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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
mtsamples_procedures | null | 79 | The patient had a very thin patent processus vaginalis leading to a rather sizeable hydrocele sac in the left hemiscrotum. We probably drained around 10 to 15 mL of fluid from the hydrocele sac. The processus vaginalis was clearly seen back to the peritoneal reflection where a high ligation was successfully performed. ... | null | 28,993.171692 | sonnet-4_5-20251217-142420 | 0.0032 | 2,966 | 4,399 | 7,365 | 0.0203 | sonnet-4_5 | null | 1,289 | 311 | 1,600 | 0.708333 | 0 | sonnet-4_5-mtsamples_procedures | 0.07391 | completed | default | 57,638.708353 |
mtsamples_procedures | null | 80 | Ms. ABC is doing relatively well status post L4 and L5 laminectomy and bilateral foraminotomies, and posterior spinal fusion with instrumentation on 07/08/07. The case is significant for merely misdirected right L4 pedicle screw, which was reoriented with subsequent resolution of symptoms.I am uncertain with regard to ... | null | 35,557.999611 | sonnet-4_5-20251217-142420 | 0.0036 | 2,877 | 5,417 | 8,294 | 0.026 | sonnet-4_5 | null | 1,556 | 872 | 2,428 | 0.708333 | 0 | sonnet-4_5-mtsamples_procedures | 0.108004 | completed | default | 61,836.735725 |
mtsamples_procedures | null | 81 | Stenosis. | null | 20,035.283566 | sonnet-4_5-20251217-142420 | 0.0022 | 2,264 | 2,624 | 4,888 | 0.0136 | sonnet-4_5 | null | 876 | 157 | 1,033 | 0.958333 | 0 | sonnet-4_5-mtsamples_procedures | 0.129223 | completed | default | 42,738.998175 |
mtsamples_procedures | null | 82 | During the laparoscopy, the uterus was noted to be upper limits of normal size, with a normal-appearing right fallopian tubes and ovaries. No ascites was present. On assessment of the upper abdomen, the stomach, diaphragm, liver, gallbladder, spleen, omentum, and peritoneal surfaces of the bowel, were all unremarkable ... | null | 19,104.017019 | sonnet-4_5-20251217-142420 | 0.0026 | 2,233 | 3,895 | 6,128 | 0.0134 | sonnet-4_5 | null | 833 | 288 | 1,121 | 0.666667 | 0 | sonnet-4_5-mtsamples_procedures | 0.169992 | completed | default | 41,263.239145 |
mtsamples_procedures | null | 83 | Slightly enlarged but otherwise normal-appearing uterus. Normal-appearing adnexa bilaterally.OPERATIVE PROCEDURE IN DETAIL: After administration of general anesthesia the patient was placed in dorsal lithotomy position, prepped and draped in the usual sterile fashion. Uterine manipulator was inserted as well as a Fole... | null | 25,897.686243 | sonnet-4_5-20251217-142420 | 0.0028 | 2,339 | 4,243 | 6,582 | 0.0177 | sonnet-4_5 | null | 1,129 | 246 | 1,375 | 0.958333 | 0 | sonnet-4_5-mtsamples_procedures | 0.13423 | completed | default | 52,013.513803 |
mtsamples_procedures | null | 84 | The labia and perineum were within normal limits. The hymen was found to be intact. Laparoscopic findings revealed a 4 cm left adnexal mass, which appeared fluid filled. There were a few calcifications on the surface of the mass. The right ovary and fallopian tube appeared normal. There was no evidence of endometriosis... | null | 18,880.347967 | sonnet-4_5-20251217-142420 | 0.0023 | 1,732 | 3,616 | 5,348 | 0.0114 | sonnet-4_5 | null | 716 | 220 | 936 | 0.875 | 0 | sonnet-4_5-mtsamples_procedures | 0.143528 | completed | default | 37,250.148058 |
mtsamples_procedures | null | 85 | We will have the patient return to the hospital tomorrow at 10 a.m. for the replacement of his right nephrostomy tube by Dr. X. The patient was asked to return in the emergency room sooner if he should develop any new problems or concerns. | null | 24,048.576117 | sonnet-4_5-20251217-142420 | 0.0025 | 1,516 | 4,918 | 6,434 | 0.0196 | sonnet-4_5 | null | 1,077 | 1,151 | 2,228 | 0.958333 | 0 | sonnet-4_5-mtsamples_procedures | 0.114918 | completed | default | 35,673.455477 |
