| [ | |
| { | |
| "id": 0, | |
| "dialogue": "Doctor: How're you feeling today? \nPatient: Terrible. I'm having the worst headache of my life. \nDoctor: I'm so sorry. Well you are only twenty five, so let's hope this is the last of the worst. Let's see how we can best help you. When did it start? \nPatient: Around eleven in the morning. \nDoctor: Today? \nPatient: Um no yesterday. July thirty first. \nDoctor: July thirty first O eight. Got it. Did it come on suddenly? \nPatient: Yeah. \nDoctor: Are you having any symptoms with it, such as blurry vision, light sensitivity, dizziness, lightheadedness, or nausea? \nPatient: I'm having blurry vision and lightheadedness. I also can't seem to write well. It looks so messy. I am naturally right handed but my writing looks like I am trying with my left. \nDoctor: How would you describe the lightheadedness? \nPatient: Like there are blind spots. \nDoctor: Okay. How about any vomiting? \nPatient: Um no. I feel like my face is pretty swollen though. I don't know if it's related to the headache but it started around the same time. \nDoctor: Here in the E R, we'll do a thorough exam and eval to make sure nothing serious is going on. While we're waiting for your C T results, I'm going to order a migraine cocktail and some Morphine. \nPatient: Thank. Will the nurse be in soon? \nDoctor: Yes, she'll be right in as soon as the order is placed. It shouldn't be more than a few minutes. If it takes longer, then please ring the call bell.", | |
| "summary": "The patient is a 25-year-old right-handed Caucasian female who presented to the emergency department with sudden onset of headache occurring at approximately 11 a.m. on the morning of the July 31, 2008. She described the headache as worse in her life and it was also accompanied by blurry vision and scotoma. The patient also perceived some swelling in her face. Once in the Emergency Department, the patient underwent a very thorough evaluation and examination. She was given the migraine cocktail. Also was given morphine a total of 8 mg while in the Emergency Department. For full details on the history of present illness, please see the previous history and physical.", | |
| "๋ํ": "์์ฌ: ์ค๋ ๊ธฐ๋ถ์ด ์ด๋ ์ธ์? \nํ์: ๋์ฐํด์. ์ ์ธ์ ์ต์ ์ ๋ํต์ด ์์ด์. \n์์ฌ: ์ ๋ง ์ ๊ฐ์ ๋๋ค. ์ด์ ๊ฒจ์ฐ ์ค๋ฌผ๋ค์ฏ ์ด์ด๋ ์ด๋ฒ์ด ์ต์ ์ด ์๋๊ธธ ๋ฐ๋ผ์๊ณ ์. ์ด๋ป๊ฒ ๋์๋๋ฆด ์ ์์์ง ์์๋ณด๊ฒ ์ต๋๋ค. ์ธ์ ๋ถํฐ ์์๋์๋์? \nํ์: ์์นจ 11์์ฏค์. \n์์ฌ: ์ค๋์? \nํ์: ์ด์ ๋ ์๋์. 7์ 31์ผ์ด์. \n์์ฌ: 7์ 31์ผ ์ฒซ์งธ ์ค ํ. ์๊ฒ ์ต๋๋ค. ๊ฐ์๊ธฐ ์๊ฒผ๋์? \nํ์: ๋ค. \n์์ฌ: ์์ผ ํ๋ฆผ, ๋น์ ๋ํ ๋ฏผ๊ฐ์ฑ, ์ด์ง๋ฌ์, ํ๊ธฐ์ฆ, ์ด์ง๋ฌ์, ๋ฉ์ค๊บผ์ ๋ฑ์ ์ฆ์์ด ์์๋์? \nํ์: ์์ผ๊ฐ ํ๋ฆฟํ๊ณ ์ด์ง๋ฌ์์. ๊ธ์จ๋ ์ ์ ์จ์ง๋ ๊ฒ ๊ฐ์์. ๋๋ฌด ์ง์ ๋ถํด ๋ณด์ฌ์. ์ ๋ ์๋ ์ค๋ฅธ์์ก์ด์ธ๋ฐ ์ผ์์ผ๋ก ๊ธ์จ๋ฅผ ์ฐ๋ ๊ฒ์ฒ๋ผ ๋ณด์ ๋๋ค. \n์์ฌ: ์ด์ง๋ฌ์์ ์ด๋ป๊ฒ ์ค๋ช ํ ์ ์์๊น์? \nํ์: ์ฌ๊ฐ์ง๋๊ฐ ์๋ ๊ฒ์ฒ๋ผ์. \n์์ฌ: ์ข์์, ๊ตฌํ ๋ ์ด๋ค๊ฐ์? \nํ์: ์, ์์ด์. ๊ทธ๋๋ ์ผ๊ตด์ด ๊ฝค ๋ถ์ ๊ฒ ๊ฐ์์. ๋ํต๊ณผ ๊ด๋ จ์ด ์๋์ง๋ ๋ชจ๋ฅด๊ฒ ์ง๋ง ๊ฑฐ์ ๊ฐ์ ์๊ธฐ์ ์์๋์์ต๋๋ค. \n์์ฌ: ์๊ธ์ค์์ ์ ๋ฐ ๊ฒ์ฌ์ ์ง์ฐฐ์ ํตํด ์ฌ๊ฐํ ๋ฌธ์ ๊ฐ ์๋์ง ํ์ธํด ๋ณด๊ฒ ์ต๋๋ค. CT ๊ฒฐ๊ณผ๋ฅผ ๊ธฐ๋ค๋ฆฌ๋ ๋์ ํธ๋ํต ์นตํ ์ผ๊ณผ ๋ชจ๋ฅดํ์ ์ฃผ๋ฌธํ ๊ฒ์. \nํ์: ๊ณ ๋ง์์. ๊ฐํธ์ฌ๊ฐ ๊ณง ์ค๋์? \n์์ฌ: ๋ค, ์ฃผ๋ฌธํ๋ ๋๋ก ๋ฐ๋ก ๋ค์ด์ฌ ๊ฒ๋๋ค. ๋ช ๋ถ ์ด์ ๊ฑธ๋ฆฌ์ง ์์ ๊ฒ์ ๋๋ค. ์๊ฐ์ด ๋ ๊ฑธ๋ฆฌ๋ฉด ํธ์ถ ๋ฒจ์ ๋๋ฌ์ฃผ์ธ์.", | |
| "์์ฝ": "ํ์๋ 25์ธ์ ์ค๋ฅธ์์ก์ด ๋ฐฑ์ธ ์ฌ์ฑ์ผ๋ก 2008๋ 7์ 31์ผ ์ค์ 11์์ ๊ฐ์์ค๋ฌ์ด ๋ํต์ด ๋ฐ์ํ์ฌ ์๊ธ์ค์ ๋ด์ํ์ต๋๋ค. ๊ทธ๋ ๋ ๋ํต์ด ์ด๋ฉด์ ๊ฐ์ฅ ์ฌํด์ก๋ค๊ณ ์ค๋ช ํ์ผ๋ฉฐ ์์ผ ํ๋ฆผ๊ณผ ๋น๋ฌธ์ฆ๋ ๋๋ฐ๋์์ต๋๋ค. ํ์๋ ๋ํ ์ผ๊ตด์ ์ฝ๊ฐ์ ๋ถ์ข ๋ ๋๊ผ์ต๋๋ค. ์๊ธ์ค์ ๋์ฐฉํ ํ์๋ ๋งค์ฐ ์ฒ ์ ํ ํ๊ฐ์ ๊ฒ์ฌ๋ฅผ ๋ฐ์์ต๋๋ค. ํธ๋ํต ์นตํ ์ผ์ด ํฌ์ฌ๋์์ต๋๋ค. ๋ํ ์๊ธ์ค์ ์๋ ๋์ ์ด 8mg์ ๋ชจ๋ฅดํ์ ํฌ์ฌ๋ฐ์์ต๋๋ค. ํ์ฌ ์ง๋ณ์ ๋ณ๋ ฅ์ ๋ํ ์์ธํ ๋ด์ฉ์ ์ด์ ๋ณ๋ ฅ ๋ฐ ์ ์ฒด๊ฒ์ฌ๋ฅผ ์ฐธ์กฐํ์ธ์." | |
| }, | |
| { | |
| "id": 1, | |
| "dialogue": "Doctor: Hi, how are you? \nPatient: I burned my hand.\nDoctor: Oh, I am sorry. Wow!\nPatient: Yeah.\nDoctor: Is it only right arm?\nPatient: Yes.", | |
| "summary": "Burn, right arm.", | |
| "๋ํ": "์์ฌ: ์๋ ํ์ธ์, ์๋ ํ์ธ์? \nํ์: ์์ ๋ฐ์์ด์.\n์์ฌ: ์ค, ์ฃ์กํฉ๋๋ค. ์์ฐ!\nํ์: ๋ค.\n์์ฌ: ์ค๋ฅธํ๋ง ํ์์ ์ ์๋์? \nํ์: ๋ค.", | |
| "์์ฝ": "ํ์, ์ค๋ฅธํ." | |
| }, | |
| { | |
| "id": 2, | |
| "dialogue": "Doctor: You had a heart surgery, right?\nPatient: Yes, that is right.\nDoctor: Pacemaker?\nPatient: Yes, they did that.\nDoctor: What else? What other surgeries?\nPatient: I have had a hysterectomy.\nDoctor: Okay.\nPatient: Yeah.", | |
| "summary": "Placement of pacemaker and hysterectomy.", | |
| "๋ํ": "์์ฌ: ์ฌ์ฅ ์์ ์ ๋ฐ์ผ์ จ์ฃ ? \nํ์: ๋ค, ๋ง์ต๋๋ค.\n์์ฌ: ์ฌ๋ฐ ์กฐ์จ๊ธฐ? \nํ์: ๋ค, ๊ทธ๋ ๊ฒ ํ์ด์.\n์์ฌ: ๋ค๋ฅธ ์์ ์์? ๋ค๋ฅธ ์์ ์์? \nํ์: ์๊ถ ์ ์ถ์ ์ ๋ฐ์์ต๋๋ค.\n์์ฌ: ์๊ฒ ์ต๋๋ค.\nํ์: ๋ค.", | |
| "์์ฝ": "์ฌ๋ฐ ์กฐ์จ๊ธฐ ๋ฐ ์๊ถ ์ ์ถ์ ๋ฐฐ์น." | |
| }, | |
| { | |
| "id": 3, | |
| "dialogue": "Doctor: Any past medical history? \nPatient: Um there were a couple times where I noticed my blood pressure was high but that's improved as of late. \nDoctor: When did these episodes occur? \nPatient: About a year ago. \nDoctor: Did you follow up with your previous doctor? \nPatient: Yeah, my old doctor knows. \nDoctor: Okay then. Let's see. Have you been checking your own blood pressure as a result? \nPatient: No not really. \nDoctor: It looks like your blood pressure was normal today, which is a good sign. \nPatient: Great. \nDoctor: Hm any allergies to medications? \nPatient: None that I know of. \nDoctor: And it looks like you have gained about fourteen pounds since last year. Any new diet changes or stressors? \nPatient: I lost my job last January and it took a pretty big toll on me. \nDoctor: I'm sorry to hear that. How have you been coping? \nPatient: I'm doing better now but I need to watch what I eat. I tend to eat a lot more when I'm stressed. It's something I'm working on.", | |
| "summary": "Unremarkable. There is no history of allergies. He does have some history of some episodes of high blood pressure, and his weight is up about 14 pounds from the last year.", | |
| "๋ํ": "์์ฌ: ๊ณผ๊ฑฐ ๋ณ๋ ฅ์ด ์์ผ์ ๊ฐ์? \nํ์: ์, ํ์์ด ๋์๋ ์ ์ด ๋ช ๋ฒ ์์์ง๋ง ์ต๊ทผ์๋ ํธ์ ๋์์ต๋๋ค. \n์์ฌ: ์ด๋ฐ ์ฆ์์ด ์ธ์ ๋ฐ์ํ๋์? \nํ์: 1๋ ์ ์ฏค๋ถํฐ์. \n์์ฌ: ์ด์ ์์ฌ์๊ฒ ํ์ ์กฐ์น๋ฅผ ์ทจํ์ จ๋์? \nํ์: ๋ค, ์ด์ ์์ฌ๋ ์๊ณ ์์ต๋๋ค. \n์์ฌ: ๊ทธ๋ผ ์ข์์. ์ด๋ ๋ด ์๋ค. ๊ทธ ๊ฒฐ๊ณผ ์์ ์ ํ์์ ์ฒดํฌํด ๋ณด์ จ๋์? \nํ์: ์๋์. \n์์ฌ: ์ค๋ ํ์์ด ์ ์์ด์๋ ๊ฒ ๊ฐ์ผ๋ ์ข์ ์ ํธ์ ๋๋ค. \nํ์: ์๋๋ค์. \n์์ฌ: ์ฝ์ ์๋ ๋ฅด๊ธฐ๊ฐ ์์ผ์ ๊ฐ์? \nํ์: ์ ๊ฐ ์๊ธฐ๋ก๋ ์์ต๋๋ค. \n์์ฌ: ์๋ ์ ๋นํด ์ฒด์ค์ด 14ํ์ด๋ ์ ๋ ๋์ด๋ ๊ฒ ๊ฐ๋ค์. ์๋ก์ด ์๋จ ๋ณํ๋ ์คํธ๋ ์ค ์์ธ์ด ์์๋์? \nํ์: ์ง๋ 1์์ ์ง์ฅ์ ์์ด์ ๊ฝค ํฐ ํ๊ฒฉ์ ๋ฐ์์ต๋๋ค. \n์์ฌ: ์ ๊ฐ์ ๋๋ค. ์ด๋ป๊ฒ ๋์ฒํ๊ณ ๊ณ์ญ๋๊น? \nํ์: ์ง๊ธ์ ์ข ๋์์ก์ง๋ง ๋จน๋ ๊ฒ์ ์กฐ์ฌํด์ผ ํด์. ์คํธ๋ ์ค๋ฅผ ๋ฐ์ผ๋ฉด ๋ ๋ง์ด ๋จน๋ ๊ฒฝํฅ์ด ์์ด์. ๋ ธ๋ ฅ ์ค์ ๋๋ค.", | |
| "์์ฝ": "ํน์ด์ฌํญ ์์. ์๋ ๋ฅด๊ธฐ ๋ณ๋ ฅ์ ์์ต๋๋ค. ๊ณ ํ์ ๋ณ๋ ฅ์ด ์์ผ๋ฉฐ ์ฒด์ค์ด ์๋ ์ ๋นํด ์ฝ 14ํ์ด๋ ์ฆ๊ฐํ์ต๋๋ค." | |
| }, | |
| { | |
| "id": 4, | |
| "dialogue": "Doctor: Anyone sick in your family?\nPatient: No.\nDoctor: How about anyone with the same disorders?\nPatient: No, I don't know.\nDoctor: Okay don't you worry.", | |
| "summary": "Noncontributory.", | |
| "๋ํ": "์์ฌ: ๊ฐ์กฑ ์ค์ ์ํ ์ฌ๋์ด ์๋์? \nํ์: ์๋์.\n์์ฌ: ๊ฐ์ ์งํ์ ์๊ณ ์๋ ์ฌ๋์์?\nํ์: ์๋์, ๋ชจ๋ฅด๊ฒ ์ด์.\n์์ฌ: ๊ทธ๋ผ ๊ฑฑ์ ํ์ง ๋ง์ธ์.", | |
| "์์ฝ": "๋น๊ธฐ์ฌ." | |
| }, | |
| { | |
| "id": 5, | |
| "dialogue": "Doctor: Where do you live?\nPatient: I live in a board and care. It is a nice small care home with some very nice and supportive people. It is just next to the Safeway on Village Drive. \nDoctor: Nice. It looks like you love living there. \nPatient: Oh yes. I feel very relaxed there. \nDoctor: Did you consume alcohol in any way? \nPatient: No Sir. \nDoctor: Any tobacco consumption? \nPatient: Never in my life. \nDoctor: Did you ever try any kind of illicit drugs? Any I V drugs? \nPatient: No. I have always kept myself away from all those things.", | |
| "summary": "The patient lives in a board and care. No tobacco, alcohol or IV drug use.", | |
| "๋ํ": "์์ฌ: ์ด๋์ ์ฌ์ธ์? \nํ์: ์ ๋ ๋ณด๋ ์ค ์ผ์ด์ ์ด๊ณ ์์ต๋๋ค. ์์ฃผ ์น์ ํ๊ณ ๋์์ ์ฃผ๋ ์ฌ๋๋ค์ด ์๋ ๋ฉ์ง ์์ ์์์์ ๋๋ค. ๋น๋ฆฌ์ง ๋๋ผ์ด๋ธ์ ์ธ์ดํ์จ์ด ๋ฐ๋ก ์์ ์์ต๋๋ค. \n์์ฌ: ์ข๋ค์. ๊ฑฐ๊ธฐ์ ์ํํ๋ ๊ฒ์ ์ข์ํ์๋ ๊ฒ ๊ฐ๋ค์. \nํ์: ์ค, ๋ค. ์์ฃผ ํธ์ํ๊ฒ ๋๊ปด์ ธ์. \n์์ฌ: ์ด๋ค ์์ผ๋ก๋ ์ ์ ๋์ จ๋์? \nํ์: ์๋์. \n์์ฌ: ๋ด๋ฐฐ๋ฅผ ํผ์ฐ์ จ์ต๋๊น? \nํ์: ํ์ ํ ๋ฒ๋ ์ ํผ์ ์ต๋๋ค. \n์์ฌ: ๋ถ๋ฒ ์ฝ๋ฌผ์ ๋ณต์ฉํ ์ ์ด ์์ต๋๊น? I V ์ฝ๋ฌผ์์? \nํ์: ์๋์. ํญ์ ๊ทธ๋ฐ ๊ฒ๋ค์ ๋ฉ๋ฆฌํ์ต๋๋ค.", | |
| "์์ฝ": "ํ์๋ ๊ธฐ์์ฌ์์ ์ํํ๋ฉฐ ์น๋ฃ๋ฅผ ๋ฐ๊ณ ์์ต๋๋ค. ๋ด๋ฐฐ, ์ ๋๋ ์ ๋งฅ ์ฃผ์ฌ ์ฝ๋ฌผ ์ฌ์ฉ ๊ธ์ง." | |
| }, | |
| { | |
| "id": 6, | |
| "dialogue": "Doctor: Hello sir. How are you doing today? You still look a little uncomfortable. Is there still pain?\nPatient: Yeah. Still a good amount of pain. I did not take my pain medication this morning though. Not sure if that will make a huge difference. \nDoctor: That is possibly why you are still in pain. How is movement? Can you get out of the house and get around?\nPatient: Yes. I am quite happy that I can do my daily activities. I can get up with minimal assistance and do many activities out of the house. I think I am gaining muscle from moving around more too. \nDoctor: How is the home exercise program going?\nPatient: I am loving pool therapy. I really feel like that is helping. I do the home exercises sometimes twice a day. I really want to get back to normal.", | |
| "summary": "The patient states pain still significant, primarily 1st seen in the morning. The patient was evaluated 1st thing in the morning and did not take his pain medications, so objective findings may reflect that. The patient states overall functionally he is improving where he is able to get out in the house and visit and do activities outside the house more. The patient does feel like he is putting on more muscle girth as well. The patient states he is doing well with his current home exercise program and feels like pool therapy is also helping as well.", | |
| "๋ํ": "์์ฌ: ์๋ ํ์ธ์. ์ค๋์ ์ข ์ด๋ ์ธ์? ์ฌ์ ํ ์กฐ๊ธ ๋ถํธํด ๋ณด์ด๋ค์. ์์ง๋ ํต์ฆ์ด ์์ผ์ ๊ฐ์? \nํ์: ๋ค. ์ฌ์ ํ ํต์ฆ์ด ์ฌํด์. ํ์ง๋ง ์ค๋ ์์นจ์ ์งํต์ ๋ฅผ ๋จน์ง ์์์ด์. ๊ทธ๊ฒ ํฐ ์ฐจ์ด๋ฅผ ๋ง๋ค์ง ๋ชจ๋ฅด๊ฒ ์ต๋๋ค. \n์์ฌ: ๊ทธ๋์ ์ฌ์ ํ ํต์ฆ์ด ์๋ ๊ฒ ๊ฐ์ต๋๋ค. ์์ง์์ ์ด๋ ์ธ์? ์ง ๋ฐ์ผ๋ก ๋๊ฐ์ ๋์๋ค๋ ์ ์๋์? \nํ์: ๋ค. ์ผ์์ ์ธ ํ๋์ ํ ์ ์์ด์ ๋งค์ฐ ๋ง์กฑํฉ๋๋ค. ์ต์ํ์ ๋์์ผ๋ก ์ผ์ด๋์ ์ง ๋ฐ์์ ๋ง์ ํ๋์ ํ ์ ์์ต๋๋ค. ๋ ๋ง์ด ์์ง์ด๋ฉด์ ๊ทผ์ก๋ ์๊ธฐ๊ณ ์๋ ๊ฒ ๊ฐ์์. \n์์ฌ: ๊ฐ์ ์ด๋ ํ๋ก๊ทธ๋จ์ ์ด๋ป๊ฒ ์งํ๋๊ณ ์๋์? \nํ์: ์ ๋ ์์์ฅ ์น๋ฃ๋ฅผ ์ข์ํฉ๋๋ค. ์ ๋ง ๋์์ด ๋๋ ๊ฒ ๊ฐ์์. ํ๋ฃจ์ ๋ ๋ฒ์ฉ ์ง์์ ์ด๋์ ํ๊ธฐ๋ ํฉ๋๋ค. ๋นจ๋ฆฌ ์ ์์ผ๋ก ๋์๊ฐ๊ณ ์ถ์ด์.", | |
| "์์ฝ": "ํ์๋ ํต์ฆ์ด ์ฌ์ ํ ์ฌ๊ฐํ๋ฉฐ ์ฃผ๋ก ์์นจ์ ์ฒ์ ๋ํ๋๋ค๊ณ ๋งํฉ๋๋ค. ํ์๋ ์์นจ์ ์ง๋ฃ๋ฅผ ๋ฐ์์ผ๋ฉฐ ์งํต์ ๋ฅผ ๋ณต์ฉํ์ง ์์์ผ๋ฏ๋ก ๊ฐ๊ด์ ์ธ ๊ฒฐ๊ณผ๊ฐ ์ด๋ฅผ ๋ฐ์ํ ์ ์์ต๋๋ค. ํ์๋ ์ ๋ฐ์ ์ผ๋ก ๊ธฐ๋ฅ์ ์ผ๋ก ๊ฐ์ ๋์ด ์ง ๋ฐ์ผ๋ก ๋๊ฐ์ ์ง ๋ฐ์์ ๋ ๋ง์ ํ๋์ ํ ์ ์๊ฒ ๋์๋ค๊ณ ๋งํฉ๋๋ค. ํ์๋ ๊ทผ์ก ๋๋ ๋ ๋ ๋์ด๋๋ ๊ฒ ๊ฐ๋ค๊ณ ๋๋๋๋ค. ํ์๋ ํ์ฌ ์ง์์ ํ๋ ์ด๋ ํ๋ก๊ทธ๋จ์ ์ํ๊ณ ์์ผ๋ฉฐ ์์์ฅ ์น๋ฃ๋ ๋์์ด ๋๊ณ ์๋ค๊ณ ๋งํฉ๋๋ค." | |
| }, | |
| { | |
| "id": 7, | |
| "dialogue": "Doctor: Have you had any surgeries in the past?\nPatient: Yes, I had knee surgery.\nDoctor: Which knee?\nPatient: Right.", | |
| "summary": "Right knee surgery.", | |
| "๋ํ": "์์ฌ: ๊ณผ๊ฑฐ์ ์์ ์ ๋ฐ์ ์ ์ด ์์ต๋๊น?\nํ์: ์, ๋ฌด๋ฆ ์์ ์ ๋ฐ์์ต๋๋ค.\n์์ฌ: ์ด๋ ๋ฌด๋ฆ์ด์? \nํ์: ์ค๋ฅธ์ชฝ.", | |
| "์์ฝ": "์ค๋ฅธ์ชฝ ๋ฌด๋ฆ ์์ ." | |
| }, | |
| { | |
| "id": 8, | |
| "dialogue": "Doctor: Are you sexually active? \nPatient: Yes. \nDoctor: How many partners do you have? \nPatient: Just one. \nDoctor: Is this a monogamous relationship? \nPatient: Yes. \nDoctor: What gender is you partner? \nPatient: He is a male. We have been together for three years. He is H I V positive.", | |
| "summary": "Homosexual, in monogamous relationship with an HIV infected partner for the past 3 years.", | |
| "๋ํ": "์์ฌ: ์ฑ์ ์ผ๋ก ํ๋์ ์ ๋๊น? \nํ์: ์. \n์์ฌ: ํํธ๋๋ ๋ช ๋ช ์ ๋๊น? \nํ์: ํ ๋ช ์ ๋๋ค. \n์์ฌ: ์ผ๋ถ์ผ์ฒ์ ๊ด๊ณ์ ๋๊น? \nํ์: ์. \n์์ฌ: ํํธ๋๋ ์ด๋ค ์ฑ๋ณ์ ๋๊น? \nํ์: ๋จ์์ ๋๋ค. ์ ํฌ๋ 3๋ ๋์ ํจ๊ป ์ง๋์ต๋๋ค. ๊ทธ๋ HIV ์์ฑ์ ๋๋ค.", | |
| "์์ฝ": "์ง๋ 3๋ ๋์ HIV์ ๊ฐ์ผ๋ ํํธ๋์ ์ผ๋ถ์ผ์ฒ์ ๊ด๊ณ๋ฅผ ์ ์งํ ๋์ฑ์ ์." | |
| }, | |
| { | |
| "id": 9, | |
| "dialogue": "Doctor: What is your family medical history? \nPatient: My mother passed away from complications with Huntington Disease. She was diagnosed and had been having treatments at U I H C. My grandmother and two of my aunts also passed away from Huntington as well. \nDoctor: I am so sorry. Do you have siblings?\nPatient: Yes! I have one sister. She is thirty eight. She has a lot of metal issues. She has attempted suicide two times. \nDoctor: Are you close with her? \nPatient: No. Not really. \nDoctor: Are you married? \nPatient: Yes.\nDoctor: Do you have children? \nPatient: Yes. We have two adopted kids.", | |
| "summary": "Mother died age 60 of complications of Huntington Disease (dx at UIHC). MGM and two MA's also died of Huntington Disease. His 38 y/o sister has attempted suicide twice. He and his wife have 2 adopted children.", | |
| "๋ํ": "์์ฌ: ๊ฐ์กฑ ๋ณ๋ ฅ์ ๋ฌด์์ธ๊ฐ์? \nํ์: ์ ํฌ ์ด๋จธ๋๋ ํํ ํด๋ณ ํฉ๋ณ์ฆ์ผ๋ก ๋์๊ฐ์ จ์ต๋๋ค. ํ ๋จธ๋์ ์ด๋ชจ ๋ ๋ถ๋ ํํ ํด๋ณ์ผ๋ก ๋์๊ฐ์ จ๊ณ , ์ ํฌ ํ ๋จธ๋๋ ํํ ํด๋ณ ์ง๋จ์ ๋ฐ๊ณ ๋ณธ์์์ ์น๋ฃ๋ฅผ ๋ฐ๊ณ ๊ณ์ จ์ต๋๋ค. \n์์ฌ: ์ ๋ง ์ ๊ฐ์ ๋๋ค. ํ์ ์๋งค๊ฐ ์์ผ์ ๊ฐ์? \nํ์: ๋ค! ์ฌ๋์์ด ํ ๋ช ์์ต๋๋ค. ๊ทธ๋ ๋ ์๋ฅธ ์ฌ๋ ์ด์ ๋๋ค. ๊ทธ๋ ๋ ๋ง์ ๊ธ์ ๋ฌธ์ ๋ฅผ ๊ฐ์ง๊ณ ์์ต๋๋ค. ๋ ๋ฒ ์์ด์ ์๋ํ ์ ์ด ์์ต๋๋ค. \n์์ฌ: ์ธ๋์ ์นํ ์ฌ์ด์ธ๊ฐ์? \nํ์: ์๋จ, ๋ณ๋ก์. \n์์ฌ: ๊ฒฐํผํ์ จ๋์? \nํ์: ์.\n์์ฌ: ์๋ ๊ฐ ์์ต๋๊น? \nํ์: ์. ์ ์ํ ์์ด๊ฐ ๋ ์์ต๋๋ค.", | |
| "์์ฝ": "์ด๋จธ๋๋ ํํ ํด๋ณ ํฉ๋ณ์ฆ์ผ๋ก 60์ธ์ ์ฌ๋งํ์ต๋๋ค(UIHC์์ ์ง๋จ). MGM๊ณผ ๋ ๋ช ์ MA๋ ํํ ํด๋ณ์ผ๋ก ์ฌ๋งํ์ต๋๋ค. ๊ทธ์ 38์ธ ์ฌ๋์์ ๋ ๋ฒ ์์ด์ ์๋ํ์ต๋๋ค. ๊ทธ์ ๊ทธ์ ์๋ด์๊ฒ๋ ๋ ๋ช ์ ์ ์ ์๋ ๊ฐ ์์ต๋๋ค." | |
| }, | |
| { | |
| "id": 10, | |
| "dialogue": "Doctor: Do you have any major medical conditions that I should know about? \nPatient: What, like cancer? \nDoctor: It doesn't have to be that serious, but is there anything you take medicine for? \nPatient: Oh, I have allergies and asthma.", | |
| "summary": "Asthma and allergies.", | |
| "๋ํ": "์์ฌ: ์ ๊ฐ ์์์ผ ํ ์ฃผ์ ์งํ์ด ์์ผ์ ๊ฐ์? \nํ์: ๋ญ, ์ ๊ฐ์ ๊ฑฐ์? \n์์ฌ: ๊ทธ๋ ๊ฒ ์ฌ๊ฐํ ํ์๋ ์์ง๋ง, ํน์ ์ฝ์ ๋์๋ ๋ณ์ด ์์ผ์ ๊ฐ์? \nํ์: ์, ์๋ ๋ฅด๊ธฐ์ ์ฒ์์ด ์์ต๋๋ค.", | |
| "์์ฝ": "์ฒ์ ๋ฐ ์๋ ๋ฅด๊ธฐ." | |
| }, | |
| { | |
| "id": 11, | |
| "dialogue": "Doctor: Hi again! How has your acne been since you started the spironolactone? \nPatient: It has been improving. \nDoctor: Have you experienced any increased thirst, mood changes or unusual fatigue? \nPatient: No.", | |
| "summary": "The patient comes for a routine followup appointment.", | |
| "๋ํ": "์์ฌ: ์๋ ํ์ธ์! ์คํผ๋ก๋ ธ๋ฝํค์ ๋ณต์ฉํ๊ธฐ ์์ํ ํ ์ฌ๋๋ฆ์ ์ด๋ป๊ฒ ๋์๋์? \nํ์: ํธ์ ๋๊ณ ์์ต๋๋ค. \n์์ฌ: ๊ฐ์ฆ, ๊ธฐ๋ถ ๋ณํ ๋๋ ๋น์ ์์ ์ธ ํผ๋ก๋ฅผ ๊ฒฝํํ์ จ๋์? \nํ์: ์๋์.", | |
| "์์ฝ": "ํ์๊ฐ ์ ๊ธฐ์ ์ธ ํ์ ์์ฝ์ ์ํด ๋ฐฉ๋ฌธํ์ต๋๋ค." | |
| }, | |
| { | |
| "id": 12, | |
| "dialogue": "Doctor: Well, I don't think you need any restraints as you are doing fine. I do want to make sure you have a chair and bed monitor since you have a history of multiple falls. They can help detect fall. \nPatient: I don't want that, I will manage. \nDoctor: Are you sure?\nPatient: Yes!", | |
| "summary": "RESTRAINTS: None. The patient has declined use of chair check and bed check.", | |
| "๋ํ": "์์ฌ: ์ง๊ธ ์ํ๋ ๊ด์ฐฎ์ผ์๋ ๊ตฌ์์ ํ์ ์์ ๊ฒ ๊ฐ์ต๋๋ค. ํ์ง๋ง ์ฌ๋ฌ ๋ฒ ๋์ด์ง์ ์ ์ด ์์ผ์๋ ์์์ ์นจ๋ ๋ชจ๋ํฐ๋ฅผ ์ค๋นํด ๋์ จ์ผ๋ฉด ํฉ๋๋ค. ๋์์ ๊ฐ์งํ๋ ๋ฐ ๋์์ด ๋ ์ ์์ต๋๋ค. \nํ์: ๊ทธ๊ฑด ํ์์์ด์, ์ ๊ฐ ๊ด๋ฆฌํ ๊ฒ์. \n์์ฌ: ์ ๋ง์? \nํ์: ๋ค!", | |
| "์์ฝ": "์ ํ: ์์. ํ์๊ฐ ์ฒด์ด ์ฒดํฌ ๋ฐ ์นจ๋ ์ฒดํฌ ์ฌ์ฉ์ ๊ฑฐ๋ถํ์ต๋๋ค." | |
| }, | |
| { | |
| "id": 13, | |
| "dialogue": "Doctor: Do you know when was the last time you got a tetanus shot?\nPatient: No I don't remember.\nDoctor: Okay.", | |
| "summary": "Not sure.", | |
| "๋ํ": "์์ฌ: ํ์ํ ์ฃผ์ฌ๋ฅผ ๋ง์ง๋ง์ผ๋ก ๋ง์ผ์ ๊ฒ ์ธ์ ์ธ์ง ์์ญ๋๊น?\nํ์: ์๋์, ๊ธฐ์ต์ด ๋์ง ์์ต๋๋ค.\n์์ฌ: ์์์ด์.", | |
| "์์ฝ": "ํ์คํ์ง ์์ต๋๋ค." | |
| }, | |
| { | |
| "id": 14, | |
| "dialogue": "Doctor: Are you feeling any pain?\nPatient: No, I feel great. \nDoctor: Is there any other medical issue that we should be worried about? \nPatient: No, it feels like I'm young again. I'm able to do all my activities.", | |
| "summary": "COMPLICATIONS: None.", | |
| "๋ํ": "์์ฌ: ํต์ฆ์ด ๋๊ปด์ง๋์? \nํ์: ์๋์, ๊ด์ฐฎ์์. \n์์ฌ: ์ ํฌ๊ฐ ๊ฑฑ์ ํด์ผ ํ ๋ค๋ฅธ ์ํ์ ๋ฌธ์ ๊ฐ ์๋์? \nํ์: ์๋์, ๋ค์ ์ ์ด์ง ๊ฒ ๊ฐ์์. ๋ชจ๋ ํ๋์ ํ ์ ์์ด์.", | |
| "์์ฝ": "ํฉ๋ณ์ฆ: ์์." | |
| }, | |
| { | |
| "id": 15, | |
| "dialogue": "Doctor: Did you have any medical disorders previously, sir? \nPatient: I have diabetes. Also, I was quite overweight. \nDoctor: Are you taking any medications for that? \nPatient: Yes, I was still taking something called Zyprexa, but I stopped it after my last regular weight check. Also, I never took anything for diabetes. I also have chronic bronchitis forโฆ I don't knowโฆ many years. \nDoctor: Do you smoke? \nPatient: Oh yes, I am a smoker. \nDoctor: How many cigarettes do you take in a day? \nPatient: Maybe up to sixty a day.", | |
| "summary": "He has a history of obesity and also of diabetes mellitus. However, most recently, he has not been treated for diabetes since his last regular weight since he stopped taking Zyprexa. The patient has chronic bronchitis. He smokes cigarettes constantly up to 60 a day.", | |
| "๋ํ": "์์ฌ: ์ด์ ์ ์ํ์ ์งํ์ด ์์ผ์ จ๋์? \nํ์: ๋น๋จ๋ณ์ด ์์ต๋๋ค. ๋ํ ๊ณผ์ฒด์ค์ด์์ต๋๋ค. \n์์ฌ: ๊ทธ ๋๋ฌธ์ ์ฝ์ ๋ณต์ฉํ๊ณ ๊ณ์ญ๋๊น? \nํ์: ๋ค, ์์ดํ๋ ์ฌ๋ผ๋ ์ฝ์ ๋ณต์ฉํ๊ณ ์์์ง๋ง ์ง๋๋ฒ ์ ๊ธฐ ์ฒด์ค ๊ฒ์ฌ ํ ์ค๋จํ์ต๋๋ค. ๋ํ ๋น๋จ๋ณ ์ฝ์ ์ ํ ๋ณต์ฉํ์ง ์์์ต๋๋ค. ๋ํ ๋ง์ฑ ๊ธฐ๊ด์ง์ผ๋... ๋ชจ๋ฅด๊ฒ ์ต๋๋ค... ์๋ ๋์ ์๊ณ ์์ต๋๋ค. \n์์ฌ: ๋ด๋ฐฐ๋ฅผ ํผ์ฐ์ญ๋๊น? \nํ์: ๋ค, ํก์ฐ์์ ๋๋ค. \n์์ฌ: ํ๋ฃจ์ ๋ด๋ฐฐ๋ฅผ ์ผ๋ง๋ ํผ์ฐ์ญ๋๊น? \nํ์: ํ๋ฃจ์ ์ต๋ 60๊ฐ๋น ์ ๋์ ๋๋ค.", | |
| "์์ฝ": "๊ทธ๋ ๋น๋ง๊ณผ ๋น๋จ๋ณ ๋ณ๋ ฅ์ด ์์ต๋๋ค. ๊ทธ๋ฌ๋ ๊ฐ์ฅ ์ต๊ทผ์๋ ์์ดํ๋ ์ฌ ๋ณต์ฉ์ ์ค๋จํ ํ ๋ง์ง๋ง์ผ๋ก ์ ์ ์ฒด์ค์ด ๋ ์ดํ ๋น๋จ๋ณ ์น๋ฃ๋ฅผ ๋ฐ์ง ์์์ต๋๋ค. ํ์๋ ๋ง์ฑ ๊ธฐ๊ด์ง์ผ์ด ์์ต๋๋ค. ๊ทธ๋ ํ๋ฃจ์ 60 ๊ฐ๋น๊น์ง ์ง์์ ์ผ๋ก ๋ด๋ฐฐ๋ฅผ ํผ ์๋๋ค." | |
| }, | |
| { | |
| "id": 16, | |
| "dialogue": "Doctor: Have you ever had surgery? \nPatient: What, like a joint replacement?\nDoctor: Well, anything from joint replacements, to appendix removal, or C sections?\nPatient: Yeah, I've had an appendectomy and hysterectomy, actually.", | |
| "summary": "The patient has a past surgical history of appendectomy and hysterectomy.", | |
| "๋ํ": "์์ฌ: ์์ ์ ๋ฐ์ ์ ์ด ์๋์? \nํ์: ๊ด์ ์นํ์ ๊ฐ์ ๊ฑฐ์? \n์์ฌ: ๊ด์ ์นํ์ , ๋งน์ฅ ์ ๊ฑฐ์ , ์ ์์ ๊ฐ์ ๊ฐ์ ๊ฑฐ์? \nํ์: ๋ค, ์ถฉ์ ์ ์ ์ ๊ณผ ์๊ถ ์ ์ ์ ์ ๋ฐ์ ์ ์ด ์์ต๋๋ค.", | |
| "์์ฝ": "ํ์๋ ์ถฉ์ ์ ์ ์ ๋ฐ ์๊ถ ์ ์ถ์ ์ ๊ณผ๊ฑฐ ์์ ์ด๋ ฅ์ด ์์ต๋๋ค." | |
| }, | |
| { | |
| "id": 17, | |
| "dialogue": "Doctor: Any difficulty in swallowing?\nPatient: No.\nDoctor: Any nausea, vomiting or blood in your vomit?\nPatient: No, no vomit at all. No problem there.\nDoctor: Okay, any stomach pain?\nPatient: No. \nDoctor: Okay.", | |
| "summary": "GASTROINTESTINAL: Negative dysphagia, negative nausea, negative vomiting, negative hematemesis, negative abdominal pain.", | |
| "๋ํ": "์์ฌ: ์ผํค๋ ๋ฐ ์ด๋ ค์์ ์์ต๋๊น? \nํ์: ์๋์.\n์์ฌ: ๋ฉ์ค๊บผ์, ๊ตฌํ ๋๋ ๊ตฌํ ๋ฌผ์ ํผ๊ฐ ์์ฌ ์๋์? \nํ์: ์๋์, ๊ตฌํ ๋ฌผ์ ์ ํ ์์ต๋๋ค. ๋ฌธ์ ์์ต๋๋ค.\n์์ฌ: ์ข์์, ๋ณตํต์ ์๋์? \nํ์: ์๋จ. \n์์ฌ: ์ข์์.", | |
| "์์ฝ": "์์ฅ๊ด : ์์ฑ ์ฐํ ๊ณค๋, ์์ฑ ๋ฉ์ค๊บผ์, ์์ฑ ๊ตฌํ , ์์ฑ ํ ํ, ์์ฑ ๋ณตํต." | |
| }, | |
| { | |
| "id": 18, | |
| "dialogue": "Doctor: Were there any medical issues in the past? \nPatient: Oh, I have a list. I have asthma and sinus issues. I also had hives at some point and psoriasis. \nDoctor: How about allergies? \nPatient: I don't know of any.", | |
| "summary": "The patient has asthma, sinus, hives, and history of psoriasis. No known drug allergies.", | |
| "๋ํ": "์์ฌ: ๊ณผ๊ฑฐ์ ์ํ์ ๋ฌธ์ ๊ฐ ์์๋์? \nํ์: ์, ๋ชฉ๋ก์ด ์์ต๋๋ค. ์ฒ์๊ณผ ๋ถ๋น๋ ๋ฌธ์ ๊ฐ ์์ต๋๋ค. ๋ํ ๋๋๋ฌ๊ธฐ์ ๊ฑด์ ๋ ์์์ต๋๋ค. \n์์ฌ: ์๋ ๋ฅด๊ธฐ๋ ์ด๋์? \nํ์: ์ ํ ์์ต๋๋ค.", | |
| "์์ฝ": "ํ์์๊ฒ ์ฒ์, ๋ถ๋น๋, ๋๋๋ฌ๊ธฐ, ๊ฑด์ ๋ณ๋ ฅ์ด ์์ต๋๋ค. ์๋ ค์ง ์ฝ๋ฌผ ์๋ ๋ฅด๊ธฐ๊ฐ ์์ต๋๋ค." | |
| }, | |
| { | |
| "id": 19, | |
| "dialogue": "Doctor: I just quickly wanted to check few things, let's go over them together? \nPatient: Sure.\nDoctor: Any heart condition like heart failure or anything?\nPatient: No.\nDoctor: Any heart catheterization? \nPatient: Um, no.\nDoctor: Any history of chest pain, palpitation, or irregular heartbeat? \nPatient: No.\nDoctor: Do you have high blood pressure?\nPatient: No.\nDoctor: Any history of high cholesterol? \nPatient: No. \nDoctor: Any excessive or abnormal sweating?\nPatient: Not really, no.\nDoctor: Any stress test or heart tests done recently? \nPatient: No.\nDoctor: Okay, thank you for answering these questions. \nPatient: No problem.", | |
| "summary": "CARDIOVASCULAR: No history of palpitations, irregular rhythm, chest pain, hypertension, hyperlipidemia, diaphoresis, congestive heart failure, heart catheterization, stress test or recent cardiac tests.", | |
| "๋ํ": "์์ฌ: ๋ช ๊ฐ์ง ๊ฐ๋จํ ํ์ธํ๊ณ ์ถ์ ๊ฒ ์๋๋ฐ ํจ๊ป ์ดํด๋ณผ๊น์? \nํ์: ๋ฌผ๋ก ์ด์ฃ .\n์์ฌ: ์ฌ๋ถ์ ๊ฐ์ ์ฌ์ฅ ์งํ์ด ์๋์? \nํ์: ์๋จ.\n์์ฌ: ์ฌ์ฅ ๋๊ด ์ฝ์ ์ ํ์ จ๋์? \nํ์: ์, ์๋จ.\n์์ฌ: ํํต, ์ด์ง ๋๋ ๋ถ๊ท์นํ ์ฌ์ฅ ๋ฐ๋์ ๋ณ๋ ฅ์ด ์์ต๋๊น? \nํ์: ์๋์.\n์์ฌ: ๊ณ ํ์์ด ์์ผ์ญ๋๊น?\nํ์: ์๋์.\n์์ฌ: ๊ณ ์ฝ๋ ์คํ ๋กคํ์ฆ ๋ณ๋ ฅ์ด ์์ต๋๊น? \nํ์: ์๋์.\n์์ฌ: ๊ณผ๋ํ๊ฑฐ๋ ๋น์ ์์ ์ธ ๋ฐํ์ด ์์ต๋๊น? \nํ์: ์๋์, ์์ต๋๋ค.\n์์ฌ: ์ต๊ทผ์ ์คํธ๋ ์ค ๊ฒ์ฌ๋ ์ฌ์ฅ ๊ฒ์ฌ๋ฅผ ๋ฐ์ ์ ์ด ์์ต๋๊น? \nํ์: ์๋์.\n์์ฌ: ์ง๋ฌธ์ ๋ต๋ณํด ์ฃผ์ ์ ๊ฐ์ฌํฉ๋๋ค. \nํ์: ๋ฌธ์ ์์ต๋๋ค.", | |
| "์์ฝ": "์ฌํ๊ด: ๋๊ทผ๊ฑฐ๋ฆผ, ๋ถ๊ท์นํ ๋ฆฌ๋ฌ, ํํต, ๊ณ ํ์, ๊ณ ์งํ์ฆ, ๋ฐํ, ์ธํ์ฑ ์ฌ๋ถ์ , ์ฌ์ฅ ๋๊ด ์ฝ์ , ์คํธ๋ ์ค ๊ฒ์ฌ ๋๋ ์ต๊ทผ ์ฌ์ฅ ๊ฒ์ฌ ๋ณ๋ ฅ์ด ์์ต๋๋ค." | |
| }, | |
| { | |
| "id": 20, | |
| "dialogue": "Doctor: Let's talk about your family history. Did anyone in your family have any medical issues that you were aware of? \nPatient: I don't think so. My family has been pretty healthy. Both my parents died of old age. \nDoctor: What about your siblings? Any kind of thyroid issue or diabetes or blood pressure issue there? \nPatient: I have one older brother. He's into weightlifting and all. I would say he's pretty healthy.", | |
| "summary": "Noncontributory.", | |
| "๋ํ": "์์ฌ: ๊ฐ์กฑ๋ ฅ์ ๋ํด ์ด์ผ๊ธฐํด ๋ด ์๋ค. ๊ฐ์กฑ ์ค์ ์๊ณ ์๋ ์ํ์ ๋ฌธ์ ๊ฐ ์๋ ์ฌ๋์ด ์๋์? \nํ์: ๊ทธ๋ฐ ๊ฒ ๊ฐ์ง ์์์. ์ ํฌ ๊ฐ์กฑ์ ๊ฝค ๊ฑด๊ฐํ์ด์. ๋ถ๋ชจ๋ ๋ชจ๋ ๋ ธํ์ผ๋ก ๋์๊ฐ์ จ์ด์. \n์์ฌ: ํ์ ์๋งค๋ค์ ์ด๋ ์ธ์? ๊ฐ์์ ๋ฌธ์ ๋ ๋น๋จ, ํ์ ๋ฌธ์ ๊ฐ ์๋์? \nํ์: ์ค๋น ๊ฐ ํ ๋ช ์์ต๋๋ค. ๊ทธ๋ ์ญ๋ ๋ฑ์ ์ข์ํฉ๋๋ค. ํ์ ๊ฝค ๊ฑด๊ฐํ๋ค๊ณ ๋งํ๊ณ ์ถ์ด์.", | |
| "์์ฝ": "๋น๊ธฐ์ฌ." | |
| }, | |
| { | |
| "id": 21, | |
| "dialogue": "Doctor: Are you married, ma'am. \nPatient: Yes, to my husband, I can't even remember how long my husband and I have been married. \nDoctor: That's wonderful. Do you drink or smoke?\nPatient: Absolutely not, I've never have used that stuff.", | |
| "summary": "She is married, retired. Denies tobacco or ethanol use.", | |
| "๋ํ": "์์ฌ: ๊ฒฐํผํ์ จ๋์, ๋ถ์ธ? \nํ์: ์, ๋จํธ๊ณผ ๊ฒฐํผํ์ต๋๋ค. ๋จํธ๊ณผ ๊ฒฐํผํ ์ง ์ผ๋ง๋ ๋์๋์ง ๊ธฐ์ต๋ ๋์ง ์์ต๋๋ค. \n์์ฌ: ์๋๋ค์. ์ ์ ๋ง์๊ฑฐ๋ ๋ด๋ฐฐ๋ฅผ ํผ์ฐ์ญ๋๊น? \nํ์: ์ ๋ ์ ํด์, ํ ๋ฒ๋ ํด๋ณธ ์ ์ด ์์ด์.", | |
| "์์ฝ": "๊ทธ๋ ๋ ๊ฒฐํผํ๊ณ ์ํดํ์ต๋๋ค. ๋ด๋ฐฐ ๋๋ ์ํ์ฌ ์ฌ์ฉ์ ๊ฑฐ๋ถํฉ๋๋ค." | |
| }, | |
| { | |
| "id": 22, | |
| "dialogue": "Doctor: Are you on any medications at this time? \nPatient: None whatsoever. \nDoctor: Got it.", | |
| "summary": "None.", | |
| "๋ํ": "์์ฌ: ํ์ฌ ๋ณต์ฉ ์ค์ธ ์ฝ์ด ์์ผ์ ๊ฐ์? \nํ์: ์ ํ ์์ต๋๋ค. \n์์ฌ: ์๊ฒ ์ต๋๋ค.", | |
| "์์ฝ": "์์" | |
| }, | |
| { | |
| "id": 23, | |
| "dialogue": "Doctor: Do you take any tobacco related products? \nPatient: I used to chew tobacco, but I quit when I was thirty seven. \nDoctor: What about alcohol consumption? Do you drink? \nPatient: I take one glass of wine every day. \nDoctor: Are you married? \nPatient: Yes, sir. I'm married to a wonderful woman for last thirty five years. \nDoctor: Are you still working? \nPatient: I used to. Now I'm retired, I was a lab manager before.", | |
