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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
medrbench-oracle | null | 1432 | Reduce azathioprine dosage and proceed with surgical lymph node clearance. | null | 14,282.069921 | sonnet-4_5-20251217-142420 | 0.0015 | 451 | 738 | 1,189 | 0.0112 | sonnet-4_5 | null | 609 | 681 | 1,290 | 1 | 0 | sonnet-4_5-medrbench-oracle | 0.103951 | completed | medrbench-treatment | 20,111.133099 |
medrbench-oracle | null | 1433 | Perform supragingival scaling and polishing, provide oral hygiene instructions, and follow up with external bevel gingivectomy under local anesthesia to surgically remove enlarged gingival tissue; use a periodontal dressing for tissue protection post-surgery. | null | 17,390.789986 | sonnet-4_5-20251217-142420 | 0.0023 | 710 | 1,033 | 1,743 | 0.0129 | sonnet-4_5 | null | 773 | 427 | 1,200 | 1 | 0 | sonnet-4_5-medrbench-oracle | 0.178814 | completed | medrbench-treatment | 26,232.89609 |
medrbench-oracle | null | 1434 | Commence treatment with tablet imatinib 400 mg daily and aspirin while gradually tapering hydroxyurea. | null | 18,428.044796 | sonnet-4_5-20251217-142420 | 0.002 | 663 | 980 | 1,643 | 0.0149 | sonnet-4_5 | null | 844 | 742 | 1,586 | 1 | 0 | sonnet-4_5-medrbench-oracle | 0.147104 | completed | medrbench-treatment | 29,950.866461 |
medrbench-oracle | null | 1435 | Implement corrective actions including enhanced staff training on vein selection techniques, timely and proper application of tube stripping procedures, use of calibrated BCMs, and updates to standard operating procedures. | null | 13,372.914314 | sonnet-4_5-20251217-142420 | 0.0025 | 782 | 807 | 1,589 | 0.0085 | sonnet-4_5 | null | 502 | 333 | 835 | 0 | 0 | sonnet-4_5-medrbench-oracle | 0.184059 | completed | medrbench-treatment | 19,467.26656 |
medrbench-oracle | null | 1436 | Initiate six weeks of preoperative Albendazole therapy, proceed with total humerus resection, extended curettage of affected scapula, and reconstruction using a total humerus prosthesis. Administer povidone-iodine scolicidal agent intraoperatively, continue postoperative immobilization and physical rehabilitation, and ... | null | 16,457.95083 | sonnet-4_5-20251217-142420 | 0.0016 | 482 | 858 | 1,340 | 0.0116 | sonnet-4_5 | null | 661 | 564 | 1,225 | 0 | 0 | sonnet-4_5-medrbench-oracle | 0.193119 | completed | medrbench-treatment | 23,365.806818 |
medrbench-oracle | null | 1437 | Seal the invagination of teeth 12 and 22 with a composite resin restoration following ultrasonic scaling, etching, and bonding procedures. | null | 17,492.152691 | sonnet-4_5-20251217-142420 | 0.0028 | 897 | 889 | 1,786 | 0.0126 | sonnet-4_5 | null | 741 | 496 | 1,237 | 1 | 0 | sonnet-4_5-medrbench-oracle | 0.241756 | completed | medrbench-treatment | 24,491.462231 |
medrbench-oracle | null | 1438 | Place an implantable loop recorder (ILR) for long-term monitoring; educate the patient about sleep hygiene and the impact of marijuana use on syncope; avoid AV blocking medications. | null | 13,855.495691 | sonnet-4_5-20251217-142420 | 0.0017 | 507 | 691 | 1,198 | 0.0112 | sonnet-4_5 | null | 609 | 704 | 1,313 | 0 | 0 | sonnet-4_5-medrbench-oracle | 0.140429 | completed | medrbench-treatment | 20,219.572306 |
medrbench-oracle | null | 1439 | Administer 1200 mg of intravenous oritavancin in sequential doses, scheduling intervals guided by therapeutic drug monitoring (TDM). | null | 15,414.685011 | sonnet-4_5-20251217-142420 | 0.0015 | 439 | 722 | 1,161 | 0.0116 | sonnet-4_5 | null | 656 | 595 | 1,251 | 0 | 0 | sonnet-4_5-medrbench-oracle | 0.181913 | completed | medrbench-treatment | 23,435.792446 |
medrbench-oracle | null | 1440 | Administer GSK1070806, an anti-IL-18 monoclonal antibody, intravenously every fortnight starting at a dose of 0.25 mg/kg and titrating up to 5 mg/kg as needed, alongside careful clinical and laboratory monitoring. | null | 12,835.704803 | sonnet-4_5-20251217-142420 | 0.002 | 578 | 773 | 1,351 | 0.0111 | sonnet-4_5 | null | 598 | 699 | 1,297 | 0 | 0 | sonnet-4_5-medrbench-oracle | 0.174522 | completed | medrbench-treatment | 18,518.367529 |
medrbench-oracle | null | 1441 | Perform uterine-sparing surgery with intraoperative debridement of necrotic tissues, anterior uterine wall defect repair, intrauterine drainage insertion, broad-spectrum antibiotic therapy, and follow it with outpatient wound care and antibiotic therapy for infection control. | null | 12,561.979771 | sonnet-4_5-20251217-142420 | 0.0022 | 748 | 822 | 1,570 | 0.0101 | sonnet-4_5 | null | 572 | 500 | 1,072 | 1 | 0 | sonnet-4_5-medrbench-oracle | 0.129461 | completed | medrbench-treatment | 23,850.639343 |
medrbench-oracle | null | 1442 | Administer intravenous methylprednisolone 40 mg/day for five days, followed by a tapering dose of oral prednisone. Temporarily discontinue immune checkpoint inhibitor sintilimab. Proceed with surgical resection of the gastric tumor. | null | 19,433.717728 | sonnet-4_5-20251217-142420 | 0.0018 | 509 | 1,152 | 1,661 | 0.016 | sonnet-4_5 | null | 940 | 638 | 1,578 | 1 | 0 | sonnet-4_5-medrbench-oracle | 0.174761 | completed | medrbench-treatment | 25,681.339979 |
medrbench-oracle | null | 1443 | Use a lasso structure formed by a guidewire and biopsy forceps to endoscopically remove the embedded toothbrush from the duodenum. | null | 13,021.910429 | sonnet-4_5-20251217-142420 | 0.0019 | 568 | 713 | 1,281 | 0.0098 | sonnet-4_5 | null | 562 | 446 | 1,008 | 0 | 0 | sonnet-4_5-medrbench-oracle | 0.161409 | completed | medrbench-treatment | 23,908.624411 |
medrbench-oracle | null | 1444 | Apply dietary modifications (zero-fat diet initially), institute TPN for nutritional support, perform serial lymphangiography with embolization attempts as needed, and continue clinical and radiographic monitoring to evaluate the resolution of lymphatic leaks. | null | 19,081.112623 | sonnet-4_5-20251217-142420 | 0.0025 | 746 | 1,007 | 1,753 | 0.0139 | sonnet-4_5 | null | 822 | 516 | 1,338 | 0.5 | 0 | sonnet-4_5-medrbench-oracle | 0.169992 | completed | medrbench-treatment | 24,488.840818 |
medrbench-oracle | null | 1445 | Perform a custom cast post-restoration on the internally damaged osseointegrated implant using fabrication techniques and cement the prosthesis securely after verification of fit and occlusal adjustments. | null | 15,318.505764 | sonnet-4_5-20251217-142420 | 0.0022 | 682 | 783 | 1,465 | 0.011 | sonnet-4_5 | null | 636 | 470 | 1,106 | 1 | 0 | sonnet-4_5-medrbench-oracle | 0.205994 | completed | medrbench-treatment | 20,101.717234 |
