we ended up debating whether Will Smith disappears into roles or not.
Doctor: That is a funny weekend argument. I thought he was pretty convincing in that one.
Patient: Yeah, we paused it twice just to keep the debate going. | 4 | The patient makes small talk about watching the movie Concussion over the weekend and debating the actor's performance with a family member. | the film Concussion (neurological) | gpt-5.4 |
mts_dialog_valid | MTS-Dialog | 56 | nonliteral | Doctor: Welcome to the office, Miss A. I am Doctor Luna.
Patient: Thank you. It is nice to meet you.
Doctor: What is your family medical history?
Patient: My mother died about three or maybe it is four years ago?
Doctor: I am so sorry to hear that. How did she pass?
Patient: She had lung cancer. My mom didn't talk... | Doctor: Welcome to the office, Miss A. I am Doctor Luna.
Patient: Thank you. It is nice to meet you.
Patient: Sorry, that name just made me think of my cat, Lupus—he acts like he owns the whole apartment.
Doctor: That is a great cat name.
Patient: He definitely lives up to it.
Doctor: Sounds like quite a character.
D... | Ms. A had difficulty providing information on familial medical history. She reported that her mother died three to four years ago from lung cancer. Her father has gout and blood clots. Siblings have reportedly been treated for asthma and GI tumors. She was unsure of familial history of other conditions such as hype... | Patient: Sorry, that name just made me think of my cat, Lupus—he acts like he owns the whole apartment.
Doctor: That is a great cat name.
Patient: He definitely lives up to it.
Doctor: Sounds like quite a character. | 2 | The patient makes a passing joke about their cat named Lupus, and the doctor responds with light small talk. | a cat named Lupus (musculoskeletal) | gpt-5.4 |
mts_dialog_valid | MTS-Dialog | 57 | nonliteral | Doctor: Are you taking any medications?
Patient: No.
Doctor: Any over the counter drugs or anything?
Patient: None.
Doctor: Okay. | Doctor: Are you taking any medications?
Patient: No.
Doctor: Any over the counter drugs or anything?
Patient: None.
Patient: Funny name, but my neighbor still plays bass in a garage band called Kidney Stone.
Doctor: That's a memorable one.
Patient: They only rehearse on Thursdays now.
Doctor: Probably keeps the peace ... | None. | Patient: Funny name, but my neighbor still plays bass in a garage band called Kidney Stone.
Doctor: That's a memorable one.
Patient: They only rehearse on Thursdays now.
Doctor: Probably keeps the peace the rest of the week. | 4 | The patient makes a passing joke about a neighbor's garage band named Kidney Stone, and the doctor responds with light small talk. | a band called Kidney Stone (genitourinary) | gpt-5.4 |
mts_dialog_valid | MTS-Dialog | 58 | nonliteral | Doctor: Do you know any familiar diseases in your family?
Patient: Do you mean like B P, high sugar?
Doctor: Yes.
Patient: No, no one in my family has anything like that.
Doctor: Great. | Doctor: Do you know any familiar diseases in your family?
Patient: Do you mean like B P, high sugar?
Doctor: Yes.
Patient: No, no one in my family has anything like that.
Patient: Over the weekend I tried using my old laptop, and it has chronic fatiguethe battery dies after ten minutes.
Doctor: That sounds like mine... | Non-contributory | Patient: Over the weekend I tried using my old laptop, and it has chronic fatiguethe battery dies after ten minutes.
Doctor: That sounds like mine at home; I keep it plugged in like life support.
Patient: Exactly, it only works if it never leaves the outlet. | 4 | The patient makes a weekend joke about an old laptop whose battery dies quickly, and the doctor chats about a similar laptop at home. | a laptop with 'chronic fatigue' (psychiatric) | gpt-5.4 |
mts_dialog_valid | MTS-Dialog | 59 | nonliteral | Doctor: Hi sir, let me start by getting your age.
Guest_family: He is fifty three!
Doctor: So, tell me what's going on?
Guest_family: He is complaining of so many things but-
Patient: But I have a lot of pain from my hernia. That's the number one complaint, but I am also having pain in my lower legs.
Guest_family: He h... | Doctor: Hi sir, let me start by getting your age.
Guest_family: He is fifty three!
Doctor: So, tell me what's going on?
Guest_family: He is complaining of so many things but-
Patient: But I have a lot of pain from my hernia. That's the number one complaint, but I am also having pain in my lower legs.
Guest_family: He h... | This is a 53-year-old man, who presented to emergency room with multiple complaints including pain from his hernia, some question of blood in his stool, nausea, and vomiting, and also left lower extremity pain. At the time of my exam, he states that his left lower extremity pain has improved considerably. He apparent... | Patient: Over the weekend my sourdough starter went into remission and just stopped rising.
Doctor: That's a dramatic way to put it.
Guest_family: He even gave it a pep talk next to his Coumadin pillbox.
Doctor: Sounds like it had a very quiet weekend. | 22 | The patient makes a joking weekend comment about his sourdough starter stopping rising, and the doctor and family member briefly play along. | a sourdough starter 'in remission' (gastrointestinal) | gpt-5.4 |
mts_dialog_valid | MTS-Dialog | 60 | nonliteral | Doctor: Do you have any prior history of surgeries?
Patient: I had surgery on my back and shoulder after a bad skiing accident.
Doctor: How long ago did you have those surgeries?
Patient: About three to four years ago. Oh, I had my appendix removed when I was a teenager. | Doctor: Do you have any prior history of surgeries?
Patient: I had surgery on my back and shoulder after a bad skiing accident.
Doctor: How long ago did you have those surgeries?
Patient: About three to four years ago. Oh, I had my appendix removed when I was a teenager.
Patient: While you’re typing, have you seen ... | Back surgery, shoulder surgery, and appendicectomy. | Patient: While you’re typing, have you seen Concussion? I finally watched it on a flight.
Doctor: Yeah, Will Smith was great in that.
Patient: The airplane screen made every football scene look like a video game.
Doctor: Those tiny screens can make any movie feel oddly dramatic. | 4 | The patient and doctor briefly make small talk about the movie Concussion and watching it on a plane. | the film Concussion (musculoskeletal) | gpt-5.4 |
mts_dialog_valid | MTS-Dialog | 61 | nonliteral | Doctor: So, ma'am, what brings you in for a visit today?
Patient: Well, a few things, I have hay fever, um, eczema, sinus problems, and hives.
Doctor: Wow, that's quite a lot. Do you have any history of melanoma, or skin cancer?
Patient: No, just the eczema.
Doctor: How about psoriasis?
Patient: No, that doesn't r... | Doctor: So, ma'am, what brings you in for a visit today?