mtsamples_procedures | null | 86 | A viable female infant weighing 7 pounds 10 ounces, assigned Apgars of 9 and 9. There was normal pelvic anatomy, normal tubes. The placenta was normal in appearance with a three-vessel cord.DESCRIPTION OF PROCEDURE: Patient was brought to the operating room with an IV running and a Foley catheter in place, satisfactory... | null | 26,068.551302 | sonnet-4_5-20251217-142420 | 0.0023 | 1,520 | 3,688 | 5,208 | 0.0173 | sonnet-4_5 | null | 1,109 | 230 | 1,339 | 0.666667 | 0 | sonnet-4_5-mtsamples_procedures | 0.124693 | completed | default | 37,531.773806 |
mtsamples_procedures | null | 87 | A viable male neonate in the left occiput transverse position with Apgars of 9 and 9 at 1 and 5 minutes respectively, weighing 3030 g. No nuchal cord. No meconium. Normal uterus, fallopian tubes, and ovaries.INDICATIONS: This patient is a 21-year-old gravida 3, para 1-0-1-1 Caucasian female who presented to Labor and ... | null | 29,763.61084 | sonnet-4_5-20251217-142420 | 0.0029 | 1,858 | 5,027 | 6,885 | 0.021 | sonnet-4_5 | null | 1,337 | 311 | 1,648 | 0.875 | 0 | sonnet-4_5-mtsamples_procedures | 0.408411 | completed | default | 44,867.665768 |
mtsamples_procedures | null | 88 | Normal appearing uterus, tubes, and ovaries. A viable male neonate with Apgars of 9 and 9 at 1 and 5 minutes respectively. Infant weight equaled to 4140 gm with clear amniotic fluid. The umbilical cord was wrapped around the leg tightly x1. Infant was in a vertex, right occiput anterior position.INDICATIONS FOR PROCEDU... | null | 28,656.681061 | sonnet-4_5-20251217-142420 | 0.0033 | 2,417 | 5,545 | 7,962 | 0.0218 | sonnet-4_5 | null | 1,390 | 307 | 1,697 | 0.875 | 0 | sonnet-4_5-mtsamples_procedures | 0.119925 | completed | default | 49,653.162479 |
mtsamples_procedures | null | 89 | Male infant, vertex position, very bright yellow amniotic fluid. Apgars 7 and 8 at 1 and 5 minutes respectively. Weight pending at this time. His name is Kasson as well as umbilical cord and placenta stained yellow. Otherwise normal appearing uterus and bilateral tubes and ovaries.DESCRIPTION OF OPERATION: After inform... | null | 32,088.826895 | sonnet-4_5-20251217-142420 | 0.003 | 2,152 | 5,991 | 8,143 | 0.0221 | sonnet-4_5 | null | 1,404 | 357 | 1,761 | 0.833333 | 0 | sonnet-4_5-mtsamples_procedures | 0.08893 | completed | default | 55,697.220325 |
mtsamples_procedures | null | 90 | Female infant in cephalic presentation, OP position, weight 9 pounds 8 ounces. Apgars were 9 at 1 minute and 9 at 5 minutes. Normal uterus, tubes, and ovaries were noted.INDICATIONS: The patient is a 20-year-old gravida 1, para 0 female, who presented to labor and delivery in early active labor at 40 and 6/7 weeks gest... | null | 30,637.837887 | sonnet-4_5-20251217-142420 | 0.0026 | 1,748 | 3,838 | 5,586 | 0.0224 | sonnet-4_5 | null | 1,457 | 169 | 1,626 | 0.875 | 0 | sonnet-4_5-mtsamples_procedures | 0.16427 | completed | default | 48,266.559839 |
mtsamples_procedures | null | 91 | Following the completion of this procedure, the patient underwent monitoring in the recovery room and was discharged, to be followed as an outpatient. | null | 27,859.642267 | sonnet-4_5-20251217-142420 | 0.0024 | 1,770 | 4,121 | 5,891 | 0.0214 | sonnet-4_5 | null | 1,314 | 577 | 1,891 | 0.833333 | 0 | sonnet-4_5-mtsamples_procedures | 0.079393 | completed | default | 41,562.3281 |