| "summary": "He has a history of tobacco use, which he quit at the age of 37. He has one alcoholic drink per day. He is married. He is a retired lab manager.", | |
| "๋ํ": "์์ฌ: ๋ด๋ฐฐ ๊ด๋ จ ์ ํ์ ๋ณต์ฉํ๊ณ ์๋์? \nํ์: ๋ด๋ฐฐ๋ฅผ ์น๊ณค ํ์ง๋ง ์๋ฅธ์ผ๊ณฑ ์ด์ ๋์์ต๋๋ค. \n์์ฌ: ์์ฃผ๋ ์ด๋ป์ต๋๊น? ์ ์ ๋ง์๋์? \nํ์: ๋งค์ผ ์์ธ ํ ์์ ๋ง์ญ๋๋ค. \n์์ฌ: ๊ฒฐํผํ์ จ์ต๋๊น? \nํ์: ๋ค, ์ ์๋. ์ ๋ ์ง๋ 35๋ ๋์ ๋ฉ์ง ์ฌ์์ ๊ฒฐํผํ์ต๋๋ค. \n์์ฌ: ์์ง๋ ์ผํ๊ณ ๊ณ์ญ๋๊น? \nํ์: ์์ ์์. ์ง๊ธ์ ์ํดํ๊ณ , ์ ์๋ ์คํ์ค ๋งค๋์ ์์ด์.", | |
| "์์ฝ": "๊ทธ๋ 37์ธ์ ๋์ ํก์ฐ ๋ณ๋ ฅ์ด ์์ผ๋ฉฐ ํ๋ฃจ์ ํ ์์ ์ ์ ๋ง์ญ๋๋ค. ๊ทธ๋ ๊ฒฐํผํ์ต๋๋ค. ๊ทธ๋ ์ํดํ ์คํ์ค ๊ด๋ฆฌ์์ ๋๋ค." | |
| }, | |
| { | |
| "id": 24, | |
| "dialogue": "Doctor: Good morning, ma'am. I just need to confirm some information about you before we begin today. \nPatient: Good morning, doctor. Sure, that's no problem. \nDoctor: Great, so you're sixty seven years old, and White, correct? \nPatient: Yes, that's right doctor. \nDoctor: Thank you. Do you remember how many cycles of carboplatin and Taxol you've had for your cancer, ma'am? \nPatient: Um, I've had six, I'm here for a follow up today. \nDoctor: Yes, I see here that your last chemo treatment on January eighteenth two thousand eight. \nPatient: Yes, I remember that. Can you remind me the full name of my cancer? \nDoctor: It's a uterine papillary serous carcinoma. \nPatient: Thank you, doctor. \nDoctor: Sure, do you have any problems today? \nPatient: Well, I just have some numbness in my right upper arm today. \nDoctor: Has this gotten worse recently? \nPatient: Well, no, not really. \nDoctor: That's good. Do you feel this in your toes at all? \nPatient: No, there's no numbness there. \nDoctor: Good, do you have any tingling or burning to speak of? \nPatient: No, thankfully no.", | |
| "summary": "The patient is a 67-year-old white female with a history of uterine papillary serous carcinoma who is status post 6 cycles of carboplatin and Taxol, is here today for followup. Her last cycle of chemotherapy was finished on 01/18/08, and she complains about some numbness in her right upper extremity. This has not gotten worse recently and there is no numbness in her toes. She denies any tingling or burning.", | |
| "๋ํ": "์์ฌ: ์ข์ ์์นจ์ ๋๋ค, ๋ถ์ธ. ์ค๋ ์ง๋ฃ๋ฅผ ์์ํ๊ธฐ ์ ์ ํ์ ๋ถ์ ๋ํ ๋ช ๊ฐ์ง ์ ๋ณด๋ฅผ ํ์ธํด์ผ ํฉ๋๋ค. \nํ์: ์๋ ํ์ธ์, ์์ฌ ์ ์๋. ๋ค, ๊ทธ๋ฌ์ธ์. \n์์ฌ: ์ข์์, ํ์๋ถ์ ์์์ผ๊ณฑ ์ด์ด๊ณ ๋ฐฑ์ธ์ด์์ฃ ? \nํ์: ๋ค, ๋ง์ต๋๋ค, ์์ฌ ์ ์๋. \n์์ฌ: ๊ฐ์ฌํฉ๋๋ค. ์ ์น๋ฃ๋ก ์นด๋ณดํ๋ผํด๊ณผ ํ์์ ๋ช ์ฃผ๊ธฐ๋ก ๋ฐ์ผ์ จ๋์ง ๊ธฐ์ตํ์๋์, ๋ถ์ธ? \nํ์: ์, 6๋ฒ ๋ฐ์๊ณ ์ค๋ ์ถ์ ๊ด์ฐฐ์ ์ํด ์์ต๋๋ค. \n์์ฌ: ๋ค, 1์ 18์ผ์ ๋ง์ง๋ง ํญ์ ์น๋ฃ๋ฅผ ๋ฐ์ผ์ ๊ฒ์ผ๋ก ๋ณด์ ๋๋ค. \nํ์: ๋ค, ๊ธฐ์ตํฉ๋๋ค. ์ ์์ ์ ์ฒด ์ด๋ฆ์ ๊ธฐ์ตํด ์ฃผ์๊ฒ ์ต๋๊น? \n์์ฌ: ์๊ถ ์ ๋ ์ฅ์ก์ฑ ์์ข ์ ๋๋ค. \nํ์: ๊ฐ์ฌํฉ๋๋ค, ์์ฌ ์ ์๋. \n์์ฌ: ๊ทธ๋ผ, ์ค๋ ๋ค๋ฅธ ๋ฌธ์ ๋ ์์ผ์ จ๋์? \nํ์: ์, ์ค๋ ์ค๋ฅธ์ชฝ ํ๋์ด ์ฝ๊ฐ ์ ๋ ค์. \n์์ฌ: ์ต๊ทผ์ ๋ ์ฌํด์ก๋์? \nํ์: ์, ์๋์, ๋ณ๋ก์. \n์์ฌ: ๋คํ์ด๋ค์. ๋ฐ๊ฐ๋ฝ์ ํต์ฆ์ด ๋๊ปด์ง๋์? \nํ์: ์๋์, ์ ๋ฆฐ ๋๋์ ์์ต๋๋ค. \n์์ฌ: ์ข์์, ๋ฐ๋๊ฑฐ๋ฆฌ๊ฑฐ๋ ํ๋๊ฑฐ๋ฆฌ๋ ๋๋์ ์๋์? \nํ์: ์๋์, ๋คํํ๋ ์์ต๋๋ค.", | |
| "์์ฝ": "ํ์๋ 67์ธ์ ๋ฐฑ์ธ ์ฌ์ฑ์ผ๋ก ์๊ถ ์ ๋ ์ฅ์ก์ฑ ์์ข ๋ณ๋ ฅ์ด ์์ผ๋ฉฐ ์นด๋ณดํ๋ผํด๊ณผ ํ์ 6์ฃผ๊ธฐ ํ ์ํ์ด๋ฉฐ ์ค๋ ์ถ์ ๊ด์ฐฐ์ ์ํด ๋ฐฉ๋ฌธํ์ต๋๋ค. ๋ง์ง๋ง ํํ ์๋ฒ์ 2008๋ 1์ 18์ผ์ ๋๋ฌ์ผ๋ฉฐ, ์ค๋ฅธ์ชฝ ์์ง์ ์ฝ๊ฐ์ ์ ๋ฆผ ์ฆ์์ ํธ์ํ๊ณ ์์ต๋๋ค. ์ต๊ทผ์ ๋ ์ฌํด์ง์ง๋ ์์๊ณ ๋ฐ๊ฐ๋ฝ์ ์ ๋ฆฐ ์ฆ์์ ์์ต๋๋ค. ๊ทธ๋ ๋ ๋ฐ๋๊ฑฐ๋ฆผ์ด๋ ํ๋๊ฑฐ๋ฆผ์ ๋ถ์ธํฉ๋๋ค." | |
| }, | |
| { | |
| "id": 25, | |
| "dialogue": "Doctor: How's everyone in your family?\nPatient: My mom, dad and siblings are good.\nDoctor: They are well, that is good. That's what we want.\nPatient: Yes.", | |
| "summary": "Mother, father and siblings were alive and well.", | |
| "๋ํ": "์์ฌ: ๊ฐ์กฑ์ ๋ชจ๋ ์ ์ง๋ด์๋์? \nํ์: ์๋ง, ์๋น , ํ์ ์๋งค๋ ์ ์ง๋ด๊ณ ์์ต๋๋ค.\n์์ฌ: ๊ทธ๋ค์ ์ ์ง๋ด๊ณ ์์ต๋๋ค. ๊ทธ๊ฒ ์ฐ๋ฆฌ๊ฐ ์ํ๋ ๊ฒ์ ๋๋ค.\nํ์: ๋ค.", | |
| "์์ฝ": "์ด๋จธ๋, ์๋ฒ์ง, ํ์ ์๋งค๋ ์ด์ ์๊ณ ๊ฑด๊ฐํ์ต๋๋ค." | |
| }, | |
| { | |
| "id": 26, | |
| "dialogue": "Doctor: Is anyone else at home sick? \nPatient: No. My husband and daughter seem to be doing okay. They haven't complained of anything yet.", | |
| "summary": "Noncontributory. No one else at home is sick.", | |
| "๋ํ": "์์ฌ: ์ง์ ์ํ ์ฌ๋์ด ์๋์? \nํ์: ์๋์. ๋จํธ๊ณผ ๋ธ์ ๊ด์ฐฎ์ ๋ณด์ ๋๋ค. ์์ง ์๋ฌด ๋ถํ๋ ํ์ง ์์์.", | |
| "์์ฝ": "๊ธฐ์ฌํ์ง ์์. ์ง์ ์๋ฌด๋ ์ํ์ง ์์ต๋๋ค." | |
| }, | |
| { | |
| "id": 27, | |
| "dialogue": "Doctor: So, you saw Doctor X?\nPatient: Yes, seven days back. I went to get my blood work done and then I followed up with Doctor Y.\nDoctor: Yes, I will look at C B C diff and C M P profile.\nPatient: I will follow up with my oncologist, Doctor Z, for my swellings. \nDoctor: Yeah, I couldn't get hold of Doctor Z but here is the phone number. You should book the appointment.\nPatient: Okay I will do that.\nDoctor: Also, I would like to follow up with your endocrinologist that is Doctor A for adjustments that is needed in your insulin pump. \nPatient: And you want me to see my gastro doc too?\nDoctor: Yes, please follow up with Doctor B for issues with your J tube.\nPatient: Sure thing.\nDoctor: Lastly, I want you to see Doctor Y if your condition changes regarding colon cancer.", | |
| "summary": "The patient was instructed to see Dr. X in approximately five to seven days. She was given a lab sheet to have a CBC with diff as well as a CMP to be drawn prior to her appointment with Dr. X. She is instructed to follow up with Dr. Y if her condition changes regarding her colon cancer. She was instructed to follow up with Dr. Z, her oncologist, regarding the positive lymph nodes. We were unable to contact Dr. Z, but his telephone number was given to the patient and she was instructed to make a followup appointment. She was also instructed to follow up with her endocrinologist, Dr. A, regarding any insulin pump adjustments, which were necessary and she was also instructed to follow up with Dr. B, her gastroenterologist, regarding any issues with her J-tube.", | |
| "๋ํ": "์์ฌ: ์์ฌ X๋ฅผ ๋ณด์ จ๋ค๊ณ ์? \nํ์: ๋ค, 7์ผ ์ ์์. ํ์ก ๊ฒ์ฌ๋ฅผ ๋ฐ์ผ๋ฌ ๊ฐ๋ค๊ฐ Y ์ ์๋๊ป ํ์ ์กฐ์น๋ฅผ ๋ฐ์์ต๋๋ค.\n์์ฌ: ๋ค, C B C diff์ C M P ํ๋กํ์ ๋ณด๊ฒ ์ต๋๋ค.\nํ์: ์ข ์ ์ ๋ฌธ์์ธ Z ์์ฌ์๊ฒ ๋ถ์ข ์ ๋ํ ํ์ ๊ฒ์ฌ๋ฅผ ๋ฐ๊ฒ ์ต๋๋ค. \n์์ฌ: ๋ค, ์์ฌ Z์ ์ฐ๋ฝ์ด ๋ฟ์ง ์์์ง๋ง ์ ํ๋ฒํธ๋ ์ฌ๊ธฐ ์์ต๋๋ค. ์์ฝ์ ํ์ ์ผ ํฉ๋๋ค.\nํ์: ๋ค, ๊ทธ๋ ๊ฒ ํ๋๋ก ํ๊ฒ ์ต๋๋ค.\n์์ฌ: ๋ํ ์ธ์๋ฆฐ ํํ์ ํ์ํ ์กฐ์ ์ ์ํด ๋ด๋ถ๋น๋ด๊ณผ ์ ๋ฌธ์์ธ A ์ ์๋๊ณผ ํ์ ์กฐ์น๋ฅผ ์ทจํ๊ณ ์ถ์ต๋๋ค. \nํ์: ๊ทธ๋ฆฌ๊ณ ์ํ๊ธฐ๋ด๊ณผ ์์ฌ๋ ๋ง๋๊ธฐ๋ฅผ ์ํ์๋์? \n์์ฌ: ๋ค, J ํ๋ธ์ ๋ฌธ์ ๊ฐ ์์ผ๋ฉด ์์ฌ B์๊ฒ ํ์ ์กฐ์น๋ฅผ ์ทจํด ์ฃผ์ธ์.\nํ์: ๋ฌผ๋ก ์ด์ฃ .\n์์ฌ: ๋ง์ง๋ง์ผ๋ก, ๋์ฅ์๊ณผ ๊ด๋ จํ์ฌ ์ํ๊ฐ ๋ณํ๋ฉด Y ์์ฌ์๊ฒ๋ ์ง๋ฃ๋ฅผ ๋ฐ์ผ์๊ธฐ ๋ฐ๋๋๋ค.", | |
| "์์ฝ": "ํ์๋ ์ฝ 5~7์ผ ํ์ X ๋ฐ์ฌ๋ฅผ ๋ง๋๋ผ๋ ์ง์๋ฅผ ๋ฐ์์ต๋๋ค. ํ์๋ X ๋ฐ์ฌ์์ ์์ฝ ์ ์ CBC์ CMP๋ฅผ ์ฑ์ทจํ๊ธฐ ์ํ ๊ฒ์ฌ์ง๋ฅผ ๋ฐ์์ผ๋ฉฐ, ๋์ฅ์๊ณผ ๊ด๋ จํ์ฌ ์ํ๊ฐ ๋ณํ๋ฉด Y ๋ฐ์ฌ์๊ฒ ํ์ ์กฐ์น๋ฅผ ์ทจํ๋ผ๋ ์ง์๋ฅผ ๋ฐ์์ต๋๋ค. ๋ฆผํ์ ์์ฑ์ ๋ํด์๋ ์ข ์ ์ ๋ฌธ์์ธ Z ๋ฐ์ฌ์๊ฒ ํ์ ์กฐ์น๋ฅผ ๋ฐ์ผ๋ผ๋ ์ง์๋ฅผ ๋ฐ์์ต๋๋ค. Z ๋ฐ์ฌ์ ์ฐ๋ฝ์ด ๋ฟ์ง ์์์ง๋ง ํ์์๊ฒ ๊ทธ์ ์ ํ๋ฒํธ๊ฐ ์ ๊ณต๋์๊ณ ํ์ ์์ฝ์ ํ๋ผ๋ ์ง์๋ฅผ ๋ฐ์์ต๋๋ค. ๋ํ ํ์ํ ์ธ์๋ฆฐ ํํ ์กฐ์ ๊ณผ ๊ด๋ จํ์ฌ ๋ด๋ถ๋น๋ด๊ณผ ์ ๋ฌธ์์ธ A ๋ฐ์ฌ์ ํ์ ์กฐ์น๋ฅผ ์ทจํ๋ผ๋ ์ง์๋ฅผ ๋ฐ์์ผ๋ฉฐ, J-ํ๋ธ์ ๋ฌธ์ ๊ฐ ์๋ ๊ฒฝ์ฐ ์ํ๊ธฐ๋ด๊ณผ ์ ๋ฌธ์์ธ B ๋ฐ์ฌ์๋ ํ์ ์กฐ์น๋ฅผ ์ทจํ๋ผ๋ ์ง์๋ฅผ ๋ฐ์์ต๋๋ค." | |
| }, | |
| { | |
| "id": 28, | |
| "dialogue": "Doctor: How long have you had this cough? \nPatient: Past three weeks, doc. \nDoctor: Are you bringing anything up when you cough? \nPatient: Nah. \nDoctor: Any shortness of breath or chest pain? \nPatient: Nah. \nDoctor: How about fevers or chills? \nPatient: None of that.", | |
| "summary": "Otherwise negative for any recent febrile illnesses, chest pains or shortness of breath.", | |
| "๋ํ": "์์ฌ: ๊ธฐ์นจ์ ํ ์ง ์ผ๋ง๋ ๋์ จ๋์? \nํ์: ์ง๋ 3์ฃผ ๋์์, ์์ฌ ์ ์๋. \n์์ฌ: ๊ธฐ์นจํ ๋ ๋ญ๊ฐ ๋ ์ค๋ฅด๋ ๊ฒ ์๋์? \nํ์: ์๋์. \n์์ฌ: ์จ๊ฐ์จ์ด๋ ๊ฐ์ด ํต์ฆ์ ์์ต๋๊น? \nํ์: ์๋์. \n์์ฌ: ๋ฐ์ด์ด๋ ์คํ์ ์ด๋ป์ต๋๊น? \nํ์: ์์ต๋๋ค.", | |
| "์์ฝ": "๊ทธ๋ ์ง ์์ผ๋ฉด ์ต๊ทผ ์ด์ฑ ์งํ, ํํต ๋๋ ํธํก ๊ณค๋์ ๋ํด ์์ฑ์ ๋๋ค." | |
| }, | |
| { | |
| "id": 29, | |
| "dialogue": "Doctor: Is this something new? Or have you had it before?\nPatient: No doctor, this is new.\nDoctor: What exactly are you feeling?\nPatient: I feel like my tongue is swollen.\nDoctor: Okay. How old are you?\nPatient: I am fifty four years old.\nDoctor: Okay let me see how we can evaluate that.", | |
| "summary": "A 54-year-old patient, here for evaluation of new-onset swelling of the tongue.", | |
| "๋ํ": "์์ฌ: ์๋ก ์๊ธด ๋ณ์ธ๊ฐ์? ์๋๋ฉด ์ ์ ์์ ์ ์ด ์๋์?\nํ์: ์๋์, ์ฒ์์ ๋๋ค.\n์์ฌ: ์ ํํ ์ด๋ค ๋๋์ด ๋์ญ๋๊น?\nํ์: ํ๊ฐ ๋ถ์ ๊ฒ ๊ฐ์์.\n์์ฌ: ์ข์์, ๋ช ์ด์ด์์ฃ ? \nํ์: ์ฐ๋ค ์ด์ ๋๋ค.\n์์ฌ: ์ข์์, ์ด๋ป๊ฒ ํ๊ฐํ ์ ์๋์ง ๋ณด๊ฒ ์ต๋๋ค.", | |
| "์์ฝ": "54์ธ ํ์, ์๋ก ์์๋ ํ์ ๋ถ์ข ์ ํ๊ฐํ๊ธฐ ์ํด ๋ด์ํ์ต๋๋ค." | |
| }, | |
| { | |
| "id": 30, | |
| "dialogue": "Doctor: So, I think we need to start you on antibiotics for that ulcer on your right foot and possible osteomyelitis. I will send a prescription to your pharmacy. \nPatient: Sure.", | |
| "summary": "Antibiotic management for a right foot ulcer and possible osteomyelitis.", | |
| "๋ํ": "์์ฌ: ์ค๋ฅธ๋ฐ์ ์๊ธด ๊ถค์๊ณผ ๊ณจ์์ผ์ ๋ํ ํญ์์ ์น๋ฃ๋ฅผ ์์ํด์ผ ํ ๊ฒ ๊ฐ์ต๋๋ค. ์ฝ๊ตญ์ ์ฒ๋ฐฉ์ ์ ๋ณด๋ด๋๋ฆฌ๊ฒ ์ต๋๋ค. \nํ์: ๋ค.", | |
| "์์ฝ": "์ค๋ฅธ์ชฝ ๋ฐ ๊ถค์ ๋ฐ ๊ณจ์์ผ ๊ฐ๋ฅ์ฑ์ ๋ํ ํญ์์ ๊ด๋ฆฌ." | |
| }, | |
| { | |
| "id": 31, | |
| "dialogue": "Doctor: Do you have sugar or blood pressure problems?\nPatient: Oh, I have high blood pressure but it's well under control. I make sure to keep it under normal range.\nDoctor: Good. Any other health issues?\nPatient: Yeah, I have history of high triglycerides. But otherwise, I am pretty healthy. \nDoctor: Okay. Do you smoke?\nPatient: No.", | |
| "summary": "She has had hypertension very well controlled and history of elevated triglycerides. She has otherwise been generally healthy. Nonsmoker.", | |
| "๋ํ": "์์ฌ: ๋น์ด๋ ํ์์ ๋ฌธ์ ๊ฐ ์์ผ์ ๊ฐ์?\nํ์: ์, ๊ณ ํ์์ด ์์ง๋ง ์ ์กฐ์ ๋๊ณ ์์ต๋๋ค. ์ ์ ๋ฒ์ ์ดํ๋ก ์ ์งํ๋ ค๊ณ ๋ ธ๋ ฅํ๊ณ ์์ต๋๋ค.\n์์ฌ: ์ข์์. ๋ค๋ฅธ ๊ฑด๊ฐ ๋ฌธ์ ๋ ์์ต๋๊น?\nํ์: ๋ค, ์ค์ฑ์ง๋ฐฉ ์์น๊ฐ ๋์ ๋ณ๋ ฅ์ด ์์ต๋๋ค. ํ์ง๋ง ๊ทธ ์ธ์๋ ๊ฝค ๊ฑด๊ฐํฉ๋๋ค. \n์์ฌ: ๊ทธ๋ ๊ตฐ์. ๋ด๋ฐฐ๋ฅผ ํผ์ฐ์ญ๋๊น? \nํ์: ์๋์.", | |
| "์์ฝ": "๊ณ ํ์์ด ๋งค์ฐ ์ ์กฐ์ ๋๊ณ ์์ผ๋ฉฐ ์ค์ฑ์ง๋ฐฉ ์์น๊ฐ ์์นํ ๋ณ๋ ฅ์ด ์์ต๋๋ค. ๊ทธ ์ธ์๋ ์ ๋ฐ์ ์ผ๋ก ๊ฑด๊ฐํ์ต๋๋ค. ๋นํก์ฐ์." | |
| }, | |
| { | |
| "id": 32, | |
| "dialogue": "Doctor: How have you been feeling? How is your leg feeling?\nPatient: My right leg is in a lot of pain. The nurse just changed the bandage. I only have a rash where the bandage is. \nDoctor: It looks like we have you taking Vicodin for the pain. Is the medication not helping? \nPatient: The pain medication is horrible. I have been throwing up, off and on. I have been constipated since I have been here. \nDoctor: I'll note that. Vomiting since February nineteen of two thousand seven. I am sorry to hear that. I will make a change to the medication and get you something for the constipation issue. \nPatient: Thank you. \nDoctor: Have you had any shortness of breath, chest pain or coughing up blood? \nPatient: No. \nDoctor: Any joint pain, headaches or rashes? \nPatient: No. Just a rash where the bandages are like I said earlier. I also want to discuss this acne while I am here. I have had it for about two years. It's nothing big, just mild to moderate in severity.", | |
| "summary": "He has had emesis off and on related to Vicodin and constipation since 02/19/2007, also related to pain medication. He has had acne for about two years, which he describes as mild to moderate. He denied shortness of breath, chest pain, hemoptysis, dyspnea, headaches, joint pains, rashes, except where he has had dressings applied, and extremity pain except for the right leg pain.", | |
| "๋ํ": "์์ฌ: ๊ธฐ๋ถ์ด ์ด๋ ์ธ์? ๋ค๋ฆฌ๋ ์ด๋ ์ธ์?\nํ์: ์ค๋ฅธ์ชฝ ๋ค๋ฆฌ๊ฐ ๋ง์ด ์ํ์. ๊ฐํธ์ฌ๊ฐ ๋ฐฉ๊ธ ๋ถ๋๋ฅผ ๊ฐ์์คฌ์ด์. ๋ถ๋๋ฅผ ๊ฐ์ ๊ณณ์ ๋ฐ์ง๋ง ์๊ฒผ์ต๋๋ค. \n์์ฌ: ํต์ฆ ๋๋ฌธ์ ๋ฐ์ด์ฝ๋์ ๋ณต์ฉํ๊ณ ๊ณ์ ๊ฒ ๊ฐ์ต๋๋ค. ์ฝ์ด ๋์์ด ๋์ง ์๋์? \nํ์: ์งํต์ ๊ฐ ๋์ฐํด์. ํ ํ๋ค๊ฐ ์ ํ ํ๋ค๊ฐ ๊ณ์ํ๊ณ ์์ด์. ์ฌ๊ธฐ ์จ ์ดํ๋ก ๋ณ๋น๊ฐ ์๊ฒผ์ด์. \n์์ฌ: ๊ธฐ์ตํด ๋๊ฒ ์ต๋๋ค. 2์ 19์ผ๋ถํฐ ๊ตฌํ ๋ฅผ ํ์ จ์ด์. ์ ๊ฐ์ ๋๋ค. ์ฝ์ ๋ฐ๊ฟ์ ๋ณ๋น ๋ฌธ์ ๋ฅผ ํด๊ฒฐํ ์ ์๋ ์ฝ์ ์ฒ๋ฐฉํด๋๋ฆฌ๊ฒ ์ต๋๋ค. \nํ์: ๊ฐ์ฌํฉ๋๋ค. \n์์ฌ: ์จ์ด ๊ฐ์๊ฑฐ๋ ๊ฐ์ด์ด ์ํ๊ฑฐ๋ ํผ๋ฅผ ํ ํ ์ ์ด ์์ต๋๊น? \nํ์: ์๋์. \n์์ฌ: ๊ด์ ํต, ๋ํต ๋๋ ๋ฐ์ง์ด ์์์ต๋๊น? \nํ์: ์๋์, ์๊น ๋ง์๋๋ฆฐ ๋๋ก ๋ถ๋๋ฅผ ๊ฐ์ ๊ณณ์ ๋ฐ์ง๋ง ์์ต๋๋ค. ์ฌ๊ธฐ ์๋ ๋์ ์ด ์ฌ๋๋ฆ์ ๋ํด์๋ ์ด์ผ๊ธฐํ๊ณ ์ถ์ต๋๋ค. ์ฌ๋๋ฆ์ด ์๊ธด ์ง 2๋ ์ ๋ ๋์ด์. ํฐ ๊ฒ์ ์๋๊ณ ๊ฒฝ์ฆ์์ ์ค๋ฑ๋ ์ ๋์ ๋๋ค.", | |
| "์์ฝ": "๊ทธ๋ 2007๋ 2์ 19์ผ ์ดํ ์งํต์ ์ ๊ด๋ จ๋ ๋น์ฝ๋ ๋ฐ ๋ณ๋น์ ๊ด๋ จ๋ ๊ตฌํ ์ฆ์์ ๋ณด์๋ค๊ฐ ์ฌ๋ผ์ก์ต๋๋ค. ๊ทธ๋ ์ฝ 2๋ ๋์ ์ฌ๋๋ฆ์ด ์์๋๋ฐ, ๊ฒฝ์ฆ์์ ์ค๋ฑ๋ ์ ๋๋ผ๊ณ ์ค๋ช ํ์ต๋๋ค. ๊ทธ๋ ํธํก๊ณค๋, ํํต, ๊ฐํ, ํธํก๊ณค๋, ๋ํต, ๊ด์ ํต, ๋ฐ์ง(๋๋ ์ฑ์ ํ ๊ณณ์ ์ ์ธํ๊ณ ), ์ค๋ฅธ์ชฝ ๋ค๋ฆฌ ํต์ฆ์ ์ ์ธํ ์ฌ์ง ํต์ฆ์ ๋ถ์ธํ์ต๋๋ค." | |
| }, | |
| { | |
| "id": 33, | |
| "dialogue": "Doctor: The patient has a history of C A D. \nGuest_clinician: Are they being followed by a cardiologist? \nDoctor: Not to my knowledge. I can check their electronic medical records. One sec.", | |
| "summary": "Positive for coronary artery disease.", | |
| "๋ํ": "์์ฌ: ํ์์๊ฒ C A D ๋ณ๋ ฅ์ด ์์ต๋๋ค. \n๊ฒ์คํธ_์์์: ์ฌ์ฅ ์ ๋ฌธ์๊ฐ ํ์๋ฅผ ์ถ์ ๊ด์ฐฐํ๊ณ ์๋์? \n์์ฌ: ์ ๊ฐ ์๊ธฐ๋ก๋ ์์ต๋๋ค. ์ ์ ์๋ฃ ๊ธฐ๋ก์ ํ์ธํ ์ ์์ต๋๋ค. ์ ์๋ง์.", | |
| "์์ฝ": "๊ด์ ๋๋งฅ ์งํ ์์ฑ." | |
| }, | |
| { | |
| "id": 34, | |
| "dialogue": "Doctor: Do you drink or smoke? \nPatient: No I don't. I have to care for my daughter. She is a widow. \nDoctor: So you live with her?\nPatient: Yes, she lives at home.", | |
| "summary": "She denies alcohol or tobacco use. She is the caretaker for her daughter, who is widowed and lives at home.", | |
| "๋ํ": "์์ฌ: ์ ์ ๋ง์๊ฑฐ๋ ๋ด๋ฐฐ๋ฅผ ํผ์ฐ๋์? \nํ์: ์๋์. ์ ๋ธ์ ๋๋ด์ผ ํด์. ๊ทธ๋ ๋ ๊ณผ๋ถ์ ๋๋ค. \n์์ฌ: ๊ทธ๋ผ ๊ฐ์ด ์ฌ์๋์? \nํ์: ๋ค, ์ง์์ ์ด๊ณ ์์ต๋๋ค.", | |
| "์์ฝ": "๊ทธ๋ ๋ ์ ์ด๋ ๋ด๋ฐฐ๋ฅผ ๊ฑฐ๋ถํฉ๋๋ค. ๊ทธ๋ ๋ ๋ฏธ๋ง์ธ์ด์ ์ง์์ ์ด๊ณ ์๋ ๋ธ์ ๋๋ณด๊ณ ์์ต๋๋ค." | |
| }, | |
| { | |
| "id": 35, | |
| "dialogue": "Patient: I think I need help. \nDoctor: I am here to help. Tell me what's going on.\nPatient: I am having mood swings, sometimes I feel super happy and sometimes I am just super sad and angry with myself. I find myself in tears thinking about things or situations which are not even real. \nDoctor: How old are you ma'am?\nPatient: I have just completed five decades of my life. \nDoctor: Did you ever try to hurt yourself?\nPatient: No, that thought never came to my mind. I just feel sad, like nobody cares if I exist. Sometimes I feel I can conquer the world and do anything I put my heart and mind into. It's just that I am not sure how will I feel after an hour. \nDoctor: How long have you had these symptoms?\nPatient: It has been going on for many months. At first, I ignored everything but now It feels like I am not myself any more with all these mood swings.\nDoctor: Do you work?\nPatient: Yes, I am a hygienist and work in a Bright Dentals.\nDoctor: How are you doing at work with your mood swings?\nPatient: Huh, my symptoms have sure started affecting my work. You know what the worst part is, my boss came to me last week and asked if I was on some kinds of drugs. I literally shouted at her saying no and left the clinic in tears. I think I need some drugs; I mean some medications to deal with my issues.\nDoctor: Have you ever been on any kind of medicine or treatment before?\nPatient: Yeah, I was on Wellbutrin before. It was prescribed by Doctor Jonah. I was eating a lot and even gained like twenty pounds in just a few months. My insurance didn't even cover it, I had to pay from my pocket. \nDoctor: Do you know what you were diagnosed with?\nPatient: It is all in these papers, I got my file with me, I just want to be normal me again. \nDoctor: Let me check and enter it in the medical record for future references. According to this, they prescribed Wellbutrin for obsessive compulsive type disorder and yes it was related to your overeating. Did it help you?\nPatient: Yes, I was doing better once I started taking that medicine regularly. I continued it even though I had to pay out of my pocket. \nDoctor: Have you ever been on antidepressants?\nPatient: No.\nDoctor: Any hot flashes or night sweat? Did you ever find yourself waking up to wet bed due to sweating?\nPatient: No.\nDoctor: Just putting together all that you have told me here. You have mood swings; you find yourself in tears without any specific reason, you are not suicidal, never been on any kind of antidepressants. Am I missing something here?\nPatient: Sometimes I really find it hard to concentrate. As a hygienist I really need to focus on the gums of the patients and cleaning but sometimes it gets hard to focus. Normally, at work I just stop when it gets hard to focus and take a walk around the clinic. It has started affecting my work. I need help!\nDoctor: Okay, I understand. Anything else that I should be aware of?\nPatient: Oh yeah, the insomnia, I am hardly sleeping. At times I feel like a zombie. \nDoctor: Any surgeries in the past?\nPatient: Yeah, I had some complications and they had to remove my complete uterus along with tubes and ovaries.\nDoctor: Oh! When was this?\nPatient: In the December of two thousand and three.", | |
| "summary": "A 50-year-old female comes to the clinic with complaint of mood swings and tearfulness. This has been problematic over the last several months and is just worsening to the point where it is impairing her work. Her boss asks her if she was actually on drugs in which she said no. She stated may be she needed to be, meaning taking some medications. The patient had been prescribed Wellbutrin in the past and responded well to it; however, at that time it was prescribed for obsessive-compulsive type disorder relating to overeating and therefore her insurance would not cover the medication. She has not been on any other antidepressants in the past. She is not having any suicidal ideation but is having difficulty concentrating, rapid mood swings with tearfulness, and insomnia. She denies any hot flashes or night sweats. She underwent TAH with BSO in December of 2003.", | |
| "๋ํ": "ํ์: ๋์์ด ํ์ํ ๊ฒ ๊ฐ์์. \n์์ฌ: ์ ๊ฐ ๋์๋๋ฆฌ๊ฒ ์ต๋๋ค. ๋ฌด์จ ์ผ์ธ์ง ๋ง์ํด ์ฃผ์ธ์.\nํ์: ๊ธฐ๋ถ ๊ธฐ๋ณต์ด ์ฌํด์ ์ด๋ค ๋๋ ๋๋ฌด ํ๋ณตํ๊ณ ์ด๋ค ๋๋ ๋๋ฌด ์ฌํ๊ณ ํ๊ฐ ๋์. ์ค์ฌํ์ง๋ ์๋ ์ผ์ด๋ ์ํฉ์ ์๊ฐํ๋ฉฐ ๋๋ฌผ์ ํ๋ฆฝ๋๋ค. \n์์ฌ: ๋ถ์ธ, ๋ช ์ด์ด์ญ๋๊น? \nํ์: ์ ๋ ์ด์ ๋ง ์ธ์์ 50๋ ์ ๋ง์ณค์ต๋๋ค. \n์์ฌ: ์ํด๋ฅผ ์๋ํ ์ ์ด ์์ต๋๊น? \nํ์: ์๋์, ๊ทธ๋ฐ ์๊ฐ์ ํด๋ณธ ์ ์ด ์์ต๋๋ค. ๊ทธ๋ฅ ์ ๊ฐ ์กด์ฌํด๋ ์๋ฌด๋ ์ ๊ฒฝ ์ฐ์ง ์๋ ๊ฒ ๊ฐ์ ์ฌํ๋๋ค. ๊ฐ๋์ ์ ๊ฐ ์ธ์์ ์ ๋ณตํ๊ณ ๋ง์๋ง ๋จน์ผ๋ฉด ๋ฌด์์ด๋ ํ ์ ์์ ๊ฒ ๊ฐ์ ๊ธฐ๋ถ์ด ๋ค์ด์. ๋ค๋ง ํ ์๊ฐ ํ์ ๊ธฐ๋ถ์ด ์ด๋จ์ง ๋ชจ๋ฅด๊ฒ ์ด์. \n์์ฌ: ์ด๋ฐ ์ฆ์์ด ๋ํ๋ ์ง ์ผ๋ง๋ ๋์์ต๋๊น? \nํ์: ๋ช ๋ฌ์งธ ๊ณ์๋๊ณ ์์ต๋๋ค. ์ฒ์์๋ ๋ชจ๋ ๊ฒ์ ๋ฌด์ํ์ง๋ง ์ง๊ธ์ ์ด๋ฐ ๊ธฐ๋ถ ๋ณํ๋ก ์ธํด ๋ ์ด์ ์ ๊ฐ ์๋ ๊ฒ ๊ฐ์ต๋๋ค.\n์์ฌ: ์ง์ฅ์ด ์์ผ์ ๊ฐ์? \nํ์: ๋ค, ์ ๋ ์์์ฌ์ด๋ฉฐ ๋ธ๋ผ์ดํธ ์น๊ณผ์์ ์ผํ๊ณ ์์ต๋๋ค.\n์์ฌ: ๊ธฐ๋ถ ๋ณํ๋ก ์ธํด ์ง์ฅ์์ ์ด๋ป๊ฒ ์ง๋ด์ญ๋๊น?\nํ์: ์ ์ฆ์์ด ํ์คํ ์ ๋ฌด์ ์ํฅ์ ๋ฏธ์น๊ธฐ ์์ํ์ด์. ๋ ์ต์ ์ธ ๊ฑด ์ง๋์ฃผ์ ์ ์์ฌ๊ฐ ์ ๋ฅผ ์ฐพ์์์ ์ฝ์ ๋จน๊ณ ์๋๊ณ ๋ฌผ์ด๋ณธ ๊ฑฐ์์. ์ ๋ ๋ง ๊ทธ๋๋ก ์๋๋ผ๊ณ ์๋ฆฌ์น๊ณ ๋๋ฌผ์ ํ๋ฆฌ๋ฉฐ ํด๋ฆฌ๋์ ๋ ๋ฌ์ด์. ์ ๋ฌธ์ ๋ฅผ ํด๊ฒฐํ๊ธฐ ์ํด ์ฝ์ ์ข ๋จน์ด์ผ ํ ๊ฒ ๊ฐ์์\n์์ฌ: ์ ์ ์ด๋ค ์ข ๋ฅ์ ์ฝ์ด๋ ์น๋ฃ๋ฅผ ๋ฐ์ผ์ ์ ์ด ์๋์?\nํ์: ๋ค, ์ ์ ์ฐ๋ถํธ๋ฆฐ์ ๋ณต์ฉํ ์ ์ด ์์ต๋๋ค. ์์ฌ ์กฐ๋๊ฐ ์ฒ๋ฐฉํด์ค ์ฝ์ด์์ด์. ์ ๋ ๋ง์ด ๋จน์๊ณ ์ฌ์ง์ด ๋ช ๋ฌ ๋ง์ ์ด์ด 20ํ์ด๋ ์ ๋ ์ช์ด์. ๋ณดํ์์๋ ์ปค๋ฒ๋์ง ์์์ ์ ์ฃผ๋จธ๋์์ ๋์ ๋ด์ผ ํ์ด์. \n์์ฌ: ์ด๋ค ์ง๋จ์ ๋ฐ์ผ์ จ๋์ง ์์ญ๋๊น? \nํ์: ์ด ์๋ฅ์ ๋ค ๋์ ์๊ณ , ์ ํ์ผ๋ ๊ฐ์ง๊ณ ์์ผ๋ ๋ค์ ์ ์์ ์ธ ์ ๊ฐ ๋๊ณ ์ถ์ ๋ฟ์ ๋๋ค. \n์์ฌ: ๋์ค์ ์ฐธ๊ณ ํ ์ ์๋๋ก ์๋ฃ ๊ธฐ๋ก์ ํ์ธํด ์ ๋ ฅํด ๋๊ฒ ์ต๋๋ค. ์ด์ ๋ฐ๋ฅด๋ฉด ๊ฐ๋ฐ ์ฅ์ ๋ก ์ฐ๋ถํธ๋ฆฐ์ ์ฒ๋ฐฉํ๋๋ฐ, ๊ณผ์๊ณผ ๊ด๋ จ์ด ์๋ค๊ณ ํ๋ค์. ๋์์ด ๋์๋์? \nํ์: ๋ค, ๊ทธ ์ฝ์ ๊ท์น์ ์ผ๋ก ๋ณต์ฉํ๊ธฐ ์์ํ์ ์ํ๊ฐ ๋์์ก์ต๋๋ค. ์ฝ๊ฐ์ ์ ์ฃผ๋จธ๋์์ ๋ด์ผ ํ์ง๋ง ๊ณ์ ๋ณต์ฉํ์ต๋๋ค. \n์์ฌ: ํญ์ฐ์ธ์ ๋ฅผ ๋ณต์ฉํ ์ ์ด ์์ต๋๊น?\nํ์: ์๋์.\n์์ฌ: ์๋ฉดํ์กฐ๋ ์์๋์ ์์ต๋๊น? ๋์ด ๋์ ์ ์์ ๊นฌ ์ ์ด ์์ต๋๊น?\nํ์: ์๋์.\n์์ฌ: ์ง๊ธ ๋ง์ํ์ ๋ด์ฉ์ ์ข ํฉํด๋ณด๋ฉด ๋ค์๊ณผ ๊ฐ์ต๋๋ค. ํน๋ณํ ์ด์ ์์ด ๋๋ฌผ์ ํ๋ฆฌ๋ ๋ฑ ๊ธฐ๋ถ ๊ธฐ๋ณต์ด ์๊ณ , ์์ด์ ์๋ํ ์ ๋ ์์ผ๋ฉฐ, ํญ์ฐ์ธ์ ๋ฅผ ๋ณต์ฉํ ์ ๋ ์์ต๋๋ค. ์ ๊ฐ ๋์น ๊ฒ ์๋์? \nํ์: ๊ฐ๋ ์ง์คํ๊ธฐ๊ฐ ์ ๋ง ํ๋ค์ด์. ์์์ฌ๋ก์ ์ ๋ ํ์๋ค์ ์๋ชธ๊ณผ ์ฒญ์์ ์ง์คํด์ผ ํ๋๋ฐ ๊ฐ๋ ์ง์คํ๊ธฐ ํ๋ค ๋๊ฐ ์์ด์. ๋ณดํต์ ์ง์คํ๊ธฐ ํ๋ค๋ฉด ์ผ์ ๋ฉ์ถ๊ณ ๋ณ์ ์ฃผ๋ณ์ ์ฐ์ฑ ํ๊ณค ํฉ๋๋ค. ์ ๋ฌด์ ์ํฅ์ ๋ฏธ์น๊ธฐ ์์ํ์ต๋๋ค. ๋์์ด ํ์ํด์!\n์์ฌ: ์๊ฒ ์ต๋๋ค. ์ ๊ฐ ์ฃผ์ํด์ผ ํ ๋ค๋ฅธ ์ฌํญ์ ์๋์?\nํ์: ๋ค, ๋ถ๋ฉด์ฆ ๋๋ฌธ์ ์ ์ ๊ฑฐ์ ๋ชป ์๊ณ ์์ด์. ๊ฐ๋์ ์ข๋น์ฒ๋ผ ๋๊ปด์ง ๋๋ ์์ด์. \n์์ฌ: ๊ณผ๊ฑฐ์ ์์ ์ ๋ฐ์ ์ ์ด ์๋์? \nํ์: ๋ค, ํฉ๋ณ์ฆ์ด ์๊ฒจ์ ๋๊ด๊ณผ ๋์๋ฅผ ํฌํจํ ์๊ถ ์ ์ฒด๋ฅผ ์ ๊ฑฐํด์ผ ํ์ต๋๋ค.\n์์ฌ: ์ค! ๊ทธ๊ฒ ์ธ์ ์์ฃ ? \nํ์: 2003๋ 12์์์.", | |
| "์์ฝ": "50์ธ ์ฌ์ฑ์ด ๊ฐ์ ๊ธฐ๋ณต๊ณผ ๋๋ฌผ์ ํธ์ํ๋ฉฐ ํด๋ฆฌ๋์ ์ฐพ์์์ต๋๋ค. ์ง๋ ๋ช ๋ฌ ๋์ ๋ฌธ์ ๊ฐ ๋์ด ์์ผ๋ฉฐ ์ ๋ฌด์ ์ง์ฅ์ ์ค ์ ๋๋ก ์ ํ๋๊ณ ์์ต๋๋ค. ๊ทธ๋ ์ ์์ฌ๋ ์ค์ ๋ก ์ฝ์ ๋ณต์ฉํ๊ณ ์์๋์ง ๋ฌผ์๊ณ , ๊ทธ๋ ๋ ์๋๋ผ๊ณ ๋๋ตํ์ต๋๋ค. ๊ทธ๋ ๋ ์ฝ์ ๋ณต์ฉํด์ผ ํ ์ง๋ ๋ชจ๋ฅธ๋ค๊ณ ๋งํ์ต๋๋ค. ์ด ํ์๋ ๊ณผ๊ฑฐ์ ์ฐ๋ถํธ๋ฆฐ์ ์ฒ๋ฐฉ๋ฐ์ ์ ์ด ์๊ณ ๋ฐ์์ด ์ข์์ง๋ง, ๋น์์๋ ๊ณผ์๊ณผ ๊ด๋ จ๋ ๊ฐ๋ฐ ์ฅ์ ๋ก ์ฒ๋ฐฉ๋์๊ธฐ ๋๋ฌธ์ ๋ณดํ์์ ์ฝ์ ๋ณด์ฅํ์ง ์์์ต๋๋ค. ๊ทธ๋ ๋ ๊ณผ๊ฑฐ์ ๋ค๋ฅธ ํญ์ฐ์ธ์ ๋ฅผ ๋ณต์ฉํ ์ ์ด ์์ต๋๋ค. ์์ด ์ถฉ๋์ ์์ง๋ง ์ง์ค๋ ฅ ์ ํ, ๋๋ฌผ์ ๋๋ฐํ ๊ธ๊ฒฉํ ๊ธฐ๋ถ ๋ณํ, ๋ถ๋ฉด์ฆ ์ฆ์์ ๊ฒช๊ณ ์์ต๋๋ค. ์๋ฉดํ์กฐ๋ ์์๋์ ์ ํ ์๋ค๊ณ ๋ถ์ธํฉ๋๋ค. ๊ทธ๋ ๋ 2003๋ 12์์ BSO์ ํจ๊ป TAH๋ฅผ ๋ฐ์์ต๋๋ค." | |
| }, | |
| { | |
| "id": 36, | |
| "dialogue": "Doctor: Any known past medical history? \nPatient: I have high blood pressure. \nDoctor: Anything else? \nPatient: Yeah, I remember I also had higher number of fat in my blood.", | |
| "summary": "Include dyslipidemia and hypertension.", | |
| "๋ํ": "์์ฌ: ๊ณผ๊ฑฐ ๋ณ๋ ฅ์ด ์์ผ์ ๊ฐ์? \nํ์: ๊ณ ํ์์ด ์์ต๋๋ค. \n์์ฌ: ๋ค๋ฅธ ๋ณ๋ ฅ์ ์๋์? \nํ์: ๋ค, ํ์ค ์ง๋ฐฉ ์์น๊ฐ ๋์๋ ๊ฒ๋ ๊ธฐ์ต๋์.", | |
| "์์ฝ": "์ด์ ์ง์ง ํ์ฆ ๋ฐ ๊ณ ํ์ ํฌํจ." | |
| }, | |
| { | |
| "id": 37, | |
| "dialogue": "Doctor: Do you drink? \nPatient: No, doc. \nDoctor: How about smoke? \nPatient: That I do. \nDoctor: How long have you been smoking? \nPatient: I long time.\nDoctor: Have you tried to quit or reduce how much you smoke? \nPatient: Truly, I have no interest in doing that with my age. \nDoctor: I see. I'd recommend you consider nicotine patches because smoking brings with it many health problems. \nPatient: Tell me something I don't know. \nDoctor: I understand. How about any other drug use? \nPatient: I know you're not going to like hearing this, but I'm big on weed. I know, I know, I'm going to regret all of this at some point in time. It's just become a habit that's incredibly hard to break.\nDoctor: Okay. I'd rather you smoke weed than cigs. How many packs a year do you think you smoke on average?\nPatient: I go through a pack around every two weeks. Let's go with around twenty seven.", | |
| "summary": "She has a 27 pack year smoking history. She denies any alcohol use. She does have a history of chronic marijuana use.", | |
| "๋ํ": "์์ฌ: ์ ๋์ธ์? \nํ์: ์๋์, ์์ฌ ์ ์๋. \n์์ฌ: ๋ด๋ฐฐ๋ ํผ์ฐ์๋์? \nํ์: ๊ทธ๋ ์ต๋๋ค. \n์์ฌ: ๋ด๋ฐฐ๋ฅผ ํผ์ด ์ง ์ผ๋ง๋ ๋์ จ๋์? \nํ์: ์ค๋๋์์ต๋๋ค.\n์์ฌ: ๋ด๋ฐฐ๋ฅผ ๋๊ฑฐ๋ ํก์ฐ๋์ ์ค์ด๋ ค๊ณ ๋ ธ๋ ฅํ์ จ์ต๋๊น? \nํ์: ์ฌ์ค, ์ด ๋์ด์ ๊ทธ๋ฐ ์๋๋ฅผ ํด๋ณผ ์๊ฐ์ ์์ต๋๋ค. \n์์ฌ: ๊ทธ๋ ๊ตฐ์. ํก์ฐ์ ๋ง์ ๊ฑด๊ฐ ๋ฌธ์ ๋ฅผ ์๋ฐํ๊ธฐ ๋๋ฌธ์ ๋์ฝํด ํจ์น๋ฅผ ๊ณ ๋ คํด ๋ณด์๋ ๊ฒ์ด ์ข์ต๋๋ค. \nํ์: ์ ๊ฐ ๋ชจ๋ฅด๋ ๊ฒ์ด ์์ผ๋ฉด ๋ง์ํด ์ฃผ์ธ์. \n์์ฌ: ์๊ฒ ์ต๋๋ค. ๋ค๋ฅธ ์ฝ๋ฌผ ์ฌ์ฉ์ ์ด๋ป์ต๋๊น? \nํ์: ์ด ์๊ธฐ๋ฅผ ๋ค์ผ์๋ ๊ฒ ์ซ์ผ์๊ฒ ์ง๋ง ์ ๋ ๋๋ง์ด๋ฅผ ์์ฒญ ์ข์ํฉ๋๋ค. ์ธ์ ๊ฐ๋ ์ด ๋ชจ๋ ๊ฒ์ ํํํ๊ฒ ๋ ๊ฑฐ๋ผ๋ ๊ฑฐ ์์์. ๋๊ธฐ ํ๋ ์ต๊ด์ด ๋์ด๋ฒ๋ ธ์ด์\n์์ฌ: ์ข์์, ๋ด๋ฐฐ๋ณด๋ค๋ ๋๋ง์ด๋ฅผ ํผ์ฐ์์ฃ . 1๋ ์ ํ๊ท ๋ช ๊ฐ์ ํผ์ฐ์๋์? \nํ์: 2์ฃผ๋ง๋ค ํ ๊ฐ์ฉ ํผ์๋๋ค. 27 ์ ๋์ ๋๋ค.", | |
| "์์ฝ": "๊ทธ๋ ๋ 27๊ฐ ๋ ํก์ฐ ์ด๋ ฅ์ด ์์ต๋๋ค. ๊ทธ๋ ๋ ์์ฝ์ฌ ์ฌ์ฉ์ ๋ถ์ธํฉ๋๋ค. ๊ทธ๋ ๋ ๋ง์ฑ ๋ง๋ฆฌํ๋ ์ฌ์ฉ ๋ณ๋ ฅ์ด ์์ต๋๋ค." | |
| }, | |
| { | |
| "id": 38, | |
| "dialogue": "Doctor: Do you or have you used tobacco products,sir? \nPatient: No. I have never been a smoker. \nDoctor: Do you have any history of alcohol or recreational drugs use? \nPatient: I have never been a drug user, but I used to drink a little, but it was never a problem. I don't drink any more. \nDoctor: What do you do for a living? \nPatient: I am retired. I used to be an insurance salesman.", | |