Patient: Well, a few things, I have hay fever, um, eczema, sinus problems, and hives.
Doctor: Wow, that's quite a lot. Do you have any history of melanoma, or skin cancer?
Patient: No, just the eczema.
Doctor: How about psoriasis?
Patient: No, that doesn't r... | She has hay fever, eczema, sinus, and hives. She has no melanoma or skin cancers or psoriasis. Her mother had oral cancer. The patient is a nonsmoker. No blood tests. Had some sunburn in the past. She is on benzoyl peroxide and Daypro. | Patient: Oh, and my cat Lupus tried to sit on the Daypro bottle this morning like he was guarding the crown jewels.
Doctor: Sounds like Lupus takes his security job very seriously.
Patient: He does—tiny bouncer, huge confidence. | 12 | The patient makes a light joke about their cat named Lupus acting protective over a Daypro bottle, and the doctor plays along. | a cat named Lupus (dermatological) | gpt-5.4 |
mts_dialog_valid | MTS-Dialog | 62 | nonliteral | Doctor: Hello, this is my assistant, and she will be working with me today for your care. Can you please represent the patients case?
Guest_clinician: This is Miss A B C. She's here for her follow up regarding her cervical spinal stenosis. She was seen by you on nineteenth June. She had an incident on fourth of June, ... | Doctor: Hello, this is my assistant, and she will be working with me today for your care. Can you please represent the patients case?
Guest_clinician: This is Miss A B C. She's here for her follow up regarding her cervical spinal stenosis. She was seen by you on nineteenth June. She had an incident on fourth of June, ... | Ms. ABC returns today for followup regarding her cervical spinal stenosis. I have last seen her on 06/19/07. Her symptoms of right greater than left upper extremity pain, weakness, paresthesias had been worsening after an incident on 06/04/07, when she thought she had exacerbated her conditions while lifting several ... | Patient: My brother says his football team’s defense has a hernia—it keeps giving way.
Doctor: That’s rough; sounds like they need sturdier linemen.
Patient: Exactly, every Sunday he says the same line like it’s brand new. | 14 | The patient makes a light joke about her brother’s football team having a defense that 'has a hernia' because it keeps giving way. | a football team's 'hernia' of a defence (musculoskeletal) | gpt-5.4 |
mts_dialog_valid | MTS-Dialog | 63 | nonliteral | Doctor: How is everything else?
Patient: Fine.
Doctor: Anything from head to toe?
Patient: I have a shoulder issue. Can you check?
Doctor: Okay, just to check back you do not have any heart, lung, stomach, hormonal issues?
Patient: Nope.
Doctor: Any other muscles or bone problems?
Patient: None.
Doctor: Okay. So, I thi... | Doctor: How is everything else?
Patient: Fine.
Doctor: Anything from head to toe?
Patient: I have a shoulder issue. Can you check?
Doctor: Okay, just to check back you do not have any heart, lung, stomach, hormonal issues?
Patient: Nope.
Doctor: Any other muscles or bone problems?
Patient: None.
Patient: While you're t... | Focal lateral and posterior shoulder pain without a suggestion of any cervical radiculopathies. He denies any chronic cardiac, pulmonary, GI, GU, neurologic, musculoskeletal, endocrine abnormalities. | Patient: While you're typing, I finally finished that novel with the fractured plot.
Doctor: Oh yeah? The kind where every chapter feels like a different puzzle piece?
Patient: Exactly, and then the last twenty pages suddenly make it click.
Doctor: Those are satisfying when they land. | 8 | The patient makes small talk about finishing a novel with a fractured plot, and the doctor briefly chats about that style of book. | a novel with a 'fractured' plot (musculoskeletal) | gpt-5.4 |
mts_dialog_valid | MTS-Dialog | 64 | nonliteral | Doctor: Did you had any surgery in the past?
Patient: Yes, I had this major trauma surgery some time back. | Doctor: Did you had any surgery in the past?
Patient: Yes, I had this major trauma surgery some time back.
Patient: There’s a coffee shop near me called Delirium—bold name for a place selling espresso.
Doctor: That’s either excellent branding or a warning label.
Patient: Exactly, one cup in and the name starts to feel... | Significant for his trauma surgery. | Patient: There’s a coffee shop near me called Delirium—bold name for a place selling espresso.
Doctor: That’s either excellent branding or a warning label.
Patient: Exactly, one cup in and the name starts to feel very honest. | 2 | The patient makes a light joke with the doctor about a coffee shop named Delirium and its strong espresso. | a coffee shop called Delirium (psychiatric) | gpt-5.4 |
mts_dialog_valid | MTS-Dialog | 65 | nonliteral | Doctor: How old are you young man?
Patient: I am nineteen.
Doctor: What happened? How did you get hurt?
Patient: I was in a fight. Some people are just rude.
Doctor: Oh, that's bad! How did you hurt your right hand?
Patient: Ah, I punched that other guy in face or maybe his mouth, I don't remember exactly but he got ... | Doctor: How old are you young man?
Patient: I am nineteen.
Doctor: What happened? How did you get hurt?
Patient: I was in a fight. Some people are just rude.
Doctor: Oh, that's bad! How did you hurt your right hand?
Patient: Ah, I punched that other guy in face or maybe his mouth, I don't remember exactly but he got ... | The patient is a 19-year-old male who was involved in a fight approximately an hour prior to his ED presentation. He punched a guy few times on the face, might be the mouth and then punched a drinking glass, breaking it and lacerating his right hand. He has three lacerations on his right hand. His wound was cleaned ... | Patient: The navy corpsman joked my cat Lupus sounds like a tiny supervillain.
Doctor: That’s a strong name for a cat. Does he act the part?
Patient: Only when there’s a glass of water to knock over.
Doctor: So the household arch-nemesis prefers dramatic exits. | 8 | The patient makes a light joke with the doctor about his cat named Lupus acting like a tiny supervillain. | a cat named Lupus (musculoskeletal) | gpt-5.4 |
mts_dialog_valid | MTS-Dialog | 66 | nonliteral | Doctor: Hello, miss. How are you doing today?
Patient: My skin has been going crazy.
Doctor: Could you describe to me what's happening?
Patient: I can't really describe it, but I can show you. Here's a report from my local doctor.
Doctor: I see. It says you have hay fever, eczema, sinus problems, and hives, correct... | Doctor: Hello, miss. How are you doing today?
Patient: My skin has been going crazy.
Doctor: Could you describe to me what's happening?
Patient: I can't really describe it, but I can show you. Here's a report from my local doctor.