mtsamples_procedures | null | 92 | Extruded nucleus pulposus at the level of L5-S1.HISTORY: 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 previ... | null | 26,752.785444 | sonnet-4_5-20251217-142420 | 0.0032 | 3,198 | 3,826 | 7,024 | 0.0195 | sonnet-4_5 | null | 1,248 | 273 | 1,521 | 0.708333 | 0 | sonnet-4_5-mtsamples_procedures | 0.114441 | completed | default | 59,052.666903 |
mtsamples_procedures | null | 93 | A very tight high-grade stenosis at L3-L4, L4-L5, and L5-S1. There were adhesions between the dura and the ligamentum flavum owing to the severity and length of the stenosis. | null | 42,459.087372 | sonnet-4_5-20251217-142420 | 0.0041 | 3,820 | 6,326 | 10,146 | 0.0325 | sonnet-4_5 | null | 1,908 | 1,298 | 3,206 | 0.916667 | 0 | sonnet-4_5-mtsamples_procedures | 0.193119 | completed | default | 79,615.368128 |
mtsamples_procedures | null | 94 | The patient is a pleasant and cooperative woman who answers the questions the best she can and has difficulty moving her left arm and hand. She also has pain in her left arm and hand at a level of 8-9/10.VITAL SIGNS: Blood pressure 126/88, heart rate 70, respiratory rate 16, and weight 95 pounds. | null | 26,495.67008 | sonnet-4_5-20251217-142420 | 0.0024 | 1,837 | 3,691 | 5,528 | 0.0186 | sonnet-4_5 | null | 1,165 | 389 | 1,554 | 0.75 | 0 | sonnet-4_5-mtsamples_procedures | 0.183821 | completed | default | 41,226.657867 |
mtsamples_procedures | null | 95 | Right pleural effusion, firm nodules, diffuse scattered throughout the right pleura and diaphragmatic surface. | null | 26,906.12936 | sonnet-4_5-20251217-142420 | 0.0024 | 1,749 | 3,323 | 5,072 | 0.0207 | sonnet-4_5 | null | 1,346 | 166 | 1,512 | 0.708333 | 0 | sonnet-4_5-mtsamples_procedures | 0.090122 | completed | default | 40,976.441622 |
mtsamples_procedures | null | 96 | Right lower lobe lung mass invading diaphragm and liver.PROCEDURES:1. Right thoracotomy.2. Right lower lobectomy with en bloc resection of diaphragm and portion of liver. | null | 26,870.365381 | sonnet-4_5-20251217-142420 | 0.0025 | 2,095 | 3,116 | 5,211 | 0.0191 | sonnet-4_5 | null | 1,250 | 115 | 1,365 | 0.958333 | 0 | sonnet-4_5-mtsamples_procedures | 0.10848 | completed | default | 46,222.407341 |
mtsamples_procedures | null | 97 | The patient consented to revision surgery because of the profound hearing loss in her right ear. It was unclear from her previous operative records and CT scan as to whether or not she was a reconstruction candidate. She had reports of stapes fixation as well as otosclerosis on her CT scan.At surgery, she was found to ... | null | 25,065.536976 | sonnet-4_5-20251217-142420 | 0.0032 | 3,175 | 3,940 | 7,115 | 0.0154 | sonnet-4_5 | null | 995 | 158 | 1,153 | 0.625 | 0 | sonnet-4_5-mtsamples_procedures | 0.115156 | completed | default | 55,302.304506 |
mtsamples_procedures | null | 98 | The patient is an 8-year-old white female with chronic eustachian tube dysfunction and TM atelectasis, was taken to the operating room for tubes. At the time of surgery, she has had an extruding right Santa Barbara T-tube and severe left TM atelectasis with retraction. There was a scant amount of fluid in both middle e... | null | 25,407.659054 | sonnet-4_5-20251217-142420 | 0.0026 | 2,594 | 2,978 | 5,572 | 0.0154 | sonnet-4_5 | null | 995 | 163 | 1,158 | 0.833333 | 0 | sonnet-4_5-mtsamples_procedures | 0.129461 | completed | default | 50,750.255346 |