| "summary": "Retired insurance salesman and denies history of tobacco or illicit drug us. He has no h/o ETOH abuse and does not drink at present.", | |
| "๋ํ": "์์ฌ: ๋ด๋ฐฐ ์ ํ์ ์ฌ์ฉํ์ จ๋์, ์ ์๋? \nํ์: ์๋์, ํก์ฐํ ์ ์ด ์์ต๋๋ค. \n์์ฌ: ์ ์ด๋ ๊ธฐํธ์ฉ ์ฝ๋ฌผ์ ์ฌ์ฉํ ๋ณ๋ ฅ์ด ์์ต๋๊น? \nํ์: ๋ง์ฝ์ ์ฌ์ฉํ ์ ์ ์์ง๋ง ์ ์ ์กฐ๊ธ ๋ง์ ์ ์ ์์ง๋ง ๋ฌธ์ ๊ฐ ๋์ง๋ ์์์ต๋๋ค. ์ง๊ธ์ ์ ์ ๋ง์์ง ์์ต๋๋ค. \n์์ฌ: ์ง์ ์ ๋ฌด์์ ๋๊น? \nํ์: ํ์: ์ํดํ์ต๋๋ค. ์ ์๋ ๋ณดํ ์ธ์ผ์ฆ๋งจ์ด์์ด์.", | |
| "์์ฝ": "์ํดํ ๋ณดํ ํ๋งค์์ด๋ฉฐ ๋ด๋ฐฐ๋ ๋ถ๋ฒ ์ฝ๋ฌผ ๋ณต์ฉ ์ด๋ ฅ์ ๋ถ์ธํฉ๋๋ค. ๊ทธ๋ ETOH ๋จ์ฉ ๊ฒฝํ์ด ์์ผ๋ฉฐ ํ์ฌ ์ ์ ๋ง์์ง ์์ต๋๋ค." | |
| }, | |
| { | |
| "id": 39, | |
| "dialogue": "Doctor: Any old or new medications I should know about? \nPatient: Nope.", | |
| "summary": "None.", | |
| "๋ํ": "์์ฌ: ์ ๊ฐ ์์์ผ ํ ์ค๋๋ ์ฝ์ด๋ ์๋ก์ด ์ฝ์ด ์๋์? \nํ์: ์๋์.", | |
| "์์ฝ": "์์" | |
| }, | |
| { | |
| "id": 40, | |
| "dialogue": "Doctor: You had a bad acidity problem?\nPatient: Yes I was vomiting too.\nDoctor: What came out in the vomit?\nPatient: It was all brown colored things like coffee.\nDoctor: But nothing anymore, right?\nPatient: Yes I am all better.\nDoctor: Great!\nPatient: They told me I can go home.\nDoctor: Yes your blood count looks good, I just want you to continue Nexium forty M G once a day.\nPatient: I will do that.", | |
| "summary": "Coffee-ground emesis secondary to severe gastritis, resolved and stable. Hemoglobin at the time of discharge was stable and the patient to continue on Nexium 40 mg once daily.", | |
| "๋ํ": "์์ฌ: ์ฐ๋ ๋ฌธ์ ๊ฐ ์์๋์? \nํ์: ๋ค, ์ ๋ ๊ตฌํ ๋ฅผ ํ์ด์.\n์์ฌ: ๊ตฌํ ๋ฌผ์๋ ๋ฌด์์ด ๋์๋์? \nํ์: ์ปคํผ ๊ฐ์ ๊ฐ์์ด์์ต๋๋ค.\n์์ฌ: ํ์ง๋ง ์ด์ ์๋ฌด๊ฒ๋ ์ ๋์ค์ฃ ?\nํ์: ๋ค, ๋ค ๋์์ด์.\n์์ฌ: ์๋๋ค์!\nํ์: ์ง์ ๊ฐ๋ ๋๋ค๊ณ ํ๋๊ตฐ์.\n์์ฌ: ๋ค, ํ๊ตฌ ์์น๊ฐ ์ข์ ๋ณด์ด๋ ํ๋ฃจ์ ํ ๋ฒ ๋ฅ์์ 40mg๋ฅผ ๊ณ์ ๋ณต์ฉํ์ธ์.\nํ์: ๊ทธ๋ ๊ฒ ํ๊ฒ ์ต๋๋ค.", | |
| "์์ฝ": "์ฌํ ์์ผ์ ์ด์ฐจ์ ์ธ ์ปคํผ ๊ฐ๋ฃจ ๊ตฌํ ๊ฐ ํด๊ฒฐ๋๊ณ ์์ ๋์์ต๋๋ค. ํด์ ๋น์ ํค๋ชจ๊ธ๋ก๋น์ ์์ ์ ์ด์์ผ๋ฉฐ ํ์๋ ํ๋ฃจ์ ํ ๋ฒ ๋ฅ์์ 40mg์ ๊ณ์ ๋ณต์ฉํ์ต๋๋ค." | |
| }, | |
| { | |
| "id": 41, | |
| "dialogue": "Doctor: Hi, there. How are you both doing? What brings you two to the Emergency Department?\nGuest_family: Hi, Doctor. We're both doing fine. I brought my daughter in today because she's been feeling sick. \nDoctor: I see. Let me ask your daughter a few questions before we start. Hi, ma'am. I understand you feel sick. Before we begin I just want to confirm some information with you. Where is your primary residency? \nPatient: My mom can give you the address. I still live with her. \nDoctor: Thank you. One last question. Do you smoke? \nPatient: Nope. My Mother has forbidden smoking in her home.", | |
| "summary": "Lives at home, here in the ED with the mother and there is no smoking in the home.", | |
| "๋ํ": "์์ฌ: ์๋ ํ์ธ์. ๋ ๋ถ์ ์ข ์ด๋ ์ธ์? ๋ ๋ถ์ ์ด๋ป๊ฒ ์๊ธ์ค์ ์ค์ จ๋์?\n๊ฒ์คํธ_๊ฐ์กฑ: ์๋ ํ์ธ์, ์์ฌ ์ ์๋. ์ ํฌ ๋ ๋ค ๊ด์ฐฎ์์. ์ค๋ ๋ธ์์ด๊ฐ ์ํ์ ๋ฐ๋ ค์์ด์. \n์์ฌ: ๊ทธ๋ ๊ตฐ์. ์์ํ๊ธฐ ์ ์ ๋ฐ๋์๊ฒ ๋ช ๊ฐ์ง ์ง๋ฌธ์ ํ ๊ฒ์. ์๋ ํ์ธ์, ๋ถ์ธ. ๋ชธ์ด ์ํ์ ๊ฑด ์ดํดํฉ๋๋ค. ์์ํ๊ธฐ ์ ์ ๋ช ๊ฐ์ง ์ ๋ณด๋ฅผ ํ์ธํ๊ณ ์ถ์ต๋๋ค. ์ฃผ ๊ฑฐ์ฃผ์ง๊ฐ ์ด๋์ธ๊ฐ์? \nํ์: ์ ํฌ ์๋ง๊ฐ ์ฃผ์๋ฅผ ์๋ ค๋๋ฆด ์ ์์ต๋๋ค. ์์ง ์ด๋จธ๋์ ํจ๊ป ์ด๊ณ ์์ต๋๋ค. \n์์ฌ: ๊ฐ์ฌํฉ๋๋ค. ๋ง์ง๋ง ์ง๋ฌธ์ ๋๋ค. ๋ด๋ฐฐ๋ฅผ ํผ์ฐ์ญ๋๊น? \nํ์: ์๋์. ์ด๋จธ๋๊ฐ ์ง์์์ ํก์ฐ์ ๊ธ์งํ์ จ์ด์.", | |
| "์์ฝ": "์ง์์ ์ด๋จธ๋์ ํจ๊ป ์๊ธ์ค์ ๊ฑฐ์ฃผํ๋ฉฐ ์ง์์๋ ๋ด๋ฐฐ๋ฅผ ํผ์ฐ์ง ์์ต๋๋ค." | |
| }, | |
| { | |
| "id": 42, | |
| "dialogue": "Doctor: Let's see. Are you taking any medications? \nPatient: No, none right now.", | |
| "summary": "None.", | |
| "๋ํ": "์์ฌ: ์ด๋ ๋ณด์. ์ฝ์ ๋ณต์ฉํ๊ณ ์๋์? \nํ์: ์๋์, ์ง๊ธ์ ์์ต๋๋ค.", | |
| "์์ฝ": "์์" | |
| }, | |
| { | |
| "id": 43, | |
| "dialogue": "Doctor: Hello again, how are you doing, miss? \nPatient: I'm good. Thank you. How about you? \nDoctor: All good here too. I know you are an established patient of dermatology here and was last seen in our office on July thirteenth, two thousand and four. I will be asking you a few questions just to check whether the entry in our record is updated or not.\nDoctor: How old are you now? \nPatient: Twenty nine. \nDoctor: Where are you from originally? \nPatient: I'm from Vietnam. \nDoctor: I am seeing you today as a referral from A B C for reevaluation. \nPatient: Yes, for my hand eczema. \nDoctor: So, let's see what you have been treated with. Your record here says with Aristocort cream, Cetaphil cream, increased moisturizing cream and lotion. Does this sound right to you? \nPatient: Yes, that's correct. \nDoctor: Are you washing your hands in Cetaphil cleansing lotion? \nPatient: Yes, I'm doing all that. \nDoctor: What brings you here today? \nPatient: I'm having this flaring. My hands are all dry. I have these like cracks in my hands. I have been washing with the soap and the lotions that you prescribed, but still, it is happening. Maybe because of cracks or what, I don't know, but the Cetaphil cleansing lotion, whenever I'm applying that it is causing me a lot of burning pain. I have been wearing gloves though. \nDoctor: Are you married? \nPatient: Still, a single. I'm not even looking for a husband yet. \nDoctor: Are you working somewhere? \nPatient: Not currently.", | |
| "summary": "This is a 29-year-old Vietnamese female, established patient of dermatology, last seen in our office on 07/13/04. She comes in today as a referral from ABC, D.O. for a reevaluation of her hand eczema. I have treated her with Aristocort cream, Cetaphil cream, increased moisturizing cream and lotion, and wash her hands in Cetaphil cleansing lotion. She comes in today for reevaluation because she is flaring. Her hands are very dry, they are cracked, she has been washing with soap. She states that the Cetaphil cleansing lotion apparently is causing some burning and pain because of the fissures in her skin. She has been wearing some gloves also apparently. The patient is single. She is unemployed.", | |
| "๋ํ": "์์ฌ: ์๋ ํ์ธ์, ์ข ์ด๋ ์ธ์, ์๊ฐ์จ? \nํ์: ์ ๊ด์ฐฎ์์. ๊ณ ๋ง์ต๋๋ค. ์ ์๋์ ์ด๋ ์ธ์? \n์์ฌ: ์ฌ๊ธฐ๋ ๊ด์ฐฎ์ต๋๋ค. ์ด๊ณณ ํผ๋ถ๊ณผ ๋จ๊ณจ ํ์๋ก 7์ 13์ผ ์คํ 2์ 4๋ถ์ ์ ํฌ ์ง๋ฃ์ค์์ ๋ง์ง๋ง์ผ๋ก ์ง๋ฃ๋ฅผ ๋ฐ์ผ์ ๊ฒ์ผ๋ก ์๊ณ ์์ต๋๋ค. ์ ํฌ ๊ธฐ๋ก์ ํญ๋ชฉ์ด ์ ๋ฐ์ดํธ๋์๋์ง ํ์ธํ๊ธฐ ์ํด ๋ช ๊ฐ์ง ์ง๋ฌธ์ ๋๋ฆฌ๊ฒ ์ต๋๋ค.\n์์ฌ: ์ง๊ธ ๋ช ์ด์ด์ธ์? \nํ์: ์ค๋ฌผ์ํ์ ๋๋ค. \n์์ฌ: ์๋ ์ด๋์์ ์ค์ จ๋์? \nํ์: ๋ฒ ํธ๋จ ์ถ์ ์ ๋๋ค. \n์์ฌ: ์ฌํ๊ฐ๋ฅผ ์ํด A B C์ ์๋ขฐ๋ก ์ค๋ ์ง๋ฃ๋ฅผ ๋ณด๋ฌ ์์ต๋๋ค. \nํ์: ๋ค, ์ ์ ์ต์ง ๋๋ฌธ์์. \n์์ฌ: ๊ทธ๋ผ ์ด๋ค ์น๋ฃ๋ฅผ ๋ฐ์ผ์ จ๋์ง ๋ณด๊ฒ ์ต๋๋ค. ์ฌ๊ธฐ ๊ธฐ๋ก์๋ ์๋ฆฌ์คํ ์ฝํธ ํฌ๋ฆผ, ์ธํํ ํฌ๋ฆผ, ๋ณด์ต ํฌ๋ฆผ๊ณผ ๋ก์ ์ ์ฌ์ฉํ๋ค๊ณ ๋์ ์์ต๋๋ค. ์ด๊ฒ ๋ง๋ ๊ฒ ๊ฐ๋์? \nํ์: ๋ค, ๋ง์ต๋๋ค. \n์์ฌ: ์ธํํ ํด๋ ์ง ๋ก์ ์ผ๋ก ์์ ์ป์ผ์๋์? \nํ์: ์, ๊ทธ๋ ๊ฒ ํ๊ณ ์์ต๋๋ค. \n์์ฌ: ์ค๋์ ๋ฌด์จ ์ผ๋ก ์ค์ จ๋์? \nํ์: ์ผ๊ตด์ด ํ๋๊ฑฐ๋ ค์. ์ ์์ด ๋ชจ๋ ๊ฑด์กฐํด์. ์์ ๊ฐ๋ผ์ง ๊ฒ ๊ฐ์์. ์ฒ๋ฐฉํด ์ฃผ์ ๋น๋์ ๋ก์ ์ผ๋ก ๊ณ์ ์ป์๋๋ฐ๋ ์ฌ์ ํ ์ด๋ฐ ์ผ์ด ์ผ์ด๋๊ณ ์์ด์. ๊ท ์ด ๋๋ฌธ์ธ์ง ๋ชจ๋ฅด๊ฒ ์ง๋ง ์ธํํ ํด๋ ์ง ๋ก์ ์ ๋ฐ๋ฅผ ๋๋ง๋ค ํ๋ ๋ฏํ ํต์ฆ์ด ์ฌํฉ๋๋ค. ๊ทธ๋๋ ์ฅ๊ฐ์ ๋ผ๊ณ ์์ด์. \n์์ฌ: ๊ฒฐํผํ์ จ๋์? \nํ์: ์์ง ์ฑ๊ธ์ ๋๋ค. ์์ง ๋จํธ์ ์ฐพ๊ณ ์์ง๋ ์์์. \n์์ฌ: ์ด๋์์ ์ผํ๊ณ ๊ณ์ธ์? \nํ์: ์ง๊ธ์ ์์ต๋๋ค.", | |
| "์์ฝ": "์ด ํ์๋ 29์ธ์ ๋ฒ ํธ๋จ ์ฌ์ฑ์ผ๋ก, 2004๋ 7์ 13์ผ์ ์ ํฌ ์ง๋ฃ์ค์์ ๋ง์ง๋ง์ผ๋ก ๋ณธ ํผ๋ถ๊ณผ ํ์์ ๋๋ค. ์ ์ต์ง์ ๋ํ ์ฌํ๊ฐ๋ฅผ ์ํด ABC, D.O.์ ์๋ขฐ๋ก ์ค๋ ๋ด์ํ์ต๋๋ค. ์ ๋ ์๋ฆฌ์คํ ์ฝํธ ํฌ๋ฆผ, ์ธํํ ํฌ๋ฆผ, ๋ณด์ต ํฌ๋ฆผ๊ณผ ๋ก์ , ์ธํํ ํด๋ ์ง ๋ก์ ์ผ๋ก ์์ ์ป๋ ๋ฑ ์น๋ฃ๋ฅผ ํด์์ต๋๋ค. ์ค๋ ๊ทธ๋ ๋ ์ผ๊ตด์ด ๋ถ์ด์ ธ์ ์ฌํ๊ฐ๋ฅผ ์ํด ๋ด์ํ์ต๋๋ค. ๊ทธ๋ ์ ์์ ๋งค์ฐ ๊ฑด์กฐํ๊ณ ๊ฐ๋ผ์ ธ ์์ผ๋ฉฐ ๋น๋๋ก ์ป๊ณ ์์ต๋๋ค. ๊ทธ๋ ๋ ์ธํํ ํด๋ ์ง ๋ก์ ์ด ํผ๋ถ ๊ท ์ด ๋๋ฌธ์ ํ๋๊ฑฐ๋ฆผ๊ณผ ํต์ฆ์ ์ ๋ฐํ๋ ๊ฒ ๊ฐ๋ค๊ณ ๋งํฉ๋๋ค. ๊ทธ๋ ๋ ์ฅ๊ฐ๋ ๋ผ๊ณ ์์๋ค๊ณ ํฉ๋๋ค. ํ์๋ ๋ ์ ์ ๋๋ค. ๊ทธ๋ ๋ ์ค์ง ์ํ์ ๋๋ค." | |
| }, | |
| { | |
| "id": 44, | |
| "dialogue": "Doctor: Hello there, I am Doctor Nathan. \nPatient: Hello. \nDoctor: How old are you?\nPatient: I am forty eight?\nDoctor: Do you get regular periods? \nPatient: No, I didn't get any periods for the last year after my surgery. \nDoctor: Any hot flashes?\nPatient: Yes, it's been happening for the last several months. Sometimes I feel hot even in a fully air conditioned room. Other times I just feel like opening the refrigerator and standing in front of it.\nDoctor: Any other symptoms?\nPatient: I am also experiencing a lot of mood swings for the last few weeks.\nDoctor: Based on all the symptoms my assessment would be mood swings along with postsurgical menopause. That would be the cause for your hot flashes.", | |
| "summary": "1. Postsurgical menopause. 2. Mood swings.", | |
| "๋ํ": "์์ฌ: ์๋ ํ์ธ์, ์ ๋ ๋ค์ด์ ๋ฐ์ฌ์ ๋๋ค. \nํ์: ์๋ ํ์ธ์. \n์์ฌ: ๋ช ์ด์ด์ธ์? \nํ์: ๋งํ ์ฌ๋์ ๋๋ค.\n์์ฌ: ์๋ฆฌ๋ ๊ท์น์ ์ผ๋ก ํ์ญ๋๊น? \nํ์: ์๋์, ์์ ํ ์๋ ํ ํด ๋์ ์๋ฆฌ๋ฅผ ํ์ง ์์์ต๋๋ค. \n์์ฌ: ์๋ฉดํ์กฐ๋ ์์ต๋๊น? \nํ์: ๋ค, ์ง๋ ๋ช ๋ฌ ๋์ ์๋ฉดํ์กฐ๊ฐ ๊ณ์๋๊ณ ์์ต๋๋ค. ๊ฐ๋์ ์์ด์ปจ์ด ์๋น๋ ๋ฐฉ์์๋ ๋ฅ๋ค๊ณ ๋๊ปด์. ์ด๋ค ๋๋ ๊ทธ๋ฅ ๋์ฅ๊ณ ๋ฅผ ์ด๊ณ ๊ทธ ์์ ์ ์๊ณ ์ถ์ ๋๋ ์์ต๋๋ค.\n์์ฌ: ๋ค๋ฅธ ์ฆ์์ ์๋์? \nํ์: ์ง๋ ๋ช ์ฃผ ๋์ ๊ธฐ๋ถ ๋ณํ๋ ๋ง์ด ๊ฒช์์ต๋๋ค.\n์์ฌ: ๋ชจ๋ ์ฆ์์ ์ข ํฉํด ๋ณผ ๋ ์์ ํ ํ๊ฒฝ๊ณผ ํจ๊ป ๊ธฐ๋ถ ๊ธฐ๋ณต์ด ์๋ ๊ฒ์ผ๋ก ํ๋จ๋ฉ๋๋ค. ์ด๊ฒ์ด ์๋ฉด ํ์กฐ์ ์์ธ์ผ ๊ฒ์ ๋๋ค.", | |
| "์์ฝ": "1. ์์ ํ ํ๊ฒฝ. 2. ๊ธฐ๋ถ ๋ณํ." | |
| }, | |
| { | |
| "id": 45, | |
| "dialogue": "Doctor: Any change in appetite? \nPatient: Um, no.\nDoctor: Any stomach pain or change in bowel movement?\nPatient: No.\nDoctor: Any history of bowel issues? \nPatient: No, not really.\nDoctor: Any hernia problem? \nPatient: No.\nDoctor: Any history of stomach ulcer?\nPatient: No.\nDoctor: Did you notice any rectal bleeding? \nPatient: No.\nDoctor: Any liver issues or jaundice?\nPatient: Um, no.\nDoctor: Okay.", | |
| "summary": "GASTROINTESTINAL: No history of rectal bleeding, appetite change, abdominal pain, hiatal hernia, ulcer, jaundice, change in bowel habits or liver problems, and no history of inflammatory bowel problems.", | |
| "๋ํ": "์์ฌ: ์์์ ๋ณํ๊ฐ ์๋์? \nํ์: ์, ์๋์.\n์์ฌ: ๋ณตํต์ด๋ ๋ฐฐ๋ณ์ ๋ณํ๊ฐ ์๋์? \nํ์: ์๋์.\n์์ฌ: ์ฅ์ ๋ฌธ์ ๊ฐ ์์๋ ๋ณ๋ ฅ์ด ์์ต๋๊น? \nํ์: ์๋์, ์์ต๋๋ค.\n์์ฌ: ํ์ฅ ๋ฌธ์ ๋ ์์ต๋๊น? \nํ์: ์๋์.\n์์ฌ: ์๊ถค์ ๋ณ๋ ฅ์ด ์์ผ์ญ๋๊น?\nํ์: ์๋์.\n์์ฌ: ์ง์ฅ ์ถํ์ด ์์๋์? \nํ์: ์๋์.\n์์ฌ: ๊ฐ ๋ฌธ์ ๋ ํฉ๋ฌ์ ์์๋์? \nํ์: ์, ์์ต๋๋ค.\n์์ฌ: ์ข์์.", | |
| "์์ฝ": "์์ฅ: ์ง์ฅ ์ถํ, ์์ ๋ณํ, ๋ณตํต, ํ์ฅ, ๊ถค์, ํฉ๋ฌ, ๋ฐฐ๋ณ ์ต๊ด ๋ณํ ๋๋ ๊ฐ ์งํ์ ๋ณ๋ ฅ์ด ์์ผ๋ฉฐ ์ผ์ฆ์ฑ ์ฅ ์งํ์ ๋ณ๋ ฅ์ด ์์ต๋๋ค." | |
| }, | |
| { | |
| "id": 46, | |
| "dialogue": "Doctor: Hi, how can I help you, ma'am?\nPatient: I have no complaints.\nDoctor: Okay but tell me what is going on and we can figure this out.\nPatient: Okay so my right hand and left foot was very swollen and very painful, and that's why I came to emergency room. \nDoctor: Do you have urine bag?\nPatient: Yes, I could not go so they put it in.\nDoctor: Yes, it looks like five hundred M L came out. So possible urinary obstruction. Also, they started you on steroids and colchicine. How are you feeling now?\nPatient: I am feeling a little better, my pain is improving, and the swelling is getting better.\nDoctor: Okay that is good. Any fever and chills?\nPatient: No, no fever.\nDoctor: Any problem with urination like pain or frequency or blood in urine?\nPatient: No but I am not able to empty my bladder well, the pee has decreased a lot, I could not urinate.\nDoctor: Okay I will evaluate that. How about any cough, blood in sputum?\nPatient: No nothing like that.\nDoctor: Any chest pain, or difficulty breathing?\nPatient: No pain, I can breathe well.\nDoctor: Okay that sounds good.", | |
| "summary": "The patient denies any complaints, states that the right hand and left foot was very swollen and very painful, and came to emergency room. Also, she could not urinate and states as soon as they put Foley in, 500 mL of urine came out. Also they started her on steroids and colchicine, and the pain is improving and the swelling is getting better. Denies any fever and chills. Denies any dysuria, frequency or hematuria. States that the urine output was decreased considerably, and she could not urinate. Denies any cough, hemoptysis or sputum production. Denies any chest pain, orthopnea or paroxysmal nocturnal dyspnea.", | |
| "๋ํ": "์์ฌ: ์๋ ํ์ธ์, ๋ฌด์์ ๋์๋๋ฆด๊น์, ๋ถ์ธ? \nํ์: ์ ๋ ๋ถ๋ง์ด ์์ต๋๋ค.\n์์ฌ: ์์์ด์, ํ์ง๋ง ๋ฌด์จ ์ผ์ธ์ง ๋ง์ํด ์ฃผ์๋ฉด ์ ํฌ๊ฐ ์์๋ผ ์ ์์ ๊ฒ ๊ฐ์ต๋๋ค.\nํ์: ์ค๋ฅธ์๊ณผ ์ผ๋ฐ์ด ๋งค์ฐ ๋ถ์ด์ค๋ฅด๊ณ ํต์ฆ์ด ์ฌํด์ ์๊ธ์ค์ ์์ต๋๋ค. \n์์ฌ: ์๋ณ ์ฃผ๋จธ๋๊ฐ ์์ผ์ ๊ฐ์? \nํ์: ๋ค, ์ ๊ฐ ๊ฐ ์๊ฐ ์์ด์ ๋ฃ์์ต๋๋ค.\n์์ฌ: ๋ค, 500ml๊ฐ ๋์จ ๊ฒ ๊ฐ์ต๋๋ค. ์ํ์์ผ ๊ฐ๋ฅ์ฑ์ด ์์ต๋๋ค. ๋ํ ์คํ ๋ก์ด๋์ ์ฝํ์น์ ํฌ์ฌํ๊ธฐ ์์ํ์ต๋๋ค. ์ง๊ธ ๊ธฐ๋ถ์ด ์ด๋ ์ธ์?\nํ์: ๊ธฐ๋ถ์ด ์กฐ๊ธ ๋์์ง๊ณ ํต์ฆ๋ ํธ์ ๋๊ณ ๋ถ๊ธฐ๋ ๊ฐ๋ผ์๊ณ ์์ต๋๋ค.\n์์ฌ: ์ข์์. ์ด๊ณผ ์คํ์ ์์ต๋๊น? \nํ์: ์๋์, ์ด์ ์์ต๋๋ค.\n์์ฌ: ํต์ฆ์ด๋ ๋น๋จ, ์๋ณ์ ํผ๊ฐ ์์ฌ ๋์ค๋ ๋ฑ ๋ฐฐ๋จ์ ๋ฌธ์ ๊ฐ ์์ต๋๊น?\nํ์: ์๋์, ํ์ง๋ง ๋ฐฉ๊ด์ ์ ๋น์ธ ์ ์๊ณ ์๋ณ๋์ด ๋ง์ด ์ค์ด์ ์๋ณ์ ๋ณผ ์ ์์ต๋๋ค.\n์์ฌ: ์๊ฒ ์ต๋๋ค. ๊ธฐ์นจ์ด๋ ๊ฐ๋์ ํผ๊ฐ ์์ฌ ๋์ค์ง๋ ์๋์?\nํ์: ๊ทธ๋ฐ ๊ฑด ์์ต๋๋ค.\n์์ฌ: ๊ฐ์ด ํต์ฆ์ด๋ ํธํก ๊ณค๋์ ์์ต๋๊น? \nํ์: ํต์ฆ์ ์๊ณ ์จ์ ์ ์ฝ๋๋ค.\n์์ฌ: ์ข์์.", | |
| "์์ฝ": "ํ์๋ ์ฆ์์ ๋ถ์ธํ๊ณ ์ค๋ฅธ์๊ณผ ์ผ๋ฐ์ด ๋งค์ฐ ๋ถ๊ณ ๋งค์ฐ ์ํ๋ค๊ณ ๋งํ๋ฉฐ ์๊ธ์ค์ ์์ต๋๋ค. ๋ํ ์๋ณ์ ๋ณผ ์ ์์๊ณ ํด๋ฆฌ๋ฅผ ๋ฃ์๋ง์ 500mL์ ์๋ณ์ด ๋์๋ค๊ณ ๋งํ์ต๋๋ค. ๋ํ ์คํ ๋ก์ด๋์ ์ฝํ์น์ ํฌ์ฌํ๊ธฐ ์์ํ๊ณ ํต์ฆ์ด ํธ์ ๋๊ณ ๋ถ๊ธฐ๋ ๋์์ง๊ณ ์์ต๋๋ค. ์ด๊ณผ ์คํ์ ๋ถ์ธํฉ๋๋ค. ๋ฐฐ๋จ ์ฅ์ , ๋น๋จ ๋๋ ํ๋จ๋ฅผ ๋ถ์ธํฉ๋๋ค. ์๋ณ๋์ด ์๋นํ ๊ฐ์ํ์ฌ ์๋ณ์ ๋ณผ ์ ์๋ค๊ณ ์ง์ ํฉ๋๋ค. ๊ธฐ์นจ, ๊ฐํ ๋๋ ๊ฐ๋ ์์ฑ์ ๋ถ์ธํฉ๋๋ค. ํํต, ํธํก๊ณค๋ ๋๋ ๋ฐ์์ฑ ์ผํ์ฑ ํธํก๊ณค๋์ ๋ถ์ธํฉ๋๋ค." | |
| }, | |
| { | |
| "id": 47, | |
| "dialogue": "Doctor: Does low blood pressure run in your family?\nPatient: No. As far as I know, no one else has it. \nDoctor: Okay.", | |
| "summary": "Noncontributory.", | |
| "๋ํ": "์์ฌ: ๊ฐ์กฑ ์ค์ ์ ํ์์ด ์๋์?\nํ์: ์๋์, ์ ๊ฐ ์๋ ํ ์๋ฌด๋ ์์ต๋๋ค. \n์์ฌ: ์๊ฒ ์ต๋๋ค.", | |
| "์์ฝ": "๋น๊ธฐ์ฌ." | |
| }, | |
| { | |
| "id": 48, | |
| "dialogue": "Doctor: Welcome into the office. \nPatient: Thank you. \nDoctor: Let us start with your family medical history. \nPatient: That is going to be a hard one. I was adopted and I do not know any family medical history. \nDoctor: Okay. That is alright.", | |
| "summary": "Unobtainable.", | |
| "๋ํ": "์์ฌ: ์ง๋ฃ์ค์ ์ค์ ๊ฒ์ ํ์ํฉ๋๋ค. \nํ์: ๊ฐ์ฌํฉ๋๋ค. \n์์ฌ: ๊ฐ์กฑ ๋ณ๋ ฅ๋ถํฐ ์์ํ๊ฒ ์ต๋๋ค. \nํ์: ์ด๋ ค์ด ์ง๋ฌธ์ด ๋๊ฒ ๋ค์. ์ ๋ ์ ์๋์๊ณ ๊ฐ์กฑ ๋ณ๋ ฅ์ ์ ํ ๋ชจ๋ฆ ๋๋ค. \n์์ฌ: ์๊ฒ ์ต๋๋ค. ๊ด์ฐฎ์ต๋๋ค.", | |
| "์์ฝ": "์ป์ ์ ์์ต๋๋ค." | |
| }, | |
| { | |
| "id": 49, | |
| "dialogue": "Doctor: Good morning, ma'am. \nPatient: Good morning, doctor. \nDoctor: How are you feeling today? \nPatient: Honestly, I'm feeling a little bit better. \nDoctor: That's good to hear, ma'am.", | |
| "summary": "The patient states she is feeling a bit better.", | |
| "๋ํ": "์์ฌ: ์ข์ ์์นจ์ ๋๋ค, ๋ถ์ธ. \nํ์: ์ข์ ์์นจ์ ๋๋ค, ์์ฌ ์ ์๋. \n์์ฌ: ์ค๋ ๊ธฐ๋ถ์ด ์ด๋ ์ธ์? \nํ์: ์์งํ ์กฐ๊ธ ๋์์ง ๊ฒ ๊ฐ์์. \n์์ฌ: ๋คํ์ด๋ค์, ๋ถ์ธ.", | |
| "์์ฝ": "ํ์๊ฐ ๊ธฐ๋ถ์ด ์กฐ๊ธ ๋์์ก๋ค๊ณ ๋งํฉ๋๋ค." | |
| }, | |
| { | |
| "id": 50, | |
| "dialogue": "Doctor: Any medical traits in the family?\nPatient: Oh yeah. Diabetes and high blood pressure runs in my family.\nDoctor: Anything else?\nPatient: Yeah, my mom suffered with a stroke when she was in her seventies.", | |
| "summary": "Mother suffered stroke in her 70's. DM and Htn in family.", | |
| "๋ํ": "์์ฌ: ๊ฐ์กฑ ์ค์ ์ํ์ ํน์ฑ์ด ์๋์? \nํ์: ๋ค. ๊ฐ์กฑ ์ค์ ๋น๋จ๋ณ๊ณผ ๊ณ ํ์์ด ์์ต๋๋ค.\n์์ฌ: ๋ค๋ฅธ ๊ฒ์์? \nํ์: ๋ค, ์ด๋จธ๋๊ฐ 70๋์ ๋์กธ์ค์ผ๋ก ๊ณ ์ํ์ จ์ด์.", | |
| "์์ฝ": "์ด๋จธ๋๋ 70 ๋์ ๋์กธ์ค์ ์์์ต๋๋ค. ๊ฐ์กฑ ์ค DM๊ณผ Htn." | |
| }, | |
| { | |
| "id": 51, | |
| "dialogue": "Patient: You know doctor, I was born in Munich, Germany. \nDoctor: Wow, I cannot tell, you speak English so well, no German accent. \nPatient: Yeah, I always knew how to speak English even before I was a teen. So, when I moved to America I did not have any language problem.\nDoctor: Okay and did you move with your family?\nPatient: No, my family moved to the eastern side of the Germany which was occupied by Russia at that time, but I decided to move to America in nineteen fifty seven.\nPatient: I had a high school degree from Germany, and I could speak German and English fluently.\nPatient: As soon as I landed here in America, I started working. I started as a secretary at a private firm and later did clerical work at I B M. Now I am retired for almost twenty years due to my cancer complications. \nDoctor: Your Mesothelioma?\nPatient: Yeah.\nDoctor: Okay, and who all are there in your family?\nPatient: Well currently I am alone without any companion. I am divorced. I have a son who lives in Santa Cruz he has grand children, but I have not seen them, I am trying to get in touch with them. I want to see my grandkids. \nPatient: Other than him I have a brother and a sister both are healthy and living their life we don't talk much. \nDoctor: Okay. \nDoctor: And do you drink or smoke?\nPatient: Hm, nothing significant.\nDoctor: Any funny drugs like heroine or coke? \nPatient: No. \nDoctor: Okay.", | |
| "summary": "Significant for her being without a companion at this point. She was born in Munich, Germany. She immigrated to of America in 1957 after her family had to move to Eastern Germany, which was under Russian occupation at that time. She is divorced. She used to work as a secretary and later worked as a clerical worker at IBM. She stopped working more than 20 years ago due to complications from her mesothelioma. She denies any significant tobacco, alcohol or illicit drugs. She is bilingual speaking, German and English. She has known English from before her teens. She has the equivalent of a high school education in Germany. She has one brother and one sister, both of whom are healthy and she does not spend much time communicating with them. She has one son who lives in Santa Cruz. He has grandchildren. She is trying to contact with her grandchildren.", | |
| "๋ํ": "ํ์: ์์ฌ ์ ์๋, ์ ๋ ๋ ์ผ ๋ฎํจ์์ ํ์ด๋ฌ์ด์. \n์์ฌ: ์, ๋ ์ผ ์ต์ ์์ด ์์ด๋ฅผ ๋๋ฌด ์ํ์๋ค์. \nํ์: ๋ค, ์ ๋ ์ด๋ ธ์ ๋๋ถํฐ ์์ด๋ฅผ ํ ์ค ์์์ด์. ๊ทธ๋์ ๋ฏธ๊ตญ์ผ๋ก ์ด์ฃผํ์ ๋ ์ธ์ด ๋ฌธ์ ๋ ์ ํ ์์์ต๋๋ค.\n์์ฌ: ์ข์์, ๊ทธ๋ผ ๊ฐ์กฑ๊ณผ ํจ๊ป ์ด์ฌ๋ฅผ ์ค์ จ๋์? \nํ์: ์๋์, ์ ๊ฐ์กฑ์ ๋น์ ๋ฌ์์๊ฐ ์ ๋ นํ๊ณ ์๋ ๋ ์ผ ๋๋ถ๋ก ์ด์ฃผํ์ง๋ง ์ ๋ 1957๋ ์ ๋ฏธ๊ตญ์ผ๋ก ์ด์ฃผํ๊ธฐ๋ก ๊ฒฐ์ ํ์ต๋๋ค.\nํ์: ์ ๋ ๋ ์ผ์์ ๊ณ ๋ฑํ๊ต ํ์๋ฅผ ๋ฐ์๊ณ ๋ ์ผ์ด์ ์์ด๋ฅผ ์ ์ฐฝํ๊ฒ ๊ตฌ์ฌํ ์ ์์์ต๋๋ค.\nํ์: ๋ฏธ๊ตญ์ ๋์ฐฉํ์๋ง์ ์ผ์ ์์ํ์ต๋๋ค. ์ฒ์์๋ ๊ฐ์ธ ํ์ฌ์์ ๋น์๋ก ์ผํ๊ณ , ๋์ค์๋ I B M์์ ์ฌ๋ฌด์ง์ผ๋ก ์ผํ์ง๋ง ์ง๊ธ์ ์ ํฉ๋ณ์ฆ์ผ๋ก ๊ฑฐ์ 20๋ ๋์ ์ํดํ ์ํ์ ๋๋ค. \n์์ฌ: ์คํผ์ข ์ธ๊ฐ์? \nํ์: ๋ค.\n์์ฌ: ์ข์์, ๊ฐ์กฑ์ ๋ชจ๋ ๋๊ตฌ์ธ๊ฐ์? \nํ์: ํ์ฌ ์ ๋ ๋๋ฐ์ ์์ด ํผ์์ ๋๋ค. ์ ๋ ์ดํผํ์ต๋๋ค. ์ฐํํฌ๋ฃจ์ฆ์ ์ฌ๋ ์๋ค์ด ์๋๋ฐ ์์๋ ๊ฐ ์์ง๋ง ๋ณธ ์ ์ด ์๊ณ ์ฐ๋ฝ์ ์ทจํ๋ ค๊ณ ๋ ธ๋ ฅํ๊ณ ์์ต๋๋ค. ์์๋ค์ ๋ณด๊ณ ์ถ์ต๋๋ค. \nํ์: ๊ทธ ์ธ์ ๋จ๋์๊ณผ ์ฌ๋์์ด ์๋๋ฐ ๋ ๋ค ๊ฑด๊ฐํ๊ฒ ์ ์ด๊ณ ์์ง๋ง ๋ํ๋ ๋ง์ด ํ์ง ์์ต๋๋ค. \n์์ฌ: ๊ทธ๋ ๊ตฐ์. \n์์ฌ: ์ ์ด๋ ๋ด๋ฐฐ๋ ํ์ญ๋๊น? \nํ์: ์, ๋ณ๊ฑฐ ์์ด์.\n์์ฌ: ํค๋ก์ธ์ด๋ ์ฝ์นด์ธ ๊ฐ์ ์ฌ๋ฏธ์๋ ์ฝ์ ์๋์? \nํ์: ์๋จ. \n์์ฌ: ์ข์์.", | |
| "์์ฝ": "์ด ์์ ์์ ๊ทธ๋ ๋ ๋๋ฐ์๊ฐ ์๋ค๋ ๊ฒ์ด ์ค์ํฉ๋๋ค. ๊ทธ๋ ๋ ๋ ์ผ ๋ฎํจ์์ ํ์ด๋ฌ์ต๋๋ค. ๊ทธ๋ ๋ ๊ฐ์กฑ์ด ๋น์ ๋ฌ์์ ์ ๋ นํ์ ์๋ ๋๋ ์ผ๋ก ์ด์ฃผํด์ผ ํ๋ 1957๋ ์ ๋ฏธ๊ตญ์ผ๋ก ์ด๋ฏผ์ ์์ต๋๋ค. ๊ทธ๋ ๋ ์ดํผํ์ต๋๋ค. ๋น์๋ก ์ผํ๋ค๊ฐ ๋์ค์ IBM์์ ์ฌ๋ฌด์ง์ผ๋ก ์ผํ์ต๋๋ค. ์คํผ์ข ์ผ๋ก ์ธํ ํฉ๋ณ์ฆ์ผ๋ก 20์ฌ ๋ ์ ์ ์ผ์ ๊ทธ๋ง๋์์ต๋๋ค. ๋ด๋ฐฐ, ์ , ๋ถ๋ฒ ์ฝ๋ฌผ์ ์ ํ ํ์ง ์์๋ค๊ณ ๋ถ์ธํฉ๋๋ค. ๋ ์ผ์ด์ ์์ด๋ฅผ ์ด์ค ์ธ์ด๋ก ๊ตฌ์ฌํฉ๋๋ค. ๊ทธ๋ ๋ 10๋ ์ด์ ๋ถํฐ ์์ด๋ฅผ ์๊ณ ์์์ต๋๋ค. ๋ ์ผ์์ ๊ณ ๋ฑํ๊ต ํ๋ ฅ๊ณผ ๋๋ฑํ ์์ค์ ๊ต์ก์ ๋ฐ์์ต๋๋ค. ์ฌํ์ ๋จ๋์๊ณผ ์ฌ๋์์ด ํ ๋ช ์์ผ๋ฉฐ, ๋ ๋ค ๊ฑด๊ฐํ๊ณ ์๋ ์ ์ํตํ๋ ์๊ฐ์ด ๋ง์ง ์์ต๋๋ค. ์ฐํํฌ๋ฃจ์ฆ์ ์ฌ๋ ์๋ค์ด ํ ๋ช ์์ต๋๋ค. ๊ทธ์๊ฒ๋ ์์๊ฐ ์์ต๋๋ค. ๊ทธ๋ ๋ ์์๋ค๊ณผ ์ฐ๋ฝ์ ์๋ํ๊ณ ์์ต๋๋ค." | |
| }, | |
| { | |
| "id": 52, | |
| "dialogue": "Doctor: It looks like he has a history of high blood pressure, high cholesterol, and Afib. \nGuest_clinician: Does he see a cardiologist for his Afib? \nDoctor: Not according to his chart. I'll see if I can call his emergency contact to confirm.\nGuest_clinician: Okay. Keep me posted.", | |
| "summary": "Per the emergency room record, significant for atrial fibrillation, hypertension, and hyperlipidemia.", | |
| "๋ํ": "์์ฌ: ๊ณ ํ์, ๊ณ ์ฝ๋ ์คํ ๋กคํ์ฆ, ์ฌ๋ฐฉ์ธ๋ ๋ณ๋ ฅ์ด ์๋ ๊ฒ ๊ฐ์ต๋๋ค. \n๊ฒ์คํธ_์์์: ๊ทธ๊ฐ ์ฌ๋ฐฉ์ธ๋ ๋๋ฌธ์ ์ฌ์ฅ์ ๋ฌธ์์๊ฒ ์ง์ฐฐ์ ๋ฐ๋์? \n์์ฌ: ์ฐจํธ์๋ ์์ต๋๋ค. ํ์๋ถ์ ๋น์ ์ฐ๋ฝ์ฒ๋ก ์ ํํด์ ํ์ธํด ๋ณด๊ฒ ์ต๋๋ค.\n๊ฒ์คํธ_์์์: ์๊ฒ ์ต๋๋ค. ๊ณ์ ์๋ ค์ฃผ์ธ์.", | |
| "์์ฝ": "์๊ธ์ค ๊ธฐ๋ก์ ๋ฐ๋ฅด๋ฉด ์ฌ๋ฐฉ์ธ๋, ๊ณ ํ์ ๋ฐ ๊ณ ์งํ์ฆ์ ์ ์ํฉ๋๋ค." | |
| }, | |
| { | |
| "id": 53, | |
| "dialogue": "Doctor: Good afternoon, ma'am. You're forty one years old, correct? \nPatient: Good afternoon, doctor. Yes, that's correct. \nDoctor: Thank you, have you followed up with Doctor X since your surgery? \nPatient: Why would I do that? \nDoctor: Oh, just because she referred you to me. \nPatient: Oh, no, I haven't yet. \nDoctor: That's fine. Have you heard the details behind your surgery? \nPatient: I heard it once, but I can't remember anything. Can you remind me? \nDoctor: Well, you had a complicated case, but we did an anterior cervical discectomy, two level corpectomy, with a spinal decompression and fusion with fibular strut and machine allograft in your large cervical plate. \nPatient: Oh, that's a lot, doctor. \nDoctor: Yes, how are you doing today? \nPatient: Well, I've felt good for the last two days.\nDoctor: Have you been able to move your arms and legs for the last few days?\nPatient: Yeah, I can actually move all four. \nDoctor: Good, are you having any issues breathing? \nPatient: No, nothing of note there. \nDoctor: Okay, today, I think you'd be a good candidate for a halo vest placement. \nPatient: Yeah, doctor, I'm not going back to the O R. \nDoctor: Okay, we can do it here. \nPatient: Okay doctor, I'd like to do it here. \nDoctor: Let me get A B C to help me with this. Also, we're going to move you to S I C U room one. \nPatient: Can you tell me the details about what you're going to do? \nDoctor: Well, this is a P M T halo, I like this one better than the Bremer halo vest, and I'll use morphine and Versed.\nPatient: Are you going to use anesthesia? \nDoctor: Yes, I have local anesthetic, it's xylocaine and epinephrine, um, it's somewhere between fifteen and twenty C C.", | |
| "summary": "The patient is a 41-year-old female who presented to me with severe cervical spondylosis and myelopathy. She was referred to me by Dr. X. The patient underwent a complicated anterior cervical discectomy, 2-level corpectomy, spinal cord decompression and fusion with fibular strut and machine allograft in the large cervical plate. Surgery had gone well, and the patient has done well in the last 2 days. She is neurologically improved and is moving all four extremities. No airway issues. It was felt that the patient was now a candidate for a halo vest placement given that chance of going to the OR were much smaller. She was consented for the procedure, and I sought the help of ABC and felt that a PMT halo would be preferable to a Bremer halo vest. The patient had this procedure done at the bedside, in the SICU room #1. I used a combination of some morphine 1 mg and Versed 2 mg for this procedure. I also used local anesthetic, with 1% Xylocaine and epinephrine a total of 15 to 20 cc.", | |
| "๋ํ": "์์ฌ: ์๋ ํ์ธ์, ๋ถ์ธ. ์ง๊ธ ๋งํ ํ ์ด์ด์์ฃ ? \nํ์: ์๋ ํ์ธ์, ์์ฌ ์ ์๋. ๋ค, ๋ง์ต๋๋ค. \n์์ฌ: ๊ฐ์ฌํฉ๋๋ค, ์์ ํ ์์ฌ X์๊ฒ ํ์ ์กฐ์น๋ฅผ ๋ฐ์ผ์ จ๋์? \nํ์: ์ ๊ฐ ์ ๊ทธ๋์ผ ํ๋์? \n์์ฌ: ๊ทธ๋ฅ ์ ์๊ฒ ์๊ฐํด ์ฃผ์ จ์ผ๋๊น์. \nํ์: ์๋จ, ์์ง ์ ํ์ด์. \n์์ฌ: ๊ด์ฐฎ์ต๋๋ค. ์์ ์ ๋ํ ์์ธํ ๋ด์ฉ์ ๋ค์ผ์ จ๋์? \nํ์: ํ ๋ฒ ๋ค์ ์ ์ ์๋๋ฐ ๊ธฐ์ต์ด ์ ๋์. ์๊ธฐ์์ผ ์ฃผ์ค ์ ์๋์? \n์์ฌ: ๋ณต์กํ ์ผ์ด์ค์๋๋ฐ์, ์ ๋ฐฉ ๊ฒฝ์ถ ์ถ๊ฐํ ์ ์ ์ ๊ณผ 2๋จ๊ณ ๊ฒฝ์ถ ์ ์ ์ , ์ฒ์ถ ๊ฐ์์ , ์ฌ์ ์ฑ ์คํธ๋ฟ๊ณผ ๊ธฐ๊ณ ๋์ข ์ด์์ ์ด์ฉํ ๋๊ฒฝ์ถํ ์ ํฉ์ ์ ์ํํ์ต๋๋ค. \nํ์: ๋๋ฌด ๋ง๋ค์, ์ ์๋. \n์์ฌ: ๋ค, ์ค๋์ ์ด๋ ์ธ์? \nํ์: ์ง๋ ์ดํ ๋์ ๊ธฐ๋ถ์ด ์ข์์ต๋๋ค.\n์์ฌ: ์ง๋ ๋ฉฐ์น ๋์ ํ๊ณผ ๋ค๋ฆฌ๋ฅผ ์์ง์ผ ์ ์์๋์? \nํ์: ๋ค, ๋ค ๋ค๋ฆฌ๋ฅผ ๋ชจ๋ ์์ง์ผ ์ ์์์ต๋๋ค. \n์์ฌ: ์ข์์, ์จ์ฌ๋ ๋ฐ๋ ๋ฌธ์ ๊ฐ ์๋์? \nํ์: ์๋์, ๋ณ๋ค๋ฅธ ๋ฌธ์ ๋ ์์ต๋๋ค. \n์์ฌ: ์ข์์, ์ค๋์ ํ๊ด ์กฐ๋ผ๋ฅผ ์ฐฉ์ฉํ๋ ๊ฒ์ด ์ข์ ๊ฒ ๊ฐ์ต๋๋ค. \nํ์: ๋ค, ์ ์๋, ์ ์์ ์ค๋ก ๋์๊ฐ์ง ์์ ๊ฑฐ์์ \n์์ฌ: ์ข์์, ์ฌ๊ธฐ์ ํ ์ ์์ด์. \nํ์: ์์์ด์, ์ฌ๊ธฐ์ ํ๊ณ ์ถ์ด์. \n์์ฌ: A B C๊ฐ ๋์์ฃผ๋๋ก ํ์ฃ . ๊ทธ๋ฆฌ๊ณ 1๋ฒ ๋ฐฉ์ผ๋ก ์ฎ๊ฒจ๋๋ฆฌ๊ฒ ์ต๋๋ค. \nํ์: ์ด๋ป๊ฒ ํ์ค ๊ฑด์ง ์์ธํ ๋ง์ํด ์ฃผ์๊ฒ ์ด์? \n์์ฌ: ๋ธ๋ ๋จธ ํค์ผ๋ก ์กฐ๋ผ๋ณด๋ค ์ด๊ฒ ๋ ๋ง์์ ๋ค์ด์, ๋ชจ๋ฅดํ๊ณผ ๋ฒ์ธ๋๋ฅผ ์ฌ์ฉํ ๊ฑฐ์์ \nํ์: ๋ง์ทจ๋ฅผ ํ์ค ๊ฑด๊ฐ์? \n์์ฌ: ๋ค, ๊ตญ์ ๋ง์ทจ๋ฅผ ํ ๊ฒ๋๋ค. ์์ผ๋ก์นด์ธ๊ณผ ์ํผ๋คํ๋ฆฐ์ด ๋ค์ด ์๊ณ , 15~20cc ์ ๋์ ๋๋ค.", | |