Doctor: I see. It says you have hay fever, eczema, sinus problems, and hives, correct... | She has hay fever, eczema, sinus, and hives. She has no melanoma or skin cancers or psoriasis. Her mother had oral cancer. The patient is a nonsmoker. No blood tests. Had some sunburn in the past. She is on benzoyl peroxide and Daypro. | Patient: My nephew keeps trying to get me to play Outbreak with him; I thought he meant my phone was acting up.
Doctor: That's a pretty dramatic title.
Patient: Right? He says I just button-mash and ruin the mission. | 12 | The patient makes a passing joke about a nephew wanting them to play the video game Outbreak, and the doctor briefly comments on the title. | a video game called Outbreak (dermatological) | gpt-5.4 |
mts_dialog_valid | MTS-Dialog | 67 | nonliteral | Doctor: Has she had any surgeries in the past?
Guest_family: I couldn't tell ya even if I wanted to. I have no clue, sorry.
Doctor: Is there someone we could call who might know?
Guest_family: I can't think of anyone off the top of my head. Maybe her daughter? But she's outta town right now. | Doctor: Has she had any surgeries in the past?
Guest_family: I couldn't tell ya even if I wanted to. I have no clue, sorry.
Doctor: Is there someone we could call who might know?
Guest_family: I can't think of anyone off the top of my head. Maybe her daughter? But she's outta town right now.
Guest_family: Funny enough... | Unknown. | Guest_family: Funny enough, I left bread dough out last night and it looked like it went into labour by morning.
Doctor: Ha, one dramatic loaf.
Guest_family: Took over the whole bowl.
Doctor: Sounds like it had big plans. | 4 | The guest family member makes a joking remark about bread dough rising overnight, and the doctor responds with light small talk. | a sourdough 'going into labour' (obstetric_gynecologic) | gpt-5.4 |
mts_dialog_valid | MTS-Dialog | 68 | nonliteral | Doctor: Do you have a history of any surgical procedures?
Patient: I had my gallbladder removed.
Doctor: Did you have any complications with the surgery?
Patient: No. | Doctor: Do you have a history of any surgical procedures?
Patient: I had my gallbladder removed.
Doctor: Did you have any complications with the surgery?
Patient: No.
Patient: On the way here I passed a plant nursery called Colic—bold name for a place selling peace lilies.
Doctor: That’s one way to make succulents ... | Cholecystectomy without complication | Patient: On the way here I passed a plant nursery called Colic—bold name for a place selling peace lilies.
Doctor: That’s one way to make succulents sound dramatic.
Patient: Right? I half expected the ferns to come with warning labels. | 4 | The patient makes a light joke about seeing a plant nursery named Colic, and the doctor joins in with playful small talk. | a plant nursery called Colic (gastrointestinal) | gpt-5.4 |
mts_dialog_valid | MTS-Dialog | 69 | nonliteral | Doctor: Any fever, chills?
Patient: No.
Doctor: How about cough cold symptoms?
Patient: Nope no problems like that.
Doctor: Okay. Any chest pain or breathlessness?
Patient: No, I don't have chest issues.
Doctor: Any problems with bowel or bladder?
Patient: No.
Doctor: Pain in neck or head or hand, feet or anywhere?
Pat... | Doctor: Any fever, chills?
Patient: No.
Doctor: How about cough cold symptoms?
Patient: Nope no problems like that.
Doctor: Okay. Any chest pain or breathlessness?
Patient: No, I don't have chest issues.
Doctor: Any problems with bowel or bladder?
Patient: No.
Patient: Sorry, your stool by the door made me think of The... | The patient denies fever, chills, sweats, ear pain, URI symptoms, cough, dyspnea, chest pain, vomiting, diarrhea, abdominal pain, melena, hematochezia, urinary symptoms, headache, neck pain, back pain, weakness or paresthesias in extremities. | Patient: Sorry, your stool by the door made me think of The Strokes for a second.
Doctor: Ha, now I’ve got “Last Nite” stuck in my head.
Patient: That one always does it. | 8 | The patient makes a quick joke about a stool and mentions The Strokes, and the doctor responds with a casual comment about one of their songs. | the band The Strokes (neurological) | gpt-5.4 |
mts_dialog_valid | MTS-Dialog | 70 | nonliteral | Doctor: Are you allergic to anything, food or medicines?
Patient: No allergies that I know of. | Doctor: Are you allergic to anything, food or medicines?
Patient: No allergies that I know of.
Patient: Changing the subject for a second, my football team’s defence has a hernia—it keeps giving way.
Doctor: That’s a rough season already.
Patient: Every match, same story.
Doctor: Sounds frustrating to watch. | None. | Patient: Changing the subject for a second, my football team’s defence has a hernia—it keeps giving way.
Doctor: That’s a rough season already.
Patient: Every match, same story.
Doctor: Sounds frustrating to watch. | 2 | The patient makes a joking remark about their football team's weak defence, and the doctor responds with casual small talk. | a football team's 'hernia' of a defence (gastrointestinal) | gpt-5.4 |
mts_dialog_valid | MTS-Dialog | 71 | nonliteral | Doctor: How many days has it been since your headaches started?
Patient: About two days now.
Doctor: How long do they normally last?
Patient: A couple hours.
Doctor: Any nausea or vomiting with the headaches? Any vision changes?
Patient: Yeah, it's been pretty consistent. No vision changes.
Doctor: Have you tried t... | Doctor: How many days has it been since your headaches started?
Patient: About two days now.
Doctor: How long do they normally last?
Patient: A couple hours.
Doctor: Any nausea or vomiting with the headaches? Any vision changes?
Patient: Yeah, it's been pretty consistent. No vision changes.
Doctor: Have you tried t... | HEENT: See has had headaches, and some dizziness. She denies any vision changes. CARDIAC: She denies any chest pain or palpitations. RESPIRATORY: She denies any shortness of breath. GI: She has had persistent nausea and vomiting. She denies diarrhea, melena or hematemesis. NEUROLOGICAL: She denies any neurological defi... | Patient: This weekend my puppy Tremor discovered the sprinkler and acted like he was starring in an action movie.
Doctor: Tremor is a great name for that kind of chaos.
Patient: He slid through the mud like he meant to do it.
Doctor: Sounds like he had a very successful weekend. | 10 | The patient makes a brief weekend small-talk comment about their puppy, Tremor, playing in the sprinkler, and the doctor responds casually. | a puppy named Tremor (neurological) | gpt-5.4 |
mts_dialog_valid | MTS-Dialog | 72 | nonliteral | Doctor: Do you have any medical conditions that I should know about?
Patient: Actually yes, I have high blood pressure and, um, depression.
Doctor: That's good to know, thank you. What about your bones?
Patient: Um, yes, I have osteoporosis too. | Doctor: Do you have any medical conditions that I should know about?
Patient: Actually yes, I have high blood pressure and, um, depression.