medrbench-oracle | null | 1446 | Perform a loop ileostomy and colonic lavage, including postoperative irrigation with vancomycin and fidaxomicin. | null | 14,388.996601 | sonnet-4_5-20251217-142420 | 0.0038 | 1,232 | 678 | 1,910 | 0.0122 | sonnet-4_5 | null | 662 | 773 | 1,435 | 0.5 | 0 | sonnet-4_5-medrbench-oracle | 0.143528 | completed | medrbench-treatment | 24,413.535833 |
medrbench-oracle | null | 1447 | Perform endodontic therapy to remove granulation tissue, disinfect the canal system, and obturate with MTA and thermoplasticized gutta-percha; subsequently, restore the tooth with light-cure composite resin for structural and esthetic repair. | null | 15,702.473402 | sonnet-4_5-20251217-142420 | 0.0016 | 468 | 745 | 1,213 | 0.0117 | sonnet-4_5 | null | 690 | 458 | 1,148 | 0 | 0 | sonnet-4_5-medrbench-oracle | 0.173569 | completed | medrbench-treatment | 21,544.027567 |
medrbench-oracle | null | 1448 | Administer intravenous methylprednisolone in high-dose pulse therapy at 1000 mg/day for three days, followed by a step-down tapering protocol, along with prophylactic antibiotics for infection prevention and supportive treatments for steroid-induced complications. | null | 17,007.504225 | sonnet-4_5-20251217-142420 | 0.0025 | 779 | 1,112 | 1,891 | 0.0146 | sonnet-4_5 | null | 840 | 668 | 1,508 | 1 | 0 | sonnet-4_5-medrbench-oracle | 0.155687 | completed | medrbench-treatment | 22,216.320753 |
medrbench-oracle | null | 1449 | Perform external beam radiotherapy (IMRT) with a total dose of 45 Gy in 25 fractions for solitary plasmacytoma. Administer selective internal radiation therapy (SIRT) with Yttrium-90 microspheres for intrahepatic cholangiocarcinoma. Initiate systemic therapy with durvalumab and a chemotherapy regimen tailored to comple... | null | 14,813.122988 | sonnet-4_5-20251217-142420 | 0.0038 | 1,255 | 909 | 2,164 | 0.0128 | sonnet-4_5 | null | 707 | 745 | 1,452 | 0 | 0 | sonnet-4_5-medrbench-oracle | 0.14782 | completed | medrbench-treatment | 23,663.849354 |
medrbench-oracle | null | 1450 | Perform emergent systemic-to-pulmonary shunt placement and occlusion of the main pulmonary artery to stabilize the patient's condition. | null | 14,907.562494 | sonnet-4_5-20251217-142420 | 0.0021 | 670 | 767 | 1,437 | 0.0117 | sonnet-4_5 | null | 667 | 580 | 1,247 | 0.5 | 0 | sonnet-4_5-medrbench-oracle | 0.128984 | completed | medrbench-treatment | 26,710.255861 |
medrbench-oracle | null | 1451 | Perform conventional root canal therapy followed by a surgical apicectomy with meticulous debridement, root resection, and retrograde filling using mineral trioxide aggregate (MTA). Cover the affected site with a concentrated growth factor (CGF) membrane to enhance healing of the periapical bone defect. | null | 11,686.017036 | sonnet-4_5-20251217-142420 | 0.002 | 607 | 816 | 1,423 | 0.0098 | sonnet-4_5 | null | 546 | 523 | 1,069 | 0 | 0 | sonnet-4_5-medrbench-oracle | 0.138998 | completed | medrbench-treatment | 32,767.928362 |
medrbench-oracle | null | 1452 | Perform therapeutic mastectomy of the right breast with immediate implant-based reconstruction, prophylactic mastectomy of the left breast, nipple-areola complex reinnervation using an autologous sural nerve graft, and subsequent adjuvant radiation therapy and immunotherapy. | null | 14,283.583403 | sonnet-4_5-20251217-142420 | 0.0016 | 519 | 777 | 1,296 | 0.0109 | sonnet-4_5 | null | 611 | 588 | 1,199 | 0 | 0 | sonnet-4_5-medrbench-oracle | 3.028631 | completed | medrbench-treatment | 28,184.597492 |
mtsamples_procedures | null | 0 | After informed consent was obtained and verified, the patient was brought to the operating room and placed supine on the operating table. After uneventful general anesthesia was obtained, he was positioned in the beach chair and his right shoulder was sterilely prepped and draped in a normal fashion. The incision was r... | null | 25,919.043541 | sonnet-4_5-20251217-142420 | 0.0035 | 4,069 | 3,536 | 7,605 | 0.0174 | sonnet-4_5 | null | 1,120 | 199 | 1,319 | 0.75 | 0 | sonnet-4_5-mtsamples_procedures | 0.28801 | completed | default | 67,311.421633 |
mtsamples_procedures | null | 1 | The patient was found upon excision of the cyst that it contained a large Prolene suture, which is multiply knotted as it always is; beneath this was a very small incisional hernia, the hernia cavity, which contained omentum; the hernia was easily repaired.DESCRIPTION OF PROCEDURE: The patient was identified, then tak... | null | 28,489.505768 | sonnet-4_5-20251217-142420 | 0.0026 | 2,203 | 4,205 | 6,408 | 0.0205 | sonnet-4_5 | null | 1,305 | 313 | 1,618 | 0.875 | 0 | sonnet-4_5-mtsamples_procedures | 0.107288 | completed | default | 41,329.607487 |
mtsamples_procedures | null | 2 | This patient was brought to the OR with a non-severe stenosis of the proximal left superficial femoral artery in the upper one-third of his thigh. He is also known to have severe calcific disease involving the entire left external iliac system as well as the common femoral and deep femoral arteries.Our initial plan tod... | null | 28,605.700016 | sonnet-4_5-20251217-142420 | 0.003 | 2,865 | 3,924 | 6,789 | 0.0217 | sonnet-4_5 | null | 1,393 | 274 | 1,667 | 0.708333 | 0 | sonnet-4_5-mtsamples_procedures | 0.152588 | completed | default | 62,781.504631 |
mtsamples_procedures | null | 3 | Plan will be to perform elective PCI of the mid LAD. | null | 22,650.266171 | sonnet-4_5-20251217-142420 | 0.0021 | 1,179 | 3,662 | 4,841 | 0.0182 | sonnet-4_5 | null | 1,101 | 557 | 1,658 | 0.958333 | 0 | sonnet-4_5-mtsamples_procedures | 0.115871 | completed | default | 32,010.398149 |
mtsamples_procedures | null | 4 | Recommend smoking cessation. Continue aspirin lifelong and continue Plavix for at least 12 months. | null | 31,521.170378 | sonnet-4_5-20251217-142420 | 0.0026 | 1,359 | 5,770 | 7,129 | 0.027 | sonnet-4_5 | null | 1,501 | 1,482 | 2,983 | 0.958333 | 0 | sonnet-4_5-mtsamples_procedures | 0.115633 | completed | default | 45,462.704659 |
mtsamples_procedures | null | 5 | 1. The patient will be admitted for IV diuresis in light of the biventricular overload.2. The findings of the heart catheterization were discussed in detail with the patient and the patient's family. There is some concern with the patient's two-vessel coronary artery disease in light of the patient's diabetic history. ... | null | 31,057.019711 | sonnet-4_5-20251217-142420 | 0.0035 | 2,225 | 6,708 | 8,933 | 0.0294 | sonnet-4_5 | null | 1,602 | 1,779 | 3,381 | 0.833333 | 0 | sonnet-4_5-mtsamples_procedures | 0.100851 | completed | default | 49,715.402842 |