| "์์ฝ": "ํ์๋ 41์ธ ์ฌ์ฑ์ผ๋ก ์ค์ฆ ๊ฒฝ์ถ์ฆ๊ณผ ์ฒ์์ฆ์ผ๋ก ์ ์๊ฒ ๋ด์ํ์ต๋๋ค. ํ์๋ ๋ณต์กํ ์ ๋ฐฉ ๊ฒฝ์ถ ์ถ๊ฐํ ์ ์ ์ , 2๋จ๊ณ ์ถ๊ฐํ ์ ์ ์ , ์ฒ์ ๊ฐ์์ , ๋๊ฒฝ์ถํ์ ์ฌ์ ๊ณจ ์คํธ๋ฟ ๋ฐ ๊ธฐ๊ณ ๋์ข ์ด์ํธ๊ณผ์ ์ ํฉ์ ์ ๋ฐ์์ต๋๋ค. ์์ ์ ์ ์งํ๋์๊ณ ํ์๋ ์ง๋ 2์ผ ๋์ ์ ์ง๋์ต๋๋ค. ์ ๊ฒฝํ์ ์ผ๋ก ํธ์ ๋์ด ์ฌ์ง๋ฅผ ๋ชจ๋ ์์ง์ด๊ณ ์์ต๋๋ค. ๊ธฐ๋ ๋ฌธ์ ๋ ์์ต๋๋ค. ์์ ์ค๋ก ๊ฐ ๊ฐ๋ฅ์ฑ์ด ํจ์ฌ ์ ์ด์ก๊ธฐ ๋๋ฌธ์ ํ์๋ ์ด์ ํ๊ด ์กฐ๋ผ๋ฅผ ์ฐฉ์ฉํ ์ ์๋ ํ๋ณด์๋ผ๊ณ ์๊ฐํ์ต๋๋ค. ํ์๋ ์์ ์ ๋์ํ๊ณ , ์ ๋ ABC์ ๋์์ ๊ตฌํ ๊ฒฐ๊ณผ ๋ธ๋ ๋จธ ํค์ผ๋ก ์กฐ๋ผ๋ณด๋ค๋ PMT ํค์ผ๋ก๊ฐ ๋ ๋ซ๋ค๊ณ ์๊ฐํ์ต๋๋ค. ํ์๋ ์คํ์์ค 1ํธ์ค์ ์นจ๋ ์์์ ์ด ์์ ์ ๋ฐ์์ต๋๋ค. ์ ๋ ์ด ์์ ์ ์ํด ๋ชจ๋ฅดํ 1mg๊ณผ ๋ฒ์ธ๋ 2mg์ ํจ๊ป ์ฌ์ฉํ์ต๋๋ค. ๋ํ 1% ์์ผ๋ก์นด์ธ๊ณผ ์ํผ๋คํ๋ฆฐ ์ด 15~20cc์ ๊ตญ์ ๋ง์ทจ์ ๋ฅผ ์ฌ์ฉํ์ต๋๋ค." | |
| }, | |
| { | |
| "id": 54, | |
| "dialogue": "Doctor: Welcome in, sir. \nPatient: Thank you. \nDoctor: Let us start off with a little background. \nPatient: Okay. \nDoctor: What is your current living status? Do you live with others or on your own? \nPatient: Well, right now I am living with my sister in Sacaton. I am currently looking for my own place, but I am staying with her for now. \nDoctor: Are you looking for a place in Sacaton? \nPatient: No. I will probably look for a place back in Coolidge. \nDoctor: Back in Coolidge? Have you lived there before? \nPatient: I recently separated from my wife. We lived in Coolidge together. Sacaton is too far away from everything, but it is fine for now. \nDoctor: I am so sorry to hear that. \nPatient: Thank you. My sister has been a saint. I am not working right now so my sister is letting me stay with her for free. She gave up her home office and made me a nice room to stay in. \nDoctor: Your sister is very generous. Are you and your sister close?\nPatient: Not when we were growing up but now that we are older, we have become very close. She has been a great support for me in these hard times. \nDoctor: That's wonderful. Are you a tobacco user? \nPatient: I smoke cigarettes. I only smoke a little bit. \nDoctor: How much do you smoke per day? \nPatient: I only smoke about one or two cigarettes a day. \nDoctor: Do you or have you ever used drugs or alcohol? \nPatient: I have never used drugs. I used to be a heavy drinker. I quit drinking a year ago. \nDoctor: That's great. Do you attend A A meetings? \nPatient: No, but I might start. Things have been very stressful lately with the separation and being on unemployment. \nDoctor: I think it could be beneficial to you. \nPatient: Okay. \nDoctor: I have a list for different support groups in the area that I can give you. \nPatient: Great. Thank you.", | |
| "summary": "He lives in Sacaton with his sister. He is separated from his wife who lives in Coolidge. He smokes one or two cigarettes a day. Denies drug abuse. He used to be a heavy drinker, quit alcohol one year ago and does not work currently.", | |
| "๋ํ": "์์ฌ: ์ด์ ์ค์ธ์, ์ ์๋. \nํ์: ๊ฐ์ฌํฉ๋๋ค. \n์์ฌ: ๋ฐฐ๊ฒฝ ์ค๋ช ๋ถํฐ ์์ํ๊ฒ ์ต๋๋ค. \nํ์: ์๊ฒ ์ต๋๋ค. \n์์ฌ: ํ์ฌ ๊ฑฐ์ฃผ ์ํ๋ ์ด๋ค๊ฐ์? ๋ค๋ฅธ ์ฌ๋๊ณผ ํจ๊ป ์ด๊ณ ์์ต๋๊น, ์๋๋ฉด ํผ์ ์ด๊ณ ์์ต๋๊น? \nํ์: ์ง๊ธ์ ์ฌ์นดํค์ ์๋ ์ฌ๋์๊ณผ ํจ๊ป ์ด๊ณ ์์ต๋๋ค. ํ์ฌ ์ ์ง์ ์ฐพ๊ณ ์์ง๋ง ๋น๋ถ๊ฐ์ ๋๋์ ํจ๊ป ์ง๋ด๊ณ ์์ต๋๋ค. \n์์ฌ: ์ฌ์นดํค์ ์ง์ ๊ตฌํ๊ณ ๊ณ์ ๊ฐ์? \nํ์: ์๋์, ์ฟจ๋ฆฌ์ง์ ๋ค์ ์ง์ ๊ตฌํ ๊ฒ ๊ฐ์ต๋๋ค. \n์์ฌ: ์ฟจ๋ฆฌ์ง์? ์ ์ ๊ฑฐ๊ธฐ ์ด์๋์? \nํ์: ์ ๋ ์ต๊ทผ์ ์๋ด์ ๋ณ๊ฑฐํ์ต๋๋ค. ์ฟจ๋ฆฌ์ง์์ ํจ๊ป ์ด์์ด์. ์ฌ์นดํค์ ๋ชจ๋ ๊ฒ์์ ๋๋ฌด ๋ฉ๋ฆฌ ๋จ์ด์ ธ ์์ง๋ง ์ง๊ธ์ ๊ด์ฐฎ์ต๋๋ค. \n์์ฌ: ์ ๋ง ์ ๊ฐ์ ๋๋ค. \nํ์: ๊ณ ๋ง์์. ์ ์ฌ๋์์ ์ฑ์ธ์ด์์ด์. ์ง๊ธ์ ์ผ์ ํ์ง ์์์ ๋๋๊ฐ ์ ๋ฅผ ๋ฌด๋ฃ๋ก ๋ฌต๊ฒ ํด์ฃผ๊ณ ์์ด์. ์๊ธฐ ์ง๋ ๋ด์ด์ฃผ๊ณ ์ข์ ๋ฐฉ๋ ๋ง๋ค์ด ์ฃผ์ จ์ด์. \n์์ฌ: ๋๋๊ฐ ์ ๋ง ๋๊ทธ๋ฌ์ฐ์๋ค์. ์ฌ๋์๊ณผ ์นํ ์ฌ์ด์ธ๊ฐ์? \nํ์: ์ด๋ ธ์ ๋๋ ๊ทธ๋ ์ง ์์์ง๋ง ๋์ด๊ฐ ๋ค๋ฉด์ ๋งค์ฐ ์นํด์ก์ด์. ๋๋๋ ํ๋ ์๊ธฐ์ ์ ์๊ฒ ํฐ ํ์ด ๋์ด์ฃผ์์ต๋๋ค. \n์์ฌ: ์๋๋ค์. ๋ด๋ฐฐ๋ฅผ ํผ์ฐ์ญ๋๊น? \nํ์: ๋ด๋ฐฐ๋ฅผ ํผ์๋๋ค. ์์ฃผ ์กฐ๊ธ๋ง ํผ์๋๋ค. \n์์ฌ: ํ๋ฃจ์ ์ผ๋ง๋ ํผ์ฐ์ญ๋๊น? \nํ์: ํ๋ฃจ์ ํ๋ ๊ฐ๋น ์ ๋๋ง ํผ์๋๋ค. \n์์ฌ: ์ฝ๋ฌผ์ด๋ ์์ฝ์ฌ์ ์ฌ์ฉํ๊ฑฐ๋ ์ฌ์ฉํ ์ ์ด ์์ต๋๊น? \nํ์: ๋ง์ฝ์ ์ฌ์ฉํ ์ ์ด ์์ต๋๋ค. ์์ ์๋ ์ ์ ๋ง์ด ๋ง์ จ์ด์. 1๋ ์ ์ ์ ์ ๋์์ต๋๋ค. \n์์ฌ: ์๋๋ค์. ๋ชจ์์ ์ฐธ์ํ์ญ๋๊น? \nํ์: ์๋์, ํ์ง๋ง ์์ํ๋ ค๊ณ ์. ์ต๊ทผ ๋ณ๊ฑฐ์ ์ค์ง์ผ๋ก ์คํธ๋ ์ค๊ฐ ๋ง์์ด์. \n์์ฌ: ํ์๋ถ๊ป ๋์์ด ๋ ๊ฒ ๊ฐ๋ค์. \nํ์: ์๊ฒ ์ต๋๋ค. \n์์ฌ: ์ด ์ง์ญ์ ์ฌ๋ฌ ์ง์ ๊ทธ๋ฃน ๋ชฉ๋ก์ ์๋ ค๋๋ฆด ์ ์์ต๋๋ค. \nํ์: ์ข์์. ๊ฐ์ฌํฉ๋๋ค.", | |
| "์์ฝ": "๊ทธ๋ ์ฌ๋์๊ณผ ํจ๊ป ์์นดํค์ ์ด๊ณ ์์ต๋๋ค. ๊ทธ๋ ์ฟจ๋ฆฌ์ง์ ์ฌ๋ ์๋ด์ ๋ณ๊ฑฐ ์ค์ ๋๋ค. ํ๋ฃจ์ ํ๋ ๊ฐ๋น์ ๋ด๋ฐฐ๋ฅผ ํผ์๋๋ค. ์ฝ๋ฌผ ๋จ์ฉ์ ๋ถ์ธํฉ๋๋ค. ๊ณผ๊ฑฐ์๋ ์ ์ ๋ง์ด ๋ง์ จ์ผ๋ 1๋ ์ ์ ์ ์ ๋์์ผ๋ฉฐ ํ์ฌ๋ ์ผ์ ํ์ง ์์ต๋๋ค." | |
| }, | |
| { | |
| "id": 55, | |
| "dialogue": "Doctor: Good morning, ma'am. \nPatient: Good morning, doctor. \nDoctor: Welcome to A B C D General Hospital. My nurse says that you are forty one years old, and you identify as a White female, is that correct? \nPatient: Yes, that's all correct. \nDoctor: Thank you, so, what seems to be the trouble today?\nPatient: Well, I'm having some pain in this foot, it's right over this bone. \nDoctor: Is your pain right here?\nPatient: Yes, it really hurts right there. \nDoctor: Okay, this is known as your navicular bone. What makes the pain worse? \nPatient: Usually wearing shoes makes it worse. \nDoctor: Do you have any past history of problems with this foot?\nPatient: Well, I have a history of multiple osteochondromas. \nDoctor: Do they know what caused these? \nPatient: No, no one ever figured it out, they just said it was hereditary. \nDoctor: Have they done surgery on these in the past? \nPatient: Yeah, I had a surgery for this a while ago. \nDoctor: Have you ever had this problem in your feet or spine?\nPatient: No, this is new. Can we do that surgery again? I can't take this pain.", | |
| "summary": "This 41-year-old Caucasian female who presents to ABCD General Hospital. The patient states that she has extreme pain over the navicular bone with shoe gear as well as history of multiple osteochondromas of unknown origin. She states that she has been diagnosed with hereditary osteochondromas. She has had previous dissection of osteochondromas in the past and currently has not been diagnosed in her feet as well as spine and back. The patient desires surgical treatment at this time.", | |
| "๋ํ": "์์ฌ: ์ข์ ์์นจ์ ๋๋ค, ๋ถ์ธ. \nํ์: ์ข์ ์์นจ์ ๋๋ค, ์์ฌ ์ ์๋. \n์์ฌ: A B C D ์ข ํฉ๋ณ์์ ์ค์ ๊ฒ์ ํ์ํฉ๋๋ค. ๊ฐํธ์ฌ ๋ง๋ก๋ ํ์๋ถ์ 41์ธ์ด๊ณ ์ ๋ถ์ด ๋ฐฑ์ธ ์ฌ์ฑ์ด๋ผ๊ณ ํ๋๋ฐ ๋ง์ต๋๊น? \nํ์: ์, ๋ง์ต๋๋ค. \n์์ฌ: ๊ฐ์ฌํฉ๋๋ค, ์ค๋์ ๋ฌด์จ ๋ฌธ์ ๊ฐ ์์ผ์ ๊ฒ ๊ฐ๋์? \nํ์: ์, ์ด ๋ฐ์ ์ฝ๊ฐ์ ํต์ฆ์ด ์์ต๋๋ค. ์ด ๋ผ ๋ฐ๋ก ์์์. \n์์ฌ: ํต์ฆ์ด ๋ฐ๋ก ์ฌ๊ธฐ์ธ๊ฐ์? \nํ์: ๋ค, ์ฌ๊ธฐ๊ฐ ์ ๋ง ์ํ์. \n์์ฌ: ์ข์์, ์ด๊ณณ์ ๋น๊ณจ์ด๋ผ๊ณ ํฉ๋๋ค. ๋ฌด์์ด ํต์ฆ์ ์ ํ์ํค๋์? \nํ์: ๋ณดํต ์ ๋ฐ์ ์ ์ผ๋ฉด ๋ ์ฌํด์ง๋๋ค. \n์์ฌ: ์ด ๋ฐ์ ๋ฌธ์ ๊ฐ ์์๋ ๊ณผ๊ฑฐ๋ ฅ์ด ์์ผ์ ๊ฐ์? \nํ์: ์, ์ ๋ ๋ค๋ฐ์ฑ ๊ณจ์ฐ๊ณจ์ข ๋ณ๋ ฅ์ด ์์ต๋๋ค. \n์์ฌ: ์์ธ์ด ๋ฌด์์ธ์ง ์๊ณ ์๋์? \nํ์: ์๋์, ์๋ฌด๋ ์์๋ธ ์ ์ด ์๊ณ ์ ์ ์ ์ด๋ผ๊ณ ๋ง ํ์ต๋๋ค. \n์์ฌ: ๊ณผ๊ฑฐ์ ์ด๋ฐ ์ฆ์์ผ๋ก ์์ ์ ๋ฐ์ ์ ์ด ์๋์? \nํ์: ๋ค, ์ผ๋ง ์ ์ ์์ ์ ๋ฐ์์ด์. \n์์ฌ: ๋ฐ์ด๋ ์ฒ์ถ์ ์ด๋ฐ ๋ฌธ์ ๊ฐ ์์๋ ์ ์ด ์๋์? \nํ์: ์๋์, ์ด๊ฑด ์ฒ์์ ๋๋ค. ๊ทธ ์์ ์ ๋ค์ ํ ์ ์์๊น์? ์ด ๊ณ ํต์ ๊ฒฌ๋ ์ ์์ด์.", | |
| "์์ฝ": "41์ธ ๋ฐฑ์ธ ์ฌ์ฑ์ผ๋ก ABCD ์ข ํฉ๋ณ์์ ๋ด์ํ ํ์์ ๋๋ค. ํ์๋ ์ ๋ฐ์ ์ ์์ ๋ ๋ฐฐ๊ผฝ๋ผ์ ๊ทน์ฌํ ํต์ฆ์ด ์๊ณ ์์ธ์ ์ ์ ์๋ ๋ค๋ฐ์ฑ ๊ณจ์ฐ๊ณจ์ข ์ ๋ณ๋ ฅ์ด ์๋ค๊ณ ๋งํฉ๋๋ค. ๊ทธ๋ ๋ ์ ์ ์ฑ ๊ณจ์ฐ๊ณจ์ข ์ง๋จ์ ๋ฐ์๋ค๊ณ ๋งํฉ๋๋ค. ๊ณผ๊ฑฐ์ ๊ณจ์ฐ๊ณจ์ข ์ ์ ์ ์ ๋ฐ์ ์ ์ด ์์ผ๋ฉฐ ํ์ฌ ์ฒ์ถ์ ๋ฑ๋ฟ๋ง ์๋๋ผ ๋ฐ์์๋ ๊ณจ์ฐ๊ณจ์ข ์ง๋จ์ ๋ฐ์ ์ ์ด ์์ต๋๋ค. ํ์๋ ํ์ฌ ์์ ์ ์น๋ฃ๋ฅผ ์ํ๊ณ ์์ต๋๋ค." | |
| }, | |
| { | |
| "id": 56, | |
| "dialogue": "Doctor: How's the low fat and low cholesterol diet going? Have you been finding it manageable? \nPatient: Yeah, I guess. I've tried to also reduce my salt intake to about two grams.", | |
| "summary": "2 g sodium, low fat, low cholesterol diet.", | |
| "๋ํ": "์์ฌ: ์ ์ง๋ฐฉ ๋ฐ ์ ์ฝ๋ ์คํ ๋กค ์๋จ์ ์ด๋ป๊ฒ ์งํ๋๊ณ ์๋์? ๊ด๋ฆฌ๊ฐ ์ ๋๊ณ ์๋์? \nํ์: ๋ค, ๊ทธ๋ฐ ๊ฒ ๊ฐ์์. ์๊ธ ์ญ์ทจ๋๋ 2g ์ ๋๋ก ์ค์ด๋ ค๊ณ ๋ ธ๋ ฅ ์ค์ ๋๋ค.", | |
| "์์ฝ": "๋ํธ๋ฅจ 2g, ์ ์ง๋ฐฉ, ์ ์ฝ๋ ์คํ ๋กค ์๋จ." | |
| }, | |
| { | |
| "id": 57, | |
| "dialogue": "Doctor: Hello, miss. How can I help you today? The nurse said the matter was urgent. \nPatient: Yes, I have been having dizzy spells. I have also noticed a new rash on my right calf. \nDoctor: Can you describe what type of dizzy spells you are having? What do they feel like?\nPatient: It is general dizziness and vertigo. I am also lightheaded during the spells. \nDoctor: Are you feeling okay right now or are you experiencing symptoms?\nPatient: I am having headaches off and on randomly, but nothing right now. The neck pain and muscle aches also are intermittent. \nDoctor: Let me take a look at the rash on your legs. Are the bruises new?\nPatient: They are new, I think. I have noticed them more than usual. \nDoctor: In the past couple days have you had a fever or chills?\nPatient: No, nothing like that. \nDoctor: What about chest pains?\nPatient: I have had some tightness in my chest, but not right now. \nDoctor: Does the dizziness make you nauseous?\nPatient: Yes, but I have not had to throw up or anything. \nDoctor: What about diarrhea?\nPatient: No, thank goodness. \nDoctor: Are there any parts of your body that are hurting?\nPatient: I do have some left shoulder pain. Not so much painful, but it is uncomfortable and tender. \nDoctor: Have you measured your blood sugar at all? I ask because the notes state there is a history of gestational diabetes and when blood sugars are out of the normal limits this can cause some of the symptoms you are having. \nPatient: I measured it today. After lunch it was one fifty five.", | |
| "summary": "The patient is in complaining of headaches and dizzy spells, as well as a new little rash on the medial right calf. She describes her dizziness as both vertigo and lightheadedness. She does not have a headache at present but has some intermittent headaches, neck pains, and generalized myalgias. She has noticed a few more bruises on her legs. No fever or chills with slight cough. She has had more chest pains but not at present. She does have a little bit of nausea but no vomiting or diarrhea. She complains of some left shoulder tenderness and discomfort. She reports her blood sugar today after lunch was 155.", | |
| "๋ํ": "์์ฌ: ์๋ ํ์ธ์, ์๊ฐ์จ. ์ค๋์ ๋ฌด์์ ๋์๋๋ฆด๊น์? ๊ฐํธ์ฌ๊ฐ ๊ธํ ์ผ์ด๋ผ๊ณ ํ๋๊ตฐ์. \nํ์: ๋ค, ์ด์ง๋ฌ์ด ์ฆ์์ด ๊ณ์๋๊ณ ์์ต๋๋ค. ๋ํ ์ค๋ฅธ์ชฝ ์ข ์๋ฆฌ์ ์๋ก์ด ๋ฐ์ง์ด ์๊ฒผ์ต๋๋ค. \n์์ฌ: ์ด๋ค ์ข ๋ฅ์ ์ด์ง๋ฌ์ด ์ฆ์์ด ์๋์ง ์ค๋ช ํด ์ฃผ์๊ฒ ์ต๋๊น? ์ด๋ค ๋๋์ธ๊ฐ์? \nํ์: ์ผ๋ฐ์ ์ธ ์ด์ง๋ผ์ฆ๊ณผ ํ๊ธฐ์ฆ์ ๋๋ค. ์ฃผ๋ฌธ ์ค์ ์ด์ง๋ฌ์๋ ๋๊ปด์ง๋๋ค. \n์์ฌ: ์ง๊ธ ๊ธฐ๋ถ์ด ๊ด์ฐฎ์ผ์ญ๋๊น, ์๋๋ฉด ์ฆ์์ด ๋ํ๋๊ณ ์์ต๋๊น?\nํ์: ๋ฌด์์๋ก ๋ํต์ด ์๋ค ๊ฐ๋ค ํ์ง๋ง ์ง๊ธ์ ์๋ฌด๊ฒ๋ ์์ต๋๋ค. ๋ชฉ ํต์ฆ๊ณผ ๊ทผ์กํต๋ ๊ฐํ์ ์ผ๋ก ์์ต๋๋ค. \n์์ฌ: ๋ค๋ฆฌ์ ๋ ๋ฐ์ง์ ์ดํด๋ณผ๊ฒ์. ๋ฉ์ด ์๋ก ์๊ธด ๊ฑด๊ฐ์? \nํ์: ์๋ก ์๊ธด ๊ฒ ๊ฐ์์. ํ์๋ณด๋ค ๋ ๋ง์ด ์๊ฒผ์ด์. \n์์ฌ: ์ง๋ ๋ฉฐ์น ๋์ ์ด์ด๋ ์คํ์ด ์์๋์? \nํ์: ์๋์, ๊ทธ๋ฐ ๊ฑด ์์์ต๋๋ค. \n์์ฌ: ๊ฐ์ด ํต์ฆ์์? \nํ์: ๊ฐ์ด์ด ์ฝ๊ฐ ๋ต๋ตํ ์ ์ ์์ง๋ง ์ง๊ธ์ ์๋๋๋ค. \n์์ฌ: ์ด์ง๋ฌ์ ๋๋ฌธ์ ๋ฉ์ค๊ป์ต๋๊น?\nํ์: ๋ค, ํ์ง๋ง ํ ํ๊ฑฐ๋ ํ์ง๋ ์์์ต๋๋ค. \n์์ฌ: ์ค์ฌ๋ ์ด๋์? \nํ์: ์๋์, ๋คํํ๋์. \n์์ฌ: ์ํ ๋ถ์๊ฐ ์์ผ์ ๊ฐ์? \nํ์: ์ผ์ชฝ ์ด๊นจ๊ฐ ์กฐ๊ธ ์ํ์. ๊ทธ๋ค์ง ์ํ์ง๋ ์์ง๋ง ๋ถํธํ๊ณ ๋ถ๋๋ฝ์ต๋๋ค. \n์์ฌ: ํ๋น์ ์ธก์ ํด ๋ณด์ จ๋์? ์์ ์ฑ ๋น๋จ ๋ณ๋ ฅ์ด ์๋ค๊ณ ๊ธฐ๋ก๋์ด ์๊ณ ํ๋น์ด ์ ์ ๋ฒ์๋ฅผ ๋ฒ์ด๋๋ฉด ์ง๊ธ๊ณผ ๊ฐ์ ์ฆ์์ด ๋ํ๋ ์ ์๊ธฐ ๋๋ฌธ์ ๋ฌผ์ด๋ณด๋ ๊ฒ์ ๋๋ค. \nํ์: ์ค๋ ์ธก์ ํ์ด์. ์ ์ฌ ์์ฌ ํ 155์์ด์.", | |
| "์์ฝ": "ํ์๋ ๋ํต๊ณผ ์ด์ง๋ผ์ฆ์ ํธ์ํ๊ณ ์์ผ๋ฉฐ ์ค๋ฅธ์ชฝ ์ข ์๋ฆฌ ์์ชฝ์ ์๋ก์ด ์์ ๋ฐ์ง์ด ์๊ฒผ์ต๋๋ค. ์ด์ง๋ผ์ฆ์ ํ๊ธฐ์ฆ๊ณผ ์ด์ง๋ฌ์์ฆ์ผ๋ก ์ค๋ช ํฉ๋๋ค. ํ์ฌ ๋ํต์ ์์ง๋ง ๊ฐํ์ ์ธ ๋ํต, ๋ชฉ ํต์ฆ, ์ ์ ๊ทผ์กํต์ด ์์ต๋๋ค. ๋ค๋ฆฌ์ ๋ฉ์ด ๋ช ๊ฐ ๋ ์๊ฒผ์ต๋๋ค. ์ฝ๊ฐ์ ๊ธฐ์นจ๊ณผ ํจ๊ป ์ด์ด๋ ์คํ์ ์์ต๋๋ค. ๊ฐ์ด ํต์ฆ์ด ๋ ์ฌํด์ก์ง๋ง ํ์ฌ๋ ์์ต๋๋ค. ์ฝ๊ฐ์ ๋ฉ์ค๊บผ์์ด ์์ง๋ง ๊ตฌํ ๋ ์ค์ฌ๋ ์์ต๋๋ค. ์ผ์ชฝ ์ด๊นจ์ ์ฝ๊ฐ์ ์ํต๊ณผ ๋ถํธํจ์ ํธ์ํฉ๋๋ค. ์ค๋ ์ ์ฌ ์์ฌ ํ ํ๋น์ด 155๋ผ๊ณ ๋ณด๊ณ ํ์ต๋๋ค." | |
| }, | |
| { | |
| "id": 58, | |
| "dialogue": "Doctor: How're you today? \nPatient: Not too bad. I'm hanging in there. My asthma has been acting up. \nDoctor: Oh no. How long has this been going on? \nPatient: For the past three months. I've been using my inhaler every day. I used to use it every now and again. This is definitely new for me. \nDoctor: Are you experiencing any allergies alongside your asthma? \nPatient: Yes, actually. My husband has been hauling a lot more corn this season and it seems to be making my allergies much worse. \nDoctor: Do you take anything for your allergies? \nPatient: Not really. I'll sometimes take Allegra and that seems to help just a tiny bit. I was previously prescribed Flonase, but I can't remember the last time I took it. Oh and I was on Advair, too. \nDoctor: Did the Flonase or Advair help at all? \nPatient: I had to stop Advair because it started to bother my lady parts. \nDoctor: How so? \nPatient: I noticed that it became more itchy as a result. \nDoctor: I'm sorry to hear that. \nPatient: Speaking of this, I wanted to also share that I've been experiencing a lot of P M S symptoms lately. I'm super impatient and moody. \nDoctor: Do you notice these symptoms are still there after you finish your cycle? \nPatient: Um lemme think. The symptoms start about a week before my period and tend to get less intense once I get over the first day of bleeding. \nDoctor: Are your cycles generally regular? \nPatient: For the most part, yes. I feel like they don't last as long as they used to. I'm not sure why. I do, however, notice some spotting after my cycles end. \nDoctor: Do you get any night sweats or hot flashes while you're on your period? \nPatient: No.\nDoctor: Have you had any other medical troubles recently? \nPatient: I did have a U T I and some blood in my urine because of it. \nDoctor: Do you remember how many times you noticed blood in your urine? \nPatient: Hm about three times. I was prescribed antibiotics for it. \nDoctor: Have you had any other urinary symptoms since? How about bdominal pain, nausea, vomiting, or anything of the like? \nPatient: Nothing now. \nDoctor: Have you gotten your urine rechecked recently? \nPatient: No, not yet. I really should get it checked out again. \nDoctor: I can write an order for you if you'd like or you can make an appointment with your urologist. Do you have a specific urologist that you see? \nPatient: Yeah, I can call to make the appointment tomorrow. Do I also need to get blood work done?\nDoctor: Yes, in fact I'd like to order some blood work while you're here. \nPatient: I had blood work done a few days ago for my life insurance application. I am forty two so thought I should get that going. My Swedish mother always used to nag about how I procrastinate on important things. Anyways, do I still need to get more blood work done? \nDoctor: Do you know what they checked? \nPatient: I think the typical blood work with cholesterol added. \nDoctor: Do you happen to have a copy on hand or could you fax me the resulxts? \nPatient: I can fax them to you once I get them back. \nDoctor: That would be great. Thank you. Let me write down our fax number for you.", | |
| "summary": "This is a 42-year-old white female who comes in today for a complete physical and follow up on asthma. She says her asthma has been worse over the last three months. She has been using her inhaler daily. Her allergies seem to be a little bit worse as well. Her husband has been hauling corn and this seems to aggravate things. She has not been taking Allegra daily but when she does take it, it seems to help somewhat. She has not been taking her Flonase which has helped her in the past. She also notes that in the past she was on Advair but she got some vaginal irritation with that. She had been noticing increasing symptoms of irritability and PMS around her menstrual cycle. She has been more impatient around that time. Says otherwise her mood is normal during the rest of the month. It usually is worse the week before her cycle and improves the day her menstrual cycle starts. Menses have been regular but somewhat shorter than in the past. Occasionally she will get some spotting after her cycles. She denies any hot flashes or night sweats with this. In reviewing the chart it is noted that she did have 3+ blood with what appeared to be a urinary tract infection previously. Her urine has not been rechecked. She recently had lab work and cholesterol drawn for a life insurance application and is going to send me those results when available.", | |
| "๋ํ": "์์ฌ: ์ค๋์ ์ข ์ด๋ ์ธ์? \nํ์: ๋์์ง ์์์. ์ ๋ฒํฐ๊ณ ์์ด์. ์ฒ์์ด ์ข ์ฌํด์ก์ด์. \n์์ฌ: ์ค, ์ด๋ฐ. ์ผ๋ง๋ ์ค๋ ์ง์๋์๋์? \nํ์: ์ง๋ 3๊ฐ์ ๋์์. ๋งค์ผ ํก์ ๊ธฐ๋ฅผ ์ฌ์ฉํ์ด์. ๊ฐ๋์ฉ ์ฌ์ฉํ๊ณค ํ์ด์. ์ ์๊ฒ๋ ํ์คํ ์๋ก์ด ๊ฒฝํ์ ๋๋ค. \n์์ฌ: ์ฒ์๊ณผ ํจ๊ป ์๋ ๋ฅด๊ธฐ๊ฐ ์์ผ์ ๊ฐ์? \nํ์: ๋ค, ์ฌ์ค ๊ทธ๋ ์ต๋๋ค. ๋จํธ์ด ์ด๋ฒ ์์ฆ์ ์ฅ์์๋ฅผ ๋ ๋ง์ด ๊ฐ์ ธ์์ ์๋ ๋ฅด๊ธฐ๊ฐ ํจ์ฌ ๋ ์ฌํด์ง ๊ฒ ๊ฐ์ต๋๋ค. \n์์ฌ: ์๋ ๋ฅด๊ธฐ๋ฅผ ์ํด ๋ณต์ฉํ๋ ์ฝ์ด ์์ผ์ ๊ฐ์? \nํ์: ๋ณ๋ก ์์ต๋๋ค. ๊ฐ๋ ์๋ ๊ทธ๋ผ๋ฅผ ๋ณต์ฉํ๋๋ฐ ์กฐ๊ธ ๋์์ด ๋๋ ๊ฒ ๊ฐ์ต๋๋ค. ์ด์ ์ ํ๋ก๋์ ๋ฅผ ์ฒ๋ฐฉ๋ฐ์ ์ ์ด ์๋๋ฐ ์ธ์ ๋ง์ง๋ง์ผ๋ก ๋ณต์ฉํ๋์ง ๊ธฐ์ต์ด ๋์ง ์์ต๋๋ค. ์, ๊ทธ๋ฆฌ๊ณ ์ด๋์์ด๋ ๋ณต์ฉํ๊ณ ์์์ด์. \n์์ฌ: ํ๋ก๋์ ๋ ์ด๋์์ด๊ฐ ์ ํ ๋์์ด ๋์ง ์์๋์? \nํ์: ์ ๋์์ด๊ฐ ์ฌ์ฑ ๋ถ์๋ฅผ ๊ดด๋กญํ๊ธฐ ์์ํด์ ์ค๋จํด์ผ ํ์ต๋๋ค. \n์์ฌ: ์ด๋ป๊ฒ์? \nํ์: ๊ทธ ๊ฒฐ๊ณผ ๋ ๊ฐ๋ ต๋ค๋ ๊ฒ์ ์์์ต๋๋ค. \n์์ฌ: ์ ๊ฐ์ ๋๋ค. \nํ์: ์ด ์๊ธฐ๊ฐ ๋์์ ๋ง์ธ๋ฐ, ์ ๊ฐ ์ต๊ทผ์ P M S ์ฆ์์ ๋ง์ด ๊ฒช๊ณ ์๋ค๋ ๊ฒ๋ ๋ง์๋๋ฆฌ๊ณ ์ถ์ด์. ์ฐธ์์ฑ์ด ์๊ณ ๋ณ๋์ด ์ฌํด์. \n์์ฌ: ์ฃผ๊ธฐ๊ฐ ๋๋ ํ์๋ ์ด๋ฌํ ์ฆ์์ด ๊ณ์ ๋ํ๋๋์? \nํ์: ์, ์๊ฐํด ๋ณผ๊ฒ์. ์๋ฆฌ ์ผ์ฃผ์ผ ์ ๋ถํฐ ์ฆ์์ด ์์๋๊ณ ์ถํ ์ฒซ๋ ์ด ์ง๋๋ฉด ์ฆ์์ด ๋ ์ฌํด์ง๋ ๊ฒฝํฅ์ด ์์ต๋๋ค. \n์์ฌ: ์ผ๋ฐ์ ์ผ๋ก ์ฃผ๊ธฐ๊ฐ ๊ท์น์ ์ ๋๊น? \nํ์: ๋๋ถ๋ถ ๊ทธ๋ ์ต๋๋ค. ์์ ๋งํผ ์ค๋ ์ง์๋์ง ์๋ ๊ฒ ๊ฐ์์. ์ด์ ๋ ์ ๋ชจ๋ฅด๊ฒ ์ต๋๋ค. ํ์ง๋ง ์ฃผ๊ธฐ๊ฐ ๋๋ ํ ์ฝ๊ฐ์ ์ผ๋ฃฉ์ด ์๋ ๊ฒ์ ๋ฐ๊ฒฌํ์ต๋๋ค. \n์์ฌ: ์๋ฆฌ ์ค ์์๋์ด๋ ์๋ฉดํ์กฐ๊ฐ ์๊ธฐ๋์? \nํ์: ์๋์.\n์์ฌ: ์ต๊ทผ์ ๋ค๋ฅธ ์ํ์ ๋ฌธ์ ๊ฐ ์์๋์? \nํ์: ์๋ก๊ฐ์ผ์ด ์์๊ณ ๊ทธ ๋๋ฌธ์ ์๋ณ์ ํผ๊ฐ ์กฐ๊ธ ๋์์ต๋๋ค. \n์์ฌ: ์๋ณ์์ ํผ๊ฐ ๋์จ ์ ์ด ๋ช ๋ฒ์ด๋ ๋์๋์ง ๊ธฐ์ตํ์๋์? \nํ์: ์, ์ธ ๋ฒ ์ ๋์. ๊ทธ๋์ ํญ์์ ๋ฅผ ์ฒ๋ฐฉ๋ฐ์์ต๋๋ค. \n์์ฌ: ๊ทธ ์ดํ๋ก ๋ค๋ฅธ ๋น๋จ๊ธฐ ์ฆ์์ ์์๋์? ๋ณตํต, ๋ฉ์ค๊บผ์, ๊ตฌํ ๋ฑ์ ์ฆ์์ ์์๋์? \nํ์: ์ง๊ธ์ ์์ต๋๋ค. \n์์ฌ: ์ต๊ทผ์ ์๋ณ ๊ฒ์ฌ๋ฅผ ๋ค์ ๋ฐ์ผ์ จ๋์? \nํ์: ์๋์, ์์ง์. ๋ค์ ๊ฒ์ฌ๋ฅผ ๋ฐ์์ผ๊ฒ ์ด์. \n์์ฌ: ์ํ์๋ฉด ์ ๊ฐ ์ฒ๋ฐฉ์ ์ ์์ฑํด ๋๋ฆด ์๋ ์๊ณ ๋น๋จ๊ธฐ๊ณผ ์ ๋ฌธ์์ ์์ฝ์ ์ก์ผ์ ๋ ๋ฉ๋๋ค. ํน์ ๋น๋จ๊ธฐ๊ณผ ์ ๋ฌธ์๊ฐ ์์ผ์ ๊ฐ์? \nํ์: ๋ค, ๋ด์ผ ์ ํ๋ก ์์ฝํ ์ ์์ต๋๋ค. ํ์ก ๊ฒ์ฌ๋ ๋ฐ์์ผ ํ๋์? \n์์ฌ: ๋ค, ์ฌ์ค ์ฌ๊ธฐ ๊ณ์๋ ๋์ ํ์ก ๊ฒ์ฌ๋ฅผ ์ฃผ๋ฌธํ๊ณ ์ถ์ต๋๋ค. \nํ์: ๋ฉฐ์น ์ ์ ์๋ช ๋ณดํ ์ ์ฒญ์ ์ํด ํ์ก ๊ฒ์ฌ๋ฅผ ๋ฐ์์ต๋๋ค. ์ ๋์ด๊ฐ ๋งํ ๋ ์ด์ด๋ผ ๊ฒ์ฌ๋ฅผ ๋ฐ์์ผ ํ๋ค๊ณ ์๊ฐํ์ด์. ์ค์จ๋ด ์ด๋จธ๋๋ ์ ๊ฐ ์ค์ํ ์ผ์ ๋ฏธ๋ฃจ๋ ๊ฒ์ ๋ํด ํญ์ ์์๋ฆฌ๋ฅผ ํ๊ณค ํ์ จ์ด์. ์ด์จ๋ ํ์ก ๊ฒ์ฌ๋ฅผ ๋ ๋ฐ์์ผ ํ๋์? \n์์ฌ: ๋ฌด์์ ๊ฒ์ฌํ๋์ง ์์ธ์? \nํ์: ์ฝ๋ ์คํ ๋กค์ด ์ถ๊ฐ๋ ์ผ๋ฐ์ ์ธ ํ์ก ๊ฒ์ฌ์ธ ๊ฒ ๊ฐ์ต๋๋ค. \n์์ฌ: ํน์ ์ฌ๋ณธ์ด ์์ผ์ ๊ฐ์ ์๋๋ฉด ๊ฒฐ๊ณผ๋ฅผ ํฉ์ค๋ก ๋ณด๋ด์ฃผ์๊ฒ ์ด์? \nํ์: ๊ฒฐ๊ณผ๋ฅผ ๋ฐ์ผ๋ฉด ํฉ์ค๋ก ๋ณด๋ด๋๋ฆด ์ ์์ต๋๋ค. \n์์ฌ: ๊ทธ๋ผ ์ข๊ฒ ๋ค์. ๊ณ ๋ง์ต๋๋ค. ํฉ์ค ๋ฒํธ๋ฅผ ์ ์ด ๋๋ฆด๊ฒ์.", | |
| "์์ฝ": "42์ธ ๋ฐฑ์ธ ์ฌ์ฑ์ผ๋ก ์ค๋ ์ฒ์์ ๋ํ ์์ ํ ์ ์ฒด ๊ฒ์ฌ์ ํ์ ์กฐ์น๋ฅผ ์ํด ๋ด์ํ์ จ์ต๋๋ค. ์ง๋ 3๊ฐ์ ๋์ ์ฒ์์ด ๋ ์ฌํด์ก๋ค๊ณ ํฉ๋๋ค. ๋งค์ผ ํก์ ๊ธฐ๋ฅผ ์ฌ์ฉํ๊ณ ์์ต๋๋ค. ์๋ ๋ฅด๊ธฐ๋ ์กฐ๊ธ ๋ ์ฌํด์ง ๊ฒ ๊ฐ๋ค๊ณ ํฉ๋๋ค. ๊ทธ๋ ์ ๋จํธ์ด ์ฅ์์๋ฅผ ์ด๋ฐํ๊ณ ์๋๋ฐ ์ด๊ฒ์ด ์ํฉ์ ์ ํ์ํค๋ ๊ฒ ๊ฐ์ต๋๋ค. ์๋ ๊ทธ๋ผ๋ฅผ ๋งค์ผ ๋ณต์ฉํ๊ณ ์์ง๋ ์์ง๋ง ๋ณต์ฉํ๋ฉด ์ด๋ ์ ๋ ๋์์ด ๋๋ ๊ฒ ๊ฐ์ต๋๋ค. ๊ทธ๋ ๋ ๊ณผ๊ฑฐ์ ๋์์ด ๋์๋ ํ๋ก๋์ ๋ฅผ ๋ณต์ฉํ์ง ์๊ณ ์์ต๋๋ค. ๋ํ ๊ณผ๊ฑฐ์๋ ์ด๋์์ด๋ฅผ ๋ณต์ฉํ์ง๋ง ์ง ์๊ทน์ด ์ฝ๊ฐ ์์๋ค๊ณ ํฉ๋๋ค. ๊ทธ๋ ๋ ์๋ฆฌ ์ฃผ๊ธฐ์ ๋ฐ๋ผ ๊ณผ๋ฏผ์ฑ ๋ฐ PMS ์ฆ์์ด ์ฆ๊ฐํ๋ ๊ฒ์ ์์์ฐจ๋ฆฌ๊ณ ์์์ต๋๋ค. ๊ทธ ์ฆ์์๋ ๋ ์กฐ๊ธํด์ก์ต๋๋ค. ๊ทธ๋ ์ง ์์ผ๋ฉด ๋๋จธ์ง ํ ๋ฌ ๋์์ ๊ธฐ๋ถ์ด ์ ์์ด๋ผ๊ณ ๋งํฉ๋๋ค. ๋ณดํต ์๋ฆฌ ์ ์ฃผ์ ์ฆ์์ด ์ ํ๋๊ณ ์๋ฆฌ ์ฃผ๊ธฐ๊ฐ ์์๋๋ ๋ ์๋ ํธ์ ๋ฉ๋๋ค. ์๊ฒฝ์ ๊ท์น์ ์ด์ง๋ง ๊ณผ๊ฑฐ๋ณด๋ค ๋ค์ ์งง์์ก์ต๋๋ค. ๋๋๋ก ์๋ฆฌ ํ ์ฝ๊ฐ์ ์ผ๋ฃฉ์ด ์๊น๋๋ค. ์๋ฉดํ์กฐ๋ ์์๋์ ์ ํ ๋ํ๋์ง ์์ต๋๋ค. ์ฐจํธ๋ฅผ ๊ฒํ ํ ๊ฒฐ๊ณผ, ์ด์ ์ ์๋ก ๊ฐ์ผ์ผ๋ก ๋ณด์ด๋ ํ๋จ๊ฐ 3๊ฐ ์ด์ ์์๋ ๊ฒ์ผ๋ก ๋ํ๋ฌ์ต๋๋ค. ์๋ณ์ ๋ค์ ๊ฒ์ฌํ์ง ์์์ต๋๋ค. ์ต๊ทผ์ ์๋ช ๋ณดํ ์ ์ฒญ์ ์ํด ์คํ์ค ๊ฒ์ฌ์ ์ฝ๋ ์คํ ๋กค ๊ฒ์ฌ๋ฅผ ๋ฐ์๊ณ ๊ฒฐ๊ณผ๊ฐ ๋์ค๋ฉด ๋ณด๋ด์ฃผ๊ฒ ๋ค๊ณ ํฉ๋๋ค." | |
| }, | |
| { | |
| "id": 59, | |
| "dialogue": "Doctor: Are you on steroids? \nPatient: No.\nDoctor: Any history of cancer, chemotherapy or anything related? \nPatient: No.", | |
| "summary": "IMMUNOLOGIC: Negative; Negative for steroids, chemotherapy, or cancer.", | |
| "๋ํ": "์์ฌ: ์คํ ๋ก์ด๋๋ฅผ ๋ณต์ฉํ๊ณ ์๋์? \nํ์: ์๋์.\n์์ฌ: ์, ํํ ์๋ฒ ๋๋ ์ด์ ๊ด๋ จ๋ ๋ณ๋ ฅ์ด ์์ผ์ ๊ฐ์? \nํ์: ์๋์.", | |
| "์์ฝ": "๋ฉด์ญํ: ์์ฑ; ์คํ ๋ก์ด๋, ํํ ์๋ฒ ๋๋ ์์ ๋ํด ์์ฑ." | |
| }, | |
| { | |
| "id": 60, | |
| "dialogue": "Doctor: How have you both been doing? \nGuest_family: We are good. \nDoctor: I see she has been gaining weight since she has been home. Have you been following the meal plan that we discussed? \nGuest_family: Yes. It has been helping. \nDoctor: Great!", | |
| "summary": "Stable disposition to home with her mother.", | |
| "๋ํ": "์์ฌ: ๋ ๋ถ์ ์ด๋ป๊ฒ ์ง๋ด์ จ๋์? \n๊ฒ์คํธ_๊ฐ์กฑ: ์ ํฌ๋ ๊ด์ฐฎ์์. \n์์ฌ: ์ง์ ์จ ์ดํ๋ก ์ด์ด ์ฐ ๊ฒ ๊ฐ๋ค์. ์ ํฌ๊ฐ ๋ ผ์ํ๋ ์์ฌ ๊ณํ์ ์ ์งํค๊ณ ๊ณ์ ๊ฐ์? \n๊ฒ์คํธ_๊ฐ์กฑ: ๋ค. ๋์์ด ๋๊ณ ์์ต๋๋ค. \n์์ฌ: ์ข์์!", | |
| "์์ฝ": "์ด๋จธ๋์ ํจ๊ป ์ง์ ๋ํ ์์ ์ ์ธ ์ฑํฅ." | |
| }, | |
| { | |
| "id": 61, | |
| "dialogue": "Doctor: Do you have any family medical history of migraines? \nPatient: I know that my brother has them too. Mom, do you know if anyone else gets them? \nGuest_family: Your grandfather had migraines. \nDoctor: Okay.", | |
| "summary": "There is a history of migraine in the family. The condition affects the patient's brother and maternal grandfather.", | |
| "๋ํ": "์์ฌ: ํธ๋ํต์ ๋ํ ๊ฐ์กฑ ๋ณ๋ ฅ์ด ์๋์? \nํ์: ์ ๋์๋ ํธ๋ํต์ด ์๋ค๋ ๊ฑธ ์์์. ์๋ง, ๋ค๋ฅธ ์ฌ๋๋ ํธ๋ํต์ด ์๋์ง ์์ธ์? \n๊ฒ์คํธ_๊ฐ์กฑ: ํ ์๋ฒ์ง๋ ํธ๋ํต์ ์์ผ์ จ์ด์. \n์์ฌ: ๊ทธ๋์.", | |
| "์์ฝ": "๊ฐ์กฑ ์ค์ ํธ๋ํต ๋ณ๋ ฅ์ด ์์ต๋๋ค. ์ด ์ํ๋ ํ์์ ํ์ ์ ์ธํ ์๋ฒ์ง์๊ฒ ์ํฅ์ ๋ฏธ์นฉ๋๋ค." | |
| }, | |
| { | |
| "id": 62, | |
| "dialogue": "Doctor: How old are you, sir? \nPatient: I'm sixty five years old. \nDoctor: Are you right handed or left handed? \nPatient: I'm right handed. \nDoctor: When was your last stroke? \nPatient: Well, it was on January seventeenth. I had these episodes where I was like always so confused and looks like I lost everything. All my memory and everything. And then they did a scan. It was verified that I was having a stroke on the same day. \nDoctor: Did they put you on some medications? \nPatient: They gave me an anticonvulsant and aspirin. \nDoctor: Are you taking them regularly? \nPatient: There have a few times like one or two days that I forgot to take my, uh, dyphenhydramine, but even when I'm taking it regularly, I'm still having all those symptoms or forgetfulness, confusion, and everything. \nDoctor: Do you feel anything else along with these episodes like a urine urgency, tendency to bite your tongue, headaches, any visual change, or your heart is beating very fast? Any kind of weakness or numbness or shortness of breath? \nPatient: No nothing else, just the confusion and forgetfulness. \nDoctor: How frequent are these episodes? \nPatient: Well, they occur like two or three times in a week. Each one of the episodes lasts for like one or two minutes.", | |
| "summary": "This 65 y/o RHM reportedly suffered a stroke on 1/17/92. He presented locally at that time with complaint of episodic confusion and memory loss lasting several minutes per episode. The \"stroke\" was reportedly verified on MRI scan dated 1/17/92. He was subsequently placed on ASA and DPH. He admitted that there had been short periods (1-2 days duration) since then, during which he had forgotten to take his DPH. However, even when he had been taking his DPH regularly, he continued to experience the spells mentioned above. He denied any associated tonic/clonic movement, incontinence, tongue-biting, HA, visual change, SOB, palpitation, weakness or numbness. The episodes of confusion and memory loss last 1-2 minutes in duration, and have been occurring 2-3 times per week.", | |