Patient: While you're typing, did you ever see Concussion? Will Smith was really good in that.
Doctor: I did, actually. The courtroom scenes were more intense than I expected.
Pa... | Hypertension, depression, and osteoporosis. | Patient: While you're typing, did you ever see Concussion? Will Smith was really good in that.
Doctor: I did, actually. The courtroom scenes were more intense than I expected.
Patient: Yeah, and the whole thing had that heavy, rainy-movie feel to it.
Doctor: Totally—it stuck with me longer than I thought it would. | 2 | The patient and doctor briefly make small talk about the movie Concussion and its mood and performances. | the film Concussion (musculoskeletal) | gpt-5.4 |
mts_dialog_valid | MTS-Dialog | 73 | nonliteral | Doctor: Hello, I will ask you a few basic questions, okay?
Patient: Okay.
Doctor: What is your living status? Do you live alone or with family?
Patient: I am with my husband.
Doctor: What is your education level?
Patient: I cleared my twelfth grade but never joined college after that.
Doctor: Um, did you ever take a... | Doctor: Hello, I will ask you a few basic questions, okay?
Patient: Okay.
Patient: Sorry, your stool squeaked like my husband's old garage band, Kidney Stone.
Doctor: That's a memorable name.
Patient: They only played one block party, but the T-shirts still turn up.
Doctor: Those are always the last thing to disappear... | She lives with her husband. She is a nonsmoker and no history of drug or alcohol abuse. She does drink two to three drinks daily. She completed 12th grade. | Patient: Sorry, your stool squeaked like my husband's old garage band, Kidney Stone.
Doctor: That's a memorable name.
Patient: They only played one block party, but the T-shirts still turn up.
Doctor: Those are always the last thing to disappear. | 2 | The patient makes a joking aside about a garage band called Kidney Stone, and the doctor chats briefly about the memorable name. | a band called Kidney Stone (genitourinary) | gpt-5.4 |
mts_dialog_valid | MTS-Dialog | 74 | nonliteral | Doctor: Hello, miss. What brings you into the practice today?
Patient: I have been missing a lot of periods and I am not sexually active. I do not bleed. Is something wrong with me?
Doctor: What is your history with your reproductive parts? Have you had any surgeries?
Patient: I have everything still. I have both ovar... | Doctor: Hello, miss. What brings you into the practice today?
Patient: I have been missing a lot of periods and I am not sexually active. I do not bleed. Is something wrong with me?
Doctor: What is your history with your reproductive parts? Have you had any surgeries?
Patient: I have everything still. I have both ovar... | She does not bleed. She has both ovaries, as well as her uterus and cervix. She is on no hormonal therapy. | Patient: Oh, and on the way here I passed that plant nursery called Colic again. Such a dramatic name for succulents.
Doctor: It really is. Sounds like a mystery novel title more than a garden shop.
Patient: Exactly. Their little painted wheelbarrow out front always makes me smile. | 6 | The patient makes a brief joking remark about a plant nursery named Colic, and the doctor responds with light small talk. | a plant nursery called Colic (obstetric_gynecologic) | gpt-5.4 |
mts_dialog_valid | MTS-Dialog | 75 | nonliteral | Doctor: How long have you been having this pain in your ear?
Patient: It's been three or four days.
Doctor: Okay, let me check your ears, which side is in pain?
Patient: The left one.
Doctor: Okay let me check both ears. Well, you have lot of fluid accumulated in your left ear, which has caused infection in your middl... | Doctor: How long have you been having this pain in your ear?
Patient: It's been three or four days.
Doctor: Okay, let me check your ears, which side is in pain?
Patient: The left one.
Doctor: Okay let me check both ears. Well, you have lot of fluid accumulated in your left ear, which has caused infection in your middl... | 1. Serous otitis. 2. Atopic dermatitis. | Patient: Funny name, but my neighbor just restored an old rowing boat called Cataract.
Doctor: Cataract? That's a memorable name for a boat.
Patient: Bright blue too, looks like it belongs in a postcard. | 6 | The patient makes a brief small-talk remark about a neighbor's restored rowing boat named Cataract, and the doctor comments on the name. | a rowing boat named Cataract (ent_ophthalmic_dental) | gpt-5.4 |
mts_dialog_valid | MTS-Dialog | 76 | nonliteral | Doctor: When were you diagnosed with type two diabetes?
Patient: Two years ago.
Doctor: Does diabetes run in the family?
Patient: Nope. I believe I'm the only one who has it.
Doctor: How about heart disease, stroke, cancer, or high blood pressure?
Patient: Nope. My family is pretty healthy for the most part. | Doctor: When were you diagnosed with type two diabetes?
Patient: Two years ago.
Patient: This weekend my puppy Tremor stole my sock and paraded around like he’d won a trophy.
Doctor: That’s a strong weekend performance.
Patient: He definitely thinks he’s employee of the month.
Doctor: Does diabetes run in the family?... | There was no history of hypertension, coronary artery disease, stroke, cancer or diabetes. | Patient: This weekend my puppy Tremor stole my sock and paraded around like he’d won a trophy.
Doctor: That’s a strong weekend performance.
Patient: He definitely thinks he’s employee of the month. | 2 | The patient makes a playful weekend comment about their puppy, Tremor, showing off with a stolen sock. | a puppy named Tremor (endocrine) | gpt-5.4 |
mts_dialog_valid | MTS-Dialog | 77 | nonliteral | Doctor: Can you tell me some illness that might run in your family?
Patient: No I don't know.
Doctor: Are you sure?
Patient: Yes. | Doctor: Can you tell me some illness that might run in your family?
Patient: No I don't know.
Doctor: Are you sure?
Patient: Yes.
Patient: Over the weekend my sourdough starter went into remission and just stopped rising.
Doctor: That's a dramatic way to put it.
Patient: It was acting like it needed a tiny vacation.
Do... | Not obtainable. | Patient: Over the weekend my sourdough starter went into remission and just stopped rising.
Doctor: That's a dramatic way to put it.
Patient: It was acting like it needed a tiny vacation.
Doctor: Mine usually picks the coldest morning to do that. | 4 | The patient makes a weekend joke about a sourdough starter that stopped rising, and the doctor responds with light small talk about baking. | a sourdough starter 'in remission' (hematologic_oncologic) | gpt-5.4 |
mts_dialog_valid | MTS-Dialog | 78 | nonliteral | Doctor: Do you drink or smoke? Or take any other kind of drugs?
Patient: I used to smoke and drink, but I quit years ago. Maybe it was like in ninety two.
Doctor: How many cigarettes were you smoking then?
Patient: You see that is a tough one to remember. It was anywhere around thirty packs per year. | Doctor: Do you drink or smoke? Or take any other kind of drugs?