mtsamples_procedures | null | 99 | This 53-year-old Caucasian female who had a nonpalpable neoplasm detected by mammography in the right breast. After excision of neoplasm, there was a separate 1 x 2 cm nodule palpated within the cavity. This too was excised. | null | 27,881.737709 | sonnet-4_5-20251217-142420 | 0.0024 | 2,172 | 3,236 | 5,408 | 0.0186 | sonnet-4_5 | null | 1,209 | 169 | 1,378 | 0.791667 | 0 | sonnet-4_5-mtsamples_procedures | 0.053406 | completed | default | 52,085.580349 |
mtsamples_procedures | null | 100 | After wound exploration, it was found there was a 100% laceration to the ulnar digital neurovascular bundle. The FDS had a partial ulnar slip laceration and the FDP had a 25% transverse laceration as well. The radial neurovascular bundle was found to be completely intact.OPERATIVE PROCEDURE: The patient was taken to th... | null | 32,184.101582 | sonnet-4_5-20251217-142420 | 0.003 | 1,782 | 4,941 | 6,723 | 0.0215 | sonnet-4_5 | null | 1,356 | 385 | 1,741 | 0.833333 | 0 | sonnet-4_5-mtsamples_procedures | 0.055552 | completed | default | 49,255.52702 |
mtsamples_procedures | null | 101 | The patient in the operating room, status post transforaminal epidurogram (see operative note for further details). Using AP and lateral fluoroscopic views to confirm the needle location the superior most being in the left L4 neural foramen and the inferior most in the left L5 neural foramen, 375 units of Wydase was in... | null | 20,715.358257 | sonnet-4_5-20251217-142420 | 0.0033 | 3,885 | 3,117 | 7,002 | 0.0151 | sonnet-4_5 | null | 955 | 249 | 1,204 | 0.5 | 0 | sonnet-4_5-mtsamples_procedures | 0.120401 | completed | default | 57,746.001959 |
mtsamples_procedures | null | 102 | Large patent ductus arteriosus with evidence of pulmonary over circulation. After completion of the procedure, left recurrent laryngeal nerve visualized and preserved. Substantial rise in diastolic blood pressure.DETAILS OF THE PROCEDURE: After obtaining information consent, the patient was positioned in the neonatal ... | null | 27,405.350447 | sonnet-4_5-20251217-142420 | 0.0029 | 2,299 | 4,070 | 6,369 | 0.0196 | sonnet-4_5 | null | 1,254 | 274 | 1,528 | 0.666667 | 0 | sonnet-4_5-mtsamples_procedures | 0.10705 | completed | default | 49,553.998947 |
mtsamples_procedures | null | 103 | There was a transabdominal mass palpable in the lower left quadrant. An ultrasound suggestive with a mass of 8 cm, did not respond to suppression with norethindrone acetate and on repeat ultrasound following the medical treatment, the ovarian neoplasm persisted and did not decreased in size. | null | 19,959.064245 | sonnet-4_5-20251217-142420 | 0.0025 | 2,481 | 2,790 | 5,271 | 0.0139 | sonnet-4_5 | null | 882 | 207 | 1,089 | 0.791667 | 0 | sonnet-4_5-mtsamples_procedures | 0.17786 | completed | default | 44,994.725704 |
mtsamples_procedures | null | 104 | I will heparin lock her IV, advance her diet, and ambulate her. I have asked her to increase her prednisone when she goes home. She will double her regular dose for the next five days. I will advance her diet. I will continue to monitor her calcium levels throughout the day. If they stabilize, I am hopeful that she wil... | null | 24,317.139626 | sonnet-4_5-20251217-142420 | 0.0027 | 2,754 | 3,392 | 6,146 | 0.0169 | sonnet-4_5 | null | 1,073 | 265 | 1,338 | 0.875 | 0 | sonnet-4_5-mtsamples_procedures | 0.058413 | completed | default | 52,079.261065 |
mtsamples_procedures | null | 105 | During the examination under anesthesia, the cervix was noted to be healing well from recent cone biopsy and no nodularity was noted in the supporting ligaments. During the exploratory laparotomy, there was no evidence of disease extension into the broad ligament or bladder flap. There was no evidence of intraperitonea... | null | 28,296.482325 | sonnet-4_5-20251217-142420 | 0.0032 | 2,662 | 4,822 | 7,484 | 0.0198 | sonnet-4_5 | null | 1,267 | 269 | 1,536 | 0.708333 | 0 | sonnet-4_5-mtsamples_procedures | 0.065327 | completed | default | 48,803.575516 |