mtsamples_procedures | null | 6 | Showed osteophyte with a disc complex on the left C6-C7 neural foramen.FLUIDS: 1800 mL of crystalloids. | null | 26,639.518499 | sonnet-4_5-20251217-142420 | 0.0027 | 2,635 | 3,486 | 6,121 | 0.0185 | sonnet-4_5 | null | 1,167 | 338 | 1,505 | 0.875 | 0 | sonnet-4_5-mtsamples_procedures | 0.092745 | completed | default | 52,339.752197 |
mtsamples_procedures | null | 7 | This is a pleasant, 43-year-old woman, who has been having neck pain and right arm pain for a period of time which has not responded to conservative treatment including ESIs. She underwent another MRI and significant degenerative disease at C5-6 with a central and right-sided herniation was noted. Risks and benefits of... | null | 27,449.703932 | sonnet-4_5-20251217-142420 | 0.0023 | 1,592 | 3,701 | 5,293 | 0.0182 | sonnet-4_5 | null | 1,185 | 143 | 1,328 | 0.833333 | 0 | sonnet-4_5-mtsamples_procedures | 0.209093 | completed | default | 39,856.728554 |
mtsamples_procedures | null | 8 | The left ventricle is certainly hypertrophied· The aortic valve leaflet is calcified and a severe restrictive leaflet motion. It is a tricuspid type of valve. The coronary artery consists of a large left anterior descending artery which is associated with 60% stenosis but a large obtuse marginal artery which has a tigh... | null | 33,486.85813 | sonnet-4_5-20251217-142420 | 0.0031 | 2,065 | 4,859 | 6,924 | 0.0241 | sonnet-4_5 | null | 1,534 | 377 | 1,911 | 0.875 | 0 | sonnet-4_5-mtsamples_procedures | 0.16427 | completed | default | 51,176.40543 |
mtsamples_procedures | null | 9 | The patient was taken to the operating room. The abdominal contents were within normal limits. The aorta was of normal size and consistency consistent with arteriosclerosis. A 16x8 mm Gore-Tex graft was placed without difficulty. The femoral vessels were small somewhat thin and there was posterior packing, but satisfac... | null | 23,666.840315 | sonnet-4_5-20251217-142420 | 0.0027 | 1,597 | 5,084 | 6,681 | 0.0182 | sonnet-4_5 | null | 1,173 | 191 | 1,364 | 0.875 | 0 | sonnet-4_5-mtsamples_procedures | 0.066757 | completed | default | 36,710.008144 |
mtsamples_procedures | null | 10 | Aortogram demonstrates a dual right renal artery with the inferior renal artery supplying the lower one third of the right renal parenchyma. No evidence of renal artery stenosis is noted bilaterally. There is a single left renal artery. The infrarenal aorta, both common iliac and the external iliac arteries are normal.... | null | 33,354.391813 | sonnet-4_5-20251217-142420 | 0.0032 | 2,164 | 6,225 | 8,389 | 0.0277 | sonnet-4_5 | null | 1,591 | 1,292 | 2,883 | 0.75 | 0 | sonnet-4_5-mtsamples_procedures | 0.116825 | completed | default | 53,219.621181 |
mtsamples_procedures | null | 11 | A complex tear involving the lateral and posterior horns of the lateral meniscus and grade-II chondromalacia of the patella.HISTORY OF PRESENT ILLNESS: The patient is a 45-year-old Caucasian male presented to the office complaining of right knee pain. He complained of pain on the medial aspect of his right knee after ... | null | 19,199.181318 | sonnet-4_5-20251217-142420 | 0.0032 | 2,916 | 4,495 | 7,411 | 0.0141 | sonnet-4_5 | null | 893 | 241 | 1,134 | 0.875 | 0 | sonnet-4_5-mtsamples_procedures | 0.161648 | completed | default | 45,891.394854 |
mtsamples_procedures | null | 12 | The patient is a 48-year-old with male who has been suffering increasing right shoulder pain for a number of months prior to surgical intervention. He was completely refractory to conservative outpatient therapy. After discussing the alternative care as well as the advantages, disadvantages, risks, complications, and e... | null | 28,735.390902 | sonnet-4_5-20251217-142420 | 0.0029 | 2,274 | 4,489 | 6,763 | 0.0201 | sonnet-4_5 | null | 1,289 | 268 | 1,557 | 0.875 | 0 | sonnet-4_5-mtsamples_procedures | 0.065565 | completed | default | 53,293.15567 |
mtsamples_procedures | null | 13 | DISCHARGE ORDERS:DISPOSITION: Discharge patient to home upon release from Post-Op Recovery.MEDICATIONS: Hydrocodone/Acetaminophen (Vicodin 5/500) 1-2 tabs PO q 6 hr PRN. | null | 28,768.483877 | sonnet-4_5-20251217-142420 | 0.0028 | 1,720 | 5,319 | 7,039 | 0.0231 | sonnet-4_5 | null | 1,297 | 1,211 | 2,508 | 1 | 0 | sonnet-4_5-mtsamples_procedures | 0.140429 | completed | default | 42,873.244286 |
mtsamples_procedures | null | 14 | This is a 54-year-old white female suffering an increasing right shoulder pain for a few months prior to surgical intervention. She had an injury to her right shoulder when she fell off a bike. She was diagnosed preoperatively with a rotated cuff tear.Intra-articularly besides we noted a large SLAP lesion, superior and... | null | 25,509.572506 | sonnet-4_5-20251217-142420 | 0.0029 | 2,418 | 4,416 | 6,834 | 0.0186 | sonnet-4_5 | null | 1,187 | 268 | 1,455 | 0.75 | 0 | sonnet-4_5-mtsamples_procedures | 0.060797 | completed | default | 49,389.178038 |
mtsamples_procedures | null | 15 | This is a 61-year-old white male who is dominantly right-handed. He had increasing right shoulder pain and dysfunction for a number of years prior to surgical intervention. This was gradually done over a period of time. No specific accident or injury could be seen or pointed. He was refractory to conservative outpatien... | null | 25,327.98171 | sonnet-4_5-20251217-142420 | 0.0024 | 1,467 | 3,971 | 5,438 | 0.0185 | sonnet-4_5 | null | 1,165 | 342 | 1,507 | 0.875 | 0 | sonnet-4_5-mtsamples_procedures | 0.213146 | completed | default | 37,184.820652 |
mtsamples_procedures | null | 16 | There was no overt pathology of the biceps tendon. There was some softening and loss of the articular cartilage over the glenoid. The labrum was ________ attached permanently to the glenoid. The biceps tendon was nonsubluxable. Upon ranging of the shoulder in internal and external rotation showed no evidence of rotator... | null | 27,610.560656 | sonnet-4_5-20251217-142420 | 0.0025 | 1,707 | 4,644 | 6,351 | 0.0193 | sonnet-4_5 | null | 1,239 | 235 | 1,474 | 0.833333 | 0 | sonnet-4_5-mtsamples_procedures | 0.108957 | completed | default | 43,028.768063 |
mtsamples_procedures | null | 17 | We did find a tear to the medial meniscus as well as a large area of chondromalacia to the medial femoral condyle.OPERATIVE PROCEDURE: The patient was taken to the operating room. The left lower extremity was prepped and draped in the usual sterile fashion. Tourniquet was applied to the left thigh with adequate Webril ... | null | 30,372.729778 | sonnet-4_5-20251217-142420 | 0.003 | 2,699 | 4,104 | 6,803 | 0.0217 | sonnet-4_5 | null | 1,378 | 344 | 1,722 | 0.625 | 0 | sonnet-4_5-mtsamples_procedures | 0.136137 | completed | default | 51,904.490709 |