Patient: I used to smoke and drink, but I quit years ago. Maybe it was like in ninety two.
Patient: Funny change of subject, but my bread dough went into labour overnight and took over the whole bowl.
Doctor: That’s a lively starter.
Patient: It really wa... | ETOH abuse (quit '92), 30pk-yr Cigarettes (quit '92) | Patient: Funny change of subject, but my bread dough went into labour overnight and took over the whole bowl.
Doctor: That’s a lively starter.
Patient: It really was, I had to rescue it before coming in. | 2 | The patient makes a joking remark about bread dough rising overnight, and the doctor responds with light small talk. | a sourdough 'going into labour' (obstetric_gynecologic) | gpt-5.4 |
mts_dialog_valid | MTS-Dialog | 79 | nonliteral | Guest_clinician: Has she taken anything for her symptoms?
Doctor: She's tried Loratadine Beclomethasone Nasal Fluticasone and Salmeterol Inhaled Montelukast Cephalexin Hydrocode.
Guest_clinician: Has she noticed any relief with these medications?
Doctor: Um some relief. | Guest_clinician: Has she taken anything for her symptoms?
Doctor: She's tried Loratadine Beclomethasone Nasal Fluticasone and Salmeterol Inhaled Montelukast Cephalexin Hydrocode.
Guest_clinician: Changing gears for a second, I finally watched Contagion last weekend.
Doctor: Oh, no kidding? That cast is stacked.
Guest... | loratadine beclomethasone nasal fluticasone/salmeterol inhaled Montelukast cephalexin hydrocodone | Guest_clinician: Changing gears for a second, I finally watched Contagion last weekend.
Doctor: Oh, no kidding? That cast is stacked.
Guest_clinician: Yeah, and the soundtrack made my living room feel weirdly tense.
Doctor: It really does; it somehow makes every hallway look dramatic. | 2 | The guest clinician briefly chats with the doctor about watching the movie Contagion and its tense atmosphere. | the film Contagion (respiratory) | gpt-5.4 |
mts_dialog_valid | MTS-Dialog | 80 | nonliteral | Doctor: Any past surgeries?
Patient: Nah. | Doctor: Any past surgeries?
Patient: Nah.
Patient: Funny, "Hysteria" always makes me think of that Def Leppard album.
Doctor: Oh yeah, that one had a lot of hits.
Patient: My brother still plays it in his truck like it's 1988.
Doctor: Some albums just stick around. | None. | Patient: Funny, "Hysteria" always makes me think of that Def Leppard album.
Doctor: Oh yeah, that one had a lot of hits.
Patient: My brother still plays it in his truck like it's 1988.
Doctor: Some albums just stick around. | 2 | The patient makes a passing joke about the Def Leppard album Hysteria, and the doctor chats briefly about its staying power. | the album Hysteria (psychiatric) | gpt-5.4 |
mts_dialog_valid | MTS-Dialog | 81 | nonliteral | Doctor: I hear someone just had a birthday! How young are you now, ma'am?
Patient: Hello, doctor. I just turned fifty eight.
Doctor: That's wonderful. You identify as white as well, correct?
Patient: Yes, that's correct.
Doctor: Is this right knee still bothering you?
Patient: Yes, and it's been going on for years ... | Doctor: I hear someone just had a birthday! How young are you now, ma'am?
Patient: Hello, doctor. I just turned fifty eight.
Doctor: That's wonderful. You identify as white as well, correct?
Patient: Yes, that's correct.
Doctor: Is this right knee still bothering you?
Patient: Yes, and it's been going on for years ... | This is a 58-year-old white female suffering increasing right knee pain for number of years prior to surgical intervention. She was completely refractory to conservative outpatient therapy. She had undergone two knee arthroscopies in the years preceding this. They were performed by myself. She ultimately failed thi... | Patient: My son had me watching football all weekend; he said our team's defence has a hernia because it keeps giving way.
Doctor: That's a rough review.
Patient: It was hard not to laugh.
Doctor: Fans can be brutal like that. | 18 | The patient makes a weekend joke about a football team's weak defence, and the doctor responds with light small talk. | a football team's 'hernia' of a defence (musculoskeletal) | gpt-5.4 |
mts_dialog_valid | MTS-Dialog | 82 | nonliteral | Doctor: I reviewed all your systems, everything looks fine.
Patient: Nice. | Doctor: I reviewed all your systems, everything looks fine.
Patient: Nice.
Patient: Sorry, just getting settled—my phone keeps buzzing like the stock market had a stroke this week.
Doctor: Ha, those price alerts can sound dramatic.
Patient: Seriously, every dip gets its own little siren.
Doctor: Mine does that too whe... | Otherwise negative. | Patient: Sorry, just getting settled—my phone keeps buzzing like the stock market had a stroke this week.
Doctor: Ha, those price alerts can sound dramatic.
Patient: Seriously, every dip gets its own little siren.
Doctor: Mine does that too whenever I forget to mute it. | 2 | The patient makes a joking comment about stock prices while settling in, and the doctor chats briefly about phone alerts. | a stock market 'stroke' (cardiovascular) | gpt-5.4 |
mts_dialog_valid | MTS-Dialog | 83 | nonliteral | Doctor: Let me give you some medication in your I V.
Patient: Please make this all go away. I am feeling really sick like I am going to throw up.
Doctor: Sure, sure. Nurse, please give him Norflex sixty M G, Zofran four M G, morphine sulfate four M G.
Patient: Will I feel better after that?
Doctor: Yes.
Patient: I am ... | Doctor: Let me give you some medication in your I V.
Patient: Please make this all go away. I am feeling really sick like I am going to throw up.
Doctor: Sure, sure. Nurse, please give him Norflex sixty M G, Zofran four M G, morphine sulfate four M G.
Patient: Will I feel better after that?
Patient: My sister lent me ... | The patient was given IV Norflex 60 mg, Zofran 4 mg, and morphine sulfate 4 mg and with that has significant improvement in her discomfort. | Patient: My sister lent me a novel with a really fractured plot; I think the chapters need a cast.
Doctor: Ha, one of those books where page 40 feels like page 400?
Patient: Exactly. I needed a map and maybe a hard hat.
Doctor: Then it counts as interactive reading. | 4 | The patient makes a light joke about a confusing novel their sister lent them, and the doctor joins in with small talk. | a novel with a 'fractured' plot (musculoskeletal) | gpt-5.4 |
mts_dialog_valid | MTS-Dialog | 84 | nonliteral | Doctor: It seems like you are not feeling very well today?
Patient: Yeah. I have had diarrhea and pain in my stomach.
Doctor: Have you experienced any vomiting?