mtsamples_procedures | null | 106 | The examination under anesthesia revealed a 1.5 cm nodule of disease extending slightly above the hymeneal ring. There was no palpable lymphadenopathy in either inguinal node region. There were no other nodules, ulcerations, or other lesions. At the completion of the procedure there was no clinical evidence of residual... | null | 30,539.450169 | sonnet-4_5-20251217-142420 | 0.0032 | 2,959 | 4,617 | 7,576 | 0.0194 | sonnet-4_5 | null | 1,239 | 285 | 1,524 | 0.666667 | 0 | sonnet-4_5-mtsamples_procedures | 0.087738 | completed | default | 67,161.127329 |
mtsamples_procedures | null | 107 | Male infant in cephalic presentation with anteflexed head, Apgars were 2 at 1 minute and 9 at 5 minutes, 9 at 10 minutes, and weight 7 pounds 8 ounces. Normal uterus, tubes, and ovaries were noted.INDICATIONS: The patient is a 31-year-old gravida 5, para 4 female, who presented to repeat cesarean section at term. The p... | null | 26,148.481369 | sonnet-4_5-20251217-142420 | 0.0039 | 4,055 | 4,672 | 8,727 | 0.0174 | sonnet-4_5 | null | 1,110 | 246 | 1,356 | 0.875 | 0 | sonnet-4_5-mtsamples_procedures | 0.121355 | completed | default | 62,054.208279 |
mtsamples_procedures | null | 108 | Radical resection with frozen sections to clear margins thereafter, with planned reconstruction.CONSENT: I have discussed with the patient the possible risks of bleeding, infection, renal problems, scar formation, injury to muscle, nerves, and possible need for additional surgery with possible recurrence of the patient... | null | 32,399.202585 | sonnet-4_5-20251217-142420 | 0.0025 | 1,608 | 4,286 | 5,894 | 0.0233 | sonnet-4_5 | null | 1,495 | 288 | 1,783 | 0.875 | 0 | sonnet-4_5-mtsamples_procedures | 0.074625 | completed | default | 48,192.33942 |
mtsamples_procedures | null | 109 | The patient was taken to the operating room and placed in supine position. Following induction of adequate general endotracheal anesthesia, the left nose was decongested with Afrin. He was prepped and draped in standard fashion. The left nasal cavity was examined by anterior rhinoscopy. The septum was midline. There wa... | null | 26,273.269415 | sonnet-4_5-20251217-142420 | 0.0027 | 2,093 | 4,671 | 6,764 | 0.0199 | sonnet-4_5 | null | 1,257 | 359 | 1,616 | 0.625 | 0 | sonnet-4_5-mtsamples_procedures | 0.102997 | completed | default | 44,890.11097 |
mtsamples_procedures | null | 110 | On bimanual exam, the uterus is small, anteverted, and freely mobile. There are no adnexal masses appreciated. On laparoscopic exam, the uterus, bilateral tubes and ovaries appeared normal. The liver margin and bowel appeared normal. | null | 25,046.086788 | sonnet-4_5-20251217-142420 | 0.0028 | 2,621 | 3,250 | 5,871 | 0.0172 | sonnet-4_5 | null | 1,094 | 259 | 1,353 | 0.625 | 0 | sonnet-4_5-mtsamples_procedures | 0.127077 | completed | default | 46,251.180172 |
mtsamples_procedures | null | 111 | Horizontal pulmonary venous confluence with right upper and middle with two veins entering the confluence on the right and multiple entry sites for left-sided veins. Large patulous anastomosis between posterior aspect of the left atrium and anterior aspect of the pulmonary venous confluence. Nonobstructed ascending vei... | null | 34,773.087263 | sonnet-4_5-20251217-142420 | 0.0032 | 1,578 | 6,149 | 7,727 | 0.0254 | sonnet-4_5 | null | 1,619 | 378 | 1,997 | 0.791667 | 0 | sonnet-4_5-mtsamples_procedures | 0.099897 | completed | default | 45,793.740034 |