mtsamples_procedures | null | 18 | Upon dissection of the left axillary mass, the mass was removed in toto and noted to have a cavity within it consistent with an abscess.No loose structures were identified and sent for frozen section, which upon intraoperative consultation with Pathology Department revealed no obvious evidence of lymphoma, however, the... | null | 28,055.616617 | sonnet-4_5-20251217-142420 | 0.0029 | 2,511 | 3,863 | 6,374 | 0.0213 | sonnet-4_5 | null | 1,338 | 401 | 1,739 | 0.791667 | 0 | sonnet-4_5-mtsamples_procedures | 0.15521 | completed | default | 49,953.088522 |
mtsamples_procedures | null | 19 | The patient was brought to the OR in satisfactory condition and placed supine on the OR table. Underwent general anesthesia along with Marcaine in the nasal tip areas for planned excision. The area was injected, after sterile prep and drape, with Marcaine 0.25% with 1:200,000 adrenaline. | null | 23,568.295717 | sonnet-4_5-20251217-142420 | 0.0025 | 2,365 | 3,096 | 5,461 | 0.0163 | sonnet-4_5 | null | 1,039 | 224 | 1,263 | 0.666667 | 0 | sonnet-4_5-mtsamples_procedures | 0.101805 | completed | default | 43,830.425024 |
mtsamples_procedures | null | 20 | The scout radiograph demonstrates a nonobstructive gastrointestinal pattern. There are no suspicious calcifications seen or evidence of gross free intraperitoneal air. The visualized lung bases and osseous structures are within normal limits.The rectum and colon is of normal caliber throughout its course. There is no e... | null | 23,994.899035 | sonnet-4_5-20251217-142420 | 0.0024 | 1,926 | 3,117 | 5,043 | 0.0161 | sonnet-4_5 | null | 1,036 | 172 | 1,208 | 0.541667 | 0 | sonnet-4_5-mtsamples_procedures | 0.159979 | completed | default | 42,136.460304 |
mtsamples_procedures | null | 21 | Continue aspirin, Plavix, and Coumadin to an INR of 2 with a carotid duplex followup. | null | 27,014.101028 | sonnet-4_5-20251217-142420 | 0.0031 | 2,402 | 4,125 | 6,527 | 0.0228 | sonnet-4_5 | null | 1,401 | 581 | 1,982 | 0.708333 | 0 | sonnet-4_5-mtsamples_procedures | 0.181437 | completed | default | 49,954.368114 |
mtsamples_procedures | null | 22 | The right carotid cerebral system was selectively catheterized and visualized. The right internal carotid artery was found to be very tortuous with kinking in its cervical portions, but no focal stenosis was noted. Likewise, the intracranial portion of the right internal carotid artery showed no significant disease nor... | null | 20,759.288788 | sonnet-4_5-20251217-142420 | 0.0025 | 2,420 | 3,104 | 5,524 | 0.0153 | sonnet-4_5 | null | 985 | 176 | 1,161 | 0.75 | 0 | sonnet-4_5-mtsamples_procedures | 0.107527 | completed | default | 32,384.660959 |
mtsamples_procedures | null | 23 | On bimanual exam, the uterus was found to be anteverted at approximately six weeks in size. There were no adnexal masses appreciated. The vulva and perineum appeared normal. Laparoscopic findings revealed normal appearing uterus, fallopian tubes bilaterally as well as ovaries bilaterally. There was a functional cyst on... | null | 29,064.212322 | sonnet-4_5-20251217-142420 | 0.0038 | 3,729 | 4,792 | 8,521 | 0.0191 | sonnet-4_5 | null | 1,241 | 174 | 1,415 | 0.708333 | 0 | sonnet-4_5-mtsamples_procedures | 0.128508 | completed | default | 62,134.233236 |
mtsamples_procedures | null | 24 | The patient was found to have a large right axillary lymphadenopathy, one of the lymph node was sent down as a fresh specimen.PROCEDURE: After informed written consent, risks and benefits of this procedure were explained to the patient. The patient was brought to the operating suite, prepped and draped in a normal ster... | null | 25,063.745975 | sonnet-4_5-20251217-142420 | 0.0023 | 1,265 | 4,129 | 5,394 | 0.0199 | sonnet-4_5 | null | 1,252 | 382 | 1,634 | 0.5 | 0 | sonnet-4_5-mtsamples_procedures | 0.058889 | completed | default | 34,984.400034 |
mtsamples_procedures | null | 25 | 1. The patient is tentatively scheduled for a cervical epidural steroid injection on March 14, 2005.2. We will begin a weaning schedule for the patient's Avinza by decreasing in 60 mg intervals. The patient will have a target of 120 mg p.o. b.i.d., and then be reassessed. This is expected to occur after her cervical ep... | null | 20,119.828939 | sonnet-4_5-20251217-142420 | 0.0025 | 1,947 | 3,769 | 5,716 | 0.016 | sonnet-4_5 | null | 925 | 695 | 1,620 | 0.833333 | 0 | sonnet-4_5-mtsamples_procedures | 0.071049 | completed | default | 41,745.997906 |
mtsamples_procedures | null | 26 | A hypertrophic scar was found and removed. The cicatrix was removed in its entirety and once opening the wound, the area of tissue where the palpable mass was, was excised as well and sent to the lab. | null | 25,183.978081 | sonnet-4_5-20251217-142420 | 0.0024 | 1,916 | 3,477 | 5,393 | 0.0184 | sonnet-4_5 | null | 1,159 | 348 | 1,507 | 0.75 | 0 | sonnet-4_5-mtsamples_procedures | 0.146627 | completed | default | 42,764.422894 |
mtsamples_procedures | null | 27 | The patient is definitely interested in undergoing TRAM flap reconstruction. At the moment, we are planning to do it as an immediate reconstruction at the time of the mastectomy. For this reason, I have made arrangements to do initial vascular delay procedure within the next couple of days. We may cancel this if the ch... | null | 33,908.076525 | sonnet-4_5-20251217-142420 | 0.0029 | 2,215 | 5,163 | 7,378 | 0.0255 | sonnet-4_5 | null | 1,528 | 868 | 2,396 | 0.666667 | 0 | sonnet-4_5-mtsamples_procedures | 0.107527 | completed | default | 58,448.784828 |
mtsamples_procedures | null | 28 | Craniocaudal and mediolateral oblique projections of bilateral breasts were obtained on mm/dd/yy. An additional lateromedial projection of the right breast was obtained. The breasts demonstrate heterogeneously-dense fibroglandular tissue. Within the upper outer aspect of the left breast, there is evidence of a circumsc... | null | 27,030.650854 | sonnet-4_5-20251217-142420 | 0.0026 | 1,735 | 3,665 | 5,400 | 0.0183 | sonnet-4_5 | null | 1,187 | 170 | 1,357 | 0.458333 | 0 | sonnet-4_5-mtsamples_procedures | 0.11301 | completed | default | 38,478.206635 |
mtsamples_procedures | null | 29 | 1. Normal true vocal cords.2. Subglottic stenosis down to 5 mm with mature cicatrix.3. Tracheal granulation tissue growing through the stents at the midway point of the stents. | null | 26,839.53023 | sonnet-4_5-20251217-142420 | 0.003 | 2,770 | 3,354 | 6,124 | 0.0199 | sonnet-4_5 | null | 1,300 | 149 | 1,449 | 0.5 | 0 | sonnet-4_5-mtsamples_procedures | 0.145912 | completed | default | 51,702.550411 |