Patient: Yes. I threw up this morning. | Doctor: It seems like you are not feeling very well today?
Patient: Yeah. I have had diarrhea and pain in my stomach.
Patient: While you’re typing, my sourdough starter went into remission this week—just stopped rising like it lost interest.
Doctor: That’s a dramatic little houseguest.
Patient: It really is; I half... | Diarrhea, vomiting, and abdominal pain. | Patient: While you’re typing, my sourdough starter went into remission this week—just stopped rising like it lost interest.
Doctor: That’s a dramatic little houseguest.
Patient: It really is; I half expected it to demand a tiny chaise lounge. | 2 | The patient makes a joking, non-clinical comment about their sourdough starter stopping its rise, and the doctor plays along. | a sourdough starter 'in remission' (gastrointestinal) | gpt-5.4 |
mts_dialog_valid | MTS-Dialog | 85 | nonliteral | Doctor: Do you know about any medical problems running in your family?
Patient: No, I don't know anything. I was never close to my family. | Doctor: Do you know about any medical problems running in your family?
Patient: No, I don't know anything. I was never close to my family.
Patient: Sorry, I was just thinking of that plant nursery called Colic on Maple—such a dramatic name.
Doctor: It really is; it sounds like a moody little poetry shop.
Patient: Exac... | unknown. | Patient: Sorry, I was just thinking of that plant nursery called Colic on Maple—such a dramatic name.
Doctor: It really is; it sounds like a moody little poetry shop.
Patient: Exactly, and then you walk in and it's just cheerful succulents everywhere. | 2 | The patient makes small talk about a plant nursery named Colic, and the doctor jokes about the name. | a plant nursery called Colic (gastrointestinal) | gpt-5.4 |
mts_dialog_valid | MTS-Dialog | 86 | nonliteral | Doctor: Have you had any thoughts of harming yourself or others?
Patient: I've had thoughts of not wanting to be alive anymore but no plans of actually hurting myself. And absolutely no desire to hurt others.
Doctor: Are you feeling suicidal right now?
Patient: No, not right now.
Doctor: Do you see a therapist or p... | Doctor: Have you had any thoughts of harming yourself or others?
Patient: I've had thoughts of not wanting to be alive anymore but no plans of actually hurting myself. And absolutely no desire to hurt others.
Doctor: Are you feeling suicidal right now?
Patient: No, not right now.
Doctor: Do you see a therapist or p... | Please see history of present illness. Psychiatric: She has had some suicidal thoughts, but no plans. She denies being suicidal at the current time. Cardiopulmonary: She has not had any chest pain or shortness of breath. GI: Denies any nausea or vomiting. Neurological: No numbness, weakness or tingling. | Patient: Sorry, just getting settled—my old laptop has "chronic fatigue" these days; the battery gives up if I even look at it wrong.
Doctor: That’s a good name for it. Mine used to die halfway through a movie.
Patient: Yeah, I keep the charger wrapped around it like life support. | 10 | The patient makes a nonliteral joke about an old laptop’s dying battery, and the doctor responds with light small talk about a similar laptop. | a laptop with 'chronic fatigue' (psychiatric) | gpt-5.4 |
mts_dialog_valid | MTS-Dialog | 87 | nonliteral | Doctor: So, tell me what is going on?
Patient: Well, I have this wound on my thigh from my surgery and its not healing and honestly, I am a little worried.
Doctor: Okay, let me have a look, which side?
Patient: It's on the back of my left thigh. | Doctor: So, tell me what is going on?
Patient: Sorry, I was just laughing because my sister texted that only a Cancer would bring snacks to a group chat.
Doctor: That sounds about right; every Cancer I know is the designated host.
Patient: She even made a little crab emoji chart for everybody.
Doctor: That’s commitment... | Non-healing surgical wound to the left posterior thigh. | Patient: Sorry, I was just laughing because my sister texted that only a Cancer would bring snacks to a group chat.
Doctor: That sounds about right; every Cancer I know is the designated host.
Patient: She even made a little crab emoji chart for everybody.
Doctor: That’s commitment. | 1 | The patient makes a brief joke about the zodiac sign Cancer and the doctor chats about astrology stereotypes. | the zodiac sign Cancer (dermatological) | gpt-5.4 |
mts_dialog_valid | MTS-Dialog | 88 | nonliteral | Doctor: Any medication intolerances?
Patient: No. | Doctor: Any medication intolerances?
Patient: No.
Patient: My old laptop has "chronic fatigue"—the battery gives up before I finish one email.
Doctor: That’s not fatigue, that’s a dramatic exit.
Patient: It waits until 3% like it wants applause.
Doctor: Very theatrical for a machine. | There is no known drug intolerance in the past. | Patient: My old laptop has "chronic fatigue"—the battery gives up before I finish one email.
Doctor: That’s not fatigue, that’s a dramatic exit.
Patient: It waits until 3% like it wants applause.
Doctor: Very theatrical for a machine. | 2 | The patient makes a light joke about an old laptop whose battery dies quickly, and the doctor plays along. | a laptop with 'chronic fatigue' (endocrine) | gpt-5.4 |
mts_dialog_valid | MTS-Dialog | 89 | nonliteral | Doctor: Good morning, young man.
Patient: Hello, doctor.
Doctor: So, before we get started here, how old are you?
Patient: I'm seventeen, sir.
Doctor: Thank you, um, what happened?
Patient: Um, so I got into a fight at juvie, and I hurt my left elbow during it.
Doctor: I see, do you have any other pain?
Patient: We... | Doctor: Good morning, young man.
Patient: Hello, doctor.
Doctor: So, before we get started here, how old are you?
Patient: I'm seventeen, sir.
Doctor: Thank you, um, what happened?
Patient: Um, so I got into a fight at juvie, and I hurt my left elbow during it.
Doctor: I see, do you have any other pain?
Patient: We... | This 17-year-old male was fighting with some other kids in Juvenile Hall when he felt some pain in his left elbow, causing sudden pain. He also has pain in his left ankle, but he is able to walk normally. He has had previous pain in his left knee. He denies any passing out, any neck pain at this time even though he ... | Patient: My cat's named Lupus, which makes him sound way tougher than he is.
Doctor: That's a heavyweight name for a cat.
Patient: Yeah, he acts like a tiny mob boss until the vacuum shows up.
Doctor: Every king has one rival, I guess. | 12 | The patient makes a light joke about his cat named Lupus, and the doctor jokes along about the cat's personality. | a cat named Lupus (musculoskeletal) | gpt-5.4 |
mts_dialog_valid | MTS-Dialog | 90 | nonliteral | Doctor: Do you drink alcohol or smoke cigarettes?
Patient: No, I do not.