| "๋ํ": "์์ฌ: ๋ช ์ด์ด์ธ์, ์ ์๋? \nํ์: ์ ๋ ์์๋ค์ฏ ์ด์ ๋๋ค. \n์์ฌ: ์ค๋ฅธ์์ก์ด์ ๋๊น, ์ผ์์ก์ด์ ๋๊น? \nํ์: ์ค๋ฅธ์์ก์ด์ ๋๋ค. \n์์ฌ: ๋ง์ง๋ง ๋์กธ์ค์ ์ธ์ ์์ต๋๊น? \nํ์: ์, 1์ 17์ผ์ด์์ด์. ์ ๋ ํญ์ ๋๋ฌด ํผ๋์ค๋ฌ์์ ๋ชจ๋ ๊ฒ์ ์์ ๊ฒ์ฒ๋ผ ๋ณด์์ด์. ์ ๋ชจ๋ ๊ธฐ์ต๊ณผ ๋ชจ๋ ๊ฒ์์. ๊ทธ๋ฆฌ๊ณ ๋์ ์ค์บ์ ํ์ด์. ๊ฐ์ ๋ ๋์กธ์ค์ด ๋ฐ์ํ๋ค๋ ๊ฒ์ด ํ์ธ๋์์ต๋๋ค. \n์์ฌ: ์ฝ์ ์ฒ๋ฐฉ๋ฐ์๋์? \nํ์: ํญ๊ฒฝ๋ จ์ ์ ์์คํผ๋ฆฐ์ ์ฒ๋ฐฉ๋ฐ์์ต๋๋ค. \n์์ฌ: ์ ๊ธฐ์ ์ผ๋ก ๋ณต์ฉํ๊ณ ๊ณ์ญ๋๊น? \nํ์: ํ๋ฃจ๋ ์ดํ ์ ๋ ๋ํํ๋๋ผ๋ฏผ ๋ณต์ฉ์ ์์ ์ ์ด ๋ช ๋ฒ ์์์ง๋ง, ๊ท์น์ ์ผ๋ก ๋ณต์ฉํด๋ ๊ฑด๋ง์ฆ, ํผ๋ ๋ฑ ๋ชจ๋ ์ฆ์์ ๊ทธ๋๋ก์ ๋๋ค. \n์์ฌ: ์๋ณ์ด ๊ธํ๊ฑฐ๋ ํ๋ฅผ ๊นจ๋ฌผ๊ฑฐ๋ ๋ํต, ์๊ฐ์ ๋ณํ, ์ฌ์ฅ์ด ๋งค์ฐ ๋นจ๋ฆฌ ๋ฐ๋ ๋ฑ์ ๋ค๋ฅธ ์ฆ์๋ ํจ๊ป ๋๊ปด์ง๋์? ํ์ด ์ฝํด์ง๊ฑฐ๋ ๋ง๋น ๋๋ ์จ์ด ๊ฐ๋น ์ง๋์? \nํ์: ๋ค๋ฅธ ๊ฑด ์๊ณ ๊ทธ๋ฅ ํผ๋์ค๋ฝ๊ณ ๊ฑด๋ง์ฆ๋ง ์์ต๋๋ค. \n์์ฌ: ์ด๋ฐ ์ฆ์์ ์ผ๋ง๋ ์์ฃผ ๋ฐ์ํฉ๋๊น? \nํ์: ์, ์ผ์ฃผ์ผ์ ๋์ธ ๋ฒ ์ ๋ ๋ฐ์ํฉ๋๋ค. ๊ฐ ์ํผ์๋๋ 1~2๋ถ ์ ๋ ์ง์๋ฉ๋๋ค.", | |
| "์์ฝ": "์ด 65์ธ RHM ํ์๋ 92๋ 1์ 17์ผ์ ๋์กธ์ค์ ์์ ๊ฒ์ผ๋ก ์๋ ค์ก์ต๋๋ค. ๋น์ ๊ทธ๋ ์ํผ์๋๋น ๋ช ๋ถ๊ฐ ์ง์๋๋ ์ผ์์ ์ธ ํผ๋๊ณผ ๊ธฐ์ต ์์ค์ ํธ์ํ๋ฉฐ ํ์ง์ ๋ด์ํ์ต๋๋ค. '๋์กธ์ค'์ 92๋ 1์ 17์ผ์ MRI ์ค์บ์์ ํ์ธ๋ ๊ฒ์ผ๋ก ์๋ ค์ก์ต๋๋ค. ๊ทธ ํ ๊ทธ๋ ASA์ DPH์ ๋ฐฐ์น๋์์ต๋๋ค. ๊ทธ๋ ๊ทธ ์ดํ ์งง์ ๊ธฐ๊ฐ(1~2์ผ ์ง์) ๋์ DPH ๋ณต์ฉ์ ์์ ์ ์ด ์์๋ค๊ณ ์ธ์ ํ์ต๋๋ค. ๊ทธ๋ฌ๋ DPH๋ฅผ ์ ๊ธฐ์ ์ผ๋ก ๋ณต์ฉํ์ ๋์๋ ์์์ ์ธ๊ธํ ์ฃผ๋ฌธ์ด ๊ณ์ ๋ฐ์ํ์ต๋๋ค. ๊ทธ๋ ๊ฐ์ง์ฑ/๊ฐ๋์ฑ ์ด๋, ์์ค๊ธ, ํ ๊นจ๋ฌผ๊ธฐ, HA, ์๊ฐ ๋ณํ, ํ๋๋, ์ฌ๊ณํญ์ง, ์ ์ฝ ๋๋ ๋ฌด๊ฐ๊ฐ๊ณผ ๊ด๋ จ๋ ์ด๋ ํ ์ฆ์๋ ๋ถ์ธํ์ต๋๋ค. ํผ๋๊ณผ ๊ธฐ์ต ์์ค์ ์ํผ์๋๋ 1~2๋ถ ๋์ ์ง์๋๋ฉฐ ์ผ์ฃผ์ผ์ 2~3ํ ๋ฐ์ํ๊ณ ์์ต๋๋ค." | |
| }, | |
| { | |
| "id": 63, | |
| "dialogue": "Doctor: How about allergies to medications? \nPatient: Nope.", | |
| "summary": "No known drug allergies.", | |
| "๋ํ": "์์ฌ: ์ฝ๋ฌผ์ ๋ํ ์๋ ๋ฅด๊ธฐ๋ ์ด๋ค๊ฐ์? \nํ์: ์๋์.", | |
| "์์ฝ": "์๋ ค์ง ์ฝ๋ฌผ ์๋ ๋ฅด๊ธฐ๊ฐ ์์ต๋๋ค." | |
| }, | |
| { | |
| "id": 64, | |
| "dialogue": "Doctor: Did you had any surgery in the past? \nPatient: No.", | |
| "summary": "Noncontributory.", | |
| "๋ํ": "์์ฌ: ๊ณผ๊ฑฐ์ ์์ ์ ๋ฐ์ ์ ์ด ์๋์? \nํ์: ์๋์.", | |
| "์์ฝ": "๋น๊ธฐ์ฌ." | |
| }, | |
| { | |
| "id": 65, | |
| "dialogue": "Doctor: Are you married, ma'am?\nPatient: Yes, to my wonderful husband. \nDoctor: Does he help you out around the house? \nPatient: Yes, he is just wonderful. \nDoctor: So, do you drink or smoke? \nPatient: No, I don't do any of that. \nDoctor: How about more illicit substances, do you use any of that?\nPatient: No, absolutely not.", | |
| "summary": "She is married and has support at home. Denies tobacco, alcohol, and illicit drug use.", | |
| "๋ํ": "์์ฌ: ๊ฒฐํผํ์ จ์ต๋๊น, ๋ถ์ธ? \nํ์: ๋ค, ๋ฉ์ง ๋จํธ๊ณผ ๊ฒฐํผํ์ต๋๋ค. \n์์ฌ: ๊ทธ๊ฐ ์ง์์ผ์ ๋์์ฃผ๋์? \nํ์: ๋ค, ์ ๋ง ๋ฉ์ง ๋จํธ์ ๋๋ค. \n์์ฌ: ์ ์ด๋ ๋ด๋ฐฐ๋ฅผ ํผ์ฐ์ญ๋๊น? \nํ์: ์๋์, ๊ทธ๋ฐ ๊ฑด ์ ํ ํ์ง ์์ต๋๋ค. \n์์ฌ: ๋ค๋ฅธ ๋ถ๋ฒ ์ฝ๋ฌผ์ ์ด๋ป์ต๋๊น, ๊ทธ๋ฐ ๊ฒ๋ค์ ์ฌ์ฉํ์๋์? \nํ์: ์๋์, ์ ๋ ์ ํฉ๋๋ค.", | |
| "์์ฝ": "๊ทธ๋ ๋ ๊ฒฐํผํ์ผ๋ฉฐ ์ง์์ ์ง์์ ๋ฐ๊ณ ์์ต๋๋ค. ๋ด๋ฐฐ, ์ , ๋ถ๋ฒ ์ฝ๋ฌผ ์ฌ์ฉ์ ๊ฑฐ๋ถํฉ๋๋ค." | |
| }, | |
| { | |
| "id": 66, | |
| "dialogue": "Doctor: So, I know you're technically not allowed to drink, but I'm required to ask this anyway. Do you drink at all? \nPatient: No, actually. I try to steer clear of drinking while training for my marathon. \nDoctor: When is that by the way? \nPatient: Next summer. \nDoctor: Wow, good luck. It'll be yet another big accomplishment. \nPatient: Thank you. \nDoctor: And how about smoking of any kind? \nPatient: Nope.", | |
| "summary": "The patient denies smoking and drinking.", | |
| "๋ํ": "์์ฌ: ๊ธฐ์ ์ ์ผ๋ก ์ ์ ๋ง์๋ฉด ์ ๋๋ค๋ ๊ฑด ์์ง๋ง ์ด์จ๋ ๋ฌผ์ด๋ด์ผ๊ฒ ์ด์. ์ ์ ์ ํ ๋ง์๋์? \nํ์: ์๋์, ์ฌ์ค ์ ๋ง์ญ๋๋ค. ๋ง๋ผํค์ ์ํด ํ๋ จํ๋ ๋์์๋ ์ ์ ๋ง์์ง ์์ผ๋ ค๊ณ ๋ ธ๋ ฅํฉ๋๋ค. \n์์ฌ: ๊ทธ๊ฑด ๊ทธ๋ ๊ณ ์ธ์ ์์? \nํ์: ๋ด๋ ์ฌ๋ฆ์ด์. \n์์ฌ: ์์ฐ, ํ์ด์ ๋น์ด์. ๋ ํ๋์ ํฐ ์ ์ ์ด ๋ ๊ฑฐ์์. \nํ์: ๊ฐ์ฌํฉ๋๋ค. \n์์ฌ: ํก์ฐ์ ์ด๋ ์ ๊ฐ์? \nํ์: ์๋์.", | |
| "์์ฝ": "ํ์๊ฐ ํก์ฐ๊ณผ ์์ฃผ๋ฅผ ๊ฑฐ๋ถํฉ๋๋ค." | |
| }, | |
| { | |
| "id": 67, | |
| "dialogue": "Doctor: How're your other children doing? \nGuest_family: Not so wonderful. They're all on antibiotics. \nDoctor: For the same? \nGuest_family: Yep. They all have ear infections and chest colds. \nDoctor: Your hands are full then. \nGuest_family: Tell me about it, doctor. I can't seem to catch much of a break. \nDoctor: It's definitely been a tough winter for you and your family.", | |
| "summary": "All siblings are on antibiotics for ear infections and URIs.", | |
| "๋ํ": "์์ฌ: ๋ค๋ฅธ ์์ด๋ค์ ์ด๋ป๊ฒ ์ง๋ด๋์? \n๊ฒ์คํธ_๊ฐ์กฑ: ๋ณ๋ก ์ข์ง ์์์. ๋ชจ๋ ํญ์์ ๋ฅผ ๋จน๊ณ ์์ด์. \n์์ฌ: ๊ฐ์ ์ด์ ๋ก์? \n๊ฒ์คํธ_๊ฐ์กฑ: ๋ค. ๋ชจ๋ ๊ท ๊ฐ์ผ๊ณผ ๊ฐ์ด ๊ฐ๊ธฐ์ ๊ฑธ๋ ธ์ด์. \n์์ฌ: ๊ทธ๋ผ ์์ด ๋ฐ์์๋ค์. \n๊ฒ์คํธ_๊ฐ์กฑ: ๋ง์ํด์ฃผ์ธ์, ์์ฌ ์ ์๋. ํ์จ๋ ์ ๋๋ก ๋ชป ์ฌ๊ฒ ์ด์. \n์์ฌ: ๋น์ ๊ณผ ๋น์ ์ ๊ฐ์กฑ์๊ฒ ํ๋ ๊ฒจ์ธ์ด์๊ตฐ์.", | |
| "์์ฝ": "๋ชจ๋ ํ์ ์๋งค๋ ๊ท ๊ฐ์ผ๊ณผ URI์ ๋ํ ํญ์์ ๋ฅผ ๋ณต์ฉํ๊ณ ์์ต๋๋ค." | |
| }, | |
| { | |
| "id": 68, | |
| "dialogue": "Doctor: You are referred for some abdominal infection right? \nPatient: Yes, they told me I might have C Diff?\nDoctor: Yes that's what we will evaluate you for.", | |
| "summary": "I was asked to see the patient for C. diff colitis.", | |
| "๋ํ": "์์ฌ: ๋ณต๋ถ ๊ฐ์ผ์ผ๋ก ์๋ขฐ๋์ จ์ฃ ? \nํ์: ๋ค, ์ ๊ฐ C Diff์ ๊ฑธ๋ ธ์์ง๋ ๋ชจ๋ฅธ๋ค๊ณ ํ์ จ๋์? \n์์ฌ: ๋ค, ๊ทธ๋์ ์ ํฌ๊ฐ ํ์๋ถ์ ํ๊ฐํ ๊ฒ์ ๋๋ค.", | |
| "์์ฝ": "C. diff ๋์ฅ์ผ์ผ๋ก ํ์๋ฅผ ๋ณด๋๋ก ์์ฒญ ๋ฐ์์ต๋๋ค." | |
| }, | |
| { | |
| "id": 69, | |
| "dialogue": "Patient: Man, what a night. \nDoctor: What kind of car were you driving that night? \nPatient: I was driving my small sports car through an intersection when another car hit me from the left side. The impact forced my car off the road and into a utility pole. \nDoctor: I'm so sorry to hear that. I'm glad that you are here in one piece. Were you wearing your seatbelt? \nPatient: Yeah, I had my belt on and everything. \nDoctor: Good. \nPatient: Unfortunately, the driver was drunk and ran a traffic signal. \nDoctor: That's such a shame. Do you remember how fast the car was going when it collided into you?\nPatient: If I had to guess maybe eighty miles per hour. It looks like the driver who hit me was already cited by police. \nDoctor: Did you lose consciousness at all? \nPatient: Yeah, I briefly lost consciousness when help arrived at the scene. I felt an immediate headache when I regained consciousness. I also had lower back and neck pain. \nDoctor: Did you get out of the car by yourself? \nPatient: Yeah, I got out by myself. Once I made it out, the Rescue Squad drove me to Saint Thomas Memorial Hospital. I was seen in the emergency room and later discharged. \nDoctor: This was on January fifteenth, correct? \nPatient: Yessir.", | |
| "summary": "Date of incident: 1/15/2001. The patient was the driver of a small sports utility vehicle and was wearing a seatbelt. The patient's vehicle was proceeding through an intersection and was struck by another vehicle from the left side and forced off the road into a utility pole. The other vehicle had reportedly been driven by a drunk driver and ran a traffic signal. Estimated impact speed was 80 m.p.h. The driver of the other vehicle was reportedly cited by police. The patient was transiently unconscious and came to the scene. There was immediate onset of headaches, neck and lower back pain. The patient was able to exit the vehicle and was subsequently transported by Rescue Squad to St. Thomas Memorial Hospital, evaluated in the emergency room and released.", | |
| "๋ํ": "ํ์: ์ด๋ฐ, ์ ๋ง ๋ฉ์ง ๋ฐค์ด๋ค์. \n์์ฌ: ๊ทธ๋ ๋ฐค ์ด๋ค ์ฐจ๋ฅผ ์ด์ ํ์ จ๋์? \nํ์: ์ํ ์คํฌ์ธ ์นด๋ฅผ ๋ชฐ๊ณ ๊ต์ฐจ๋ก๋ฅผ ์ง๋๊ณ ์์๋๋ฐ ๋ค๋ฅธ ์ฐจ๊ฐ ์ผ์ชฝ์์ ์ ๋ฅผ ๋ค์ด๋ฐ์์ต๋๋ค. ๊ทธ ์ถฉ๊ฒฉ์ผ๋ก ์ ์ฐจ๊ฐ ๋๋ก๋ฅผ ๋ฒ์ด๋ ์ ๋ด๋๋ฅผ ๋ค์ด๋ฐ์์ต๋๋ค. \n์์ฌ: ์ ๋ง ์ ๊ฐ์ ๋๋ค. ๋ฌด์ฌํด์ ๋คํ์ด๋ค์. ์์ ๋ฒจํธ๋ ๋งค๊ณ ๊ณ์ จ๋์? \nํ์: ๋ค, ์์ ๋ฒจํธ๋ฅผ ๋งค๊ณ ์์์ต๋๋ค. \n์์ฌ: ๋คํ์ด๋ค์. \nํ์: ๋ถํํ๋ ์ด์ ์๊ฐ ์ ์ ์ทจํด ์ ํธ ์๋ฐ์ ํ์ต๋๋ค. \n์์ฌ: ์ ๋ง ์ํ๊น๋ค์. ๋น์ ๊ณผ ์ถฉ๋ํ์ ๋ ์ฐจ๊ฐ ์ผ๋ง๋ ๋นจ๋ฆฌ ๋ฌ๋ ธ๋์ง ๊ธฐ์ตํ์ญ๋๊น? \nํ์: ์์ 80๋ง์ผ ์ ๋์๋ ๊ฒ ๊ฐ์์. ์ ๋ฅผ ์น ์ด์ ์๋ ์ด๋ฏธ ๊ฒฝ์ฐฐ์ ์ฒดํฌ๋ ๊ฒ ๊ฐ๋ค์. \n์์ฌ: ์์์ ์ ํ ์์ง ์์๋์? \nํ์: ๋ค, ๊ตฌ์กฐ๋๊ฐ ํ์ฅ์ ๋์ฐฉํ์ ๋ ์ ์ ์์์ ์์์ต๋๋ค. ์์์ ๋์ฐพ์์ ๋ ์ฆ๊ฐ์ ์ธ ๋ํต์ ๋๊ผ์ต๋๋ค. ํ๋ฆฌ์ ๋ชฉ์๋ ํต์ฆ์ด ์์์ต๋๋ค. \n์์ฌ: ํผ์์ ์ฐจ์์ ๋ด๋ ธ๋์? \nํ์: ๋ค, ํผ์์ ๋ด๋ ธ์ต๋๋ค. ์ฐจ์์ ๋ด๋ฆฐ ํ ๊ตฌ์กฐ๋๊ฐ ์ ๋ฅผ ์ธ์ธํธ ํ ๋ง์ค ๋ฉ๋ชจ๋ฆฌ์ผ ๋ณ์์ผ๋ก ๋ฐ๋ ค๋ค ์ฃผ์์ต๋๋ค. ์๊ธ์ค์์ ์ง์ฐฐ์ ๋ฐ๊ณ ํด์ํ์ต๋๋ค. \n์์ฌ: 1์ 15์ผ์ด์์ฃ ? \nํ์: ๋ค.", | |
| "์์ฝ": "์ฌ๊ฑด ๋ฐ์ ๋ ์ง: 1/15/2001. ํ์๋ ์ํ ์คํฌ์ธ ์ ํธ๋ฆฌํฐ ์ฐจ๋์ ์ด์ ์์์ผ๋ฉฐ ์์ ๋ฒจํธ๋ฅผ ์ฐฉ์ฉํ๊ณ ์์์ต๋๋ค. ํ์์ ์ฐจ๋์ ๊ต์ฐจ๋ก๋ฅผ ํต๊ณผํ๋ ์ค ์ผ์ชฝ์์ ๋ค๋ฅธ ์ฐจ๋๊ณผ ์ถฉ๋ํ์ฌ ๋๋ก๋ฅผ ๋ฒ์ด๋ ์ ๋ด๋๋ฅผ ๋ค์ด๋ฐ์์ต๋๋ค. ์๋ ์ฐจ๋์ ์์ฃผ ์ด์ ์๊ฐ ์ด์ ํ ๊ฒ์ผ๋ก ์๋ ค์ก์ผ๋ฉฐ ์ ํธ๋ฅผ ์๋ฐํ ์ํ์์ต๋๋ค. ์ถ์ ์ถฉ๊ฒฉ ์๋๋ ์์ 80๋ง์ผ๋ก, ์๋ ์ฐจ๋์ ์ด์ ์๋ ๊ฒฝ์ฐฐ ์กฐ์ฌ๋ฅผ ๋ฐ์ ๊ฒ์ผ๋ก ์๋ ค์ก์ต๋๋ค. ํ์๋ ์ผ์์ ์ผ๋ก ์์์ ์๊ณ ํ์ฅ์ ๋์ฐฉํ์ต๋๋ค. ์ฆ์ ๋ํต๊ณผ ๋ชฉ, ํ๋ฆฌ ํต์ฆ์ด ์์๋์์ต๋๋ค. ํ์๋ ์ฐจ์์ ๋ด๋ฆด ์ ์์๊ณ ์ดํ ๊ตฌ์กฐ๋์ ์ํด ์ธ์ธํธ ํ ๋ง์ค ๋ฉ๋ชจ๋ฆฌ์ผ ๋ณ์์ผ๋ก ์ด์ก๋์ด ์๊ธ์ค์์ ๊ฒ์ฌ๋ฅผ ๋ฐ๊ณ ํด์ํ์ต๋๋ค." | |
| }, | |
| { | |
| "id": 70, | |
| "dialogue": "Doctor: Hello, ma'am. How are you doing?\nPatient: My knees hurt. They've been slowly getting worse each year. Life's getting hard at seventy two. \nDoctor: I'm sorry to hear that. Have you always had knee pain? \nPatient: I have. Both knees are messed up. \nDoctor: Are you able to do any activities still? \nPatient: Nope. I just sit all day. \nDoctor: I see. We can offer to do arthroplasty to fix your knees.\nPatient: What's that? \nDoctor: It's like a reconstruction of your joints. It'll help increase your ability to do daily activities. \nPatient: I'm up for it. I need to get my life going. \nDoctor: Sounds great. I just want to confirm some information. Would you say your quality of life and daily activities is decreasing? \nPatient: Oh, yeah. These knees are making my life terrible.", | |
| "summary": "The patient is a 72-year-old female with a history of bilateral knee pain for years progressively worse and decreasing quality of life and ADLs. She wishes to proceed with arthroplasty at this time.", | |
| "๋ํ": "์์ฌ: ์๋ ํ์ธ์, ๋ถ์ธ. ์ข ์ด๋ ์ธ์? \nํ์: ๋ฌด๋ฆ์ด ์ํ์. ๋งค๋ ์กฐ๊ธ์ฉ ์ ํ๋๊ณ ์์ด์. ์ผํ ๋ ์ด์ ์ธ์์ด ํ๋ค์ด์ง๋ค์. \n์์ฌ: ์ ๊ฐ์ ๋๋ค. ํญ์ ๋ฌด๋ฆ ํต์ฆ์ด ์์๋์? \nํ์: ๋ค. ์์ชฝ ๋ฌด๋ฆ์ด ์๋ง์ด์์. \n์์ฌ: ๊ทธ๋๋ ํ๋์ ํ ์ ์๋์? \nํ์: ์๋์. ํ๋ฃจ ์ข ์ผ ์์์๊ธฐ๋ง ํฉ๋๋ค. \n์์ฌ: ๊ทธ๋ ๊ตฐ์. ๋ฌด๋ฆ์ ๊ณ ์น๊ธฐ ์ํด ๊ด์ ์นํ์ ์ ์ ์ํด ๋๋ฆด ์ ์์ต๋๋ค.\nํ์: ๊ทธ๊ฒ ๋ญ๋ฐ์? \n์์ฌ: ๊ด์ ์ ์ฌ๊ฑดํ๋ ๊ฒ๊ณผ ๊ฐ์ต๋๋ค. ์ผ์์ ์ธ ํ๋์ ํ ์ ์๋ ๋ฅ๋ ฅ์ ํฅ์์ํค๋ ๋ฐ ๋์์ด ๋ ๊ฒ์ ๋๋ค. \nํ์: ์ ํ ๊ฑฐ์์. ์ ์ถ์ ์ด์์ผ ํด์. \n์์ฌ: ์ข์์. ๋ช ๊ฐ์ง ์ ๋ณด๋ฅผ ํ์ธํ๊ณ ์ถ์ต๋๋ค. ์ถ์ ์ง๊ณผ ์ผ์ ํ๋์ด ์ ํ๋๊ณ ์๋ค๊ณ ๋ง์ํ์๊ฒ ์ต๋๊น? \nํ์: ์ค, ๋ค. ์ด ๋ฌด๋ฆ ๋๋ฌธ์ ์ ์ถ์ด ๋์ฐํด์.", | |
| "์์ฝ": "ํ์๋ 72์ธ ์ฌ์ฑ์ผ๋ก ์๋ ๊ฐ ์์ธก ๋ฌด๋ฆ ํต์ฆ์ด ์ ์ฐจ ์ ํ๋๊ณ ์ถ์ ์ง๊ณผ ADL์ด ์ ํ๋ ๋ณ๋ ฅ์ด ์์ต๋๋ค. ๊ทธ๋ ๋ ํ์ฌ ๊ด์ ์นํ์ ์ ์งํํ๊ธฐ๋ฅผ ์ํฉ๋๋ค." | |
| }, | |
| { | |
| "id": 71, | |
| "dialogue": "Doctor: How's he doing? \nGuest_family: Not so great. He's been out of it. He hasn't been acting like himself. \nDoctor: How long has it been since you noticed any behavioral changes? \nGuest_family: A few days now. \nDoctor: Is he complaining of any pain? \nGuest_family: Yeah he's been- \nDoctor: He's been? \nGuest_family: Sorry, my phone was on vibrate and I had to turn it off. \nDoctor: No problem. \nGuest_family: He's been pointing to his stomach and saying it hurts. \nDoctor: Is he having any other symptoms? \nGuest_family: He's told me he feels queasy. I took his temperature the other night and he was running a fever of one O two. \nDoctor: Any vomiting with the nausea? \nGuest_family: Yeah, he's thrown up a handful of times.", | |
| "summary": "Abdominal pain, nausea, vomiting, fever, altered mental status.", | |
| "๋ํ": "์์ฌ: ์ข ์ด๋ ์ธ์? \n๊ฒ์คํธ_๊ฐ์กฑ: ๋ณ๋ก ์ ์ข์์. ์ ์ ์ด ๋๊ฐ์ด์. ํ์์ฒ๋ผ ํ๋ํ์ง ์์์. \n์์ฌ: ํ๋ ๋ณํ๋ฅผ ์์์ฐจ๋ฆฐ ์ง ์ผ๋ง๋ ๋์ จ๋์? \n๊ฒ์คํธ_๊ฐ์กฑ: ๋ฉฐ์น ๋์ด์. \n์์ฌ: ํต์ฆ์ ํธ์ํ๋์? \n๊ฒ์คํธ_๊ฐ์กฑ: ๋ค, ๊ทธ๋ ์ต๋๋ค \n์์ฌ: ๊ทธ๋ฌ๋์? \n๊ฒ์คํธ_๊ฐ์กฑ: ์ฃ์กํฉ๋๋ค, ํด๋ํฐ์ด ์ง๋์ผ๋ก ์ค์ ๋์ด ์์ด์ ๊บผ์ผ ํ์ต๋๋ค. \n์์ฌ: ๊ด์ฐฎ์์. \n๊ฒ์คํธ_๊ฐ์กฑ: ๋ฐฐ๋ฅผ ๊ฐ๋ฆฌํค๋ฉฐ ์ํ๋ค๊ณ ํ๋ค์. \n์์ฌ: ๋ค๋ฅธ ์ฆ์์ ์๋์? \n๊ฒ์คํธ_๊ฐ์กฑ: ์์ด ๋ฉ์ค๊ป๋ค๊ณ ํ์ จ์ด์. ์์ ๋ ๋ฐค์ ์ฒด์จ์ ์๋๋ฐ ์ด์ด 112๋ ๋์์ต๋๋ค. \n์์ฌ: ๋ฉ์ค๊บผ์๊ณผ ํจ๊ป ๊ตฌํ ๋ฅผ ํ๋์? \n๊ฒ์คํธ_๊ฐ์กฑ: ๋ค, ๋ช ๋ฒ ํ ํ์ด์.", | |
| "์์ฝ": "๋ณตํต, ๋ฉ์ค๊บผ์, ๊ตฌํ , ๋ฐ์ด, ์ ์ ์ํ ๋ณํ." | |
| }, | |
| { | |
| "id": 72, | |
| "dialogue": "Doctor: Hi, how are you doing?\nPatient: I'm good. Thank you.\nDoctor: How old are you, young lady? \nPatient: Eighty four.\nDoctor: What brings you here?\nPatient: I had a fall. And I was told to consult you for my heart conditions.\nDoctor: Okay. Um? Can you tell me a little detail about anything you experienced before or diagnosed before?\nPatient: Yeah, I have high blood pressure. And they also diagnosed me with other heart diseases. I cannot pronounce all the names I don't remember.\nDoctor: That's fine. Let me go through your medical record first. \nDoctor: Let's see what we have here. Looks like you have your plate full. Your record says you had hypertension I mean, high blood pressure. Also, you have a history of severe tricuspid regurgitation with mild pulmonary hypertension, mild aortic stenosis, and previously moderate mitral regurgitation. \nPatient: Wow! Those are a lot of fancy words that I can never remember. \nDoctor: Ha ha. So, it says here they they want me to check you for atrial fibrillation. Yet another fancy word to add to your list. \nPatient: What does it mean?\nDoctor: It means I must check if you have faster than normal heartbeat after your fall. In simple words, just to check if there are any irregularities in your heart beating, okay?\nPatient: Hm, okay.\nDoctor: So tell me what happened? How did you fall?\nPatient: I'm not sure about how it happened, but yeah, I fell yesterday on my driveway and kind of hit a rock.\nDoctor: Which side did you hit the rock?\nPatient: Um I think it was left side.\nDoctor: What happened in the emergency room?\nPatient: They gave me some medicine. And they put something on my finger. They said that my heart rate was very high. \nDoctor: Yeah, in the record it says that they found rapid atrial tachyarrhythmia. So, according to this, they have given you Cardizem and they stopped it when your heart rate came to fifties.\nDoctor: Let me review your electrocardiogram from emergency. It says that there was rapid heart rate. Your heart was really beating very fast and then there was one more electrocardiogram which showed that your pacemaker is acting weird. \nPatient: They also did the same test this morning. \nDoctor: One they did this morning shows normal rate with frequent early heartbeats. Looks like they also tested your blood. Your potassium level is three point one. \nDoctor: How was your heart feeling when you fell yesterday?\nPatient: I felt that I just ran in a race. I could feel all the pain after that fall. It was ugly. My heart was pounding so fast it was ready to come out, I never felt like that before in my life. \nDoctor: Did you feel the same way afterwards as well?\nPatient: No, it was just after fall. It did not stay like that for long, I was normal later. I never felt it again after that incident. \nDoctor: That is good. Do you have any pain or discomfort in your chest?\nPatient: I don't think so.\nDoctor: How about before the fall? Did you have any pain or discomfort in your chest before the fall?\nPatient: Nope.\nDoctor: how about shortness of breath?\nPatient: No, not even before the fall. I'm able to walk and I'm sure I can climb stairs. Maybe two floors without any problems.", | |
| "summary": "The patient is an 84-year-old woman with a history of hypertension, severe tricuspid regurgitation with mild pulmonary hypertension, mild aortic stenosis, and previously moderate mitral regurgitation although not seen recently and I was asked to perform cardiology consultation for her because there was concern for atrial fibrillation after a fall. Basically the patient states that yesterday she fell and she is not certain about the circumstances, on her driveway, and on her left side hit a rock. When she came to the emergency room, she was found to have a rapid atrial tachyarrhythmia, and was put on Cardizem with reportedly heart rate in the 50s, so that was stopped. Review of EKGs from that time shows what appears to be multifocal atrial tachycardia with followup EKG showing wandering atrial pacemaker. An ECG this morning showing normal sinus rhythm with frequent APCs. Her potassium at that time was 3.1. She does recall having palpitations because of the pain after the fall, but she states she is not having them since and has not had them prior. She denies any chest pain nor shortness of breath prior to or since the fall. She states clearly she can walk and she would be able to climb 2 flights of stairs without problems.", | |
| "๋ํ": "์์ฌ: ์๋ ํ์ธ์, ์ข ์ด๋ ์ธ์? \nํ์: ์ ๊ด์ฐฎ์์. ๊ฐ์ฌํฉ๋๋ค.\n์์ฌ: ๋ช ์ด์ด์ธ์, ์ ์ ์๊ฐ์จ? \nํ์: ์ฌ๋ ๋ท์ ๋๋ค.\n์์ฌ: ๋ฌด์จ ์ผ๋ก ์ค์ จ๋์? \nํ์: ๋์ด์ก์ด์. ๊ทธ๋ฆฌ๊ณ ์ฌ์ฅ ์งํ ๋๋ฌธ์ ์ ์๋๊ณผ ์๋ดํ๋ผ๊ณ ๋ค์์ต๋๋ค.\n์์ฌ: ์๊ฒ ์ต๋๋ค. ์? ์ด์ ์ ๊ฒฝํํ๊ฑฐ๋ ์ง๋จ๋ฐ์๋ ์ฆ์์ ๋ํด ์์ธํ ๋ง์ํด ์ฃผ์๊ฒ ์ต๋๊น? \nํ์: ๋ค, ์ ๋ ๊ณ ํ์์ด ์์ต๋๋ค. ๊ทธ๋ฆฌ๊ณ ๋ค๋ฅธ ์ฌ์ฅ ์งํ๋ ์ง๋จ๋ฐ์์ต๋๋ค. ๊ธฐ์ต๋์ง ์๋ ์ด๋ฆ์ ๋ชจ๋ ๋ฐ์ํ ์๋ ์์ต๋๋ค.\n์์ฌ: ๊ด์ฐฎ์ต๋๋ค. ๋จผ์ ์๋ฃ ๊ธฐ๋ก์ ์ดํด๋ณผ๊ฒ์. \n์์ฌ: ์ฌ๊ธฐ ๋ญ๊ฐ ์๋์ง ๋ด ์๋ค. ๋ฐ์์ ๊ฒ ๊ฐ๋ค์. ๊ธฐ๋ก์ ๋ฐ๋ฅด๋ฉด ๊ณ ํ์, ๊ทธ๋ฌ๋๊น ๊ณ ํ์์ด ์๋ค๊ณ ๋์ ์๋ค์. ๋ํ ๊ฒฝ์ฆ ํ ๊ณ ํ์, ๊ฒฝ์ฆ ๋๋๋งฅ ํ์ฐฉ์ฆ ๋ฐ ์ด์ ์ ์ค๋ฑ๋ ์น๋ชจํ ์ญ๋ฅ์ฆ์ ๋๋ฐํ ์ค์ฆ ์ผ์ฒจํ ์ญ๋ฅ์ฆ์ ๋ณ๋ ฅ์ด ์์ต๋๋ค. \nํ์: ์์ฐ! ๋์ ํ ๊ธฐ์ตํ ์ ์๋ ๋ฉ์ง ๋จ์ด๋ค์ด ๋ง๋ค์. \n์์ฌ: ํํ. ์ฌ๊ธฐ์๋ ์ฌ๋ฐฉ์ธ๋ ๊ฒ์ฌ๋ฅผ ํ๋ผ๊ณ ์ ํ ์๋ค์. ๋ชฉ๋ก์ ์ถ๊ฐํ ๋ ๋ค๋ฅธ ๋ฉ์ง ๋จ์ด๊ฐ ์๊ตฐ์. \nํ์: ๋ฌด์จ ๋ป์ธ๊ฐ์? \n์์ฌ: ๋์ด์ง ํ ์ฌ์ฅ ๋ฐ๋์ด ์ ์๋ณด๋ค ๋นจ๋ผ์ก๋์ง ํ์ธํด์ผ ํ๋ค๋ ๋ป์ ๋๋ค. ๊ฐ๋จํ ๋งํด์ ์ฌ์ฅ ๋ฐ๋์ ์ด์์ด ์๋์ง ํ์ธํด์ผ ํ๋ค๋ ๋ป์ ๋๋ค.\nํ์: ๋ค, ์๊ฒ ์ต๋๋ค.\n์์ฌ: ๊ทธ๋ผ ๋ฌด์จ ์ผ์ด ์์๋์? ์ด๋ป๊ฒ ๋์ด์ง์ จ๋์? \nํ์: ์ด๋ป๊ฒ ๋ ์ผ์ธ์ง๋ ์ ๋ชจ๋ฅด๊ฒ ์ง๋ง, ์ด์ ์ฐจ๋์์ ๋์ด์ ธ์ ๋์ ๋ถ๋ชํ์ต๋๋ค.\n์์ฌ: ์ด๋ ์ชฝ์ ๋ถ๋ชํ๋์? ์ด๋ ์ชฝ์ ๋ถ๋ชํ์ จ๋์? \nํ์: ์, ์ผ์ชฝ์ธ ๊ฒ ๊ฐ์์.\n์์ฌ: ์๊ธ์ค์์๋ ๋ฌด์จ ์ผ์ด ์์๋์? \nํ์: ๊ทธ๋ค์ด ์ ์๊ฒ ์ฝ์ ์คฌ์ด์. ๊ทธ๋ฆฌ๊ณ ์ ์๊ฐ๋ฝ์ ๋ญ๊ฐ๋ฅผ ๋ถ์์ด์. ์ ์ฌ๋ฐ์๊ฐ ๋งค์ฐ ๋๋ค๊ณ ํ๋๊ตฐ์. \n์์ฌ: ๋ค, ๊ธฐ๋ก์๋ ๋น ๋ฅธ ์ฌ๋ฐฉ ๋น๋งฅ์ ๋ฐ๊ฒฌํ๋ค๊ณ ๋์ ์์ต๋๋ค. ๊ทธ๋์ ์ด ๊ธฐ๋ก์ ๋ฐ๋ฅด๋ฉด ์นด๋์ ฌ์ ํฌ์ฌํ๊ณ ์ฌ๋ฐ์๊ฐ 50์ด ๋์์ ๋ ํฌ์ฌ๋ฅผ ์ค๋จํ๋ค๊ณ ํฉ๋๋ค.\n์์ฌ: ์๊ธ์ค์์ ๋ฐ์ ์ฌ์ ๋๋ฅผ ๊ฒํ ํด ๋ณด๊ฒ ์ต๋๋ค. ์ฌ๋ฐ์๊ฐ ๋นจ๋๋ค๊ณ ๋์ ์๋ค์. ์ฌ์ฅ์ด ๋งค์ฐ ๋น ๋ฅด๊ฒ ๋ฐ๊ณ ์์๊ณ ์ฌ์ ๋๊ฐ ํ ๋ฒ ๋ ๋์์ ์ฌ๋ฐ์กฐ์จ๊ธฐ๊ฐ ์ด์ํ๊ฒ ์๋ํ๋ ๊ฒ์ผ๋ก ๋ํ๋ฌ์ต๋๋ค. \nํ์: ์ค๋ ์์นจ์๋ ๊ฐ์ ๊ฒ์ฌ๋ฅผ ํ์ด์. \n์์ฌ: ์ค๋ ์์นจ์ ํ ๊ฒ์ฌ์์๋ ์ฌ๋ฐ์๊ฐ ์ ์์ด๊ณ ์กฐ๊ธฐ ์ฌ๋ฐ๋์ด ์ฆ์ ๊ฒ์ผ๋ก ๋ํ๋ฌ์ต๋๋ค. ํ์ก ๊ฒ์ฌ๋ ํ ๊ฒ ๊ฐ๋ค์. ์นผ๋ฅจ ์์น๊ฐ 3.1์ ๋๋ค. \n์์ฌ: ์ด์ ์ฐ๋ฌ์ก์ ๋ ์ฌ์ฅ์ด ์ด๋ค ๋๋์ด์๋์? \nํ์: ๋ฐฉ๊ธ ๋ฌ๋ฆฌ๊ธฐ๋ฅผ ํ ๊ฒ ๊ฐ์์ด์. ๋์ด์ง ํ ๋ชจ๋ ๊ณ ํต์ ๋๋ ์ ์์์ด์. ๋์ฐํ์ด์. ์ฌ์ฅ์ด ๋๋ฌด ๋นจ๋ฆฌ ๋๊ทผ๊ฑฐ๋ ค์ ๊ณง ํฐ์ง ๊ฒ ๊ฐ์๊ณ , ํ์ ๊ทธ๋ฐ ๋๋์ ์ฒ์์ด์์ด์. \n์์ฌ: ๊ทธ ํ์๋ ๊ฐ์ ๋๋์ด ๋ค์๋์? \nํ์: ์๋์, ๊ฐ์ ์งํ์์ด์. ์ค๋ ์ง์๋์ง๋ ์์๊ณ ๋์ค์๋ ์ ์์ด ๋์์ต๋๋ค. ๊ทธ ์ฌ๊ฑด ์ดํ ๋ค์๋ ๊ทธ๋ฐ ๋๋์ด ๋ค์ง ์์์ต๋๋ค. \n์์ฌ: ๋คํ์ด๋ค์. ๊ฐ์ด์ ํต์ฆ์ด๋ ๋ถํธํจ์ ์์ต๋๊น? \nํ์: ๊ทธ๋ฐ ๊ฒ ๊ฐ์ง ์์ต๋๋ค.\n์์ฌ: ๋์ด์ง๊ธฐ ์ ์๋ ์ด๋ ๋์? ๋์ด์ง๊ธฐ ์ ์ ๊ฐ์ด์ ํต์ฆ์ด๋ ๋ถํธํจ์ด ์์๋์? \nํ์: ์๋์.\n์์ฌ: ํธํก๊ณค๋์ ์ด๋ ๋์?\nํ์: ์๋์, ๋์ด์ง๊ธฐ ์ ์๋ ์์์ต๋๋ค. ๊ฑธ์ ์ ์๊ณ ๊ณ๋จ๋ ์ค๋ฅผ ์ ์์ ๊ฒ ๊ฐ์์. ์๋ง 2์ธต ์ ๋๋ ๋ฌธ์ ์์ด ์ฌ๋ผ๊ฐ ์ ์์ ๊ฒ ๊ฐ์์.", | |
| "์์ฝ": "ํ์๋ 84์ธ ์ฌ์ฑ์ผ๋ก ๊ณ ํ์, ๊ฒฝ์ฆ ํ๊ณ ํ์์ ๋๋ฐํ ์ค์ฆ ์ผ์ฒจํ ์ญ๋ฅ์ฆ, ๊ฒฝ์ฆ ๋๋๋งฅ ํ์ฐฉ์ฆ, ๊ทธ๋ฆฌ๊ณ ์ต๊ทผ์ ๋ณด์ด์ง๋ ์์์ง๋ง ์ด์ ์ ์ค๋ฑ๋์ ์น๋ชจํ ์ญ๋ฅ์ฆ ๋ณ๋ ฅ์ด ์์ผ๋ฉฐ ๋์ ํ ์ฌ๋ฐฉ์ธ๋์ด ์ฐ๋ ค๋์ด ์ฌ์ฅ๋ด๊ณผ ์๋ด์ ์์ฒญ๋ฐ์์ต๋๋ค. ๊ธฐ๋ณธ์ ์ผ๋ก ํ์๋ ์ด์ ๋์ด์ก๋๋ฐ ์ํฉ์ ์ ๋ชจ๋ฅด๊ฒ ๊ณ , ์ฐจ๋์์ ์ผ์ชฝ ์๊ตฌ๋ฆฌ๊ฐ ๋์ ๋ถ๋ชํ๋ค๊ณ ๋งํ์ต๋๋ค. ์๊ธ์ค์ ์์ ๋ ๋น ๋ฅธ ์ฌ๋ฐฉ ๋น๋งฅ์ด ๋ฐ๊ฒฌ๋์๊ณ , ์ฌ๋ฐ์๊ฐ 50๋์ธ ๊ฒ์ผ๋ก ๋ณด๊ณ ๋์ด ์นด๋์ ฌ์ ํฌ์ฌํ ํ ์ค๋จํ์ต๋๋ค. ๋น์์ ์ฌ์ ๋๋ฅผ ๊ฒํ ํ ๊ฒฐ๊ณผ ๋ค์ด์ ์ฌ๋ฐฉ ๋น๋งฅ์ผ๋ก ๋ณด์ด๋ฉฐ ํ์ ์ฌ์ ๋์์๋ ์ฌ๋ฐฉ ๋ฐ๋๊ธฐ๊ฐ ๋์๋ค๋๋ ๊ฒ์ผ๋ก ๋ํ๋ฌ์ต๋๋ค. ์ค๋ ์์นจ ์ฌ์ ๋์์๋ ๋น๋ฒํ ์ฌ์ค๋น๋งฅ๊ณผ ํจ๊ป ์ ์ ๋ถ๋น๋ ๋ฆฌ๋ฌ์ ๋ณด์์ต๋๋ค. ๋น์ ์นผ๋ฅจ ์์น๋ 3.1์ด์์ต๋๋ค. ๋์ด์ง ํ ํต์ฆ ๋๋ฌธ์ ๋๊ทผ๊ฑฐ๋ ธ๋ ๊ธฐ์ต์ ์์ง๋ง, ๊ทธ ์ดํ์๋ ๋๊ทผ๊ฑฐ๋ฆผ์ด ์์๊ณ ๊ทธ ์ ์๋ ๋๊ทผ๊ฑฐ๋ฆผ์ด ์์๋ค๊ณ ํฉ๋๋ค. ๋์ ์ ์ด๋ ๋์ ํ ํํต์ด๋ ํธํก๊ณค๋์ด ์์๋ค๊ณ ๋ถ์ธํฉ๋๋ค. ๊ทธ๋ ๋ ๊ฑธ์ ์ ์๊ณ ๊ณ๋จ 2๊ฐ ์ธต์ ๋ฌธ์ ์์ด ์ฌ๋ผ๊ฐ ์ ์๋ค๊ณ ๋ถ๋ช ํ ๋งํ์ต๋๋ค." | |
| }, | |
| { | |
| "id": 73, | |
| "dialogue": "Doctor: What happened to your right leg?\nPatient: I had a little accident with a dog, he bit me. I got really scared.\nDoctor: Don't worry we will take care of this.", | |
| "summary": "Dog bite to his right lower leg.", | |
| "๋ํ": "์์ฌ: ์ค๋ฅธ์ชฝ ๋ค๋ฆฌ์ ๋ฌด์จ ์ผ์ด ์์๋์?\nํ์: ๊ฐ์ ์์ ์ฌ๊ณ ๊ฐ ์์๋๋ฐ ๊ฐ๊ฐ ์ ๋ฅผ ๋ฌผ์์ด์. ์ ๋ง ๋ฌด์์ ์ด์.\n์์ฌ: ๊ฑฑ์ ํ์ง ๋ง์ธ์. ์ ํฌ๊ฐ ์ฒ๋ฆฌํด ๋๋ฆด๊ฒ์.", | |
| "์์ฝ": "๊ฐ๊ฐ ์ค๋ฅธ์ชฝ ์๋ ๋ค๋ฆฌ๋ฅผ ๋ฌผ์์ต๋๋ค." | |
| }, | |
| { | |
| "id": 74, | |
| "dialogue": "Doctor: Do you have any history of surgical procedures? \nPatient: No, none.", | |
| "summary": "None.", | |
| "๋ํ": "์์ฌ: ์์ ๊ฒฝํ์ด ์์ผ์ ๊ฐ์? \nํ์: ์๋์, ์์ต๋๋ค.", | |
| "์์ฝ": "์์" | |
| }, | |
| { | |
| "id": 75, | |
| "dialogue": "Doctor: Hello Hello!\nPatient: Hi there, how are you? I have a bad headache so can you please switch off the lights, it's too bright and uncomfortable.\nDoctor: Sure thing. Let's see what is going on here. How about that?\nPatient: Much better.", | |
| "summary": "Headache.", | |
| "๋ํ": "์์ฌ: ์๋ ํ์ธ์!\nํ์: ์๋ ํ์ธ์, ์ ์ง๋ด์ธ์? ๋ํต์ด ์ฌํด์ ๋๋ฌด ๋ฐ์์ ๋ถํธํ๋ ๋ถ์ ๊บผ ์ฃผ์ค ์ ์๋์?\n์์ฌ: ๋ฌผ๋ก ์ด์ฃ . ๋ฌด์จ ์ผ์ธ์ง ํ๋ฒ ๋ด ์๋ค. ์ด๋์?\nํ์: ํจ์ฌ ๋ซ๋ค์.", | |
| "์์ฝ": "๋ํต." | |
| }, | |
| { | |
| "id": 76, | |
| "dialogue": "Doctor: Do you use any tobacco, inhalation or recreational drugs? \nPatient: No.", | |
| "summary": "No use of ethanol, tobacco, illicit, or recreational substances.", | |
| "๋ํ": "์์ฌ: ๋ด๋ฐฐ, ํก์ ๋๋ ๊ธฐํธ์ฉ ์ฝ๋ฌผ์ ์ฌ์ฉํ์ญ๋๊น? \nํ์: ์๋์.", | |
| "์์ฝ": "์ํ์ฌ, ๋ด๋ฐฐ, ๋ถ๋ฒ ๋๋ ๊ธฐํธ์ฑ ๋ฌผ์ง ์ฌ์ฉ ๋ถ์ธ." | |
| }, | |
| { | |
| "id": 77, | |
| "dialogue": "Doctor: Any family history of disease? \nGuest_family: To be honest, I'm not sure. Possibly? I'd have to check and get back to you.", | |
| "summary": "unknown.", | |
| "๋ํ": "์์ฌ: ์ง๋ณ์ ๊ฐ์กฑ๋ ฅ์ด ์์ผ์ ๊ฐ์? \n๊ฒ์คํธ_๊ฐ์กฑ: ์์งํ ์ ๋ชจ๋ฅด๊ฒ ์ต๋๋ค. ์๋ง๋์? ํ์ธํด๋ณด๊ณ ๋ค์ ์ฐ๋ฝ๋๋ฆฌ๊ฒ ์ต๋๋ค.", | |
| "์์ฝ": "์ ์ ์์" | |
| }, | |
| { | |
| "id": 78, | |
| "dialogue": "Doctor: As per your chart, I see you have C O P D and hypertension.\nPatient: Yes that is right.\nDoctor: Okay.", | |
| "summary": "COPD and hypertension.", | |
| "๋ํ": "์์ฌ: ์ฐจํธ์ ๋ฐ๋ฅด๋ฉด ๋ง์ฑ ํ์์ฑ ํ์งํ๊ณผ ๊ณ ํ์์ด ์์ผ์ ๊ฒ ๊ฐ์ต๋๋ค.\nํ์: ๋ค, ๋ง์ต๋๋ค.\n์์ฌ: ์๊ฒ ์ต๋๋ค.", | |
| "์์ฝ": "COPD ๋ฐ ๊ณ ํ์." | |
| }, | |
| { | |
| "id": 79, | |
| "dialogue": "Doctor: Do you use any tobacco products? \nPatient: No. \nDoctor: Do you drink alcohol or use any recreational drugs? \nPatient: No. \nDoctor: Any history of needle drugs or prescription drug abuse? \nPatient: No.", | |
| "summary": "Denied Tobacco/ETOH/illicit drug use.", | |
| "๋ํ": "์์ฌ: ๋ด๋ฐฐ ์ ํ์ ์ฌ์ฉํ์ญ๋๊น? \nํ์: ์๋์. \n์์ฌ: ์ ์ ๋ง์๊ฑฐ๋ ๊ธฐํธ์ฉ ์ฝ๋ฌผ์ ์ฌ์ฉํ์ญ๋๊น? \nํ์: ์๋์. \n์์ฌ: ์ฃผ์ฌ์ ๋๋ ์ฒ๋ฐฉ์ฝ ๋จ์ฉ์ ๋ณ๋ ฅ์ด ์์ต๋๊น? \nํ์: ์๋์.", | |
| "์์ฝ": "๋ด๋ฐฐ/ETOH/๋ถ๋ฒ ์ฝ๋ฌผ ์ฌ์ฉ ๊ฑฐ๋ถ." | |
| }, | |
| { | |
| "id": 80, | |
| "dialogue": "Doctor: What's bringing her in today? \nGuest_family: Oh, doctor. She hasn't been doing well at all. \nGuest_family: I think she's actually gotten worse. \nDoctor: I understand. I'm sorry to hear that she hasn't been feeling well. Let me see what we can do for her today. \nGuest_family: I haven't taken her temperature since this morning. It was one hundred and three degrees when she woke up. \nDoctor: What time did she wake up today? \nGuest_family: Um, around eight I believe. She also suffers from apnea.\nDoctor: It looks like she has an upper respiratory infection. \nGuest_family: Is she going to get better? \nDoctor: Yes, she should feel better once we start treating the infection. But I'm worried it may be pertussis.", | |