mtsamples_procedures | null | 30 | Abundant amount of clear thick secretions throughout the main airways.INDICATIONS: The patient is a 43-year-old gentleman who has been in the ICU for several days following resection of small bowel for sequelae of SMV occlusion. This morning, the patient developed worsening hypoxia with abundant sputum production requi... | null | 25,664.601326 | sonnet-4_5-20251217-142420 | 0.0033 | 3,689 | 3,762 | 7,451 | 0.0185 | sonnet-4_5 | null | 1,203 | 144 | 1,347 | 0.5 | 0 | sonnet-4_5-mtsamples_procedures | 0.15521 | completed | default | 67,021.318436 |
mtsamples_procedures | null | 31 | The LAD was 2-mm vessel and good, mammary was good, and obtuse marginal was 2-mm vessel and good, and the main was good. | null | 24,895.179987 | sonnet-4_5-20251217-142420 | 0.0029 | 2,790 | 3,337 | 6,127 | 0.0187 | sonnet-4_5 | null | 1,185 | 300 | 1,485 | 0.666667 | 0 | sonnet-4_5-mtsamples_procedures | 0.060797 | completed | default | 47,598.645687 |
mtsamples_procedures | null | 32 | The loose cartilage fragment was given to the family. The intraoperative findings were relayed with intraoperative photos. There was a large deficit in the weightbearing portion of medial femoral condyle. His prognosis is guarded given the fact of the fragile lesion and location, but in advantages of his age and his re... | null | 30,177.708626 | sonnet-4_5-20251217-142420 | 0.003 | 2,355 | 5,132 | 7,487 | 0.0233 | sonnet-4_5 | null | 1,367 | 948 | 2,315 | 0.791667 | 0 | sonnet-4_5-mtsamples_procedures | 0.067949 | completed | default | 52,221.36116 |
mtsamples_procedures | null | 33 | On exposure, the fracture was noted to be basicervical pattern with no presence of calcar about the lesser trochanter. The lesser trochanter was intact. The fracture site was noted to show abnormal pathological tissue with grayish discoloration. The quality of the bone was also pathologically abnormal with soft trabecu... | null | 31,167.145729 | sonnet-4_5-20251217-142420 | 0.0026 | 1,924 | 4,256 | 6,180 | 0.0222 | sonnet-4_5 | null | 1,409 | 344 | 1,753 | 0.875 | 0 | sonnet-4_5-mtsamples_procedures | 0.124454 | completed | default | 51,921.80419 |
mtsamples_procedures | null | 34 | There are no filling defects in the main or main right or left pulmonary arteries. No central embolism. The proximal subsegmental pulmonary arteries are free of embolus, but the distal subsegmental and segmental arteries especially on the right are limited by extensive pulmonary parenchymal, findings would be discussed... | null | 21,166.439295 | sonnet-4_5-20251217-142420 | 0.0022 | 1,748 | 3,134 | 4,882 | 0.0141 | sonnet-4_5 | null | 910 | 154 | 1,064 | 0.375 | 0 | sonnet-4_5-mtsamples_procedures | 0.105381 | completed | default | 37,093.113661 |
mtsamples_procedures | null | 35 | At the time of colonoscopy, the entire length of colon was visualized. The patient was found to have a sigmoid diverticulosis. He also was found to have some colonic polyps at 35 cm and 15 cm. The polyps were large enough to be treated with snare cautery technique. The polyps were achieved and submitted to pathology. E... | null | 24,519.788742 | sonnet-4_5-20251217-142420 | 0.0026 | 1,428 | 4,514 | 5,942 | 0.0194 | sonnet-4_5 | null | 1,222 | 345 | 1,567 | 0.916667 | 0 | sonnet-4_5-mtsamples_procedures | 0.104904 | completed | default | 36,843.862534 |
mtsamples_procedures | null | 36 | There is extensive sigmoid diverticulosis, without evidence of inflammation or bleeding. There was a small, sessile polyp in the sigmoid colon, and a larger pedunculated polyp in the sigmoid colon, both appeared adenomatous.DESCRIPTION OF PROCEDURE: Preoperative counseling, including an explicit discussion of the risk... | null | 15,563.699484 | sonnet-4_5-20251217-142420 | 0.0026 | 2,041 | 3,096 | 5,137 | 0.0115 | sonnet-4_5 | null | 722 | 227 | 949 | 0.916667 | 0 | sonnet-4_5-mtsamples_procedures | 0.101328 | completed | default | 34,381.814718 |
mtsamples_procedures | null | 37 | This is a 74-year-old white male here for recheck colonoscopy for a history of polyps. After signed informed consent, blood pressure monitoring, EKG monitoring, and pulse oximetry monitoring, he was brought to the Endoscopic Suite. He was given 100 mg of Demerol, 3 mg of Versed IV push slowly. Digital examination revea... | null | 23,827.818871 | sonnet-4_5-20251217-142420 | 0.0025 | 1,898 | 3,536 | 5,434 | 0.0185 | sonnet-4_5 | null | 1,205 | 158 | 1,363 | 0.833333 | 0 | sonnet-4_5-mtsamples_procedures | 0.137806 | completed | default | 43,072.989702 |
mtsamples_procedures | null | 38 | If adenomatous, repeat exam in five years. Otherwise, repeat exam in 10 years. | null | 22,233.9921 | sonnet-4_5-20251217-142420 | 0.0019 | 1,251 | 3,058 | 4,309 | 0.0153 | sonnet-4_5 | null | 955 | 330 | 1,285 | 1 | 0 | sonnet-4_5-mtsamples_procedures | 0.176191 | completed | default | 33,617.595196 |
mtsamples_procedures | null | 39 | Await biopsy report. Pending biopsy report, recommendation will be made when the next colonoscopy should be done at least three years perhaps sooner besides and due to multitude of the patient's polyps. | null | 22,697.061539 | sonnet-4_5-20251217-142420 | 0.0021 | 1,099 | 3,950 | 5,049 | 0.0174 | sonnet-4_5 | null | 996 | 819 | 1,815 | 1 | 0 | sonnet-4_5-mtsamples_procedures | 0.218391 | completed | default | 30,772.658825 |
mtsamples_procedures | null | 40 | Colonoscopy was performed to cecum and demonstrates the following:1. Mild-to-moderate diverticulosis.2. RECOMMENDATION:1. The patient was provided information on diverticulosis including dietary advice.2. She was advised repeat colonoscopy after 10 years. | null | 11,696.688652 | sonnet-4_5-20251217-142420 | 0.0017 | 1,074 | 2,690 | 3,764 | 0.0094 | sonnet-4_5 | null | 537 | 462 | 999 | 1 | 0 | sonnet-4_5-mtsamples_procedures | 0.16737 | completed | default | 22,601.26853 |
mtsamples_procedures | null | 41 | I will have the patient follow up with me, will follow up on histology, follow up on the polyps. She will be put on a steroid taper and make an appointment and hopefully steroids alone will do the job. If not, she may be started on immune suppressive medication, such as azathioprine, or similar. All of this has been re... | null | 25,711.628199 | sonnet-4_5-20251217-142420 | 0.0024 | 1,705 | 4,284 | 5,989 | 0.0203 | sonnet-4_5 | null | 1,208 | 724 | 1,932 | 1 | 0 | sonnet-4_5-mtsamples_procedures | 0.553846 | completed | default | 45,872.858286 |
mtsamples_procedures | null | 42 | During the examination, under anesthesia, the vulva, vagina, and cervix were grossly unremarkable. The uterus was smooth with no palpable cervical nodularity and no adnexal masses were noted.PROCEDURE: The patient was brought to the Operating Room with an IV in place. Anesthetic was administered and she was placed in ... | null | 24,844.382286 | sonnet-4_5-20251217-142420 | 0.0028 | 2,695 | 3,539 | 6,234 | 0.0169 | sonnet-4_5 | null | 1,084 | 205 | 1,289 | 0.666667 | 0 | sonnet-4_5-mtsamples_procedures | 0.085115 | completed | default | 52,949.280262 |