Doctor: Are you sure?
Patient: Yes. | Doctor: Do you drink alcohol or smoke cigarettes?
Patient: No, I do not.
Doctor: Are you sure?
Patient: Yes.
Patient: Funny name, but I passed a plant nursery called Colic on the way here.
Doctor: Colic? That’s a memorable sign.
Patient: Yeah, they had a giant metal watering can out front.
Doctor: I’d probably remember... | Denies the use of alcohol or tobacco. | Patient: Funny name, but I passed a plant nursery called Colic on the way here.
Doctor: Colic? That’s a memorable sign.
Patient: Yeah, they had a giant metal watering can out front.
Doctor: I’d probably remember that place too. | 4 | The patient makes a passing remark about seeing a plant nursery named Colic, and the doctor chats briefly about the sign. | a plant nursery called Colic (obstetric_gynecologic) | gpt-5.4 |
mts_dialog_valid | MTS-Dialog | 91 | nonliteral | Doctor: I will do some examinations on you. I will check your chest and then I will talk to you as I move forward, okay?
Patient: I'm okay with that.
Doctor: So, let's see what we have here. Hm, Yeah, just looks good. I do not find anything abnormal. | Doctor: I will do some examinations on you. I will check your chest and then I will talk to you as I move forward, okay?
Patient: I'm okay with that.
Patient: Changing gears, I rewatched Contagion last weekend, and it somehow still feels like a very polished thriller.
Doctor: It really does; the pacing is so calm tha... | CHEST: The chest examination is unremarkable. | Patient: Changing gears, I rewatched Contagion last weekend, and it somehow still feels like a very polished thriller.
Doctor: It really does; the pacing is so calm that it makes everything feel bigger.
Patient: And that cast is wild—half the fun is spotting who shows up next. | 2 | The patient and doctor briefly chat about the movie Contagion as a thriller and its cast. | the film Contagion (respiratory) | gpt-5.4 |
mts_dialog_valid | MTS-Dialog | 92 | nonliteral | Doctor: And you mentioned that you have a history of migraine?
Patient: Yes, that's correct. | Doctor: And you mentioned that you have a history of migraine?
Patient: Yes, that's correct.
Patient: My neighbor just bought a sailboat named Vertigo—pretty bold name for something that already leans on purpose.
Doctor: That’s asking for jokes at the marina.
Patient: Right? If it tips even a little, everyone gets to s... | History of migraine. | Patient: My neighbor just bought a sailboat named Vertigo—pretty bold name for something that already leans on purpose.
Doctor: That’s asking for jokes at the marina.
Patient: Right? If it tips even a little, everyone gets to say the boat is just staying on brand. | 2 | The patient makes a light joke about a neighbor’s sailboat named Vertigo, and the doctor joins in with marina humor. | a sailboat named Vertigo (neurological) | gpt-5.4 |
mts_dialog_valid | MTS-Dialog | 93 | nonliteral | Doctor: What medications are you taking currently?
Patient: Well, I'm taking Remeron for depression and Ziac for high blood pressure. | Doctor: What medications are you taking currently?
Patient: Well, I'm taking Remeron for depression and Ziac for high blood pressure.
Patient: Funny side note—my cat is named Lupus, which makes him sound like he should wear a tiny cape.
Doctor: That’s a strong name for a cat; does he act like he runs the house?
Patien... | His only medications are Ziac and Remeron. | Patient: Funny side note—my cat is named Lupus, which makes him sound like he should wear a tiny cape.
Doctor: That’s a strong name for a cat; does he act like he runs the house?
Patient: Completely. He supervises every pill bottle like a very judgmental pharmacist. | 2 | The patient jokes about their cat named Lupus and the doctor makes light small talk about the cat’s personality. | a cat named Lupus (musculoskeletal) | gpt-5.4 |
mts_dialog_valid | MTS-Dialog | 94 | nonliteral | Guest_clinician: Did you get a chance to review patient's chart?
Doctor: Yes, I reviewed his past medical history and family and social history.
Doctor: There are no changes, right Mister Jay?
Patient: Yes, nothing changed.
Guest_clinician: Okay, sounds good. | Guest_clinician: Did you get a chance to review patient's chart?
Doctor: Yes, I reviewed his past medical history and family and social history.
Doctor: There are no changes, right Mister Jay?
Patient: Yes, nothing changed.
Patient: While you're typing, my bread dough went into labour overnight and took over the mix... | Reviewed. There are no changes, otherwise. | Patient: While you're typing, my bread dough went into labour overnight and took over the mixing bowl.
Doctor: That's a dramatic rise.
Patient: I opened the kitchen and thought I'd hired a tiny baker by accident. | 4 | The patient makes a joking comment about bread dough rising overnight, and the doctor responds with light small talk. | a sourdough 'going into labour' (obstetric_gynecologic) | gpt-5.4 |
mts_dialog_valid | MTS-Dialog | 95 | nonliteral | Doctor: How are you feeling?
Patient: I am well.
Doctor: So, we have placed a permanent pacemaker and removed your temporary internal pacemaker.
Patient: Yes. | Doctor: How are you feeling?
Patient: I am well.
Doctor: So, we have placed a permanent pacemaker and removed your temporary internal pacemaker.
Patient: Yes.
Patient: Over the weekend my brother kept talking about a racehorse named Palpitation like it was royalty.
Doctor: That's a great name for a horse.
Patient: He... | Permanent pacemaker placement after temporary internal pacemaker. | Patient: Over the weekend my brother kept talking about a racehorse named Palpitation like it was royalty.
Doctor: That's a great name for a horse.
Patient: He even wore a lucky hat and gave a full victory speech from the couch. | 4 | The patient makes small talk about their brother spending the weekend talking about a racehorse named Palpitation. | a racehorse named Palpitation (cardiovascular) | gpt-5.4 |
mts_dialog_valid | MTS-Dialog | 96 | nonliteral | Doctor: How has our little man being doing?
Guest_family: Before today he has been doing well, but yesterday he threw up at night and has been very nauseous. He did not complain of stomach issues prior. He is not eating either.
Doctor: How is his appetite?
Guest_family: Low. He has no fever, chills, or weakness.
Doc... | Doctor: How has our little man being doing?
Guest_family: Before today he has been doing well, but yesterday he threw up at night and has been very nauseous. He did not complain of stomach issues prior. He is not eating either.
Doctor: How is his appetite?
Guest_family: Low. He has no fever, chills, or weakness.
Doc... | The patient prior to today has been very well without any signs or symptoms of viral illness, but yesterday he began to experience symptoms of nausea, had an episode of vomiting last night. Has low appetite. There were no fevers, chills, or malaise. No headache. No congestion or cold. No coughing. He had no sore throat... | Guest_family: Changing gears for a second, my brother says his football team’s defense has a hernia—it keeps giving way.