| "summary": "Upper respiratory illness with apnea, possible pertussis.", | |
| "๋ํ": "์์ฌ: ์ค๋์ ๋ฌด์จ ์ผ๋ก ์ค์ จ๋์? \n๊ฒ์คํธ_๊ฐ์กฑ: ์ค, ์์ฌ ์ ์๋. ์ํ๊ฐ ์ข์ง ์์์. \n๊ฒ์คํธ_๊ฐ์กฑ: ๋ ๋๋น ์ง ๊ฒ ๊ฐ์์. \n์์ฌ: ์ดํดํฉ๋๋ค. ์ด๋จธ๋์ ์ํ๊ฐ ์ ์ข์ผ์๋ค๋ ์ ๊ฐ์ ๋๋ค. ์ค๋ ์ด๋จธ๋๋ฅผ ์ํด ๋ฌด์์ ํด๋๋ฆด ์ ์๋์ง ์์๋ณด๊ฒ ์ต๋๋ค. \n๊ฒ์คํธ_๊ฐ์กฑ: ์ค๋ ์์นจ๋ถํฐ ์ฒด์จ์ ์ฌ์ง ์์์ด์. ์ผ์ด๋ฌ์ ๋ ์ฒด์จ์ด ํ์จ 103๋์์ด์. \n์์ฌ: ์ค๋ ๋ช ์์ ๊นจ์ด๋ฌ๋์? \n๊ฒ์คํธ_๊ฐ์กฑ: ์, 8์์ฏค์ธ ๊ฒ ๊ฐ์์. ๋ฌดํธํก์ฆ๋ ์๊ณ ์์ต๋๋ค.\n์์ฌ: ์๋ถ ํธํก๊ธฐ ๊ฐ์ผ์ด ์๋ ๊ฒ ๊ฐ์ต๋๋ค. \n๊ฒ์คํธ_๊ฐ์กฑ: ๋์์ง ์ ์์๊น์? \n์์ฌ: ๋ค, ๊ฐ์ผ ์น๋ฃ๋ฅผ ์์ํ๋ฉด ๋์์ง ๊ฒ์ ๋๋ค. ํ์ง๋ง ๋ฐฑ์ผํด๊ฐ ์๋๊น ๊ฑฑ์ ๋ฉ๋๋ค.", | |
| "์์ฝ": "๋ฌดํธํก์ฆ์ด์๋ ์๋ถ ํธํก๊ธฐ ์งํ, ๋ฐฑ์ผํด ๊ฐ๋ฅ์ฑ." | |
| }, | |
| { | |
| "id": 81, | |
| "dialogue": "Doctor: Have you ever had surgery, ma'am? \nPatient: Yes, I had it for melanoma some time ago. \nDoctor: I see here that you had a hysterectomy as well, is that correct? \nPatient: Oh, yes, that's true. I had that done too.", | |
| "summary": "Surgery for melanoma and hysterectomy.", | |
| "๋ํ": "์์ฌ: ์์ ์ ๋ฐ์ผ์ ์ ์ด ์์ผ์ ๊ฐ์, ๋ถ์ธ? \nํ์: ๋ค, ์ผ๋ง ์ ์ ํ์์ข ์ผ๋ก ์์ ์ ๋ฐ์์ต๋๋ค. \n์์ฌ: ์๊ถ ์ ์ ์ ๋ ๋ฐ์ผ์ ๊ฒ์ผ๋ก ๋ณด์ด๋๋ฐ ๋ง์ต๋๊น? \nํ์: ๋ค, ๋ง์ต๋๋ค. ์ ๋ ์๊ถ ์ ์ ์ ์ ๋ฐ์์ด์.", | |
| "์์ฝ": "ํ์ ์ข ๋ฐ ์๊ถ ์ ์ถ์ ์์ ." | |
| }, | |
| { | |
| "id": 82, | |
| "dialogue": "Doctor: Are you taking any medications? \nPatient: Yes, I am taking Accutane for my acne issues. \nDoctor: Okay, any other medicines? \nPatient: No, just that.\nDoctor: Okay.", | |
| "summary": "Accutane and takes no other medications.", | |
| "๋ํ": "์์ฌ: ์ฝ์ ๋ณต์ฉํ๊ณ ์๋์? \nํ์: ์, ์ฌ๋๋ฆ ๋๋ฌธ์ ์ํํ์ ๋ณต์ฉํ๊ณ ์์ต๋๋ค. \n์์ฌ: ์ข์์, ๋ค๋ฅธ ์ฝ์ ์๋์? \nํ์: ์๋์, ๊ทธ๊ฒ๋ง์ \n์์ฌ: ์๊ฒ ์ต๋๋ค.", | |
| "์์ฝ": "์ํํ๊ณผ ๋ค๋ฅธ ์ฝ์ ๋ณต์ฉํ์ง ์์ต๋๋ค." | |
| }, | |
| { | |
| "id": 83, | |
| "dialogue": "Doctor: Do you smoke, or have you smoked in the past? \nPatient: Yeah, I quit two years ago. But before that I used to smoke two packs per day. I first started smoking as a teenager. \nDoctor: Do you drink at all? \nPatient: I used to drink six packs of beer plus two additional drinks a day for many years. Good news is that I've been dry for two years now. \nDoctor: Any illicit drug use, such as cocaine, marijuana or heroin? \nPatient: No none of that.", | |
| "summary": "2ppd smoker since his teens; quit 2 years ago. 6-pack beer plus 2 drinks per day for many years: now claims he has been dry for 2 years. Denies illicit drug use.", | |
| "๋ํ": "์์ฌ: ๋ด๋ฐฐ๋ฅผ ํผ์ฐ์ญ๋๊น, ์๋๋ฉด ๊ณผ๊ฑฐ์ ํผ์ด ์ ์ด ์์ต๋๊น? \nํ์: ๋ค, 2๋ ์ ์ ๋์์ต๋๋ค. ํ์ง๋ง ๊ทธ ์ ์๋ ํ๋ฃจ์ ๋ ๊ฐ์ฉ ํผ์ ์ต๋๋ค. 10๋ ๋ ์ฒ์ ๋ด๋ฐฐ๋ฅผ ํผ์ฐ๊ธฐ ์์ํ์ต๋๋ค. \n์์ฌ: ์ ์ ์ ํ ๋์๋์? \nํ์: ์๋ ๋์ ํ๋ฃจ์ ๋งฅ์ฃผ 6ํฉ์ ์ถ๊ฐ๋ก ๋ ์์ ๋ ๋ง์๊ณค ํ์ต๋๋ค. ์ข์ ์์์ 2๋ ์ ๋ถํฐ ๊ธ์ฃผํ๊ณ ์๋ค๋ ๊ฒ์ ๋๋ค. \n์์ฌ: ์ฝ์นด์ธ, ๋ง๋ฆฌํ๋ ๋๋ ํค๋ก์ธ๊ณผ ๊ฐ์ ๋ถ๋ฒ ์ฝ๋ฌผ์ ์ฌ์ฉํ ์ ์ด ์์ต๋๊น? \nํ์: ์ ํ ์์ต๋๋ค.", | |
| "์์ฝ": "10๋๋ถํฐ ํ๋ฃจ 2์ ํก์ฐ, 2๋ ์ ๊ธ์ฐ. ์๋ ๋์ ํ๋ฃจ์ ๋งฅ์ฃผ 6ํฉ๊ณผ 2์์ ๋ง์ จ์ผ๋ฉฐ, ํ์ฌ๋ 2๋ ๋์ ๊ธ์ฃผํ๋ค๊ณ ์ฃผ์ฅํฉ๋๋ค. ๋ถ๋ฒ ์ฝ๋ฌผ ์ฌ์ฉ์ ๋ถ์ธํฉ๋๋ค." | |
| }, | |
| { | |
| "id": 84, | |
| "dialogue": "Doctor: I am afraid, I don't have better news for you, your reports confirm cancer.\nPatient: We were suspecting it all along, but now since it is confirmed it's just hard to accept.\nDoctor: I am sorry, I totally understand. Do you want some time?\nPatient: No, I am okay.\nDoctor: Hm, you also have hypertension and diabetes.\nPatient: Yeah, that I know.\nDoctor: Did you have any chest pain or shortness of breath or uneasiness?\nPatient: No, I don't have any heart condition.\nDoctor: Okay and no dizziness or loss of consciousness or stroke like symptoms?\nPatient: No.\nDoctor: Okay. Well, your B M I looks fine, that means you are not overweight. \nPatient: Hm.", | |
| "summary": "Positive for hypertension, diabetes, and cancer. Negative for heart disease, obesity or stroke.", | |
| "๋ํ": "์์ฌ: ์ ๊ฐ์ค๋ฝ๊ฒ๋ ๋ ์ข์ ์์์ด ์๋ค์, ์์ด ํ์ง๋์์ต๋๋ค.\nํ์: ์ ํฌ๋ ๊ณ์ ์์ฌํ๊ณ ์์์ง๋ง, ์ด์ ํ์ง ํ์ ์ ๋ฐ์ผ๋ ๋ฐ์๋ค์ด๊ธฐ ์ด๋ ต๋ค์. \n์์ฌ: ์ฃ์กํฉ๋๋ค, ์ถฉ๋ถํ ์ดํดํฉ๋๋ค. ์๊ฐ์ด ์ข ํ์ํ์ ๊ฐ์? \nํ์: ์๋์, ์ ๊ด์ฐฎ์์.\n์์ฌ: ๊ณ ํ์๊ณผ ๋น๋จ๋ ์์ผ์๊ตฐ์.\nํ์: ๋ค, ์๊ณ ์์ต๋๋ค.\n์์ฌ: ๊ฐ์ด ํต์ฆ์ด๋ ์จ๊ฐ์จ, ๋ถ์๊ฐ์ด ์์๋์?\nํ์: ์๋์, ์ฌ์ฅ ์งํ์ ์์ต๋๋ค.\n์์ฌ: ์ด์ง๋ฌ์์ด๋ ์์ ์์ค, ๋์กธ์ค ๊ฐ์ ์ฆ์์ ์์ผ์ จ๋์? \nํ์: ์๋์.\n์์ฌ: ์ข์์. BMI๋ ๊ด์ฐฎ์ ๋ณด์ด๋ ๊ณผ์ฒด์ค์ ์๋ ๊ฒ ๊ฐ์ต๋๋ค. \nํ์: ํ .", | |
| "์์ฝ": "๊ณ ํ์, ๋น๋จ๋ณ ๋ฐ ์์ ์์ฑ. ์ฌ์ฅ๋ณ, ๋น๋ง ๋๋ ๋์กธ์ค์๋ ์์ฑ์ ๋๋ค." | |
| }, | |
| { | |
| "id": 85, | |
| "dialogue": "Doctor: Tell me about the medical issues you had in the past or still do.\nPatient: Well, I have asthma, sinus. I also have hives and there is a history of psoriasis. \nDoctor: Wow, okay. Any known allergies?\nPatient: Nothing that I have known.", | |
| "summary": "The patient has asthma, sinus, hives, and history of psoriasis. No known drug allergies.", | |
| "๋ํ": "์์ฌ: ๊ณผ๊ฑฐ์ ์์๊ฑฐ๋ ์ง๊ธ๋ ์๊ณ ์๋ ์ํ์ ๋ฌธ์ ์ ๋ํด ๋ง์ํด ์ฃผ์ธ์.\nํ์: ์, ์ฒ์๊ณผ ๋ถ๋น๋์ผ์ด ์์ต๋๋ค. ๋๋๋ฌ๊ธฐ๋ ์๊ณ ๊ฑด์ ๋ณ๋ ฅ๋ ์์ต๋๋ค. \n์์ฌ: ์์ฐ, ์๊ฒ ์ต๋๋ค. ์๋ ค์ง ์๋ ๋ฅด๊ธฐ๋ ์๋์? \nํ์: ์ ๊ฐ ์๋ ๊ฒ์ ์์ต๋๋ค.", | |
| "์์ฝ": "ํ์์๊ฒ ์ฒ์, ๋ถ๋น๋, ๋๋๋ฌ๊ธฐ, ๊ฑด์ ๋ณ๋ ฅ์ด ์์ต๋๋ค. ์๋ ค์ง ์ฝ๋ฌผ ์๋ ๋ฅด๊ธฐ๊ฐ ์์ต๋๋ค." | |
| }, | |
| { | |
| "id": 86, | |
| "dialogue": "Doctor: Any known allergies? \nPatient: No.", | |
| "summary": "None.", | |
| "๋ํ": "์์ฌ: ์๋ ค์ง ์๋ ๋ฅด๊ธฐ๊ฐ ์๋์? \nํ์: ์๋์.", | |
| "์์ฝ": "์์" | |
| }, | |
| { | |
| "id": 87, | |
| "dialogue": "Doctor: Hello there, how are you doing? \nPatient: Sorry, I'm just not feeling well. Something is wrong. \nDoctor: Don't worry, I will check you up. We will figure it out. Do you remember when you had your last physical? \nPatient: It was sometime in early May in two thousand and eight. \nDoctor: Okay, I'm going through your chart. It looks like you have not been feeling well for about two weeks now. \nPatient: That's right. \nDoctor: Tell me what is happening exactly. \nPatient: In the beginning I was thinking that it was just the stress and anxiety, but then I become worried that it might be something really different or something bad.\nDoctor: What are you experiencing exactly? What are your symptoms? \nPatient: It started with a lot of palpitations at first. My heart was beating so fast it looks like it was ready to go out. I was having this fluttering feeling in my chest. \nDoctor: Were you feeling tired or fatigued? \nPatient: Yes, very much for the last two weeks. I am worried it's my job. It is really getting to me. \nDoctor: What else are you feeling? \nPatient: Feeling very nervous an anxious actually. \nDoctor: Have you noticed anything that you are doing or anything else that kind of increasing these symptoms? \nPatient: Oh yeah, whenever I'm stressed. I feel like I have more palpitations and to the level that it causes a lot of chest pain. \nDoctor: Is it the same when you are doing a lot of physical stuff like physical activities or something like that? \nPatient: Nope. Haven't noticed it with the exertion part. \nDoctor: Do you have any history of any heart issues in the past? \nPatient: I had the same kind of symptoms like nine or ten years ago. \nDoctor: Okay. What did you do that time? How did you recover? \nPatient: Well, at that time a full work up was done but everything came out to be negative, so they just gave me something for my nerves. It kind of helped. \nDoctor: Do you remember what they gave you? Like name or anything of the medicine. \nPatient: No. It was many years ago, I don't remember. \nDoctor: Anything else going on? \nPatient: Yeah, for the last three days and I am having these tummy issues. I'm having on and off nausea and also, my stools are coming loose. \nDoctor: Have you seen any color change in your bowel movements? \nPatient: Yeah, it's been some really funny green color. I don't know what's going on inside. \nDoctor: Have you ever noticed blood in the stools? \nPatient: Nope. \nDoctor: Is there any pain in your tummy? \nPatient: Nope, it's just some nausea. \nDoctor: How's your appetite? \nPatient: Not as good as before. \nDoctor: Do you smoke? \nPatient: I never did.", | |
| "summary": "This patient presents to the office today because he has not been feeling well. He was in for a complete physical on 05/02/2008. According to the chart, the patient gives a history of feeling bad for about two weeks. At first he thought it was stress and anxiety and then he became worried it was something else. He says he is having a lot of palpitations. He gets a fluttering feeling in his chest. He has been very tired over two weeks as well. His job has been really getting to him. He has been feeling nervous and anxious. It seems like when he is feeling stressed he has more palpitations, sometimes they cause chest pain. These symptoms are not triggered by exertion. He had similar symptoms about 9 or 10 years ago. At that time he went through a full workup. Everything ended up being negative and they gave him something that he took for his nerves and he says that helped. Unfortunately, he does not remember what it was. Also over the last three days he has had some intestinal problems. He has had some intermittent nausea and his stools have been loose. He has been having some really funny green color to his bowel movements. There has been no blood in the stool. He is not having any abdominal pain, just some nausea. He does not have much of an appetite. He is a nonsmoker.", | |
| "๋ํ": "์์ฌ: ์๋ ํ์ธ์, ์ด๋ป๊ฒ ์ง๋ด์ธ์? \nํ์: ์ฃ์กํด์, ๋ชธ์ด ์ข ์ ์ข์์. ๋ญ๊ฐ ์๋ชป๋์ด์. \n์์ฌ: ๊ฑฑ์ ๋ง์ธ์, ์ ๊ฐ ๊ฒ์ฌํด ๋ณผ๊ฒ์. ์ฐ๋ฆฌ๊ฐ ์์๋ผ ๊ฒ๋๋ค. ๋ง์ง๋ง ์ ์ฒด ๊ฒ์ฌ๊ฐ ์ธ์ ์๋์ง ๊ธฐ์ตํ์๋์? \nํ์: 2008๋ 5์ ์ด์์ด์. \n์์ฌ: ์ข์, ์ฐจํธ๋ฅผ ์ดํด๋ณผ๊ฒ์. 2์ฃผ ์ ๋ ๋ชธ์ด ์ข์ง ์์ผ์ จ๋ ๊ฒ ๊ฐ๋ค์. \nํ์: ๋ง์ต๋๋ค. \n์์ฌ: ์ ํํ ๋ฌด์จ ์ผ์ธ์ง ๋ง์ํด ์ฃผ์ธ์. \nํ์: ์ฒ์์๋ ๊ทธ๋ฅ ์คํธ๋ ์ค์ ๋ถ์๊ฐ ๋๋ฌธ์ด๋ผ๊ณ ์๊ฐํ๋๋ฐ, ์ ๋ง ๋ญ๊ฐ ๋ค๋ฅธ ๊ฒ์ด๊ฑฐ๋ ๋์ ๊ฒ์ด ์๋๊น ๊ฑฑ์ ์ด ๋ฉ๋๋ค.\n์์ฌ: ์ ํํ ์ด๋ค ์ฆ์์ ๊ฒช๊ณ ๊ณ์ ๊ฐ์? ์ด๋ค ์ฆ์์ด ์์ผ์ ๊ฐ์? \nํ์: ์ฒ์์๋ ๋๊ทผ๊ฑฐ๋ฆผ์ผ๋ก ์์ํ์ด์. ์ฌ์ฅ์ด ๋๋ฌด ๋นจ๋ฆฌ ๋ฐ์ด์ ๊ณง ํฐ์ง ๊ฒ ๊ฐ์์ด์. ๊ฐ์ด์ด ๋๊ทผ๊ฑฐ๋ฆฌ๋ ๋๋์ด ๋ค์์ด์. \n์์ฌ: ํผ๊ณคํ๊ฑฐ๋ ํผ๊ณคํ ๋๋์ด ๋ค์๋์? \nํ์: ๋ค, ์ง๋ 2์ฃผ ๋์ ๋งค์ฐ ๋ง์ด์. ์ ์ผ ๋๋ฌธ์ธ์ง ๊ฑฑ์ ๋ฉ๋๋ค. ์ ๋ง ํ๋ค์ด์. \n์์ฌ: ๋ ์ด๋ค ๊ธฐ๋ถ์ด ๋์๋์? \nํ์: ๋งค์ฐ ๊ธด์ฅ๋๊ณ ๋ถ์ํฉ๋๋ค. \n์์ฌ: ์ด๋ฐ ์ฆ์์ ์ ํ์ํค๋ ํ๋์ด๋ ๋ค๋ฅธ ์ด๋ค ๊ฒ์ ํ๊ณ ๊ณ์ ๊ฐ์? \nํ์: ๋ค, ์คํธ๋ ์ค๋ฅผ ๋ฐ์ ๋๋ง๋ค์. ๊ฐ์ด ๋๊ทผ๊ฑฐ๋ฆผ์ด ๋ ์ฌํด์ง๊ณ ๊ฐ์ด ํต์ฆ์ด ์ฌํด์ง๋ ์์ค๊น์ง ์ฌ๋ผ๊ฐ ๊ฒ ๊ฐ์์. \n์์ฌ: ์ ์ฒด ํ๋ ๋ฑ ์ก์ฒด์ ์ธ ์ผ์ ๋ง์ด ํ ๋๋ ๋ง์ฐฌ๊ฐ์ง์ธ๊ฐ์? \nํ์: ์๋์. ์ด๋ํ ๋๋ ๋๋ผ์ง ๋ชปํ์ด์. \n์์ฌ: ๊ณผ๊ฑฐ์ ์ฌ์ฅ์ ๋ฌธ์ ๊ฐ ์์๋ ๋ณ๋ ฅ์ด ์์ผ์ ๊ฐ์? \nํ์: 9~10๋ ์ ์ ๊ฐ์ ์ฆ์์ด ์์์ต๋๋ค. \n์์ฌ: ๊ทธ๋ ๊ตฐ์. ๊ทธ๋๋ ์ด๋ป๊ฒ ํ์ จ๋์? ์ด๋ป๊ฒ ํ๋ณตํ์ จ๋์? \nํ์: ๊ทธ ๋น์์๋ ์ ๋ฐ ๊ฒ์ฌ๋ฅผ ํ๋๋ฐ ๋ชจ๋ ๊ฒ์ด ์์ฑ์ผ๋ก ๋์์ ์ ๊ฒฝ์ ์์ ์ํค๋ ์ฝ์ ์ฒ๋ฐฉํด์คฌ์ด์. ๊ทธ๊ฒ ๋์์ด ๋์์ด์. \n์์ฌ: ๊ทธ๋ค์ด ๋น์ ์๊ฒ ์ค ๊ฒ์ด ๋ฌด์์ธ์ง ๊ธฐ์ตํ์ญ๋๊น? ์ฝ ์ด๋ฆ์ด๋ ๋ญ ๊ทธ๋ฐ ๊ฑฐ์. \nํ์: ์๋์, ๋ช ๋ ์ ์ผ์ด๋ผ ๊ธฐ์ต์ด ์ ๋์. \n์์ฌ: ๋ค๋ฅธ ์ผ์ ์๋์? \nํ์: ๋ค, ์ง๋ 3์ผ ๋์ ๋ฐฐ์ ๋ฌธ์ ๊ฐ ์๊ฒผ์ต๋๋ค. ๋ฉ์ค๊บผ์์ด ์๋ค ๊ฐ๋ค ํ๊ณ ๋ณ๋ ๋ฌฝ์ด์ง๊ณ ์์ต๋๋ค. \n์์ฌ: ๋ฐฐ๋ณ์ ์์ด ๋ณํ๋ ๊ฒ์ ๋ณด์ จ๋์? \nํ์: ๋ค, ์ ๋ง ์ด์ํ ๋ น์์ผ๋ก ๋ณํ์ด์. ์์์ ๋ฌด์จ ์ผ์ด ์ผ์ด๋๊ณ ์๋์ง ๋ชจ๋ฅด๊ฒ ์ด์. \n์์ฌ: ๋ณ์์ ํผ๋ฅผ ๋ณธ ์ ์ด ์๋์? \nํ์: ์๋์. \n์์ฌ: ๋ฐฐ์ ํต์ฆ์ด ์์ต๋๊น? \nํ์: ์๋์, ๊ทธ๋ฅ ๋ฉ์ค๊บผ์ด ์ ๋์ ๋๋ค. \n์์ฌ: ์์์ ์ด๋ ์ธ์? \nํ์: ์์ ๋งํผ์ ์๋๋๋ค. \n์์ฌ: ๋ด๋ฐฐ๋ฅผ ํผ์ฐ์ญ๋๊น? \nํ์: ํ ๋ฒ๋ ์ ํผ์ ์ด์.", | |
| "์์ฝ": "์ด ํ์๋ ๋ชธ์ด ์ข์ง ์์์ ์ค๋ ์ง๋ฃ์ค์ ๋ฐฉ๋ฌธํ์ต๋๋ค. ๊ทธ๋ 2008๋ 5์ 2์ผ์ ์ ์ฒด ๊ฒ์ฌ๋ฅผ ๋ฐ์์ต๋๋ค. ์ฐจํธ์ ๋ฐ๋ฅด๋ฉด ํ์๋ ์ฝ 2์ฃผ ๋์ ๊ธฐ๋ถ์ด ์ข์ง ์์๋ค๊ณ ํฉ๋๋ค. ์ฒ์์๋ ์คํธ๋ ์ค์ ๋ถ์์ด๋ผ๊ณ ์๊ฐํ๋ค๊ฐ ๋ค๋ฅธ ๋ณ์ด ์๋๊น ๊ฑฑ์ ํ๊ฒ ๋์์ต๋๋ค. ๊ทธ๋ ๋๊ทผ๊ฑฐ๋ฆผ์ด ๋ง๋ค๊ณ ๋งํฉ๋๋ค. ๊ฐ์ด์ด ๋๊ทผ๊ฑฐ๋ฆฌ๋ ๋๋์ด ๋ ๋ค๊ณ ํฉ๋๋ค. ๊ทธ๋ 2์ฃผ ๋์ ๋งค์ฐ ํผ๊ณคํ์ต๋๋ค. ๊ทธ์ ์ง์ ์ด ๊ทธ๋ฅผ ์ ๋ง ํ๋ค๊ฒ ํ๊ณ ์์ต๋๋ค. ๊ทธ๋ ๊ธด์ฅํ๊ณ ๋ถ์ํดํ๊ณ ์์ต๋๋ค. ์คํธ๋ ์ค๋ฅผ ๋ฐ์ผ๋ฉด ๊ฐ์ด ๋๊ทผ๊ฑฐ๋ฆผ์ด ๋ ์ฌํด์ง๊ณ ๋๋ก๋ ๊ฐ์ด ํต์ฆ์ ์ ๋ฐํ๋ ๊ฒ ๊ฐ์ต๋๋ค. ์ด๋ฌํ ์ฆ์์ ์ด๋์ ์ํด ์ ๋ฐ๋์ง ์์ต๋๋ค. ๊ทธ๋ ์ฝ 9~10๋ ์ ์๋ ๋น์ทํ ์ฆ์์ด ์์์ต๋๋ค. ๊ทธ ๋น์ ๊ทธ๋ ์ ์ฒด ๊ฒ์ฌ๋ฅผ ๋ฐ์์ต๋๋ค. ๋ชจ๋ ๊ฒ์ด ์์ฑ์ผ๋ก ๋์๊ณ ์ ๊ฒฝ์ ์ํด ๋ณต์ฉํ๋ ์ฝ์ ์ฃผ์๊ณ ๊ทธ๊ฒ์ด ๋์์ด๋์๋ค๊ณ ๊ทธ๋ ๋งํฉ๋๋ค. ๋ถํํ๋ ๊ทธ๋ ๊ทธ๊ฒ์ด ๋ฌด์์ธ์ง ๊ธฐ์ตํ์ง ๋ชปํฉ๋๋ค. ๋ํ ์ง๋ 3์ผ ๋์ ์ฅ์ ๋ฌธ์ ๊ฐ ์๊ฒผ์ต๋๋ค. ๊ฐํ์ ์ผ๋ก ๋ฉ์ค๊บผ์์ ๋๋ผ๊ณ ๋ณ์ด ๋ฌฝ์ด์ก์ต๋๋ค. ๋ฐฐ๋ณ ์๊น์ด ์ ๋ง ์ด์ํ ๋ น์์ ๋ ๊ณ ์์ต๋๋ค. ๋๋ณ์ ํผ๊ฐ ์์ฌ ๋์ค์ง ์์์ต๋๋ค. ๋ณตํต์ ์๊ณ ๋ฉ์ค๊บผ์๋ง ์์ต๋๋ค. ์์์ด ๋ณ๋ก ์์ต๋๋ค. ๊ทธ๋ ๋นํก์ฐ์์ ๋๋ค." | |
| }, | |
| { | |
| "id": 88, | |
| "dialogue": "Doctor: How are you feeling? \nPatient: I am feeling better now. \nDoctor: What happened last night? \nGuest_family: She went out to a party last night. She came home drunk and high. \nDoctor: What did you take? \nPatient: I took Ecstasy. I only had two drinks. \nDoctor: How much Ecstasy did you take? \nPatient: I didn't take them all at once. I think I took six tabs. \nDoctor: What time did you start taking the tablets? \nPatient: We started taking it kind of late. I think it was midnight. \nGuest_family: When she came home, she was agitated and physically shaking. She was pacing all over the house. Then she threw up. That is when I got nervous and called nine one one. \nDoctor: Mom, did you notice any blood, or any yellow or green color in the vomit? \nGuest_family: No. \nDoctor: Are you still feeling nauseous? \nPatient: No. I feel fine. Well, I feel weird but not nauseous.\nDoctor: Are you experiencing any pain at all? \nPatient: No. \nDoctor: Did you or do you feel depressed? \nPatient: No. \nDoctor: Do you or have you ever had suicidal thoughts? \nPatient: No. \nDoctor: Are you seeing or hearing things that are not real? \nPatient: No. \nDoctor: Do you or have you ever had thoughts of harming yourself? \nPatient: No. I was not trying to harm myself or anyone else. I just wanted to have a little fun. \nGuest_family: She seems to be back to her usual self now. \nDoctor: Just one more question. Prior to last night have you had any recent illnesses or injuries? \nPatient: No.", | |
| "summary": "This is a 17-year-old female who went out partying last night and drank two mixed drinks last night and then over the course of the evening after midnight, the patient ended up taking a total of six Ecsasy tablets. The patient upon returning to home was energetic and agitated and shaking and had one episode of nonbloody, nonbilious emesis. Mother called the EMS service when the patient vomited. On arrival here, the patient states that she no longer has any nausea and that she feels just fine. The patient states she feels wired but has no other problems or complaints. The patient denies any pain. The patient does not have any auditory of visual hallucinations. The patient denies any depression or suicidal ideation. The patient states that the alcohol and the Ecstasy was done purely as a recreational thing and not as an attempt to harm herself. The patient denies any homicidal ideation. The patient denies any recent illness or recent injuries. The mother states that the daughter appears to be back to her usual self now.", | |
| "๋ํ": "์์ฌ: ๊ธฐ๋ถ์ด ์ด๋ ์ธ์? \nํ์: ์ด์ ๊ธฐ๋ถ์ด ๋์์ก์ต๋๋ค. \n์์ฌ: ์ด์ ฏ๋ฐค์ ๋ฌด์จ ์ผ์ด ์์๋์? \n๊ฒ์คํธ_๊ฐ์กฑ: ์ด์ ฏ๋ฐค์ ํํฐ์ ๋๊ฐ์ด์. ์ ์ ์ทจํ ์ฑ๋ก ์ง์ ๋์์์ต๋๋ค. \n์์ฌ: ๋ฌด์์ ๋ณต์ฉํ์ จ๋์? \nํ์: ์์คํฐ์๋ฅผ ๋จน์์ด์. ๋ ์๋ง ๋ง์ จ์ด์. \n์์ฌ: ์์คํฐ์๋ฅผ ์ผ๋ง๋ ๋ณต์ฉํ์ จ๋์? \nํ์: ํ ๋ฒ์ ๋ค ๋จน์ง ์์์ต๋๋ค. 6์ ์ ๋ ๋จน์ ๊ฒ ๊ฐ์์. \n์์ฌ: ์ธ์ ๋ถํฐ ์ ์ ๋ฅผ ๋ณต์ฉํ๊ธฐ ์์ํ๋์? \nํ์: ์ข ๋ฆ๊ฒ ๋ณต์ฉํ๊ธฐ ์์ํ์ด์. ์์ ์ด์๋ ๊ฒ ๊ฐ์์. \n๊ฒ์คํธ_๊ฐ์กฑ: ์ง์ ์ค์ จ์ ๋, ์ด๋จธ๋๋ ๋ถ์ํดํ์๊ณ ๋ชธ์ด ๋จ๋ฆฌ์ จ์ด์. ์ง์ ๊ณณ๊ณณ์ ๋์๋ค๋ ์ด์. ๊ทธ๋ฌ๋ค ํ ํ์ด์. ๊ทธ๋ ์ ๊ฐ ๊ธด์ฅํด์ 119์ ์ ํํ์ด์. \n์์ฌ: ์๋ง, ๊ตฌํ ๋ฌผ์์ ํผ๋ ๋ ธ๋์ ๋๋ ๋ น์์ ๋ณด์ จ๋์? \n๊ฒ์คํธ_๊ฐ์กฑ: ์๋์. \n์์ฌ: ์์ง๋ ๋ฉ์ค๊ป๋์? \nํ์: ์๋์, ๊ด์ฐฎ์์. ๊ธฐ๋ถ์ด ์ด์ํ์ง๋ง ๋ฉ์ค๊ป์ง๋ ์์์.\n์์ฌ: ํต์ฆ์ ์ ํ ์์ต๋๊น? \nํ์: ์๋์. \n์์ฌ: ์ฐ์ธํ ๊ธฐ๋ถ์ด ๋์ญ๋๊น? \nํ์: ์๋์. \n์์ฌ: ์์ด ์ถฉ๋์ ๋๊ผ๊ฑฐ๋ ๋๋ ์ ์ด ์์ต๋๊น? \nํ์: ์๋์. \n์์ฌ: ํ์ค์ด ์๋ ๊ฒ์ ๋ณด๊ฑฐ๋ ๋ค์ ์ ์ด ์์ต๋๊น? \nํ์: ์๋์. \n์์ฌ: ์ํด์ ๋ํ ์๊ฐ์ ํ ์ ์ด ์์ต๋๊น? \nํ์: ์๋์. ์ ์์ ์ด๋ ๋ค๋ฅธ ์ฌ๋์ ํด์น๋ ค๊ณ ํ ์ ์ด ์์ต๋๋ค. ๊ทธ๋ฅ ์กฐ๊ธ ์ฆ๊ธฐ๊ณ ์ถ์์ ๋ฟ์ ๋๋ค. \n๊ฒ์คํธ_๊ฐ์กฑ: ์ด์ ์์ ์ ๋ชจ์ต์ผ๋ก ๋์๊ฐ ๊ฒ ๊ฐ๋ค์. \n์์ฌ: ํ๋๋ง ๋ ๋ฌผ์ด๋ณผ๊ฒ์. ์ด์ ฏ๋ฐค ์ด์ ์ ์ต๊ทผ์ ์ํ๊ฑฐ๋ ๋ค์น ์ ์ด ์์ผ์ ๊ฐ์? \nํ์: ์๋์.", | |
| "์์ฝ": "์ด ํ์๋ 17์ธ ์ฌ์ฑ์ผ๋ก ์ด์ ฏ๋ฐค ํํฐ์ ๋๊ฐ๋ค๊ฐ ์์ ์ดํ ์ ๋ ๊น์ง ํผํฉ ์๋ฃ 2์์ ๋ง์ ํ ์ด 6๊ฐ์ Ecsasy ์ ์ ๋ฅผ ๋ณต์ฉํ ํ์์ ๋๋ค. ์ง์ผ๋ก ๋์์จ ํ์๋ ํ๊ธฐ์ฐจ๊ณ ๋ถ์ํดํ๋ฉฐ ๋ชธ์ ๋จ์๊ณ ํผ๊ฐ ๋์ง ์๋ ๋นํ์ฑ ๊ตฌํ ๋ฅผ ํ ๋ฒ ๊ฒฝํํ์ต๋๋ค. ํ์๊ฐ ๊ตฌํ ๋ฅผ ํ์ ์ด๋จธ๋๊ฐ ์๊ธ ๊ตฌ์กฐ๋์ ์ ํํ์ต๋๋ค. ๋ณ์์ ๋์ฐฉํ ํ์๋ ๋ ์ด์ ๋ฉ์ค๊บผ์์ด ์๊ณ ๊ธฐ๋ถ์ด ๊ด์ฐฎ๋ค๊ณ ๋งํ์ต๋๋ค. ํ์๋ ์ ๊ธฐ๊ฐ ํตํ๋ ๋๋์ด ๋ค์ง๋ง ๋ค๋ฅธ ๋ฌธ์ ๋ ๋ถ๋ง์ ์๋ค๊ณ ๋งํฉ๋๋ค. ํ์๊ฐ ํต์ฆ์ ๋ถ์ธํฉ๋๋ค. ํ์ฒญ์ด๋ ์๊ฐ์ ํ๊ฐ์ ๋๋ผ์ง ์๋ ๊ฒฝ์ฐ. ํ์๊ฐ ์ฐ์ธ์ฆ์ด๋ ์์ด ์ถฉ๋์ ๋ถ์ธํฉ๋๋ค. ํ์๋ ์ ๊ณผ ์์คํฐ์ ๋ณต์ฉ์ด ์์ ์ ํด์น๋ ค๋ ์๋๊ฐ ์๋๋ผ ์์ ํ ์ค๋ฝ์ ์ํ ๊ฒ์ด๋ผ๊ณ ์ง์ ํฉ๋๋ค. ํ์๋ ์ด์ธ์ ๋ํ ์๊ฐ์ ๋ถ์ธํฉ๋๋ค. ํ์๊ฐ ์ต๊ทผ์ ์ง๋ณ์ด๋ ์ต๊ทผ์ ๋ถ์์ ๋ถ์ธํฉ๋๋ค. ์ด๋จธ๋๋ ๋ธ์ด ์ด์ ํ์์ ๋ชจ์ต์ผ๋ก ๋์๊ฐ ๊ฒ ๊ฐ๋ค๊ณ ๋งํฉ๋๋ค." | |
| }, | |
| { | |
| "id": 89, | |
| "dialogue": "Doctor: Do you have any support system?\nPatient: No, I am single.\nDoctor: Okay so live alone at home?\nPatient: Yes.\nDoctor: Do you smoke or drink?\nPatient: Nope I do not.", | |
| "summary": "The patient is single. Living at home. No smoking or alcohol.", | |
| "๋ํ": "์์ฌ: ์ง์ ์์คํ ์ด ์์ต๋๊น?\nํ์: ์๋์, ์ ๋ ๋ ์ ์ ๋๋ค.\n์์ฌ: ๊ทธ๋ผ ์ง์์ ํผ์ ์ฌ์๋์? \nํ์: ๋ค.\n์์ฌ: ๋ด๋ฐฐ๋ฅผ ํผ์ฐ๊ฑฐ๋ ์ ์ ๋ง์๋์?\nํ์: ์๋์.", | |
| "์์ฝ": "ํ์๋ ๋ ์ ์ ๋๋ค. ์ง์ ๊ฑฐ์ฃผํฉ๋๋ค. ํก์ฐ์ด๋ ์์ฃผ ๊ธ์ง." | |
| }, | |
| { | |
| "id": 90, | |
| "dialogue": "Doctor: Hello, I am Doctor James.\nGuest_family: Hi Doctor, this is my daughter Miya, and I am Jena. \nDoctor: Nice to meet you ladies. So, Miya how old are you? \nPatient: I am fifteen. \nDoctor: Okay, so tell me what is going on with you?\nPatient: Well, I am having a severe headache.\nGuest_family: She has been complaining about it for almost six hours now. \nDoctor: Oh wow. Can you tell me where exactly the pain is?\nPatient: Um, it started from my neck and then moved up to the back of my head. \nDoctor: I see. Did you get hurt or bump your head? \nPatient: No.\nDoctor: Does she have any history of headaches?\nGuest_family: No.\nDoctor: Okay, any nausea or vomiting?\nPatient: I am having nausea, but it's coming and going but no vomiting. Also, I am not able to tolerate light at all.\nDoctor: Hm, are you able to see properly though, any change in your vision? \nPatient: No.\nDoctor: Any fever? \nPatient: No.\nGuest_family: No, no fever.\nDoctor: Okay.", | |
| "summary": "This is a 15-year-old girl presenting with occipital headache for the last six hours. She denies trauma. She has been intermittently nauseated but has not vomited and has some photophobia. Denies fever or change in vision. She has no past history of headaches.", | |
| "๋ํ": "์์ฌ: ์๋ ํ์ธ์, ์ ๋ ์ ์์ค ๋ฐ์ฌ์ ๋๋ค.\n๊ฒ์คํธ_๊ฐ์กฑ: ์๋ ํ์ธ์, ๋ฐ์ฌ๋, ์ ๋ธ ๋ฏธ์ผ์ ์ ๋์์. \n์์ฌ: ๋ง๋์ ๋ฐ๊ฐ์์. ๋ฏธ์ผ๋ ๋ช ์ด์ด๋? \nํ์: ์ด ๋ค์ฏ ์ด์ด์์. \n์์ฌ: ์ข์์, ๊ทธ๋ผ ๋ฌด์จ ์ผ์ธ์ง ๋ง์ํด ์ฃผ์๊ฒ ์ด์? \nํ์: ์, ๋ํต์ด ์ฌํด์.\n๊ฒ์คํธ_๊ฐ์กฑ: ๊ฑฐ์ 6์๊ฐ ๋์ ๋ํต์ ํธ์ํ๊ณ ์์ต๋๋ค. \n์์ฌ: ์ค ์์ฐ. ์ ํํ ์ด๋๊ฐ ์ํ์ง ๋ง์ํด ์ฃผ์๊ฒ ์ด์? \nํ์: ๋ชฉ์์ ์์ํด์ ๋จธ๋ฆฌ ๋ค์ชฝ์ผ๋ก ํต์ฆ์ด ํผ์ก์ต๋๋ค. \n์์ฌ: ๊ทธ๋ ๊ตฐ์. ๋ค์น๊ฑฐ๋ ๋จธ๋ฆฌ๋ฅผ ๋ถ๋ช์ณค๋์? \nํ์: ์๋์.\n์์ฌ: ๋ํต์ ๋ณ๋ ฅ์ด ์๋์?\n๊ฒ์คํธ_๊ฐ์กฑ: ์๋์.\n์์ฌ: ๋ฉ์ค๊บผ์์ด๋ ๊ตฌํ ๋ ์๋์? \nํ์: ๋ฉ์ค๊บผ์์ ์์ง๋ง ์๋ค๊ฐ ์ฌ๋ผ์ง๋ ์ ๋์ด๊ณ ๊ตฌํ ๋ ์์ต๋๋ค. ๋ํ ๋น์ ์ ํ ๊ฒฌ๋ ์ ์์ต๋๋ค.\n์์ฌ: ํ , ๊ทธ๋๋ ์์ผ์๋ ๋ณํ๊ฐ ์๋์? \nํ์: ์๋์.\n์์ฌ: ์ด์ ์๋์? \nํ์: ์๋จ.\n๊ฒ์คํธ_๊ฐ์กฑ: ์๋์, ์ด์ด ์์ต๋๋ค.\n์์ฌ: ๋ค.", | |
| "์์ฝ": "์ง๋ 6์๊ฐ ๋์ ํ๋๋ถ ๋ํต์ ํธ์ํ๋ 15์ธ ์๋ ์ ๋๋ค. ์ธ์์ ๋ถ์ธํ๊ณ ์์ต๋๋ค. ๊ฐํ์ ์ผ๋ก ๋ฉ์ค๊บผ์์ ๋๊ผ์ผ๋ ๊ตฌํ ๋ ํ์ง ์์์ผ๋ฉฐ ๊ด ๊ณตํฌ์ฆ์ด ์์ต๋๋ค. ๋ฐ์ด์ด๋ ์๋ ฅ ๋ณํ๋ฅผ ๋ถ์ธํฉ๋๋ค. ๋ํต์ ๊ณผ๊ฑฐ๋ ฅ์ด ์์ต๋๋ค." | |
| }, | |
| { | |
| "id": 91, | |
| "dialogue": "Guest_clinician: What brings him in today? \nDoctor: He's here for sepsis and I suspect he may have spontaneous bacterial peritonitis. \nGuest_clinician: Let me pull up his chart.", | |
| "summary": "Sepsis, possible SBP.", | |
| "๋ํ": "๊ฒ์คํธ_์์์: ์ค๋์ ๋ฌด์จ ์ผ๋ก ์ค์ จ๋์? \n์์ฌ: ํจํ์ฆ์ผ๋ก ๋ด์ํ์ จ๊ณ ์์ฐ ๋ฐ์ ์ธ๊ท ์ฑ ๋ณต๋ง์ผ์ด ์์ฌ๋ฉ๋๋ค. \n๊ฒ์คํธ_์์์: ์ฐจํธ๋ฅผ ๋ถ๋ฌ์ฌ๊ฒ์.", | |
| "์์ฝ": "ํจํ์ฆ, ๊ฐ๋ฅํ SBP." | |
| }, | |
| { | |
| "id": 92, | |
| "dialogue": "Doctor: What is your family medical history? \nPatient: My mother had cancer. She had multiple myeloma. She passed away at age eighty three. My dad died when he was eighty one.", | |
| "summary": "Father passed away at 81; mother of multiple myeloma at 83.", | |
| "๋ํ": "์์ฌ: ๊ฐ์กฑ ๋ณ๋ ฅ์ ๋ฌด์์ธ๊ฐ์? \nํ์: ์ด๋จธ๋๋ ์์ ๊ฑธ๋ฆฌ์ จ์ด์. ๋ค๋ฐ์ฑ ๊ณจ์์ข ์ด์์ด์. ์ฌ๋ ์ธ ์ด์ ๋์๊ฐ์ จ์ต๋๋ค. ์๋ฒ์ง๋ ์ฌ๋ ํ ์ด์ ๋์๊ฐ์ จ์ต๋๋ค.", | |
| "์์ฝ": "์๋ฒ์ง๋ 81์ธ์ ๋์๊ฐ์ จ๊ณ , ์ด๋จธ๋๋ 83์ธ์ ๋ค๋ฐ์ฑ ๊ณจ์์ข ์ผ๋ก ๋์๊ฐ์ จ์ต๋๋ค." | |
| }, | |
| { | |
| "id": 93, | |
| "dialogue": "Doctor: Can you tell me more about your family history, ma'am? How is your father doing?\nPatient: Well, doctor, my father passed away from leukemia a while back. \nDoctor: I'm so sorry to hear that. What about your mother? How is she doing? \nPatient: She died too. She had kidney and heart failure.\nDoctor: I'm sorry, ma'am. \nPatient: Oh, it's okay doctor, thank you. \nDoctor: Do you have any siblings? \nPatient: Yes, I have two brothers and five sisters. \nDoctor: That's a big family, do they have any conditions that you know about?\nPatient: One of my sisters has breast cancer. \nDoctor: Okay, thank you. Do you have any children? \nPatient: Yeah, I have two sons and a daughter. \nDoctor: That's great. Do you have any other conditions I should know about? \nPatient: Well, in addition to all of that, there's some high cholesterol, um, depression, and a nervous condition.", | |
| "summary": "Her father died from leukemia. Her mother died from kidney and heart failure. She has two brothers; five sisters, one with breast cancer; two sons; and a daughter. She describes cancer, hypertension, nervous condition, kidney disease, high cholesterol, and depression in her family.", | |
| "๋ํ": "์์ฌ: ๊ฐ์กฑ๋ ฅ์ ๋ํด ์์ธํ ๋ง์ํด ์ฃผ์๊ฒ ์ต๋๊น, ๋ถ์ธ? ์๋ฒ๋์ ์ด๋ ์ธ์?\nํ์: ์์ฌ ์ ์๋, ์ ํฌ ์๋ฒ์ง๋ ์ผ๋ง ์ ์ ๋ฐฑํ๋ณ์ผ๋ก ๋์๊ฐ์ จ์ด์. \n์์ฌ: ์ ๋ง ์ ๊ฐ์ ๋๋ค. ์ด๋จธ๋๋ ์ด๋ ์ธ์? ์ด๋จธ๋๋ ์ด๋ ์ธ์? \nํ์: ์ด๋จธ๋๋ ๋์๊ฐ์ จ์ด์. ์ ์ฅ๊ณผ ์ฌ๋ถ์ ์ด ์์์ด์ \n์์ฌ: ์ฃ์กํฉ๋๋ค, ๋ถ์ธ. \nํ์: ๊ด์ฐฎ์์, ์ ์๋, ๊ฐ์ฌํฉ๋๋ค. \n์์ฌ: ํ์ ์๋งค๊ฐ ์๋์? \nํ์: ๋ค, ๋ ๋ช ์ ํ์ ์ ๋ค์ฏ ๋ช ์ ์๋งค๊ฐ ์์ต๋๋ค. \n์์ฌ: ๋๊ฐ์กฑ์ด์๊ตฐ์, ํน์ ์๊ณ ๊ณ์ ์งํ์ด ์์ผ์ ๊ฐ์? \nํ์: ์ ์ฌ๋์ ์ค ํ ๋ช ์ด ์ ๋ฐฉ์์ ๊ฑธ๋ ธ์ต๋๋ค. \n์์ฌ: ๋ค, ๊ฐ์ฌํฉ๋๋ค. ์๋ ๊ฐ ์์ผ์ ๊ฐ์? \nํ์: ๋ค, ์๋ค ๋๊ณผ ๋ธ ํ๋๊ฐ ์์ต๋๋ค. \n์์ฌ: ์๋๋ค์. ์ ๊ฐ ์์์ผ ํ ๋ค๋ฅธ ์งํ์ด ์์ผ์ ๊ฐ์? \nํ์: ์, ๊ทธ ์ธ์๋ ์ฝ๋ ์คํ ๋กค ์์น๊ฐ ๋๊ณ , ์ฐ์ธ์ฆ๊ณผ ์ ๊ฒฝ ์งํ์ด ์์ต๋๋ค.", | |
| "์์ฝ": "๊ทธ๋ ์ ์๋ฒ์ง๋ ๋ฐฑํ๋ณ์ผ๋ก ์ฌ๋งํ์ต๋๋ค. ๊ทธ๋ ์ ์ด๋จธ๋๋ ์ ์ฅ ๋ฐ ์ฌ๋ถ์ ์ผ๋ก ์ฌ๋งํ์ต๋๋ค. ํ์ ๋ ๋ช , ์ ๋ฐฉ์์ ๊ฑธ๋ฆฐ ์๋งค ๋ค์ฏ ๋ช , ์๋ค ๋, ๋ธ ํ ๋ช ์ด ์์ต๋๋ค. ๊ทธ๋ ๋ ๊ฐ์กฑ ์ค์ ์, ๊ณ ํ์, ์ ๊ฒฝ ์งํ, ์ ์ฅ ์งํ, ๊ณ ์ฝ๋ ์คํ ๋กคํ์ฆ, ์ฐ์ธ์ฆ์ด ์๋ค๊ณ ์ค๋ช ํฉ๋๋ค." | |
| }, | |
| { | |
| "id": 94, | |
| "dialogue": "Doctor: Do you smoke? \nPatient: Yeah, here and there. \nDoctor: On average, how many cigarettes would you say you smoke? \nPatient: Probably three or four if I had to guess. \nDoctor: Any medical problems that run in the family? \nPatient: Yeah, my brother had a heart attack when he was pretty young. \nDoctor: How old was he? \nPatient: Fifty two. \nDoctor: Oh wow, how's he doing? \nPatient: Good, he has to see a heart doctor at least once a year. \nDoctor: Does anyone else in your family have heart problems? \nPatient: Um my dad has some heart issues. He's also a type one diabetic.", | |
| "summary": "Her father has type I diabetes and heart disease. She has a brother who had heart attack at the age of 52. He is a smoker.", | |