mtsamples_procedures | null | 43 | Calcium scoring and coronary artery CTA with cardiac function was performed on Siemens dual-source CT scanner with postprocessing on Vitrea workstation. Patient received oral Metoprolol 100 milligrams. 100 ml Ultravist 370 was utilized as the contrast agent. 0.4 milligrams of nitroglycerin was given.Patient's calcium s... | null | 17,179.489613 | sonnet-4_5-20251217-142420 | 0.0021 | 1,412 | 3,121 | 4,533 | 0.0136 | sonnet-4_5 | null | 891 | 87 | 978 | 0.5 | 0 | sonnet-4_5-mtsamples_procedures | 0.20647 | completed | default | 27,066.358328 |
mtsamples_procedures | null | 44 | None.FINAL IMPRESSION:1. Mild coronary artery disease with a preserved left ventricular ejection fraction of 69%.2. Recommendation is aggressive medical management consisting of aggressive lifestyle modifications and statin therapy.Thank you for referring this patient to us. | null | 17,949.493647 | sonnet-4_5-20251217-142420 | 0.0025 | 1,677 | 3,401 | 5,078 | 0.0136 | sonnet-4_5 | null | 770 | 687 | 1,457 | 0.916667 | 0 | sonnet-4_5-mtsamples_procedures | 0.064611 | completed | default | 31,613.039732 |
mtsamples_procedures | null | 45 | Coronary artery CTA was performed on a Siemens dual-source CT scanner. Post-processing on a Vitrea workstation. 150 mL Ultravist 370 was utilized as the intravenous contrast agent. Patient did receive nitroglycerin sublingually prior to the contrast.HISTORY: Significant for high cholesterol, overweight, chest pain, fa... | null | 18,600.746632 | sonnet-4_5-20251217-142420 | 0.0023 | 2,117 | 2,752 | 4,869 | 0.0135 | sonnet-4_5 | null | 876 | 114 | 990 | 0.541667 | 0 | sonnet-4_5-mtsamples_procedures | 0.116587 | completed | default | 37,702.088118 |
mtsamples_procedures | null | 46 | CALCIUM SCORE: The patient's total Agatston calcium score is: 115. The Agatston score for the individual vessels are: LM: 49. RCA: 1. LAD: 2. CX: 2. Other: 62. The Agatston calcium score places the patient in the 90th percentile, which means 10 percent of the male population in this age group would have a higher calciu... | null | 20,707.489491 | sonnet-4_5-20251217-142420 | 0.0022 | 1,811 | 3,186 | 4,997 | 0.0153 | sonnet-4_5 | null | 952 | 333 | 1,285 | 0.5 | 0 | sonnet-4_5-mtsamples_procedures | 0.152826 | completed | default | 38,209.532976 |
mtsamples_procedures | null | 47 | LEFT MAIN CORONARY ARTERY:The left main coronary artery is a moderate-sized vessel with a normal ostium. There is no calcific or non-calcific plaque. The vessel bifurcates into a left anterior descending artery and a left circumflex artery.LEFT ANTERIOR DESCENDING ARTERY: | null | 28,400.598049 | sonnet-4_5-20251217-142420 | 0.0022 | 1,407 | 3,552 | 4,959 | 0.0208 | sonnet-4_5 | null | 1,336 | 257 | 1,593 | 0.5 | 0 | sonnet-4_5-mtsamples_procedures | 0.100374 | completed | default | 39,555.289268 |
mtsamples_procedures | null | 48 | On exam, he is awake, alert and oriented x 3. Pupils are equal and reactive. EOMs are full. His visual acuity is 20/25 in the right (improved from 20/200) and the left is 20/200 improved from 20/400. He has a bitemporal hemianopsia, which is significantly improved and wider. His motor is 5 out of 5. There are no focal ... | null | 33,198.173761 | sonnet-4_5-20251217-142420 | 0.003 | 2,731 | 4,102 | 6,833 | 0.0238 | sonnet-4_5 | null | 1,532 | 287 | 1,819 | 0.833333 | 0 | sonnet-4_5-mtsamples_procedures | 0.099659 | completed | default | 60,671.464443 |
mtsamples_procedures | null | 49 | Chronic subdural hematoma with multiple septations and thickened subdural membrane.I might add that the arachnoid was not violated at all during this procedure. Also, it was noted that there was no subarachnoid blood but only subdural blood. | null | 33,498.439789 | sonnet-4_5-20251217-142420 | 0.0028 | 1,953 | 5,233 | 7,186 | 0.0268 | sonnet-4_5 | null | 1,608 | 903 | 2,511 | 0.875 | 0 | sonnet-4_5-mtsamples_procedures | 0.078678 | completed | default | 52,605.611563 |
mtsamples_procedures | null | 50 | This patient had a 3-cm acoustic neuroma. The tumor was incompletely excised leaving a remnant of the tumor along the cerebellopontine angle portion of the facial nerve. The facial nerve was stimulated at the brainstem at 0.05 milliamperes at the conclusion of the dissections. | null | 22,073.079109 | sonnet-4_5-20251217-142420 | 0.0025 | 2,059 | 2,955 | 5,014 | 0.0155 | sonnet-4_5 | null | 1,009 | 135 | 1,144 | 0.75 | 0 | sonnet-4_5-mtsamples_procedures | 0.147581 | completed | default | 38,487.684727 |
mtsamples_procedures | null | 51 | The left ureteral orifice was small requiring dilation, which was performed without difficulty. The ureteroscopy revealed an approximately 4 mm stone in the lower pole, which was grasped with a basket and pulled out. There were also multiple calcifications seen within the wall of the papilla but no other free floating ... | null | 27,471.372604 | sonnet-4_5-20251217-142420 | 0.0026 | 1,883 | 3,461 | 5,344 | 0.0202 | sonnet-4_5 | null | 1,314 | 163 | 1,477 | 0.416667 | 0 | sonnet-4_5-mtsamples_procedures | 0.234604 | completed | default | 41,556.968689 |
mtsamples_procedures | null | 52 | Uterus was anteverted, greatly enlarged, irregular and firm. The cervix is patulous and nulliparous without lesions. Adnexal examination was negative for masses.PROCEDURE: The patient was taken to the operating room where she was properly prepped and draped in sterile manner under general anesthesia. After bimanual exa... | null | 23,033.392429 | sonnet-4_5-20251217-142420 | 0.0027 | 2,361 | 3,537 | 5,898 | 0.0167 | sonnet-4_5 | null | 1,077 | 179 | 1,256 | 0.625 | 0 | sonnet-4_5-mtsamples_procedures | 0.060081 | completed | default | 43,891.72864 |
mtsamples_procedures | null | 53 | Bimanual exam reveals a small retroverted uterus which is easily mobile. There were no adnexal masses. The cervix was normal on palpation. A fibrotic band was noted at the internal os during dilation. On laparoscopic exam, the uterus was found to be small with mild spongy texture. On palpation, the right ovary and adne... | null | 31,084.649086 | sonnet-4_5-20251217-142420 | 0.0029 | 1,964 | 5,869 | 7,833 | 0.0222 | sonnet-4_5 | null | 1,381 | 502 | 1,883 | 0.833333 | 0 | sonnet-4_5-mtsamples_procedures | 0.058889 | completed | default | 53,801.367044 |