Doctor: That’s a rough line, but pretty accurate for some teams.
Guest_family: He says it every Sunday like it’s brand new.
Doctor: Sounds like part of the ritual. | 8 | The guest family member makes a joking remark about a football team's weak defense, and the doctor chats along. | a football team's 'hernia' of a defence (gastrointestinal) | gpt-5.4 |
mts_dialog_valid | MTS-Dialog | 97 | nonliteral | Doctor: Well, I have your E K G report, shows you have sinus tachycardia. In other words, your heart is beating faster than normal due to rapid firing of sinus node.
Patient: Okay.
Doctor: Well, there are no S T changes.
Patient: Hm. | Doctor: Well, I have your E K G report, shows you have sinus tachycardia. In other words, your heart is beating faster than normal due to rapid firing of sinus node.
Patient: Okay.
Patient: Over the weekend I tried taking my old car out, and its engine has an "arrhythmia" now—it keeps stalling at every light.
Doctor: T... | EKG shows sinus tachycardia, no acute ST changes. | Patient: Over the weekend I tried taking my old car out, and its engine has an "arrhythmia" now—it keeps stalling at every light.
Doctor: That’s a rough weekend project. Is it one of those cars that always picks the worst moment?
Patient: Exactly, it behaved fine in the driveway and then quit downtown. | 2 | The patient makes small talk about weekend trouble with an old car whose engine is jokingly described as having an arrhythmia, and the doctor responds conversationally. | a car with an 'arrhythmia' (cardiovascular) | gpt-5.4 |
mts_dialog_valid | MTS-Dialog | 98 | nonliteral | Doctor: Good news! No need for any shots today. He is up to date on his immunizations.
Guest_family: Good! He hates shots. | Doctor: Good news! No need for any shots today. He is up to date on his immunizations.
Guest_family: Good! He hates shots.
Guest_family: While you're typing, my brother says his football team's defence has a hernia—it keeps giving way.
Doctor: That's a rough season.
Guest_family: Every match, same story.
Doctor: Sound... | Up-to-date. | Guest_family: While you're typing, my brother says his football team's defence has a hernia—it keeps giving way.
Doctor: That's a rough season.
Guest_family: Every match, same story.
Doctor: Sounds like the keeper needs a holiday. | 2 | The guest family member makes a joking comment about their brother's football team having a defense that 'has a hernia,' and the doctor chats about the bad season. | a football team's 'hernia' of a defence (musculoskeletal) | gpt-5.4 |
mts_dialog_valid | MTS-Dialog | 99 | nonliteral | Doctor: I'm glad to hear that your Afib is under control. I'd like for you to start taking baby aspirin again.
Patient: Should I continue taking Nexium?
Doctor: Yes, I'd like you to also take Nexium forty M G once a day in order to reduce the risk of an upper G I bleed.
Patient: Sounds good.
Doctor: And I ask that... | Doctor: I'm glad to hear that your Afib is under control. I'd like for you to start taking baby aspirin again.
Patient: Should I continue taking Nexium?
Doctor: Yes, I'd like you to also take Nexium forty M G once a day in order to reduce the risk of an upper G I bleed.
Patient: Sounds good.
Patient: While you're ... | Chronic atrial fibrillation, the patient has been restarted back on aspirin 81 mg at the time of discharge. Aspirin should be continued with Nexium 40 mg once daily in order to prevent any future occurrence of upper GI bleed. If the patient has any occurrence of upper GI bleed such as coffee-ground emesis or melena t... | Patient: While you're typing, "The Strokes" always sounds less like a band and more like a dramatic warning label.
Doctor: It really does—like a title card in an old movie.
Patient: Then the guitars kick in and it's just instant 2000s.
Doctor: "Last Nite" still does that every time. | 4 | The patient makes a joking comment about the band The Strokes, and the doctor briefly chats about their music. | the band The Strokes (cardiovascular) | gpt-5.4 |
aci_bench_test | ACI-Bench | D2N191 | nonliteral | [doctor] so hi zachary good to see you today so i'm looking at my notes i see you coming in with some right elbow pain and you also have a past medical history of hypertension diabetes we're gon na check on those so can you tell me what happened to your elbow
[patient] i just woke up one day it was hurting
[doctor] it ... | [doctor] so hi zachary good to see you today so i'm looking at my notes i see you coming in with some right elbow pain and you also have a past medical history of hypertension diabetes we're gon na check on those so can you tell me what happened to your elbow
[patient] i just woke up one day it was hurting
[doctor] it ... | CHIEF COMPLAINT
Left arm pain.
HISTORY OF PRESENT ILLNESS
Zachary Wood is a 45-year-old right-hand-dominant male who presents to the clinic today for the evaluation of left arm pain. The onset of his pain began yesterday when he woke up with pain. He denies any specific injury. The patient locates his pain from his ... | Patient: While I get settled, my brother was joking about a racehorse named Palpitation winning by a nose.
Doctor: That's a great name for a horse.
Patient: Yeah, sounded made up, but he swears it was real.
Doctor: I can believe it—racehorse names get pretty creative. | 5 | The patient makes brief small talk about his brother mentioning a racehorse named Palpitation, and the doctor chats about the name. | a racehorse named Palpitation (cardiovascular) | gpt-5.4 |
mts_dialog_test1 | MTS-Dialog | 166 | nonliteral | Doctor: We have a fifty eight year old female who was allegedly in her typical healthy state until four o'clock P M on January eighth, nineteen ninety three when she suddenly became blind.
Guest_clinician: Did she experience any slurred speech or other neurological symptoms?
Doctor: She complained of tongue numbness an... | Doctor: We have a fifty eight year old female who was allegedly in her typical healthy state until four o'clock P M on January eighth, nineteen ninety three when she suddenly became blind.
Guest_clinician: Did she experience any slurred speech or other neurological symptoms?
Doctor: She complained of tongue numbness an... | This 58 y/o RHF was in her usual healthy state, until 4:00PM, 1/8/93, when she suddenly became blind. Tongue numbness and slurred speech occurred simultaneously with the loss of vision. The vision transiently improved to "severe blurring" enroute to a local ER, but worsened again once there. While being evaluated she b... | Guest_clinician: Migraine was the name of a racehorse my uncle loved; he said betting on Migraine gave him a headache before the gate even opened.
Doctor: That's a horse who practically wrote its own joke.
Guest_clinician: Exactly, the only sure finish was the punchline. | 5 | The guest clinician makes a light joke about a racehorse named Migraine, and the doctor plays along. | a horse named Migraine (neurological) | gpt-5.4 |
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