| "๋ํ": "์์ฌ: ๋ด๋ฐฐ๋ฅผ ํผ์ฐ์๋์? \nํ์: ๋ค, ์ฌ๊ธฐ์ ๊ธฐ์์. \n์์ฌ: ํ๊ท ์ ์ผ๋ก ์ผ๋ง๋ ๋ง์ ๋ด๋ฐฐ๋ฅผ ํผ์ฐ์๋์? \nํ์: ์๋ง ์๋ ๊ฐ๋น ์ ๋์ผ ๊ฒ๋๋ค. \n์์ฌ: ๊ฐ์กฑ ์ค์ ์ํ์ ๋ฌธ์ ๊ฐ ์์ต๋๊น? \nํ์: ๋ค, ์ ๋์์ด ๊ฝค ์ด๋ ธ์ ๋ ์ฌ์ฅ๋ง๋น๋ฅผ ๊ฒช์์ต๋๋ค. \n์์ฌ: ๋ช ์ด ๋์๋์? \nํ์: 52์ด์ ๋๋ค. \n์์ฌ: ์์ฐ, ์ข ์ด๋ ์ธ์? \nํ์: ์ข์์, ์ ์ด๋ ์ผ ๋ ์ ํ ๋ฒ์ ์ฌ์ฅ ์ ๋ฌธ์๋ฅผ ๋ง๋์ผ ํด์. \n์์ฌ: ๊ฐ์กฑ ์ค์ ์ฌ์ฅ ์งํ์ด ์๋ ๋ถ์ด ์๋์? \nํ์: ์, ์ ํฌ ์๋ฒ์ง๊ฐ ์ฌ์ฅ ๋ฌธ์ ๊ฐ ์ข ์์ผ์ธ์. ๋ํ 1ํ ๋น๋จ๋ณ ํ์์ ๋๋ค.", | |
| "์์ฝ": "๊ทธ๋ ์ ์๋ฒ์ง๋ ์ 1ํ ๋น๋จ๋ณ๊ณผ ์ฌ์ฅ๋ณ์ ์๊ณ ์์ต๋๋ค. 52์ธ์ ์ฌ์ฅ๋ง๋น๋ฅผ ์ผ์ผํจ ์ค๋น ๊ฐ ์์ต๋๋ค. ๊ทธ๋ ํก์ฐ์์ ๋๋ค." | |
| }, | |
| { | |
| "id": 95, | |
| "dialogue": "Doctor: Hello, miss. How are you doing?\nPatient: I am fine. I just have a few questions about diet and exercise. I want to get my health in order. \nDoctor: Okay, great. That's something we can handle today. Can you tell me about your familial history? This will help me see any possible ailments that we should watch out for. \nPatient: Yes. So let's start with my mom. She died of congestive heart failure. \nDoctor: How about your father? Your paperwork says both parents are deceased. \nPatient: Yes, unfortunately. My dad died from myocardial infarction at fifty six years old. Not sure how old my mom was. \nDoctor: Your family seems to have a history of ischemic cardiac disease. How are your siblings? The paperwork says you have brothers. \nPatient: Yes. Two are alive and one has passed. He died from lymphoma. One brother has had two angioplasties and the other brother just has asthma.", | |
| "summary": "Reviewed. Mother died from congestive heart failure. Father died from myocardial infarction at the age of 56. Family history is positive for ischemic cardiac disease. Brother died from lymphoma. She has one brother living who has had angioplasties x 2. She has one brother with asthma.", | |
| "๋ํ": "์์ฌ: ์๋ ํ์ธ์, ์๊ฐ์จ. ์ข ์ด๋ ์ธ์? \nํ์: ์ ๊ด์ฐฎ์์. ์๋จ๊ณผ ์ด๋์ ๋ํด ๋ช ๊ฐ์ง ์ง๋ฌธ์ด ์์ต๋๋ค. ๊ฑด๊ฐ์ ํ๋ณตํ๊ณ ์ถ์ต๋๋ค. \n์์ฌ: ์ข์์. ๊ทธ๊ฑด ์ค๋ ์ฒ๋ฆฌํ ์ ์๋ ๋ฌธ์ ์ ๋๋ค. ๊ฐ์กฑ๋ ฅ์ ๋ํด ๋ง์ํด ์ฃผ์๊ฒ ์ด์? ๊ทธ๋ฌ๋ฉด ์ฃผ์ํด์ผ ํ ์ง๋ณ์ด ์๋์ง ํ์ธํ๋ ๋ฐ ๋์์ด ๋ ๊ฒ ๊ฐ์ต๋๋ค. \nํ์: ๋ค. ๊ทธ๋ผ ์ ํฌ ์ด๋จธ๋๋ถํฐ ์์ํ์ฃ . ์ธํ์ฑ ์ฌ๋ถ์ ์ผ๋ก ๋์๊ฐ์ จ์ด์. \n์์ฌ: ์๋ฒ์ง๋ ์ด๋ ์ จ๋์? ์๋ฅ์ ๋ถ๋ชจ๋ ๋ชจ๋ ๋์๊ฐ์ จ๋ค๊ณ ๋์ ์๋๋ฐ์. \nํ์: ๋ค, ์ํ๊น๊ฒ๋ ๊ทธ๋ ์ต๋๋ค. ์๋ฒ์ง๋ ์ฐ์ฌ์ฏ ์ด์ ์ฌ๊ทผ๊ฒฝ์์ผ๋ก ๋์๊ฐ์ จ์ด์. ์ด๋จธ๋๋ ๋ช ์ด์ด์ จ๋์ง ์ ๋ชจ๋ฅด๊ฒ ์ต๋๋ค. \n์์ฌ: ๊ฐ์กฑ ์ค์ ํํ์ฑ ์ฌ์ฅ ์งํ์ ๋ณ๋ ฅ์ด ์๋ ๊ฒ ๊ฐ๊ตฐ์. ํ์ ๋ค์ ์ด๋ค๊ฐ์? ์๋ฅ์๋ ํ์ ๊ฐ ์๋ค๊ณ ๋์ ์์ต๋๋ค. \nํ์: ๋ค. ๋ ๋ช ์ ์ด์์๊ณ ํ ๋ช ์ ์ธ์์ ๋ ๋ฌ์ต๋๋ค. ๊ทธ๋ ๋ฆผํ์ข ์ผ๋ก ์ฌ๋งํ์ต๋๋ค. ํ ํ์ ๋ ํ๊ด ์ฑํ์ ์ ๋ ๋ฒ ๋ฐ์๊ณ ๋ค๋ฅธ ํ์ ๋ ์ฒ์์ ์๊ณ ์์ต๋๋ค.", | |
| "์์ฝ": "๊ฒํ ๋์์ต๋๋ค. ์ด๋จธ๋๋ ์ธํ์ฑ ์ฌ๋ถ์ ์ผ๋ก ์ฌ๋งํ์ต๋๋ค. ์๋ฒ์ง๋ 56์ธ์ ์ฌ๊ทผ๊ฒฝ์์ผ๋ก ์ฌ๋งํ์ต๋๋ค. ๊ฐ์กฑ๋ ฅ์ ํํ์ฑ ์ฌ์ฅ ์งํ์ ์์ฑ์ ๋๋ค. ์ค๋น ๋ ๋ฆผํ์ข ์ผ๋ก ์ฌ๋งํ์ต๋๋ค. ๊ทธ๋ ๋ ํ๊ด ์ฑํ์ ์๋ฐ์ ํ ํ์ ๊ฐ ์ด๊ณ ์์ต๋๋ค. ๊ทธ๋ ๋ ์ฒ์์ด์๋ ํ ํ์ ๊ฐ ์์ต๋๋ค." | |
| }, | |
| { | |
| "id": 96, | |
| "dialogue": "Doctor: Hello! Who do we have here today?\nGuest_family: Hello, this is our son, A B C. \nDoctor: How old is he? What is the issue?\nGuest_family: He is two. He is continuously complaining of pain in his belly and back. He is active otherwise. \nDoctor: Did you notice any change in his toilet habits or routine?\nGuest_family: No.\nDoctor: Any fever or chills or any other issue?\nGuest_family: No, we did not notice any such issues, he has been active and was acting very normal otherwise.\nDoctor: Any change in his eating habits?\nGuest_family: No, he has been eating and drinking as usual. He was acting normally but we did notice a foul odor coming from his nose. He was on antibiotics after removal of that piece of cotton from his right side of nose in our previous visit here. \nDoctor: How is his nose now?\nGuest_family: He got better but now we can notice that odor from his nose again.\nGuest_family: His mother started him on the antibiotics again, whatever was remaining, we think something is still there. \nDoctor: Okay, Is there anything else like runny nose or any pain in his ear or bad throat? How about cough or congestion? Or any other issues you have noticed?\nGuest_family: No, nothing of those instead he has been active and eating and drinking normally, no other issue. \nDoctor: Is he complaining of any pain or discomfort on bowel movements? Is there any increase in the frequency of urination?\nGuest_family: Well, we can't say it for sure as he still wears diapers but we have not noticed anything abnormal.", | |
| "summary": "Mr. ABC is a 2-year-old boy, who is brought in by parents, stating that the child keeps complaining of belly and back pain. This does not seem to be slowing him down. They have not noticed any change in his urine or bowels. They have not noted him to have any fevers or chills or any other illness. They state he is otherwise acting normally. He is eating and drinking well. He has not had any other acute complaints, although they have noted a foul odor coming from his nose. Apparently, he was seen here a few weeks ago for a foreign body in the right nose, which was apparently a piece of cotton; this was removed and placed on antibiotics. His nose got better and then started to become malodorous again. Mother restarted him on the remainder of the antibiotics and they are also stating that they think there is something still in there. Otherwise, he has not had any runny nose, earache, no sore throat. He has not had any cough, congestion. He has been acting normally. Eating and drinking okay. No other significant complaints. He has not had any pain with bowel movement or urination, nor have they noted him to be more frequently urinating, then again he is still on a diaper.", | |
| "๋ํ": "์์ฌ: ์๋ ํ์ธ์! ์ค๋์ ๋๊ตฌ์์ฃ ? \n๊ฒ์คํธ_๊ฐ์กฑ: ์๋ ํ์ธ์, ์ด์ชฝ์ ์ ํฌ ์๋ค A B C์ ๋๋ค.\n์์ฌ: ๋ช ์ด์ธ๊ฐ์? ๋ฌด์จ ๋ฌธ์ ์ธ๊ฐ์?\n๊ฒ์คํธ_๊ฐ์กฑ: ๋ ์ด์ ๋๋ค. ์๋ค์ด ๋ฐฐ์ ํ๋ฆฌ์ ์ง์์ ์ผ๋ก ํต์ฆ์ ํธ์ํ๊ณ ์์ต๋๋ค. ๊ทธ ์ธ์๋ ํ๋์ ์ ๋๋ค. \n์์ฌ: ๋ฐฐ๋ณ ์ต๊ด์ด๋ ์ผ์์ ๋ณํ๊ฐ ์์๋์? \n๊ฒ์คํธ_๊ฐ์กฑ: ์๋์.\n์์ฌ: ์ด์ด๋ ์คํ ๋๋ ๋ค๋ฅธ ๋ฌธ์ ๋ ์์ผ์ จ๋์?\n๊ฒ์คํธ_๊ฐ์กฑ: ์๋์, ์ ํฌ๋ ๊ทธ๋ฐ ๋ฌธ์ ๋ฅผ ๋ฐ๊ฒฌํ์ง ๋ชปํ๊ณ , ๊ทธ ์ธ์๋ ๋งค์ฐ ์ ์์ ์ผ๋ก ํ๋ํ์ต๋๋ค.\n์์ฌ: ์์ต๊ด์ ๋ณํ๊ฐ ์์๋์? \n๊ฒ์คํธ_๊ฐ์กฑ: ์๋์, ํ์์ฒ๋ผ ๋จน๊ณ ๋ง์ จ์ต๋๋ค. ์ ์์ ์ผ๋ก ํ๋ํ์ง๋ง ์ฝ์์ ์ ์ทจ๊ฐ ๋๋ ๊ฒ์ ๋ฐ๊ฒฌํ์ต๋๋ค. ์ด์ ์ ์ด๊ณณ์ ๋ฐฉ๋ฌธํ์ ๋ ์ค๋ฅธ์ชฝ ์ฝ์์ ์ ์กฐ๊ฐ์ ์ ๊ฑฐํ ํ ํญ์์ ๋ฅผ ๋ณต์ฉํ๊ณ ์์์ต๋๋ค. \n์์ฌ: ์ง๊ธ์ ์ฝ๋ ์ด๋ค๊ฐ์?\n๊ฒ์คํธ_๊ฐ์กฑ: ์ข์์ก์ง๋ง ์ฝ์์ ๋ค์ ๋์๊ฐ ๋๋ ๊ฒ์ ๋๋ ์ ์์ต๋๋ค.\n๊ฒ์คํธ_๊ฐ์กฑ: ์ด๋จธ๋๊ฐ ๋ค์ ํญ์์ ๋ฅผ ํฌ์ฌํ๊ธฐ ์์ํ๋๋ฐ, ๋ฌด์์ด ๋จ์์๋์ง ๊ฐ์ ์์ง ๋ฌด์ธ๊ฐ ๋จ์ ์๋ ๊ฒ ๊ฐ์ต๋๋ค. \n์์ฌ: ์ข์์, ์ฝง๋ฌผ์ด๋ ๊ท์ ํต์ฆ์ด๋ ๋ชฉ์ด ์ํ ๊ฒ ๊ฐ์ ๋ค๋ฅธ ์ฆ์์ ์๋์? ๊ธฐ์นจ์ด๋ ์ฝ๋งํ์ ์ด๋์? ์๋๋ฉด ๋ค๋ฅธ ๋ฌธ์ ์ ์ ์๋์? \n๊ฒ์คํธ_๊ฐ์กฑ: ์๋์, ๊ทธ๋ฐ ๊ฒ ๋ง๊ณ ๋ ๋ค๋ฅธ ๋ฌธ์ ์์ด ์ ์์ ์ผ๋ก ๋จน๊ณ ๋ง์๋ฉฐ ํ๋์ ์ผ๋ก ์ง๋ด๊ณ ์์ต๋๋ค. \n์์ฌ: ๋ฐฐ๋ณ ์ ํต์ฆ์ด๋ ๋ถํธํจ์ ํธ์ํ์๋์? ๋ฐฐ๋จ ํ์๊ฐ ์ฆ๊ฐํ๋์? \n๊ฒ์คํธ_๊ฐ์กฑ: ์์ง ๊ธฐ์ ๊ท๋ฅผ ์ฐจ๊ณ ์๊ธฐ ๋๋ฌธ์ ํ์คํ๊ฒ ๋ง์๋๋ฆด ์๋ ์์ง๋ง ์ด์ ์งํ๋ ๋ฐ๊ฒฌํ์ง ๋ชปํ์ต๋๋ค.", | |
| "์์ฝ": "ABC ์จ๋ 2์ธ ๋จ์๋ก, ์์ด๊ฐ ๊ณ์ ๋ฐฐ์ ํ๋ฆฌ ํต์ฆ์ ํธ์ํ๋ค๋ฉฐ ๋ถ๋ชจ๊ฐ ๋ฐ๋ ค์จ ํ์์ ๋๋ค. ์ด๊ฒ์ ๊ทธ๋ฅผ ๋ฆ์ถ์ง ์๋ ๊ฒ ๊ฐ์ต๋๋ค. ์๋ณ์ด๋ ๋ฐฐ๋ณ์ ์ด๋ค ๋ณํ๋ ๋ฐ๊ฒฌํ์ง ๋ชปํ๋ค๊ณ ํฉ๋๋ค. ์ด์ด๋ ์คํ ๋๋ ๋ค๋ฅธ ์ง๋ณ์ด ์๋ ๊ฒ๋ ๋ฐ๊ฒฌํ์ง ๋ชปํ๋ค๊ณ ํฉ๋๋ค. ๊ทธ ์ธ์๋ ์ ์์ ์ผ๋ก ํ๋ํ๊ณ ์๋ค๊ณ ํฉ๋๋ค. ๊ทธ๋ ์ ๋จน๊ณ ๋ง์๊ณ ์์ต๋๋ค. ์ฝ์์ ์ ์ทจ๊ฐ ๋๋ค๋ ์ง์ ์ ๋ฐ์์ง๋ง ๋ค๋ฅธ ์ฌ๊ฐํ ๋ถ๋ง์ ์์๋ค๊ณ ํฉ๋๋ค. ๋ช ์ฃผ ์ ์ ์ค๋ฅธ์ชฝ ์ฝ์ ์ ์กฐ๊ฐ์ผ๋ก ๋ณด์ด๋ ์ด๋ฌผ์ง์ด ์์ด ์ด๊ณณ์ ์ฐพ์๋๋ฐ, ์ด๋ฅผ ์ ๊ฑฐํ๊ณ ํญ์์ ๋ฅผ ํฌ์ฌํ์ต๋๋ค. ์ฝ๊ฐ ์ข์์ก๋ค๊ฐ ๋ค์ ์ ์ทจ๊ฐ ๋๊ธฐ ์์ํ์ต๋๋ค. ์ด๋จธ๋๋ ๋จ์ ํญ์์ ๋ฅผ ๋ค์ ํฌ์ฌํ๊ธฐ ์์ํ๊ณ , ์์ง ๋ฌด์ธ๊ฐ๊ฐ ๋จ์์๋ ๊ฒ ๊ฐ๋ค๊ณ ๋งํ์ต๋๋ค. ๊ทธ ์ธ์๋ ์ฝง๋ฌผ, ๊ท ํต์ฆ, ์ธํํต์ด ์์์ต๋๋ค. ๊ธฐ์นจ์ด๋ ์ฝ๋งํ๋ ์์์ต๋๋ค. ๊ทธ๋ ์ ์์ ์ผ๋ก ํ๋ํ๊ณ ์์ต๋๋ค. ๋จน๊ณ ๋ง์๋ ๊ฒ๋ ๊ด์ฐฎ์ต๋๋ค. ๋ค๋ฅธ ์ฌ๊ฐํ ๋ถ๋ง์ ์์ต๋๋ค. ๋ฐฐ๋ณ์ด๋ ๋ฐฐ๋จ์ ํต์ฆ์ด ์์๊ณ , ์๋ณ์ ๋ ์์ฃผ ๋ณธ๋ค๋ ์ง์ ๋ ์์์ผ๋ฉฐ, ์ฌ์ ํ ๊ธฐ์ ๊ท๋ฅผ ์ฐจ๊ณ ์์ต๋๋ค." | |
| }, | |
| { | |
| "id": 97, | |
| "dialogue": "Doctor: Good afternoon, who's the victim today, sir? Is it you, or your daughter? \nGuest_family: Good afternoon, doctor. It's my daughter today. \nDoctor: Remind me, how old is she? \nPatient: I'm thirteen, sir. \nDoctor: So, what happened? My nurses tell me she fell today.\nPatient: Yeah, I fell off the swing at school earlier this afternoon at about one thirty.\nDoctor: Where does it hurt, young lady?\nPatient: It's really bad here on my left elbow. \nDoctor: Which hand do you write with?\nPatient: I use my right hand for everything, thank goodness for that. \nDoctor: Before seeing me, have you seen anyone else?\nGuest_family: Yeah, we went to an Urgent Care and she had an x ray there. \nDoctor: What else did they do?\nGuest_family: They said her arm was broken, and they tried to do a reduction.\nDoctor: Do you have those x rays with you right now?\nGuest_family: Yeah, I have them right here, take a look, please. \nDoctor: Well, these x rays show an incarcerated medial epicondyle fracture, as well as a mildly angulated radial shaft break. \nPatient: What does that mean?\nDoctor: Well, in short, you broke the inside part of your elbow. In addition to the pain, do you have any burning or tingling feelings in that arm?\nPatient: Yes, I do. \nDoctor: Did you have this before they tried to do a reduction?\nPatient: No, I didn't, this is new. \nDoctor: Is this feeling getting worse? \nPatient: Yes, it is. \nDoctor: Okay, guys, there is a lot of pressure on that ulnar nerve because of the break and the attempted reduction. \nGuest_family: What should we do?\nDoctor: We need to do an O R I F procedure A S A P. I'll reduce that radial shaft fracture at the same time.\nGuest_family: O R I F? What's that\nDoctor: I'll put some pins in the elbow, in order to stabilize the break, and we can start the healing process. \nGuest_family: Will this not heal on its own? \nDoctor: No, we need to do the surgery. \nGuest_family: Okay, what are the risks of infection with the surgery? \nDoctor: Historically, its less than one percent. \nGuest_family: How is this possible?\nDoctor: We use prophylactic antibiotics, this helps us control for infection the entire time. \nGuest_family: Will she be asleep for this?\nDoctor: Yes, she won't feel a thing. \nGuest_family: Will she need this hardware taken out in the future?\nDoctor: Yes, in about a year or two, after everything is healed up nicely. The other risks include bleeding, changes in sensation and motion of the extremity, and hardware failure. I see good results from my surgeries so I would not worry about these things, but I must disclose.\nGuest_family: Okay, yes, we'd like to do the surgery.", | |
| "summary": "The patient is a 13-year-old right-hand dominant girl, who fell off a swing at school around 1:30 today. The patient was initially seen at an outside facility and brought here by her father, given findings on x-ray, a closed reduction was attempted on the left elbow. After the attempted reduction, the patient was noted to have an incarcerated medial epicondyle fracture as well as increasing ulnar paresthesias that were not present prior to the procedure. Given this finding, the patient needed urgent open reduction and internal fixation to relieve the pressure on the ulnar nerve. At that same time, the patient's mildly angulated radial shaft fracture will be reduced. This was explained to the father. The risks of surgery included the risk of anesthesia, infection, bleeding, changes in sensation and motion of the extremity, hardware failure, need for later hardware removal, and possible continuous nerve symptoms. All questions were answered. The father agreed to the above plan.", | |
| "๋ํ": "์์ฌ: ์๋ ํ์ธ์, ์ค๋ ํฌ์์๋ ๋๊ตฌ์ธ๊ฐ์? ๋น์ ์ธ๊ฐ์, ์๋๋ฉด ๋ธ์ธ๊ฐ์? \n๊ฒ์คํธ_๊ฐ์กฑ: ์๋ ํ์ธ์, ์์ฌ ์ ์๋. ์ค๋์ ์ ๋ธ์ ๋๋ค. \n์์ฌ: ๋ธ์ด ๋ช ์ด์ด์ฃ ? \nํ์: ์ด์ธ ์ด์ ๋๋ค, ์ ์๋. \n์์ฌ: ๊ทธ๋์, ๋ฌด์จ ์ผ์ด ์์๋์? ๊ฐํธ์ฌ๊ฐ ๊ทธ๋ฌ๋๋ฐ ์ค๋ ๋์ด์ก๋ค๊ณ ํ๋ค์\nํ์: ๋ค, ์ค๋ ์คํ 1์ 30๋ถ์ฏค ํ๊ต์์ ๊ทธ๋ค์์ ๋จ์ด์ก์ด์.\n์์ฌ: ์ด๋๊ฐ ์ํ์ธ์, ์๊ฐ์จ? \nํ์: ์ผ์ชฝ ํ๊ฟ์น๊ฐ ์ ๋ง ์ํ์. \n์์ฌ: ์ด๋ ์์ผ๋ก ๊ธ์จ๋ฅผ ์ฐ์ญ๋๊น?\nํ์: ์ ๋ ๋ชจ๋ ์ผ์ ์ค๋ฅธ์์ผ๋ก ํฉ๋๋ค. \n์์ฌ: ์ ๋ฅผ ๋ง๋๊ธฐ ์ ์ ๋ค๋ฅธ ์ฌ๋์ ๋ณด์ ์ ์ด ์๋์?\n๊ฒ์คํธ_๊ฐ์กฑ: ๋ค, ์ ํฌ๋ ์๊ธ์ค์ ๊ฐ๋๋ฐ ๊ฑฐ๊ธฐ์ ์์ค๋ ์ด๋ฅผ ์ฐ์์ด์. \n์์ฌ: ๋ ์ด๋ค ๊ฒ์ฌ๋ฅผ ํ๋์? \n๊ฒ์คํธ_๊ฐ์กฑ: ํ์ด ๋ถ๋ฌ์ก๋ค๊ณ ํด์ ์ถ์์ ์ ํ๋ ค๊ณ ํ์ด์.\n์์ฌ: ์ง๊ธ ์์ค๋ ์ด๋ฅผ ๊ฐ์ง๊ณ ๊ณ์ญ๋๊น?\n๊ฒ์คํธ_๊ฐ์กฑ: ๋ค, ์ฌ๊ธฐ ์์ผ๋ ํ๋ฒ ๋ด์ฃผ์ธ์. \n์์ฌ: ์ด ์์ค๋ ์ด์๋ ๋ด์ธก ์๊ณผ ๊ณจ์ ๊ณผ ๊ฒฝ๋ฏธํ ๊ฐ๋์ ์๊ณจ ๊ณจ์ ์ด ๋ณด์ ๋๋ค. \nํ์: ๊ทธ๊ฒ ๋ฌด์จ ๋ป์ด์ฃ ? \n์์ฌ: ๊ฐ๋จํ ๋งํด์ ํ๊ฟ์น ์์ชฝ ๋ถ๋ถ์ด ๋ถ๋ฌ์ง ๊ฒ์ ๋๋ค. ํต์ฆ ์ธ์ ํ์ ํ๋ ๋ฏํ ๋๋์ด๋ ๋ฐ๋๊ฑฐ๋ฆผ์ด ์๋์? \nํ์: ๋ค, ๊ทธ๋ ์ต๋๋ค. \n์์ฌ: ์ถ์์ ์ ์๋ํ๊ธฐ ์ ์๋ ์ด๋ฐ ์ฆ์์ด ์์๋์? \nํ์: ์๋์, ์ฒ์์ ๋๋ค. \n์์ฌ: ์ด ๋๋์ด ์ ์ ๋ ์ฌํด์ง๋์? \nํ์: ๋ค, ๊ทธ๋ ์ต๋๋ค. \n์์ฌ: ์ฒ๊ณจ ์ ๊ฒฝ์ด ๋์ด์ง๊ณ ์ถ์ ์๋๊ฐ ์์๊ธฐ ๋๋ฌธ์ ์๋ ฅ์ด ๋ง์ด ๊ฐํด์ก์ด์. \n๊ฒ์คํธ_๊ฐ์กฑ: ์ด๋ป๊ฒ ํด์ผ ํ๋์? \n์์ฌ: ์ฐ๋ฆฌ๋ O R I F ๊ณผ์ ์ ๊ฐ๋ฅํ ๋นจ๋ฆฌ ํด์ผ ํฉ๋๋ค. ๋์์ ์๊ณจ ์ถ ๊ณจ์ ์ ์ถ์ํ๋ ์ ๋ณต์ ์ ์ํํด์ผ ํฉ๋๋ค.\n๊ฒ์คํธ_๊ฐ์กฑ: O R I F? ๊ทธ๊ฒ ๋ญ์ฃ \n์์ฌ: ๊ณจ์ ์ ์์ ์ํค๊ธฐ ์ํด ํ๊ฟ์น์ ํ์ ๊ฝ๊ณ ์น์ ๊ณผ์ ์ ์์ํ ์ ์๋๋ก ํ๊ฒ ์ต๋๋ค. \n๊ฒ์คํธ_๊ฐ์กฑ: ์ ์ ๋ก ๋ซ์ง ์๋์? \n์์ฌ: ์๋์, ์์ ์ ํด์ผ ํฉ๋๋ค. \n๊ฒ์คํธ_๊ฐ์กฑ: ์ข์์, ์์ ๋ก ์ธํ ๊ฐ์ผ ์ํ์ ์ด๋ป๊ฒ ๋๋์? \n์์ฌ: ์ญ์ฌ์ ์ผ๋ก 1% ๋ฏธ๋ง์ ๋๋ค. \n๊ฒ์คํธ_๊ฐ์กฑ: ์ด๋ป๊ฒ ๊ฐ๋ฅํ๊ฐ์? \n์์ฌ: ์ ํฌ๋ ์๋ฐฉ์ ํญ์์ ๋ฅผ ์ฌ์ฉํ์ฌ ์์ ๋ด๋ด ๊ฐ์ผ์ ํต์ ํฉ๋๋ค. \n๊ฒ์คํธ_๊ฐ์กฑ: ์ด ๋๋ฌธ์ ์ ์ ์๋ ๋๋์? \n์์ฌ: ๋ค, ์๋ฌด๊ฒ๋ ๋๋ผ์ง ๋ชปํ ๊ฒ์ ๋๋ค. \n๊ฒ์คํธ_๊ฐ์กฑ: ํฅํ์ ์ด ํ๋์จ์ด๋ฅผ ์ ๊ฑฐํด์ผ ํฉ๋๊น? \n์์ฌ: ๋ค, ๋ชจ๋ ๊ฒ์ด ์ ์น์ ๋ ํ ์ฝ 1~2๋ ํ์ ์ ๊ฑฐํด์ผ ํฉ๋๋ค. ๋ค๋ฅธ ์ํ์ผ๋ก๋ ์ถํ, ์ฌ์ง์ ๊ฐ๊ฐ๊ณผ ์์ง์์ ๋ณํ, ํ๋์จ์ด ๊ณ ์ฅ ๋ฑ์ด ์์ต๋๋ค. ์ ๋ ์์ ๊ฒฐ๊ณผ๊ฐ ์ข์๊ธฐ ๋๋ฌธ์ ์ด๋ฐ ๊ฑฑ์ ์ ์ ํด๋ ๋์ง๋ง, ๊ผญ ์๋ ค๋๋ฆฌ๊ณ ์ถ๋ค์\n๊ฒ์คํธ_๊ฐ์กฑ: ๋ค, ์์ ์ ๋ฐ๊ณ ์ถ์ด์.", | |
| "์์ฝ": "ํ์๋ 13์ธ ์ค๋ฅธ์ ์ฐ์ธ ์๋ ๋ก ์ค๋ 1์ 30๋ถ๊ฒฝ ํ๊ต์์ ๊ทธ๋ค์์ ๋จ์ด์ก์ต๋๋ค. ํ์๋ ์ฒ์์ ์ธ๋ถ ๋ณ์์์ ์ง๋ฃ๋ฅผ ๋ฐ๊ณ ์๋ฒ์ง๊ฐ ์ฌ๊ธฐ๋ก ๋ฐ๋ ค์์ผ๋ฉฐ, ์์ค๋ ์ด ์๊ฒฌ์ ๋ฐ๋ผ ์ผ์ชฝ ํ๊ฟ์น์ ํ์ ์ ๋ณต์ ์ ์๋ํ์ต๋๋ค. ์ถ์์ ์๋ ํ ํ์๋ ๋ด์ธก ์๊ณผ ๊ณจ์ ๊ณผ ํจ๊ป ์์ ์ ์๋ ์์๋ ์ฒ๊ณจ ๊ฐ๊ฐ ์ด์์ด ์ฆ๊ฐํ ๊ฒ์ผ๋ก ํ์ธ๋์์ต๋๋ค. ์ด๋ฌํ ์๊ฒฌ์ ๊ณ ๋ คํ ๋, ํ์๋ ์ฒ๊ณจ ์ ๊ฒฝ์ ์๋ ฅ์ ์ํํ๊ธฐ ์ํด ๊ธด๊ธํ ๊ฐ๋ฐฉ ์ถ์์ ๊ณผ ๋ด๋ถ ๊ณ ์ ์ด ํ์ํ์ต๋๋ค. ๋์์ ํ์์ ๊ฒฝ๋ฏธํ ์๊ณจ ์ถ ๊ณจ์ ์ด ์ค์ด๋ค ๊ฒ์ ๋๋ค. ์ด๊ฒ์ ์๋ฒ์ง์๊ฒ ์ค๋ช ๋์์ต๋๋ค. ์์ ์ ์ํ์๋ ๋ง์ทจ, ๊ฐ์ผ, ์ถํ, ์ฌ์ง์ ๊ฐ๊ฐ ๋ฐ ์ด๋ ๋ณํ, ํ๋์จ์ด ๊ณ ์ฅ, ์ถํ ํ๋์จ์ด ์ ๊ฑฐ์ ํ์์ฑ, ์ง์์ ์ธ ์ ๊ฒฝ ์ฆ์ ๊ฐ๋ฅ์ฑ ๋ฑ์ด ํฌํจ๋์์ต๋๋ค. ๋ชจ๋ ์ง๋ฌธ์ ๋ํ ๋ต๋ณ์ด ์์์ต๋๋ค. ์๋ฒ์ง๋ ์์ ๊ณํ์ ๋์ํ์ต๋๋ค." | |
| }, | |
| { | |
| "id": 98, | |
| "dialogue": "Doctor: Do you have a known- \nPatient: Drug allergy? \nDoctor: Oh no, I meant family history of disease.", | |
| "summary": "Noncontributory.", | |
| "๋ํ": "์์ฌ: ์๋ ค์ง- \nํ์: ์ฝ๋ฌผ ์๋ ๋ฅด๊ธฐ? \n์์ฌ: ์๋จ, ์ ๋ง์ ๊ฐ์กฑ๋ ฅ์ด ์๋ค๋ ๋ป์ ๋๋ค.", | |
| "์์ฝ": "๋น๊ธฐ์ฌ." | |
| }, | |
| { | |
| "id": 99, | |
| "dialogue": "Doctor: Hi there! I am Doctor Kim. Nice to meet you, miss. \nPatient: Hi! Nice to meet you. \nDoctor: How are you feeling today? \nPatient: I am feeling much better today. \nDoctor: How old are you? \nPatient: I am forty six. \nDoctor: How is your pain in the left side? \nPatient: It is much better. It is more like a dull pain now.\nDoctor: Are you still having trouble with urination? \nPatient: It has gotten better but is still a little difficult. \nDoctor: Okay. It looks like Doctor X did an exam yesterday. Doctor X consulted me on your status but I have a question for you. I see in your medical history that you had a bruised left kidney. Can you tell me more about the bruised kidney? \nPatient: Yes. I was in a car accident, years ago. The doctor told me that I had a bruised left kidney. They thought it was due to the accident, but they could not be certain.", | |
| "summary": "The patient is a 46-year-old female who presented to the emergency room with left flank pain and difficulty urinating. Details are in the history and physical. She does have a vague history of a bruised left kidney in a motor vehicle accident. She feels much better today. I was consulted by Dr. X.", | |
| "๋ํ": "์์ฌ: ์๋ ํ์ธ์! ์ ๋ ๊น ๋ฐ์ฌ์ ๋๋ค. ๋ง๋์ ๋ฐ๊ฐ์์, ์๊ฐ์จ. \nํ์: ์๋ ํ์ธ์! ๋ง๋์ ๋ฐ๊ฐ์์. \n์์ฌ: ์๋ ํ์ธ์. ์ค๋ ๊ธฐ๋ถ์ด ์ด๋ ์ธ์? \nํ์: ์ค๋ ๊ธฐ๋ถ์ด ํจ์ฌ ๋์์ก์ต๋๋ค. \n์์ฌ: ๋ช ์ด์ด์ธ์? \nํ์: ๋งํ ์ฌ์ฏ์ ๋๋ค. \n์์ฌ: ์ผ์ชฝ ํต์ฆ์ ์ด๋ค๊ฐ์? \nํ์: ํจ์ฌ ๋์์ก์ต๋๋ค. ์ง๊ธ์ ๋ํ ํต์ฆ์ ๊ฐ๊น์ต๋๋ค.\n์์ฌ: ์ฌ์ ํ ๋ฐฐ๋จ์ ๋ฌธ์ ๊ฐ ์์ต๋๊น? \nํ์: ๋์์ก์ง๋ง ์ฌ์ ํ ์กฐ๊ธ ์ด๋ ต์ต๋๋ค. \n์์ฌ: ์๊ฒ ์ต๋๋ค. ์์ฌ X๊ฐ ์ด์ ๊ฒ์ฌ๋ฅผ ํ ๊ฒ ๊ฐ์ต๋๋ค. ์์ฌ X๊ฐ ๊ทํ์ ์ํ์ ๋ํด ์๋ดํด ์ฃผ์ จ๋๋ฐ ์ง๋ฌธ์ด ์์ต๋๋ค. ๋ณ๋ ฅ์ ๋ณด๋ ์ผ์ชฝ ์ ์ฅ์ ํ๋ฐ์์ ์ ์ผ์ จ๋ ๊ฒ ๊ฐ๋ค์. ๋ฉ๋ ์ ์ฅ์ ๋ํด ์์ธํ ๋ง์ํด ์ฃผ์๊ฒ ์ต๋๊น? \nํ์: ๋ค. ๋ช ๋ ์ ์ ๊ตํต์ฌ๊ณ ๋ฅผ ๋นํ์ต๋๋ค. ์์ฌ๋ ์ผ์ชฝ ์ ์ฅ์ ๋ฉ์ด ๋ค์๋ค๊ณ ๋งํ์ต๋๋ค. ์ฌ๊ณ ๋๋ฌธ์ด๋ผ๊ณ ์๊ฐํ์ง๋ง ํ์ ํ ์๋ ์๋ค๊ณ ํ๋๊ตฐ์.", | |
| "์์ฝ": "ํ์๋ 46์ธ ์ฌ์ฑ์ผ๋ก ์ผ์ชฝ ์๊ตฌ๋ฆฌ ํต์ฆ๊ณผ ๋ฐฐ๋จ ๊ณค๋์ผ๋ก ์๊ธ์ค์ ๋ด์ํ ํ์์ ๋๋ค. ์์ธํ ๋ด์ฉ์ ๋ณ๋ ฅ๊ณผ ์ ์ฒด์ ๋์ ์์ต๋๋ค. ๊ทธ๋ ๋ ์๋์ฐจ ์ฌ๊ณ ๋ก ์ผ์ชฝ ์ ์ฅ์ ํ๋ฐ์์ ์ ์๋ค๋ ๋ชจํธํ ๋ณ๋ ฅ์ด ์์ต๋๋ค. ์ค๋์ ํจ์ฌ ๋์์ก์ต๋๋ค. ์์ฌ X์ ์๋ดํ์ต๋๋ค." | |
| }, | |
| { | |
| "id": 100, | |
| "dialogue": "Doctor: Nurse, did you get the documents from the patient?\nGuest_clinician: I did. Here is her full history and notes from her physical examination. She also completed the patient questionnaire before arriving. You can review that. \nDoctor: Thank you, Nurse. What is she here for today?\nGuest_clinician: She came in for a consultation because she's been experiencing difficult headaches, tunnel vision, and dizziness. \nDoctor: Sounds good. Was there anything else? \nGuest_clinician: Oh, yeah. These are the results from her tests. She brought them so you could refer to them. \nDoctor: Thank you, Nurse. I'll go see her now. \nPatient: Hello Doctor. I've been waiting a long time. I'm getting impatient as I get older. \nDoctor: What? You don't look old at all, ma'am. \nPatient: Oh, wow. That's a nice compliment for a sixty year old lady. \nDoctor: How can I help you today?\nPatient: I have these super bad headaches. Help me, please. \nDoctor: When did they start?\nPatient: I had them since I was twenty five years old. \nDoctor: Oh, wow. That long? Did you get them every day since then?\nPatient: Not every day. That's crazy. I did get them more when my husband died in nineteen ninety six. I was heartbroken. \nDoctor: I'm sorry to hear that. How did the headaches feel? \nPatient: It felt like a drum in my head. \nDoctor: I haven't heard that description before. Would you say it was pulsating? \nPatient: Something like that. Yes. \nDoctor: Did you take any medication? \nPatient: Lots of it. My son wrote it on a paper so that I could give you the names. Here you go. \nDoctor: I see you were given papaverine. Did that help? \nPatient: They did. My headaches would vanish. \nDoctor: How long did you take it for? \nPatient: I think six months. My headaches stopped for a while, but they came back in two thousand and four. \nDoctor: How often would you say you get headaches now? \nPatient: I think more than before. Like one to two per week. I also get some dizziness too. It says for two hours. \nDoctor: Do you take the papaverine when you feel it? \nPatient: I do. My headaches vanish after thirty minutes of taking it. \nDoctor: I see. Did you ever experience any problems with your vision too? \nPatient: Yes. A lot. There were zig zag lines coming out of nowhere. I thought I was going to die. \nDoctor: Oh, wow. I will do a test right now to check your vision. \nPatient: Will you use a bright pen? \nDoctor: I will. Does it give you any discomfort? \nPatient: The bright light hurts my eyes. \nDoctor: I see. I'll only do it to the side then. Just look forward for me, please. \nPatient: Thank you. \nDoctor: Are you able to see the light? \nPatient: What light? \nDoctor: It looks like you have trouble seeing things in your peripheral vision. The discomfort you experience with bright lights is also called photophobia. \nPatient: That sounds scary. Will I be fine? \nDoctor: Yeah. You don't have to worry. Are you experiencing any dizziness or lightheadedness right now? \nPatient: Now that you mentioned it, I am. \nDoctor: Have you ever fainted before? \nPatient: I think one time. My son was there to help. \nDoctor: That's good to hear. I'll write down that you experienced a syncope. Did you take any medication for this?\nPatient: I took some Russian medicine.\nDoctor: Oh, wow. Are you from Russia? \nPatient: No. I'm from Ukraine. \nDoctor: That's wonderful. How did the medicine help? \nPatient: It helped me a lot.", | |
| "summary": "The patient comes in for a neurology consultation regarding her difficult headaches, tunnel vision, and dizziness. I obtained and documented a full history and physical examination. I reviewed the new patient questionnaire, which she completed prior to her arrival today. I also reviewed the results of tests, which she had brought with her. Briefly, she is a 60-year-old woman initially from Ukraine, who had headaches since age 25. She recalls that in 1996 when her husband died her headaches became more frequent. They were pulsating. She was given papaverine, which was successful in reducing the severity of her symptoms. After six months of taking papaverine, she no longer had any headaches. In 2004, her headaches returned. She also noted that she had \"zig-zag lines\" in her vision. Sometimes she would not see things in her peripheral visions. She had photophobia and dizziness, which was mostly lightheadedness. On one occasion she almost had a syncope. Again she has started taking Russian medications, which did help her. The dizziness and headaches have become more frequent and now occur on average once to twice per week. They last two hours since she takes papaverine, which stops the symptoms within 30 minutes.", | |
| "๋ํ": "์์ฌ: ๊ฐํธ์ฌ, ํ์๋ก๋ถํฐ ์๋ฅ๋ฅผ ๋ฐ์๋์? \n๊ฒ์คํธ_์์์: ๋ค. ์ฌ๊ธฐ ํ์์ ์ ์ฒด ๋ณ๋ ฅ๊ณผ ์ ์ฒด ๊ฒ์ฌ ๋ฉ๋ชจ๊ฐ ์์ต๋๋ค. ๋ํ ๋์ฐฉํ๊ธฐ ์ ์ ํ์ ๋ฌธ์งํ๋ ์์ฑํ์ต๋๋ค. ๊ฒํ ํ์ค ์ ์์ต๋๋ค. \n์์ฌ: ๊ณ ๋ง์์, ๊ฐํธ์ฌ. ์ค๋ ๋ฌด์จ ์ผ๋ก ์ค์ จ๋์? \n๊ฒ์คํธ_์์์: ๋ํต, ํฐ๋ ์์ผ, ์ด์ง๋ผ์ฆ์ด ์ฌํด์ ธ์ ์๋ด์ ๋ฐ์ผ๋ฌ ์ค์ จ์ต๋๋ค. \n์์ฌ: ๊ทธ๋ ๊ตฐ์. ๋ค๋ฅธ ๋ฌธ์ ๋ ์์๋์? \n๊ฒ์คํธ_์์์: ์, ๋ค. ๊ฒ์ฌ ๊ฒฐ๊ณผ์ ๋๋ค. ์ฐธ๊ณ ํ์ค ์ ์๋๋ก ๊ฐ์ ธ์์ด์. \n์์ฌ: ๊ณ ๋ง์์, ๊ฐํธ์ฌ๋. ์ง๊ธ ํ์๋ฅผ ๋ณด๋ฌ ๊ฐ๊ฒ์. \nํ์: ์๋ ํ์ธ์, ์ ์๋. ์ค๋ ๊ธฐ๋ค๋ ธ์ด์. ๋์ด๊ฐ ๋ค๋ฉด์ ์ ์ ์กฐ๋ฐ์ฌ์ด ๋๋ค์. \n์์ฌ: ๋ค? ์ ํ ๋์ด ๋ณด์ด์ง ์์ผ์ธ์, ๋ถ์ธ. \nํ์: ์ค, ์์ฐ. 60์ธ ํ ๋จธ๋ํํ ๋ ์ข์ ์นญ์ฐฌ์ด๋ค์. \n์์ฌ: ์ค๋์ ๋ฌด์์ ๋์๋๋ฆด๊น์? \nํ์: ๋ํต์ด ๋๋ฌด ์ฌํด์. ๋์์ฃผ์ธ์. \n์์ฌ: ์ธ์ ๋ถํฐ ์์๋์๋์? \nํ์: ์ค๋ฌผ๋ค์ฏ ์ด ๋๋ถํฐ ์๊ฒผ์ต๋๋ค. \n์์ฌ: ์ค, ์์ฐ. ๊ทธ๋ ๊ฒ ์ค๋์? ๊ทธ ์ดํ๋ก ๋งค์ผ ๋ง์ผ์ จ๋์? \nํ์: ๋งค์ผ์ ์๋๋๋ค. ๋ง๋ ์ ๋๋ค์. ๋จํธ์ด 96๋ ์ ์ฃฝ์์ ๋ ๋ ๋ง์ด ๋ฐ์์ด์. ๊ฐ์ด์ด ์ํ ์ด์. \n์์ฌ: ์ ๊ฐ์ ๋๋ค. ๋ํต์ ์ด๋ค ๋๋์ด์๋์? \nํ์: ๋จธ๋ฆฟ์์์ ๋ถ์ ๋๋๋ฆฌ๋ ๊ฒ ๊ฐ์์ด์. \n์์ฌ: ๊ทธ๋ฐ ์ค๋ช ์ ์ฒ์ ๋ค์ด๋ณด๋ค์. ๋งฅ๋ฐ์ด ๋ฐ๋ ๊ฒ ๊ฐ์๋ค๊ณ ๋ง์ํ์๊ฒ ์ต๋๊น? \nํ์: ๊ทธ๋ฐ ๋๋์ด์์ด์. ๋ค. \n์์ฌ: ์ฝ์ ๋ณต์ฉํ์ จ๋์? \nํ์: ๋ง์ด ๋จน์์ด์. ์ ์๋ค์ด ์ข ์ด์ ์ ์ด์ ์ด๋ฆ์ ์๋ ค๋๋ ธ์ด์. ์ฌ๊ธฐ ์์ต๋๋ค. \n์์ฌ: ํํ๋ฒ ๋ฆฐ์ ํฌ์ฌ๋ฐ์ผ์ จ๊ตฐ์. ๋์์ด ๋์๋์? \nํ์: ๋ค. ๋์์ด ๋์์ด์. ๋ํต์ด ์ฌ๋ผ์ก์ด์. \n์์ฌ: ์ผ๋ง๋ ์ค๋ ๋ณต์ฉํ์ จ๋์? \nํ์: 6๊ฐ์ ์ ๋์. ๋ํต์ ์ ์ ๋ฉ์ท์ง๋ง 2,4๊ฐ์ ๋ง์ ๋ค์ ์ฐพ์์์ต๋๋ค. \n์์ฌ: ์ง๊ธ ๋ํต์ด ์ผ๋ง๋ ์์ฃผ ๋ฐ์ํ๋ค๊ณ ๋ง์ํ์๊ฒ ์ต๋๊น? \nํ์: ์ ๋ณด๋ค ๋ ์์ฃผ์. ์ผ์ฃผ์ผ์ 1~2๋ฒ ์ ๋์. ์ด์ง๋ผ์ฆ๋ ์ข ์์ด์. ๋ ์๊ฐ ์ ๋์. \n์์ฌ: ํํ๋ฒ ๋ฆฐ์ด ๋๊ปด์ง ๋ ๋ณต์ฉํ์๋์? \nํ์: ๋ค. ๋ณต์ฉํฉ๋๋ค. ๋ณต์ฉ ํ 30๋ถ์ด ์ง๋๋ฉด ๋ํต์ด ์ฌ๋ผ์ง๋๋ค. \n์์ฌ: ๊ทธ๋ ๊ตฐ์. ์๋ ฅ์๋ ๋ฌธ์ ๊ฐ ์๊ธด ์ ์ด ์๋์? \nํ์: ๋ค. ๋ง์ด์. ๊ฐ์๊ธฐ ์ง๊ทธ์ฌ๊ทธ ์ ์ด ๋ณด์์ด์. ์ฃฝ๋ ์ค ์์์ด์. \n์์ฌ: ์ค, ์์ฐ. ์ง๊ธ ๋ฐ๋ก ์๋ ฅ ๊ฒ์ฌ๋ฅผ ํด๋ณด๊ฒ ์ต๋๋ค. \nํ์: ๋ฐ์ ํ์ ์ฌ์ฉํ์๊ฒ ์ด์? \n์์ฌ: ๋ค. ๊ทธ๋ด๊ฒ์. ๋ถํธํจ์ ์๋์? \nํ์: ๋ฐ์ ๋น ๋๋ฌธ์ ๋์ด ์ํ์. \n์์ฌ: ๊ทธ๋ ๊ตฐ์. ๊ทธ๋ผ ์์ผ๋ก๋ง ํ ๊ฒ์. ์กฐ๊ธ๋ง ๊ธฐ๋ค๋ ค์ฃผ์ธ์. \nํ์: ๊ณ ๋ง์์. \n์์ฌ: ๋ถ๋น์ด ๋ณด์ ๋๊น? \nํ์: ๋ฌด์จ ๋น์ด์? \n์์ฌ: ์ฃผ๋ณ ์์ผ์์ ์ฌ๋ฌผ์ ๋ณด๋ ๋ฐ ๋ฌธ์ ๊ฐ ์๋ ๊ฒ ๊ฐ์ต๋๋ค. ๋ฐ์ ๋น์ ๋ํ ๋ถํธํจ์ ๊ด ๊ณตํฌ์ฆ์ด๋ผ๊ณ ๋ ํฉ๋๋ค. \nํ์: ๋ฌด์์ด ์๋ฆฌ๋ค์. ๊ด์ฐฎ์๊น์? \n์์ฌ: ๋ค. ๊ฑฑ์ ํ์ค ํ์ ์์ต๋๋ค. ์ง๊ธ ์ด์ง๋ฝ๊ฑฐ๋ ์ด์ง๋ฌ์ด ์ฆ์์ด ์์ผ์ ๊ฐ์? \nํ์: ๋ง์ํ์ จ์ผ๋ ๊ทธ๋ ๋ค์. \n์์ฌ: ์ ์ ๊ธฐ์ ํ ์ ์ด ์๋์? \nํ์: ํ ๋ฒ์ด์๋ ๊ฒ ๊ฐ์์. ์ ์๋ค์ด ๋์์คฌ์ด์. \n์์ฌ: ๋คํ์ด๊ตฐ์. ์ค์ ์ ๊ฒฝํํ์ จ๋ค๊ณ ์ ๊ฒ ์ต๋๋ค. ์ด๋ก ์ธํด ์ฝ์ ๋ณต์ฉํ์ จ๋์? \nํ์: ๋ฌ์์ ์ฝ์ ์ข ๋จน์์ต๋๋ค.\n์์ฌ: ์ค, ์์ฐ. ๋ฌ์์์์ ์ค์ จ๋์? \nํ์: ์๋์, ์ฐํฌ๋ผ์ด๋ ์ถ์ ์ ๋๋ค. \n์์ฌ: ์๋๋ค์. ์ฝ์ด ์ด๋ป๊ฒ ๋์์ด ๋์๋์? \nํ์: ๋ง์ ๋์์ด ๋์์ด์.", | |