mtsamples_procedures | null | 54 | On bimanual exam, the uterus was approximately 10 weeks' in size, mobile, and anteverted. There were no adnexal masses appreciated although there was some fullness in the right lower quadrant. The cervical os appeared parous. | null | 25,008.520603 | sonnet-4_5-20251217-142420 | 0.0031 | 3,508 | 3,504 | 7,012 | 0.0188 | sonnet-4_5 | null | 1,182 | 354 | 1,536 | 0.708333 | 0 | sonnet-4_5-mtsamples_procedures | 0.07391 | completed | default | 59,212.711334 |
mtsamples_procedures | null | 55 | On bimanual exam, the patient has a small anteverted uterus, it is freely mobile. No adnexal masses, however, were appreciated on the bimanual exam. Laparoscopically, the patient had numerous omental adhesions to the vesicouterine peritoneum in the fundus of the uterus. There were also adhesions to the left fallopian t... | null | 25,149.960995 | sonnet-4_5-20251217-142420 | 0.0032 | 2,082 | 5,519 | 7,601 | 0.0181 | sonnet-4_5 | null | 1,143 | 316 | 1,459 | 0.791667 | 0 | sonnet-4_5-mtsamples_procedures | 0.097036 | completed | default | 43,147.583008 |
mtsamples_procedures | null | 56 | There was noted to be a full thickness tear to the supraspinatus tendon at the insertion of the greater tuberosity. There is moderate amount of synovitis noted throughout the glenohumeral joint. There is a small subacromial spur noted on the very anterolateral border of the acromion.HISTORY: This is a 62-year-old fema... | null | 29,347.438335 | sonnet-4_5-20251217-142420 | 0.0032 | 3,521 | 3,766 | 7,287 | 0.0198 | sonnet-4_5 | null | 1,270 | 239 | 1,509 | 0.791667 | 0 | sonnet-4_5-mtsamples_procedures | 0.065327 | completed | default | 63,800.969362 |
mtsamples_procedures | null | 57 | Adhesed left ovary with dilated left fallopian tube, tortuous right fallopian tube with small 1 cm ovarian cyst noted on right ovary, perihepatic lesions consistent with history of PID, approximately 1-200 cubic centimeters of more serous than sanguineous fluid. No evidence of ectopic pregnancy. | null | 31,886.786699 | sonnet-4_5-20251217-142420 | 0.0038 | 4,156 | 3,877 | 8,033 | 0.0235 | sonnet-4_5 | null | 1,523 | 222 | 1,745 | 0.708333 | 0 | sonnet-4_5-mtsamples_procedures | 0.058413 | completed | default | 83,420.502186 |
mtsamples_procedures | null | 58 | The patient unlike her visit in the ER approximately 4 hours before had some tissue in the vagina protruding from the os, this was teased out and then a D&E was performed yielding significant amount of central tissue. The fetus of 12 week had been delivered previously by Dr. X in the ER. | null | 26,360.551119 | sonnet-4_5-20251217-142420 | 0.0036 | 4,725 | 3,321 | 8,046 | 0.0185 | sonnet-4_5 | null | 1,199 | 181 | 1,380 | 0.958333 | 0 | sonnet-4_5-mtsamples_procedures | 0.114918 | completed | default | 73,030.569553 |
mtsamples_procedures | null | 59 | Diagnostic laparoscopy revealed purulent drainage within the region of the right lower quadrant adjacent to the cecum and terminal ileum. There was large amounts of purulent drainage. The appendix was visualized, however, it was difficult to be visualized secondary to the acute inflammatory process, purulent drainage, ... | null | 34,969.952822 | sonnet-4_5-20251217-142420 | 0.0034 | 1,756 | 6,564 | 8,320 | 0.0258 | sonnet-4_5 | null | 1,622 | 487 | 2,109 | 0.916667 | 0 | sonnet-4_5-mtsamples_procedures | 0.169992 | completed | default | 52,220.743895 |
mtsamples_procedures | null | 60 | Ceftin 250 mg by mouth twice a day for 10 days. Ciprodex four drops to the right ear twice a day. The patient is to return to the office in two weeks for followup. | null | 20,945.544958 | sonnet-4_5-20251217-142420 | 0.0025 | 1,864 | 3,265 | 5,129 | 0.0158 | sonnet-4_5 | null | 971 | 413 | 1,384 | 0.958333 | 0 | sonnet-4_5-mtsamples_procedures | 0.124931 | completed | default | 37,482.890129 |
mtsamples_procedures | null | 61 | I will recommend that the patient be on lifelong proton pump inhibition and have repeat endoscopy performed as needed. This has been discussed with the parents. He was sent home with a prescription for omeprazole. | null | 22,654.997826 | sonnet-4_5-20251217-142420 | 0.0022 | 1,581 | 3,250 | 4,831 | 0.0158 | sonnet-4_5 | null | 968 | 410 | 1,378 | 0.791667 | 0 | sonnet-4_5-mtsamples_procedures | 0.054121 | completed | default | 34,661.047935 |
mtsamples_procedures | null | 62 | The patient in the operating room in the prone position with the back prepped and draped in the sterile fashion. The patient was given sedation and monitored. Local anesthetic was used to insufflate the skin over sacral hiatus. A 16-gauge RK needle was placed at the sacral hiatus into the caudal canal with no CSF or bl... | null | 25,891.710758 | sonnet-4_5-20251217-142420 | 0.0032 | 3,442 | 3,500 | 6,942 | 0.0189 | sonnet-4_5 | null | 1,230 | 164 | 1,394 | 0.541667 | 0 | sonnet-4_5-mtsamples_procedures | 0.131607 | completed | default | 59,893.897533 |
mtsamples_procedures | null | 63 | I will see the patient back in my office in two weeks. Continue p.r.n. medications as needed. | null | 25,979.912758 | sonnet-4_5-20251217-142420 | 0.0022 | 1,334 | 3,711 | 5,045 | 0.0194 | sonnet-4_5 | null | 1,196 | 472 | 1,668 | 0.958333 | 0 | sonnet-4_5-mtsamples_procedures | 0.185013 | completed | default | 36,949.357271 |
mtsamples_procedures | null | 64 | Histologic evaluation and CLO testing. I will contact the parents next week with biopsy results and further management plans will be discussed at that time. | null | 24,265.001297 | sonnet-4_5-20251217-142420 | 0.0026 | 1,907 | 3,980 | 5,887 | 0.0182 | sonnet-4_5 | null | 1,054 | 794 | 1,848 | 0.958333 | 0 | sonnet-4_5-mtsamples_procedures | 0.15378 | completed | default | 41,441.059113 |
mtsamples_procedures | null | 65 | Begin prednisone 30 mg p.o. daily. Await PPD results and chest x-ray results, as well as cocci serology results. If these are normal, then we would recommend Remicade 5 mg/kg IV infusion. We would start Modulon 50 mL/h for 20 hours to reverse the malnutrition state of this boy. Check CMP and phosphate every Monday, Wed... | null | 33,702.041626 | sonnet-4_5-20251217-142420 | 0.0032 | 1,921 | 5,493 | 7,414 | 0.0277 | sonnet-4_5 | null | 1,663 | 916 | 2,579 | 0.791667 | 0 | sonnet-4_5-mtsamples_procedures | 0.181913 | completed | default | 51,399.097919 |
mtsamples_procedures | null | 66 | Antral erythema; 2 cm polypoid pyloric channel tissue, questionable inflammatory polyp which was biopsied; duodenal erythema and erosion.MEDICATIONS: Fentanyl 200 mcg and versed 6 mg.SCOPE: GIF-Q180. | null | 20,713.323116 | sonnet-4_5-20251217-142420 | 0.0023 | 1,661 | 2,775 | 4,436 | 0.0148 | sonnet-4_5 | null | 957 | 160 | 1,117 | 0.875 | 0 | sonnet-4_5-mtsamples_procedures | 0.10848 | completed | default | 31,958.922148 |