| "์์ฝ": "ํ์๊ฐ ์ฌํ ๋ํต, ํฐ๋ ์์ผ, ์ด์ง๋ผ์ฆ์ ๋ํด ์ ๊ฒฝ๊ณผ ์๋ด์ ๋ฐ์ผ๋ฌ ์์ต๋๋ค. ์ ๋ ๋ณ๋ ฅ ๋ฐ ์ ์ฒด ๊ฒ์ฌ ๊ธฐ๋ก์ ๋ชจ๋ ํ๋ณดํ์ฌ ๋ฌธ์ํํ์ต๋๋ค. ํ์๊ฐ ์ค๋ ๋ด์ํ๊ธฐ ์ ์ ์์ฑํ ์ ํ์ ๋ฌธ์งํ๋ฅผ ๊ฒํ ํ์ต๋๋ค. ๋ํ ํ์๊ฐ ๊ฐ์ ธ์จ ๊ฒ์ฌ ๊ฒฐ๊ณผ๋ ๊ฒํ ํ์ต๋๋ค. ๊ฐ๋จํ ์ค๋ช ํ์๋ฉด, ๊ทธ๋ ๋ ์ฐํฌ๋ผ์ด๋ ์ถ์ ์ 60์ธ ์ฌ์ฑ์ผ๋ก 25์ธ๋ถํฐ ๋ํต์ด ์์๋ค๊ณ ํฉ๋๋ค. ๊ทธ๋ ๋ 1996๋ ๋จํธ์ด ์ฌ๋งํ ํ ๋ํต์ด ๋ ์ฆ์์ก๋ค๊ณ ํ์ํ์ต๋๋ค. ๋งฅ๋ฐ์ด ๋ฐ์์ต๋๋ค. ๊ทธ๋ ๋ ํํ๋ฒ ๋ฆฐ์ ํฌ์ฌ๋ฐ์๊ณ ์ฆ์์ ์ฌ๊ฐ์ฑ์ ์ค์ด๋ ๋ฐ ์ฑ๊ณตํ์ต๋๋ค. 6๊ฐ์ ๋์ ํํ๋ฒ ๋ฆฐ์ ๋ณต์ฉํ ํ ๊ทธ๋ ๋ ๋ ์ด์ ๋ํต์ด ์์์ต๋๋ค. 2004๋ ์ ๋ํต์ด ์ฌ๋ฐํ์ต๋๋ค. ๊ทธ๋ ๋ ๋ํ ์์ผ์ \"์ง๊ทธ์ฌ๊ทธ ์ \"์ด ๋ณด์ธ๋ค๊ณ ๋งํ์ต๋๋ค. ๊ฐ๋ ์ฃผ๋ณ ์์ผ์ ์ฌ๋ฌผ์ด ๋ณด์ด์ง ์์ ๋๋ ์์์ต๋๋ค. ๊ทธ๋ ๋ ๊ด ๊ณตํฌ์ฆ๊ณผ ์ด์ง๋ผ์ฆ์ด ์์๋๋ฐ, ๋๋ถ๋ถ ์ด์ง๋ฌ์์ฆ์ด์์ต๋๋ค. ํ ๋ฒ์ ์ค์ ํ ๋ปํ ์ ๋ ์์์ต๋๋ค. ๋ค์ ๊ทธ๋ ๋ ๋ฌ์์ ์ฝ์ ๋ณต์ฉํ๊ธฐ ์์ํ๊ณ , ์ด๋ ๊ทธ๋ ์๊ฒ ๋์์ด ๋์์ต๋๋ค. ์ด์ง๋ผ์ฆ๊ณผ ๋ํต์ ๋ ๋น๋ฒํด์ก๊ณ ์ด์ ๋ ์ผ์ฃผ์ผ์ ํ๊ท 1~2ํ ์ ๋ ๋ฐ์ํฉ๋๋ค. ํํ๋ฒ ๋ฆฐ์ ๋ณต์ฉํ ํ ๋ ์๊ฐ ๋์ ์ง์๋๋ค๊ฐ 30๋ถ ์ด๋ด์ ์ฆ์์ด ๋ฉ์ถฅ๋๋ค." | |
| }, | |
| { | |
| "id": 101, | |
| "dialogue": "Guest_clinician: She has a vast history of surgeries. \nDoctor: Yeah, I am looking at her reports. She had surgery for spina bifida when she was a baby and they had to put a shunt. \nGuest_clinician: Yeah, later she had her uterus removed and also had to undergo a breast reduction surgery. \nDoctor: Hm.", | |
| "summary": "Back closure for spina bifida, hysterectomy, breast reduction, and a shunt.", | |
| "๋ํ": "๊ฒ์คํธ_์์์: ๊ทธ๋ ๋ ๋ฐฉ๋ํ ์์ ๊ฒฝ๋ ฅ์ด ์์ต๋๋ค. \n์์ฌ: ๋ค, ๊ธฐ๋ก์ ๋ณด๊ณ ์์ต๋๋ค. ์ด๋ ธ์ ๋ ์ฒ์ถ ์ด๋ถ์ฆ์ผ๋ก ์์ ์ ๋ฐ์๊ณ ์ ํธ๋ฅผ ์ฝ์ ํด์ผ ํ์ต๋๋ค. \n๊ฒ์คํธ_์์์: ๋ค, ๋์ค์ ์๊ถ์ ์ ๊ฑฐํ๊ณ ์ ๋ฐฉ ์ถ์ ์์ ๋ ๋ฐ์์ผ ํ์ต๋๋ค. \n์์ฌ: ํ .", | |
| "์์ฝ": "์ฒ์ถ ์ด๋ถ์ฆ, ์๊ถ ์ ์ ์ , ์ ๋ฐฉ ์ถ์ ๋ฐ ๋ถ๋ก๋ฅผ์ํ ๋ฑ ํ์." | |
| }, | |
| { | |
| "id": 102, | |
| "dialogue": "Doctor: What is your family medical history? \nPatient: I am not sure. Everyone is healthy as far as I know.", | |
| "summary": "unremarkable.", | |
| "๋ํ": "์์ฌ: ๊ฐ์กฑ ๋ณ๋ ฅ์ ๋ฌด์์ธ๊ฐ์? \nํ์: ์ ๋ชจ๋ฅด๊ฒ ์ต๋๋ค. ์ ๊ฐ ์๋ ํ ๋ชจ๋ ๊ฑด๊ฐํฉ๋๋ค.", | |
| "์์ฝ": "๋์ ๋์ง ์์." | |
| }, | |
| { | |
| "id": 103, | |
| "dialogue": "Doctor: You can take Ibuprofen as needed for pain.", | |
| "summary": "Ibuprofen PRN.", | |
| "๋ํ": "์์ฌ: ํต์ฆ์ด ์์ ๋ ํ์์ ๋ฐ๋ผ ์ด๋ถํ๋กํ์ ๋ณต์ฉํ ์ ์์ต๋๋ค.", | |
| "์์ฝ": "์ด๋ถํ๋กํ PRN." | |
| }, | |
| { | |
| "id": 104, | |
| "dialogue": "Doctor: Do you have allergies? How old are you, young man?\nPatient: Yes ragweed. I am twelve. \nDoctor: So basically, you are just congested?\nPatient: Yes that's right. The last ten days.\nDoctor: Any headache? What comes out of your nose?\nPatient: Yes I had a little yesterday. Clear boogers.\nDoctor: You feel hot?\nPatient: No.\nDoctor: Anyone sick at home?\nGuest_family: No.", | |
| "summary": "This is a 12-year-old young man who comes in with about 10 days worth of sinus congestion. He does have significant allergies including ragweed. The drainage has been clear. He had a little bit of a headache yesterday. He has had no fever. No one else is ill at home currently.", | |
| "๋ํ": "์์ฌ: ์๋ ๋ฅด๊ธฐ๊ฐ ์์ผ์ ๊ฐ์? ๋ช ์ด์ด์ธ์, ์ ์์ด? \nํ์: ๋ค, ๋ผ์งํ์ ๋๋ค. ์ ๋ ์ด๋ ์ด์ ๋๋ค. \n์์ฌ: ๊ทธ๋ผ ๊ธฐ๋ณธ์ ์ผ๋ก ๊ทธ๋ฅ ์ฝ๊ฐ ๋งํ ๊ฑฐ๊ตฐ์? \nํ์: ๋ค, ๋ง์ต๋๋ค. ์ง๋ ์ดํ ๋์์.\n์์ฌ: ๋ํต์ ์๋์? ์ฝ์์ ๋ญ๊ฐ ๋์ค๋์? \nํ์: ๋ค, ์ด์ ์กฐ๊ธ ์์์ต๋๋ค. ์ฝง๋ฌผ์ ๊นจ๋ํฉ๋๋ค.\n์์ฌ: ๋ฅ์ต๋๊น?\nํ์: ์๋์.\n์์ฌ: ์ง์ ์ํ ์ฌ๋ ์๋์?\n๊ฒ์คํธ_๊ฐ์กฑ: ์๋์.", | |
| "์์ฝ": "์ด ํ์๋ ์ฝ 10์ผ ๋์ ์ฝ๋งํ ์ฆ์์ ํธ์ํ๋ฉฐ ๋ด์ํ 12์ธ ์ฒญ๋ ์ ๋๋ค. ๊ทธ๋ ๋ผ์งํ์ ํฌํจํ ์ฌ๊ฐํ ์๋ ๋ฅด๊ธฐ๊ฐ ์์ต๋๋ค. ๋ฐฐ์ก์ ๊นจ๋ํ์ต๋๋ค. ์ด์ ์ฝ๊ฐ์ ๋ํต์ด ์์์ต๋๋ค. ์ด์ ์์์ต๋๋ค. ํ์ฌ ์ง์ ์ํ ์ฌ๋์ ์์ต๋๋ค." | |
| }, | |
| { | |
| "id": 105, | |
| "dialogue": "Patient: Hello, how are you?\nDoctor: I am good, tell me what brings you here?\nPatient: I am having this chest pain. I was hospitalized last year in October and at that time they put this catheter in my heart. I also underwent a heart scan. It's here in this report. \nDoctor: Yeah, I see that you got nuclear and myocardial perfusion scan, which was normal. They were looking for some heart artery lesion but then it was thought to be due to spasm.\nPatient: Right.\nDoctor: It is also mentioned here that you have hyperlipidemia.\nPatient: Yes.\nDoctor: And are you still smoking?\nPatient: Yes, in fact I have been smoking actively from pass three to four days because I am really stressed.\nDoctor: Hm. And would you say, you might have had some exertion recently or did some steep hiking or some cardio exercises which might have caused some additional stress on your heart causing chest pain?\nPatient: No, I did not do any exertion. Just actively smoking that's all.", | |
| "summary": "Hyperlipidemia, smoking history, and chest pain. He has been, in October of last year, hospitalized. Subsequently underwent cardiac catheterization. The left system was normal. There was a question of a right coronary artery lesion, which was thought to be spasm. Subsequently, the patient did undergo nuclear and myocardial perfusion scan, which was normal. The patient continues to smoke actively since in last 3 to 4 days especially when he is stressed. No relation to exertional activity.", | |
| "๋ํ": "ํ์: ์๋ ํ์ธ์, ์ ์ง๋ด์ธ์?\n์์ฌ: ์ ๊ด์ฐฎ์ต๋๋ค. ๋ฌด์จ ์ผ๋ก ์ค์ จ๋์ง ๋ง์ํด ์ฃผ์ธ์.\nํ์: ๊ฐ์ด ํต์ฆ์ด ์์ด์. ์๋ 10์์ ์ ์ํ๋๋ฐ ๊ทธ๋ ์ ์ฌ์ฅ์ ์นดํ ํฐ๋ฅผ ์ฝ์ ํ์ต๋๋ค. ๊ทธ๋ฆฌ๊ณ ์ฌ์ฅ ์ค์บ๋ ๋ฐ์์ต๋๋ค. ์ด ๋ณด๊ณ ์๊ฐ ์ฌ๊ธฐ ์์ต๋๋ค. \n์์ฌ: ๋ค, ํต์ํ ๋ฐ ์ฌ๊ทผ ๊ด๋ฅ ์ค์บ์ ์ ์์ผ๋ก ๋์๊ณ ์. ์ฌ์ฅ ๋๋งฅ ๋ณ๋ณ์ ์ฐพ๊ณ ์์๋๋ฐ ๊ฒฝ๋ จ์ผ๋ก ์ธํ ๊ฒ์ผ๋ก ์๊ฐํ์ต๋๋ค.\nํ์: ๋ง์ต๋๋ค.\n์์ฌ: ๊ณ ์งํ์ฆ์ด ์๋ค๊ณ ๋ ์ธ๊ธ๋์ด ์์ต๋๋ค.\nํ์: ๋ค.\n์์ฌ: ๊ทธ๋ฆฌ๊ณ ์ฌ์ ํ ๋ด๋ฐฐ๋ฅผ ํผ์ฐ๊ณ ๊ณ์ญ๋๊น?\nํ์: ๋ค, ์ฌ์ค ์คํธ๋ ์ค๋ฅผ ๋ง์ด ๋ฐ์์ 3~4์ผ ์ ๋ถํฐ ๋ด๋ฐฐ๋ฅผ ํผ์ฐ๊ณ ์์ต๋๋ค.\n์์ฌ: ํ . ๊ทธ๋ฆฌ๊ณ ์ต๊ทผ์ ์ฌ์ฅ์ ์ถ๊ฐ์ ์ธ ์คํธ๋ ์ค๋ฅผ ์ฃผ์ด ํํต์ ์ ๋ฐํ ์ ์๋ ๊ฐํ๋ฅธ ๋ฑ์ฐ์ด๋ ์ ์ฐ์ ์ด๋์ ํ์ จ๋์? \nํ์: ์๋์, ์ ๋ ์ด๋ค ์ด๋๋ ํ์ง ์์์ต๋๋ค. ๊ทธ๋ฅ ๋ด๋ฐฐ๋ฅผ ํผ์ด ๊ฒ๋ฟ์ ๋๋ค.", | |
| "์์ฝ": "๊ณ ์งํ์ฆ, ํก์ฐ๋ ฅ, ํํต. ์๋ 10์์ ์ ์ํ์ต๋๋ค. ์ดํ ์ฌ์ฅ ๋๊ด ์ฝ์ ์ ์ ๋ฐ์์ต๋๋ค. ์ผ์ชฝ ์์คํ ์ ์ ์์ด์์ต๋๋ค. ๊ฒฝ๋ จ์ผ๋ก ์ถ์ ๋๋ ์ค๋ฅธ์ชฝ ๊ด์๋๋งฅ ๋ณ๋ณ์ ๋ํ ์๋ฌธ์ด ์์์ต๋๋ค. ๊ทธ ํ ํ์๋ ํต์ํ ๋ฐ ์ฌ๊ทผ ๊ด๋ฅ ์ค์บ์ ๋ฐ์์ง๋ง ์ ์์ด์์ต๋๋ค. ํ์๋ ์ง๋ 3~4์ผ ๋์ ํนํ ์คํธ๋ ์ค๋ฅผ ๋ฐ์ ๋ ํก์ฐ์ ๊ณ์ํ์ต๋๋ค. ์ด๋ ํ๋๊ณผ๋ ๊ด๋ จ์ด ์์ต๋๋ค." | |
| }, | |
| { | |
| "id": 106, | |
| "dialogue": "Doctor: What kinds of surgeries have you had in the past?\nPatient: I have had a heart bypass surgery.\nDoctor: Is that C A B G?\nPatient: Maybe. And I have had my tonsils and appendix taken out.\nDoctor: Sure. Okay.", | |
| "summary": "CABG, appendectomy, tonsillectomy", | |
| "๋ํ": "์์ฌ: ๊ณผ๊ฑฐ์ ์ด๋ค ์ข ๋ฅ์ ์์ ์ ๋ฐ์ผ์ จ์ต๋๊น?\nํ์: ์ฌ์ฅ ์ฐํ์ ์ ๋ฐ์ ์ ์ด ์์ต๋๋ค.\n์์ฌ: ๊ทธ๊ฒ C A B G์ธ๊ฐ์? \nํ์: ์๋ง๋์. ๊ทธ๋ฆฌ๊ณ ํธ๋์ ๊ณผ ๋งน์ฅ์ ์ ๊ฑฐํ ์ ์ด ์์ต๋๋ค.\n์์ฌ: ๋ค, ์๊ฒ ์ต๋๋ค.", | |
| "์์ฝ": "CABG, ์ถฉ์ ์ ์ ์ , ํธ๋ ์ ์ ์ " | |
| }, | |
| { | |
| "id": 107, | |
| "dialogue": "Doctor: Have you ever had surgery, ma'am? \nPatient: Yeah, doctor, I've had a whole lifetime worth of back surgeries.\nDoctor: How many surgeries have you had? \nPatient: I've had four. \nDoctor: Do you know the surgeries you've had?\nPatient: Actually, I have the op notes here. \nDoctor: I see, you've had an anterior cervical discectomy, and fusion of C three through C seven. \nPatient: Yes, I had all of those with Doctor L. \nDoctor: Do you have any children?\nPatient: Yes doctor, I have seven, but I had three miscarriages. \nDoctor: Were any of your children born through C sections? \nPatient: No, none of them were.", | |
| "summary": "She has had over her over her lifetime four back surgeries and in 2005 she had anterior cervical discectomy and fusion of C3 through C7 by Dr. L. She is G10, P7, no cesarean sections.", | |
| "๋ํ": "์์ฌ: ์์ ์ ๋ฐ์ผ์ ์ ์ด ์์ผ์ ๊ฐ์, ๋ถ์ธ? \nํ์: ๋ค, ์ ์๋, ์ ๋ ํ์ ํ๋ฆฌ ์์ ์ ์ฌ๋ฌ ๋ฒ ๋ฐ์์ต๋๋ค.\n์์ฌ: ์์ ์ ๋ช ๋ฒ์ด๋ ๋ฐ์ผ์ จ๋์? \nํ์: ๋ค ๋ฒ ๋ฐ์์ต๋๋ค. \n์์ฌ: ์ด๋ค ์์ ์ ๋ฐ์ผ์ จ๋์ง ์์ญ๋๊น? \nํ์: ์ฌ์ค, ์ฌ๊ธฐ ์์ ๊ธฐ๋ก์ด ์์ต๋๋ค. \n์์ฌ: ๊ฒฝ์ถ ์ ๋ฐฉ ์ถ๊ฐํ ์ ์ ์ ๊ณผ 3๋ฒ๋ถํฐ 7๋ฒ๊น์ง์ ๊ฒฝ์ถ ์ ํฉ์ ์ ๋ฐ์ผ์ จ๊ตฐ์. \nํ์: ๋ค, L ์ ์๋๊ป ๋ชจ๋ ๋ฐ์์ต๋๋ค. \n์์ฌ: ์๋ ๊ฐ ์์ผ์ ๊ฐ์? \nํ์: ๋ค, ์์ฌ ์ ์๋, ์ ๋ 7๋ช ์ด์ง๋ง ์ ์ฐ์ด ์ธ ๋ฒ ์์์ต๋๋ค. \n์์ฌ: ์๋ ์ค ์ ์์ ๊ฐ๋ฅผ ํตํด ํ์ด๋ ์์ด๊ฐ ์๋์? \nํ์: ์๋์, ํ ๋ช ๋ ์์ต๋๋ค.", | |
| "์์ฝ": "๊ทธ๋ ๋ ํ์ ๋์ ๋ค ๋ฒ์ ํ๋ฆฌ ์์ ์ ๋ฐ์์ผ๋ฉฐ 2005 ๋ ์ L ๋ฐ์ฌ์ ์ํด ์ ๊ฒฝ์ถ ์ ์ ์ ๊ณผ C3 ~ C7์ ์ตํฉ์ ๋ฐ์์ต๋๋ค. ๊ทธ๋ ๋ G10, P7, ์ ์ ์ ๊ฐ ์์." | |
| }, | |
| { | |
| "id": 108, | |
| "dialogue": "Doctor: Can you please confirm the medications that you have already taken?\nPatient: Yeah, I just finished the course for Minocin. I also took Duraphen II D M.", | |
| "summary": "Recently finished Minocin and Duraphen II DM.", | |
| "๋ํ": "์์ฌ: ์ด๋ฏธ ๋ณต์ฉํ์ ์ฝ์ ํ์ธํด ์ฃผ์๊ฒ ์ต๋๊น?\nํ์: ๋ค, ๋ฐฉ๊ธ ๋ฏธ๋ ธ์ ์ฝ์ค๋ฅผ ๋ง์ณค์ต๋๋ค. ๋๋ผํ II D M๋ ๋ณต์ฉํ์ต๋๋ค.", | |
| "์์ฝ": "์ต๊ทผ ๋ฏธ๋ ธ์ ๊ณผ ๋๋ผํ II DM์ ๋ง์ณค์ต๋๋ค." | |
| }, | |
| { | |
| "id": 109, | |
| "dialogue": "Doctor: Do you have a family history of any medical conditions, such as diabetes or heart disease? \nPatient: No, nothing.", | |
| "summary": "Noncontributory.", | |
| "๋ํ": "์์ฌ: ๋น๋จ๋ณ์ด๋ ์ฌ์ฅ๋ณ๊ณผ ๊ฐ์ ์ง๋ณ์ ๊ฐ์กฑ๋ ฅ์ด ์์ผ์ ๊ฐ์? \nํ์: ์๋์, ์์ต๋๋ค.", | |
| "์์ฝ": "๋น๊ธฐ์ฌ." | |
| }, | |
| { | |
| "id": 110, | |
| "dialogue": "Guest_clinician: Hello, doctor. Let me give you a run down as to what we are dealing with today. This patient was last seen in January two thousand and four. She is coming for a follow up on interstitial disease secondary to lupus pneumonitis. I will let her tell you more about what happened yesterday. \nDoctor: Thanks, nurse. How are you feeling today, miss? Welcome back to the Pulmonary Medicine Clinic. What happened yesterday?\nPatient: Well, I was doing fine since last time. My respiratory issues have been great and I have had no major difficulties breathing. \nDoctor: That's good to hear. What happened yesterday that caused you to want to come in so urgently?\nPatient: Yesterday I noticed that I have some back and joint pain. When I breathe deep my back hurts. \nDoctor: Are you experiencing any coughing?\nPatient: No, coughing at this moment. \nDoctor: Have you been producing any mucus the times that you do cough?\nPatient: No, I already said I didn't cough. \nDoctor: Okay. Any fevers or chills?\nPatient: Nothing so far. \nDoctor: Do you have any other symptoms currently? \nPatient: I do notice that I am more tired than usual. \nDoctor: During physical activity do you seem out of breath or more tired than usual? I want to see if your pulmonary system is inhibited. \nPatient: No. I don't have issues with breathing when I do daily activities.", | |
| "summary": "The patient returns to the Pulmonary Medicine Clinic for followup evaluation of interstitial disease secondary to lupus pneumonitis. She was last seen in the Pulmonary Medicine Clinic in January 2004. Since that time, her respiratory status has been quite good. She has had no major respiratory difficulties; however, starting yesterday she began with increasing back and joint pain and as a result a deep breath has caused some back discomfort. She denies any problems with cough or sputum production. No fevers or chills. Recently, she has had a bit more problems with fatigue. For the most part, she has had no pulmonary limitations to her activity.", | |
| "๋ํ": "๊ฒ์คํธ_์์์: ์๋ ํ์ธ์, ์ ์๋. ์ค๋ ์ ํฌ๊ฐ ์ด๋ค ํ์๋ฅผ ์น๋ฃํ๊ณ ์๋์ง ์ค๋ช ํด๋๋ฆฌ๊ฒ ์ต๋๋ค. ์ด ํ์๋ 2004๋ 1์์ ๋ง์ง๋ง์ผ๋ก ์ง๋ฃ๋ฅผ ๋ฐ์์ต๋๋ค. ๋ฃจํธ์ค ํ๋ ด์ ์ด์ฐจ์ ์ธ ๊ฐ์ง์ฑ ์งํ์ ๋ํ ํ์ ์กฐ์น๋ฅผ ์ํด ๋ฐฉ๋ฌธํ์ต๋๋ค. ์ด์ ์์๋ ์ผ์ ๋ํด ์์ธํ ๋ง์๋๋ฆฌ๊ฒ ์ต๋๋ค. \n์์ฌ: ๊ณ ๋ง์์, ๊ฐํธ์ฌ. ์ค๋ ๊ธฐ๋ถ์ ์ด๋ ์ธ์? ํธํก๊ธฐ๋ด๊ณผ ํด๋ฆฌ๋์ ๋ค์ ์ค์ ๊ฒ์ ํ์ํฉ๋๋ค. ์ด์ ๋ฌด์จ ์ผ์ด ์์๋์? \nํ์: ์, ์ง๋๋ฒ๋ถํฐ ๊ด์ฐฎ์์ด์. ํธํก๊ธฐ ๋ฌธ์ ๋ ์ ํด๊ฒฐ๋์๊ณ ํธํก์ ํฐ ์ด๋ ค์๋ ์์์ต๋๋ค. \n์์ฌ: ๋คํ์ด๋ค์. ์ด์ ๋ฌด์จ ์ผ์ด ์์๊ธธ๋ ์ด๋ ๊ฒ ๊ธํ๊ฒ ์ค์๊ฒ ๋ ๊ฑด๊ฐ์? \nํ์: ์ด์ ํ๋ฆฌ์ ๊ด์ ์ ํต์ฆ์ด ์๋ค๋ ๊ฒ์ ์์์ต๋๋ค. ์จ์ ๊น๊ฒ ์ฌ๋ฉด ํ๋ฆฌ๊ฐ ์ํ์. \n์์ฌ: ๊ธฐ์นจ์ด ์์ผ์ ๊ฐ์? \nํ์: ์๋์, ์ง๊ธ์ ๊ธฐ์นจ์ด ์์ต๋๋ค. \n์์ฌ: ๊ธฐ์นจํ ๋๋ง๋ค ์ ์ก์ด ๋์ค๋์? \nํ์: ์๋์, ๊ธฐ์นจํ์ง ์๋๋ค๊ณ ์ด๋ฏธ ๋ง์๋๋ ธ์ต๋๋ค. \n์์ฌ: ์๊ฒ ์ต๋๋ค. ์ด์ด๋ ์คํ์ ์์ต๋๊น? \nํ์: ์์ง๊น์ง๋ ์์ต๋๋ค. \n์์ฌ: ํ์ฌ ๋ค๋ฅธ ์ฆ์์ ์์ต๋๊น? \nํ์: ํ์๋ณด๋ค ๋ ํผ๊ณคํ ๊ฒ ๊ฐ์ต๋๋ค. \n์์ฌ: ์ ์ฒด ํ๋ ์ค์ ์จ์ด ์ฐจ๊ฑฐ๋ ํ์๋ณด๋ค ๋ ํผ๊ณคํ ๊ฒ ๊ฐ์ต๋๊น? ํ ๊ธฐ๋ฅ์ด ์ ํ๋์๋์ง ํ์ธํ๊ณ ์ถ์ต๋๋ค. \nํ์: ์๋์. ์ผ์์ ์ธ ํ๋์ ํ ๋ ํธํก์ ๋ฌธ์ ๊ฐ ์์ต๋๋ค.", | |
| "์์ฝ": "ํ์๋ ๋ฃจํธ์ค ํ๋ ด์ ์ด์ฐจ์ ์ธ ๊ฐ์ง์ฑ ์งํ์ ๋ํ ํ์ ํ๊ฐ๋ฅผ ์ํด ํธํก๊ธฐ๋ด๊ณผ ํด๋ฆฌ๋์ผ๋ก ๋์์ต๋๋ค. ํ์๋ 2004๋ 1์์ ํธํก๊ธฐ๋ด๊ณผ ํด๋ฆฌ๋์์ ๋ง์ง๋ง์ผ๋ก ์ง๋ฃ๋ฅผ ๋ฐ์์ต๋๋ค. ๊ทธ ์ดํ๋ก ๊ทธ๋ ์ ํธํก๊ธฐ ์ํ๋ ์๋นํ ์ํธํ์ต๋๋ค. ํฐ ํธํก ๊ณค๋์ ์์์ง๋ง ์ด์ ๋ถํฐ ํ๋ฆฌ์ ๊ด์ ํต์ฆ์ด ์ฌํด์ง๊ธฐ ์์ํ๊ณ ์ฌํธํก์ ํ๋ฉด ํ๋ฆฌ๊ฐ ๋ถํธํด์ก์ต๋๋ค. ๊ธฐ์นจ์ด๋ ๊ฐ๋ ์์ฑ์๋ ๋ฌธ์ ๊ฐ ์๋ค๊ณ ๋ถ์ธํฉ๋๋ค. ์ด์ด๋ ์คํ์ ์์ต๋๋ค. ์ต๊ทผ์๋ ํผ๋ก๊ฐ์ด ์กฐ๊ธ ๋ ์ฌํด์ก์ต๋๋ค. ๋๋ถ๋ถ์ ๊ฒฝ์ฐ ๊ทธ๋ ๋ ํ๋์ ํ ์ ํ์ด ์์์ต๋๋ค." | |
| }, | |
| { | |
| "id": 111, | |
| "dialogue": "Doctor: Do you smoke? \nPatient: Yeah. I smoke about a pack a day. \nDoctor: Do you have any plans of quitting? \nPatient: Eh not really. \nDoctor: As your doctor, I'd advise that you consider nicotine patches and find ways to break your smoking habit. \nPatient: Okay. I'll see what I can do. \nDoctor: Do you drink? \nPatient: Socially. \nDoctor: Are you married? \nPatient: No, but I have two littles ones. \nDoctor: Aw, how old are they? \nPatient: I have a four year old and a six year old. \nDoctor: That's great. I'm sure they keep you busy. Any hobbies? \nPatient: They really do, especially the four year old. As for hobbies, I like fixing up computers. I also like fishing, hiking, and camping with the family.", | |
| "summary": "He smokes one pack of cigarettes per day. He is a social drinker. He is not married, but has two children. Hobbies: Computers, hiking, camping, fishing.", | |
| "๋ํ": "์์ฌ: ๋ด๋ฐฐ๋ฅผ ํผ์ฐ์๋์? \nํ์: ๋ค. ํ๋ฃจ์ ํ ๊ฐ ์ ๋ ํผ์๋๋ค. \n์์ฌ: ๊ธ์ฐํ ๊ณํ์ด ์์ผ์ ๊ฐ์? \nํ์: ์๋์. \n์์ฌ: ์์ฌ๋ก์ ๋์ฝํด ํจ์น๋ฅผ ๊ณ ๋ คํ๊ณ ํก์ฐ ์ต๊ด์ ๋์ ์ ์๋ ๋ฐฉ๋ฒ์ ์ฐพ์๋ณด๋ผ๊ณ ์กฐ์ธํ๊ณ ์ถ์ต๋๋ค. \nํ์: ์๊ฒ ์ต๋๋ค. ์ ๊ฐ ํ ์ ์๋ ๋ฐฉ๋ฒ์ ์ฐพ์๋ณด๊ฒ ์ต๋๋ค. \n์์ฌ: ์ ์ ๋ง์๋์? \nํ์: ์ฌ๊ต์ ์ผ๋ก์. \n์์ฌ: ๊ฒฐํผํ์ จ์ต๋๊น? \nํ์: ์๋์, ํ์ง๋ง ์ด๋ฆฐ ์๋ ๊ฐ ๋ ์์ต๋๋ค. \n์์ฌ: ์, ๋ช ์ด์ด์ฃ ? \nํ์: ๋ค ์ด๊ณผ ์ฌ์ฏ ์ด์ด ์์ต๋๋ค. \n์์ฌ: ์๋๋ค์. ๋ฐ์์๊ฒ ๋ค์. ์ทจ๋ฏธ๊ฐ ์์ผ์ ๊ฐ์? \nํ์: ๋ค, ํนํ ๋ค ์ด์ง๋ฆฌ ์์ด๋ ์ ๋ง ๊ทธ๋์. ์ทจ๋ฏธ๋ก๋ ์ปดํจํฐ ์๋ฆฌ๋ฅผ ์ข์ํฉ๋๋ค. ๊ทธ๋ฆฌ๊ณ ๊ฐ์กฑ๊ณผ ํจ๊ป ๋์, ํ์ดํน, ์บ ํ๋ ์ข์ํฉ๋๋ค.", | |
| "์์ฝ": "๊ทธ๋ ํ๋ฃจ์ ํ ๊ฐ์ ๋ด๋ฐฐ๋ฅผ ํผ์๋๋ค. ๊ทธ๋ ์ฌ๊ต์ ์ธ ์ ๊พผ์ ๋๋ค. ๊ทธ๋ ๊ฒฐํผํ์ง ์์์ง๋ง ๋ ์๋ ๊ฐ ์์ต๋๋ค. ์ทจ๋ฏธ: ์ปดํจํฐ, ํ์ดํน, ์บ ํ, ๋์." | |
| }, | |
| { | |
| "id": 112, | |
| "dialogue": "Doctor: Any issues from head to toe?\nPatient: No, everything is fine.", | |
| "summary": "Noncontributory.", | |
| "๋ํ": "์์ฌ: ๋จธ๋ฆฌ๋ถํฐ ๋ฐ๋๊น์ง ์๋ฌด ๋ฌธ์ ์์ผ์ธ์? \nํ์: ์๋์, ๋ค ๊ด์ฐฎ์ต๋๋ค.", | |
| "์์ฝ": "๋น๊ธฐ์ฌ." | |
| }, | |
| { | |
| "id": 113, | |
| "dialogue": "Patient: Um, I take the generic for Ultracet. Sometimes I take as many as four times a day. \nDoctor: Does this help the pain?\nPatient: No, I'm still in pretty significant pain, doctor.\n\nDoctor: Good morning, sir. My nurse's chart says that you're thirty four years old. Is that correct? \nPatient: Yes, doctor, that's correct. \nDoctor: How long have you had this back pain?\nPatient: Well, it's been a while now. \nDoctor: Does the pain go into your legs?\nPatient: Yes, into the left leg, more towards the outside of my leg. \nDoctor: Is there any injury that started this pain?\nPatient: Yeah, I was lifting at work on August twenty seventh two thousand three when I lifted something and felt a pretty sharp pain from my back down into my left leg. \nDoctor: Have you had back pain or surgeries before this injury? \nPatient: No, I haven't. \nDoctor: Are you having weakness in the legs?\nPatient: Yes, I am. \nDoctor: Okay, I believe you are a good candidate for surgery, sir. It seems like you have a lot of weakness and pain in the S one nerve root distribution.\nPatient: Okay. What are the risks of infection for this surgery?\nDoctor: Overall, the risk of infection is very low, less than one percent. We use antibiotics to control for infection the entire time. \nPatient: Will I be asleep for the surgery?\nDoctor: Yes, you'll be under anesthesia. You won't feel a thing. \nPatient: Okay, yes. I'd like to do the surgery.", | |
| "summary": "This is a 34-year-old male with history of back pain with radiation into the left leg in the S1 nerve root distribution. The patient was lifting at work on 08/27/03 and felt immediate sharp pain from his back down to the left lower extremity. He denied any previous history of back pain or back surgeries. Because of his intractable pain as well as severe weakness in the S1 nerve root distribution, the patient was aware of all risks as well as possible complications of this type of surgery and he has agreed to pursue on. After an informed consent was obtained, all risks as well as complications were discussed with the patient.", | |
| "๋ํ": "ํ์: ์, ์ ๋ ์ธํธ๋ผ์ ์ ์ ๋ค๋ฆญ์ ๋ณต์ฉํ๊ณ ์์ต๋๋ค. ํ๋ฃจ์ ๋ค ๋ฒ๊น์ง ๋ณต์ฉํ๊ธฐ๋ ํฉ๋๋ค. \n์์ฌ: ์ด๊ฒ ํต์ฆ์ ๋์์ด ๋๋์? \nํ์: ์๋์, ์ฌ์ ํ ํต์ฆ์ด ๊ฝค ์ฌํฉ๋๋ค, ์์ฌ: ์ข์ ์์นจ์ ๋๋ค, ์ ์๋. ์ ๊ฐํธ์ฌ ์ฐจํธ์ ํ์๋ถ์ด ์๋ฅธ๋ค ์ด์ด๋ผ๊ณ ๋์ ์์ต๋๋ค. ๋ง๋์? \nํ์: ๋ค, ์ ์๋, ๋ง์ต๋๋ค. \n์์ฌ: ํ๋ฆฌ ํต์ฆ์ด ์๊ธด ์ง ์ผ๋ง๋ ๋์ จ๋์? \nํ์: ์, ๊ฝค ์ค๋๋์์ต๋๋ค. \n์์ฌ: ํต์ฆ์ด ๋ค๋ฆฌ๋ก ํผ์ง๋์? \nํ์: ๋ค, ์ผ์ชฝ ๋ค๋ฆฌ, ๋ค๋ฆฌ ๋ฐ๊นฅ์ชฝ์ผ๋ก ๋ ๋ง์ด์. \n์์ฌ: ์ด ํต์ฆ์ด ์์๋ ๋ถ์์ด ์์ต๋๊น?\nํ์: ๋ค, 8์ 27์ผ์ ์ง์ฅ์์ ๋ฌผ๊ฑด์ ๋ค๋ค๊ฐ ํ๋ฆฌ์์ ์ผ์ชฝ ๋ค๋ฆฌ๋ก ๋ด๋ ค๊ฐ๋ ๋ ์นด๋ก์ด ํต์ฆ์ ๋๊ผ์ต๋๋ค. \n์์ฌ: ์ด ๋ถ์ ์ ์ ํ๋ฆฌ ํต์ฆ์ด๋ ์์ ์ ๋ฐ์ ์ ์ด ์์ต๋๊น? \nํ์: ์๋์, ์์์ต๋๋ค. \n์์ฌ: ๋ค๋ฆฌ์ ํ์ด ์ฝํด์ง์ จ๋์? \nํ์: ๋ค, ๊ทธ๋ ์ต๋๋ค. \n์์ฌ: ์ข์์, ์์ ์ ์ ํฉํ์ ๊ฒ ๊ฐ์ต๋๋ค. S 1๋ฒ ์ ๊ฒฝ๊ทผ ๋ถํฌ์ ๋ง์ ์ฝํ์ ํต์ฆ์ด ์๋ ๊ฒ ๊ฐ์ต๋๋ค.\nํ์: ์๊ฒ ์ต๋๋ค. ์ด ์์ ์ ๊ฐ์ผ ์ํ์ ์ด๋ป๊ฒ ๋ฉ๋๊น? \n์์ฌ: ์ ๋ฐ์ ์ผ๋ก ๊ฐ์ผ ์ํ์ 1% ๋ฏธ๋ง์ผ๋ก ๋งค์ฐ ๋ฎ์ต๋๋ค. ์์ ๋ด๋ด ํญ์์ ๋ฅผ ์ฌ์ฉํ์ฌ ๊ฐ์ผ์ ํต์ ํฉ๋๋ค. \nํ์: ์์ ์ ์ํด ์ ์ ์์ผ ํ๋์? \n์์ฌ: ๋ค, ๋ง์ทจ๋ฅผ ํ๊ฒ ๋ฉ๋๋ค. ์๋ฌด๊ฒ๋ ๋๋ผ์ง ๋ชปํ ๊ฒ์ ๋๋ค. \nํ์: ๋ค, ์๊ฒ ์ต๋๋ค. ์์ ํ๊ณ ์ถ์ด์.", | |
| "์์ฝ": "34์ธ ๋จ์ฑ์ผ๋ก S1 ์ ๊ฒฝ๊ทผ ๋ถํฌ์์ ์ผ์ชฝ ๋ค๋ฆฌ๋ก ๋ฐฉ์ฌ์ ์ด ํผ์ง๋ ํ๋ฆฌ ํต์ฆ ๋ณ๋ ฅ์ด ์์ต๋๋ค. ํ์๋ 03/08/27/03์ ์ง์ฅ์์ ๋ฆฌํํ ์ ํ๋ค๊ฐ ํ๋ฆฌ์์ ์ผ์ชฝ ํ์ง๋ก ๋ด๋ ค๊ฐ๋ ๋ ์นด๋ก์ด ํต์ฆ์ ์ฆ์ ๋๊ผ์ต๋๋ค. ๊ทธ๋ ์ด์ ์ ํ๋ฆฌ ํต์ฆ์ด๋ ํ๋ฆฌ ์์ ์ ๋ณ๋ ฅ์ ๋ถ์ธํ์ต๋๋ค. ํ์๋ ๋์น์ฑ ํต์ฆ๊ณผ S1 ์ ๊ฒฝ๊ทผ ๋ถํฌ์ ์ฌ๊ฐํ ์ฝํ๋ก ์ธํด ์ด๋ฌํ ์ ํ์ ์์ ์ ๋ชจ๋ ์ํ๊ณผ ๊ฐ๋ฅํ ํฉ๋ณ์ฆ์ ์๊ณ ์์์ผ๋ฉฐ ์์ ์ ๋ฐ๊ธฐ๋ก ๋์ํ์ต๋๋ค. ์ฌ์ ๋์๋ฅผ ์ป์ ํ ๋ชจ๋ ์ํ๊ณผ ํฉ๋ณ์ฆ์ ๋ํด ํ์์ ๋ ผ์ํ์ต๋๋ค." | |
| }, | |
| { | |
| "id": 114, | |
| "dialogue": "Doctor: I have reviewed your x rays from your emergency room visit. I agree with Doctor Jones that your lungs show no signs of infection or decreased lung capacity. \nPatient: Okay.", | |
| "summary": "Chest x-ray ordered by ER physician is unremarkable, but to me also.", | |
| "๋ํ": "์์ฌ: ์๊ธ์ค ๋ฐฉ๋ฌธ ์ ์ดฌ์ํ ์์ค๋ ์ด๋ฅผ ๊ฒํ ํ์ต๋๋ค. ํ์ ๊ฐ์ผ์ด๋ ํํ๋ ๊ฐ์์ ์งํ๊ฐ ๋ณด์ด์ง ์๋๋ค๋ ์์ฌ ์ ์๋์ ์๊ฒฌ์ ๋์ํฉ๋๋ค. \nํ์: ์๊ฒ ์ต๋๋ค.", | |
| "์์ฝ": "์๊ธ์ค ์์ฌ๊ฐ ์ฃผ๋ฌธํ ํ๋ถ ์์ค๋ ์ด๋ ๋์ ๋์ง ์์ง๋ง ์ ์๊ฒ๋ ๋ง์ฐฌ๊ฐ์ง์ ๋๋ค." | |
| }, | |
| { | |
| "id": 115, | |
| "dialogue": "Doctor: How are you today?\nPatient: I am good. \nDoctor: What is your past medical history? \nPatient: I don't have any health problems. Not yet at least. \nDoctor: Let's keep try to keep it that way. \nPatient: Yes please.", | |
| "summary": "Essentially noncontributory.", | |
| "๋ํ": "์์ฌ: ์ค๋์ ์ข ์ด๋ ์ธ์? \nํ์: ์ ๊ด์ฐฎ์์. \n์์ฌ: ๊ณผ๊ฑฐ ๋ณ๋ ฅ์ ๋ฌด์์ธ๊ฐ์? \nํ์: ์ ๋ ๊ฑด๊ฐ ๋ฌธ์ ๊ฐ ์์ต๋๋ค. ์ ์ด๋ ์์ง์์. \n์์ฌ: ๊ณ์ ๊ทธ๋ ๊ฒ ์ ์งํ๋๋ก ๋ ธ๋ ฅํด ๋ด ์๋ค. \nํ์: ๋ค, ๊ทธ๋ฌ์ฃ .", | |
| "์์ฝ": "๋ณธ์ง์ ์ผ๋ก ๊ธฐ์ฌํ์ง ์์." | |
| }, | |
| { | |
| "id": 116, | |
| "dialogue": "Doctor: I see here that Doctor- \nPatient: Yes, Doctor X referred me. My thyroid is an absolute mess. I have never been in so much pain in my seventy one years. \nDoctor: I'm so sorry to hear that. I hope we're able to get you the care that you need. \nPatient: I've been coughing up a storm. It's gotten to be way too enlarged. \nDoctor: It's good that you're here today to get the surgery rolling. \nPatient: I signed the paperwork and everything. \nDoctor: I'll go over the risk and benefits one more time. Any questions for me?\nPatient: When is the earliest I can get this done again? \nDoctor: Given your symptoms, I'd like to get you in in the next few days.", | |
| "summary": "Briefly, the patient is a 71-year-old female referred with increasingly symptomatic large nodular thyroid goiter. She presented now after informed consent for the procedure, understanding the inherent risks and complications and risk-benefit ratio.", | |
| "๋ํ": "์์ฌ: ์ฌ๊ธฐ ์์ฌ- \nํ์: ๋ค, ์์ฌ X๊ฐ ์ ๋ฅผ ์๊ฐํด์คฌ์ด์. ์ ๊ฐ์์ ์ ์์ ํ ์๋ง์ ๋๋ค. ์น ์ญ ํ์ ์ด๋ ๊ฒ ๊ณ ํต์ค๋ฌ์ ๋ณธ ์ ์ด ์์ด์. \n์์ฌ: ์ ๋ง ์ ๊ฐ์ ๋๋ค. ํ์ํ ์น๋ฃ๋ฅผ ๋ฐ์ผ์ค ์ ์๊ธฐ๋ฅผ ๋ฐ๋๋๋ค. \nํ์: ๊ธฐ์นจ์ด ๋๋ฌด ์ฌํด์. ๋๋ฌด ์ปค์ก์ด์. \n์์ฌ: ์์ ์ ์์ํ๊ธฐ ์ํด ์ค๋ ์ค์ ์ ๋คํ์ ๋๋ค. \nํ์: ์๋ฅ์ ๋ชจ๋ ๊ฒ์ ์๋ช ํ์ต๋๋ค. \n์์ฌ: ์ํ๊ณผ ์ด์ ์ ๋ํด ๋ค์ ํ ๋ฒ ์ดํด๋ณด๊ฒ ์ต๋๋ค. ์ง๋ฌธ์ด ์์ผ์ ๊ฐ์? \nํ์: ์ธ์ ๊ฐ์ฅ ๋นจ๋ฆฌ ๋ค์ ๋ฐ์ ์ ์๋์? \n์์ฌ: ํ์๋ถ์ ์ฆ์์ ๊ณ ๋ คํ ๋ ๋ฉฐ์น ๋ด๋ก ๋ค์ ์ง๋ฃ๋ฅผ ๋ฐ์ ์ ์์ ๊ฒ ๊ฐ์ต๋๋ค.", | |
| "์์ฝ": "๊ฐ๋จํ ์ค๋ช ํ์๋ฉด, ํ์๋ 71์ธ ์ฌ์ฑ์ผ๋ก ์ ์ ์ฆ์์ด ์ฌํด์ง๋ ๊ฒฐ์ ์ฑ ๊ฐ์์ ๊ฐ์์ ์ข ์ผ๋ก ์๋ขฐ๋์์ต๋๋ค. ๊ทธ๋ ๋ ์์ ์ ๋ํ ์ฌ์ ๋์๋ฅผ ๋ฐ๊ณ ๋ด์ฌ๋ ์ํ๊ณผ ํฉ๋ณ์ฆ, ์ํ ๋๋น ํธ์ต ๋น์จ์ ์ดํดํ ํ ์ง๊ธ ๋ฐํํ์ต๋๋ค." | |
| }, | |
| { | |
| "id": 117, | |
| "dialogue": "Doctor: Do thyroid problems run in your family?\nPatient: No.", | |
| "summary": "Noncontributory.", | |
| "๋ํ": "์์ฌ: ๊ฐ์กฑ ์ค์ ๊ฐ์์ ๋ฌธ์ ๊ฐ ์์ต๋๊น? \nํ์: ์๋์.", | |
| "์์ฝ": "๋น๊ธฐ์ฌ." | |
| }, | |
| { | |
| "id": 118, | |
| "dialogue": "Doctor: How did your last visit go with the cardiologist? \nPatient: Good. \nDoctor: It looks like they diagnosed you with sick sinus syndrome. Do you have any questions about this new diagnosis? \nPatient: No, she explained everything to me. I'm planning to follow-up with her in the next two weeks. \nDoctor: Great. So it looks like your past medical history is the same? Nothing new other than the sick sinus syndrome.", | |
| "summary": "Sick sinus syndrome. The rest of her past medical history remained the same.", | |
| "๋ํ": "์์ฌ: ์ง๋๋ฒ ์ฌ์ฅ ์ ๋ฌธ์์์ ๋ฐฉ๋ฌธ์ ์ด๋ ๋์? \nํ์: ์ข์์ด์. \n์์ฌ: ๋๊ธฐ๋ฅ ๋ถ์ ์ฆํ๊ตฐ์ผ๋ก ์ง๋จ๋ฐ์ ๊ฒ ๊ฐ์ต๋๋ค. ์ด ์๋ก์ด ์ง๋จ์ ๋ํด ์ง๋ฌธ์ด ์์ผ์ ๊ฐ์? \nํ์: ์๋์, ์์ฌ๊ฐ ๋ชจ๋ ๊ฒ์ ์ค๋ช ํด ์ฃผ์ จ์ด์. ์์ผ๋ก 2์ฃผ ์์ ํ์ ์กฐ์น๋ฅผ ์ทจํ ๊ณํ์ ๋๋ค. \n์์ฌ: ์๋๋ค์. ๊ทธ๋ผ ๊ณผ๊ฑฐ ๋ณ๋ ฅ๋ ๊ฐ์ ๊ฒ ๊ฐ๊ตฐ์? ๋๊ธฐ๋ฅ ๋ถ์ ์ฆํ๊ตฐ ์ธ์๋ ์๋ก์ด ๊ฒ์ ์์ต๋๋ค.", | |
| "์์ฝ": "๋๊ธฐ๋ฅ ๋ถ์ ์ฆํ๊ตฐ. ๋๋จธ์ง ๊ณผ๊ฑฐ ๋ณ๋ ฅ์ ๋์ผํ๊ฒ ์ ์ง๋์์ต๋๋ค." | |
| }, | |
| { | |
| "id": 119, | |
| "dialogue": "Doctor: Are you still working?\nPatient: Retired some time ago.\nDoctor: What was your profession?\nPatient: I used to work at a car repair shop called Champion Automotive Company.\nDoctor: Nice. How did you enjoy the work?\nPatient: I liked it a lot, but there came a time where I knew it was the end of the road for me. I'm really enjoying retirement. \nDoctor: I bet. I have cousin who owns a car repair shop. He's almost always busy. \nPatient: Yeah, it can be a lot sometimes.\nDoctor: Any smoking, drinking, or hard drugs?\nPatient: I can confidently say no to each one. \nDoctor: Great to hear.", | |
| "summary": "Retired employee of Champion Automotive Co. Denies use of TOB/ETOH/Illicit drugs.", | |
| "๋ํ": "์์ฌ: ์์ง ์ผํ๊ณ ๊ณ์ญ๋๊น? \nํ์: ์ผ๋ง ์ ์ ์ํดํ์ต๋๋ค.\n์์ฌ: ์ง์ ์ด ๋ญ์๋์?\nํ์: ์ ๋ ์ฑํผ์ธ ์๋์ฐจ ํ์ฌ๋ผ๋ ์๋์ฐจ ์๋ฆฌ์ ์์ ์ผํ์์ต๋๋ค.\n์์ฌ: ์ข๋ค์. ๊ทธ ์ผ์ ์ด๋ป๊ฒ ์ฆ๊ฒผ์ต๋๊น?\nํ์: ์ ๋ง ์ข์์ง๋ง ์ด ์ผ์ด ์ ๊ฒ๋ ๋์ด๋ผ๋ ๊ฒ์ ์์๋ ๋๊ฐ ์์์ต๋๋ค. ์ํด๋ฅผ ์ ๋ง ์ฆ๊ธฐ๊ณ ์์ด์. \n์์ฌ: ๊ทธ๋ ๊ฒ ์ฃ . ์๋์ฐจ ์๋ฆฌ์ ์ ์ด์ํ๋ ์ฌ์ด์ด ์์ด์. ๊ทธ๋ ๊ฑฐ์ ํญ์ ๋ฐ์์ฃ . \nํ์: ๋ค, ๊ทธ๋ด ๋๊ฐ ๋ง์์.\n์์ฌ: ํก์ฐ, ์์ฃผ, ๋ง์ฝ์ ํ์ จ๋์? \nํ์: ๋ชจ๋ ์๋๋ผ๊ณ ์์ ์๊ฒ ๋งํ ์ ์์ต๋๋ค. \n์์ฌ: ๋คํ์ด๋ค์.", | |
| "์์ฝ": "์ฑํผ์ธ ์๋์ฐจ์ ์ํด ํ ์ง์. TOB/ETOH/๋ถ๋ฒ ์ฝ๋ฌผ ์ฌ์ฉ์ ๊ฑฐ๋ถํฉ๋๋ค." | |
| } | |
| ] |