mtsamples_procedures | null | 67 | The patient had a penny lodged in the proximal esophagus in the typical location. There was no evidence of external migration and surrounding irritation was noted, but did not appear to be excessive. The coin actually came out with relative ease after which endoscopically identified.DESCRIPTION OF OPERATION: The patie... | null | 25,853.286505 | sonnet-4_5-20251217-142420 | 0.0032 | 2,893 | 4,038 | 6,931 | 0.0183 | sonnet-4_5 | null | 1,138 | 397 | 1,535 | 0.708333 | 0 | sonnet-4_5-mtsamples_procedures | 0.085831 | completed | default | 53,205.968618 |
mtsamples_procedures | null | 68 | The patient was found to have an incarcerated umbilical hernia. There was a loop of small bowel incarcerated within the hernia sac. It showed signs of ecchymosis, however no signs of any ischemia or necrosis. It was easily reduced once opening the abdomen and the rest of the small bowel was ran without any other defect... | null | 33,265.48624 | sonnet-4_5-20251217-142420 | 0.0032 | 3,170 | 4,695 | 7,865 | 0.0228 | sonnet-4_5 | null | 1,450 | 354 | 1,804 | 0.75 | 0 | sonnet-4_5-mtsamples_procedures | 0.101089 | completed | default | 68,849.577427 |
mtsamples_procedures | null | 69 | I had a long discussion with Mr. A and his daughter. We are all pleased that he has started to make some improvement with his hydrocephalus because I believe I see a tiny fluid collection in the right parietal region, I would like to leave the setting at 2.0 for another three months before we consider changing the shun... | null | 26,244.714737 | sonnet-4_5-20251217-142420 | 0.0027 | 1,937 | 4,861 | 6,798 | 0.0201 | sonnet-4_5 | null | 1,129 | 1,054 | 2,183 | 1 | 0 | sonnet-4_5-mtsamples_procedures | 0.150681 | completed | default | 44,910.257339 |
mtsamples_procedures | null | 70 | The patient is to go to the operating room for direct laryngoscopy/microscopic suspension direct laryngoscopy for removal of foreign body under anesthesia this a.m. Airway precautions were instituted. The patient currently remained in stable condition. | null | 27,049.917698 | sonnet-4_5-20251217-142420 | 0.0027 | 2,115 | 4,628 | 6,743 | 0.0208 | sonnet-4_5 | null | 1,198 | 950 | 2,148 | 0.958333 | 0 | sonnet-4_5-mtsamples_procedures | 0.11611 | completed | default | 44,585.835934 |
mtsamples_procedures | null | 71 | The patient is a 58-year-old black male with chronic renal failure. He undergoes dialysis through the left forearm bridge fistula and has small pseudoaneurysms at the needle puncture sites level. There is narrowing at the distal anastomosis due to intimal hypoplasia and the vein beyond it was of good quality.OPERATIVE ... | null | 32,786.370993 | sonnet-4_5-20251217-142420 | 0.0033 | 3,110 | 4,815 | 7,925 | 0.0234 | sonnet-4_5 | null | 1,507 | 273 | 1,780 | 0.541667 | 0 | sonnet-4_5-mtsamples_procedures | 0.076771 | completed | default | 63,438.635349 |
mtsamples_procedures | null | 72 | Include purulent material from the abscess located in the plantar aspect of the foot between the third and fourth metatarsal heads. | null | 26,856.823683 | sonnet-4_5-20251217-142420 | 0.0028 | 2,737 | 3,433 | 6,170 | 0.0195 | sonnet-4_5 | null | 1,253 | 231 | 1,484 | 0.958333 | 0 | sonnet-4_5-mtsamples_procedures | 0.127077 | completed | default | 54,918.413639 |
mtsamples_procedures | null | 73 | The patient will follow up as needed for problems related to gastrostomy. We will see her when she comes in the hospital for endoscopic exams and possibly laryngotracheoplasty in the future. | null | 24,210.561752 | sonnet-4_5-20251217-142420 | 0.0021 | 1,396 | 3,730 | 5,126 | 0.0169 | sonnet-4_5 | null | 1,003 | 609 | 1,612 | 1 | 0 | sonnet-4_5-mtsamples_procedures | 0.057459 | completed | default | 40,132.408857 |
mtsamples_procedures | null | 74 | During the examination under anesthesia, the biopsy sites were visible and a slightly pigmented irregular area of epithelium was seen near the clitoris. No other obvious lesions were seen. The room was darkened and a Woods lamp was used to inspect the epithelium. A marking pen was used to outline all pigmented areas, w... | null | 29,516.72864 | sonnet-4_5-20251217-142420 | 0.0028 | 2,344 | 4,086 | 6,430 | 0.0209 | sonnet-4_5 | null | 1,343 | 256 | 1,599 | 0.666667 | 0 | sonnet-4_5-mtsamples_procedures | 0.108719 | completed | default | 54,523.885965 |
mtsamples_procedures | null | 75 | Absent left adnexa. Right ovary about 6 cm with chocolate cyst and severely adherent to the right pelvic side wall, uterus, and colon. Careful dissection to free right ovary and remove it although it is likely that some ovarian tissue remains behind. Ureter visualized and palpated on right and appears normal. Indigo ca... | null | 33,662.979364 | sonnet-4_5-20251217-142420 | 0.0041 | 4,153 | 5,051 | 9,204 | 0.0247 | sonnet-4_5 | null | 1,570 | 398 | 1,968 | 0.791667 | 0 | sonnet-4_5-mtsamples_procedures | 0.162601 | completed | default | 73,936.228991 |
mtsamples_procedures | null | 76 | Examination under anesthesia revealed a small uterus with no nodularity. During the laparotomy, the uterus was small, mobile, and did not show any evidence of extrauterine spread of disease. Other abdominal viscera, including the diaphragm, liver, spleen, omentum, small and large bowel, and peritoneal surfaces, were pa... | null | 26,491.948605 | sonnet-4_5-20251217-142420 | 0.0028 | 2,451 | 4,229 | 6,680 | 0.0195 | sonnet-4_5 | null | 1,237 | 313 | 1,550 | 0.75 | 0 | sonnet-4_5-mtsamples_procedures | 0.119686 | completed | default | 50,145.982742 |
mtsamples_procedures | null | 77 | The patient had a history of a rapidly growing mass on the abdomen, extending from the pelvis over the past two to three months. She had a recent D&C and laparoscopy, and enlarged mass was noted and could not be determined if it was from the ovary or the uterus. Curettings were negative for malignancy. The patient did ... | null | 26,580.164671 | sonnet-4_5-20251217-142420 | 0.0022 | 1,567 | 3,388 | 4,955 | 0.0172 | sonnet-4_5 | null | 1,080 | 335 | 1,415 | 0.958333 | 0 | sonnet-4_5-mtsamples_procedures | 0.108242 | completed | default | 39,218.292475 |
mtsamples_procedures | null | 78 | On bimanual exam, the uterus was found to be slightly enlarged and anteverted. The external genitalia was normal. Hysteroscopic findings revealed both ostia well visualized and a large polyp on the anterolateral wall of the endometrium. Laparoscopic findings revealed a normal-appearing uterus and normal left ovary. The... | null | 27,851.943493 | sonnet-4_5-20251217-142420 | 0.0028 | 1,677 | 5,206 | 6,883 | 0.0212 | sonnet-4_5 | null | 1,330 | 400 | 1,730 | 0.875 | 0 | sonnet-4_5-mtsamples_procedures | 0.085592 | completed | default | 44,441.456079 |
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