mtsamples_procedures | null | 112 | Include that of significantly deviated septum with postoperative changes and a significant septal spur along the floor. There is also evidence of bilateral internal as well as external nasal valve collapse.INDICATIONS: The patient is a pleasant 49-year-old gentleman who had undergone a previous septorhinoplasty after s... | null | 19,431.027174 | sonnet-4_5-20251217-142420 | 0.0035 | 3,213 | 4,892 | 8,105 | 0.0138 | sonnet-4_5 | null | 862 | 291 | 1,153 | 0.791667 | 0 | sonnet-4_5-mtsamples_procedures | 0.119448 | completed | default | 45,659.780502 |
mtsamples_procedures | null | 113 | 1. The patient had a marked dorsal hump, which was both bony and cartilaginous in nature.2. The patient had marked hypertrophy of his nasalis muscle bilaterally contributing to the soft tissue dorsal hump.3. The patient had a C-shaped deformity to the left before he had tip ptosis. | null | 22,749.558926 | sonnet-4_5-20251217-142420 | 0.003 | 3,216 | 3,228 | 6,444 | 0.0161 | sonnet-4_5 | null | 1,010 | 324 | 1,334 | 0.583333 | 0 | sonnet-4_5-mtsamples_procedures | 0.130892 | completed | default | 50,453.152418 |
mtsamples_procedures | null | 114 | On bimanual exam, the patient has approximately 15-week anteverted, mobile uterus with the cervix that is dilated to approximately 2 cm with multiple blood colts in the vagina. There was a large amount of tissue obtained on the procedure.PROCEDURE: The patient was taken to the operating room where a general anesthetic ... | null | 23,138.50379 | sonnet-4_5-20251217-142420 | 0.0036 | 3,645 | 3,672 | 7,317 | 0.0154 | sonnet-4_5 | null | 978 | 230 | 1,208 | 0.875 | 0 | sonnet-4_5-mtsamples_procedures | 0.128031 | completed | default | 63,845.526218 |
mtsamples_procedures | null | 115 | On exam, under anesthesia, an obese female with an enlarged fibroid uterus freely movable on the pelvis. Operative findings demonstrated the same with normal appearing tubes bilaterally. The right ovary contained a right ovarian cyst. The left ovary appeared to be within normal limits. The peritoneal surfaces were note... | null | 26,492.912054 | sonnet-4_5-20251217-142420 | 0.003 | 2,380 | 4,762 | 7,142 | 0.0183 | sonnet-4_5 | null | 1,176 | 221 | 1,397 | 0.833333 | 0 | sonnet-4_5-mtsamples_procedures | 0.063181 | completed | default | 45,541.063786 |
mtsamples_procedures | null | 116 | The patient has a complex history, which goes back about four months ago when she started having respiratory symptoms and one week ago she was admitted to another hospital with hemoptysis and on her evaluation there which included two CAT scans of chest she was found to have marked consolidation of the left lung with a... | null | 28,744.503975 | sonnet-4_5-20251217-142420 | 0.0034 | 3,301 | 4,031 | 7,332 | 0.0211 | sonnet-4_5 | null | 1,366 | 208 | 1,574 | 0.791667 | 0 | sonnet-4_5-mtsamples_procedures | 0.068188 | completed | default | 67,097.571135 |
mtsamples_procedures | null | 117 | An ulceration in the right lateral base of tongue region. This was completely excised. | null | 25,924.665213 | sonnet-4_5-20251217-142420 | 0.0034 | 3,931 | 3,116 | 7,047 | 0.0182 | sonnet-4_5 | null | 1,182 | 171 | 1,353 | 0.958333 | 0 | sonnet-4_5-mtsamples_procedures | 0.392914 | completed | default | 74,776.865244 |
mtsamples_procedures | null | 118 | The tonsils were 3+ enlarged and cryptic. | null | 28,505.453825 | sonnet-4_5-20251217-142420 | 0.0031 | 3,125 | 3,229 | 6,354 | 0.0183 | sonnet-4_5 | null | 1,181 | 188 | 1,369 | 0.75 | 0 | sonnet-4_5-mtsamples_procedures | 0.315666 | completed | default | 62,500.47636 |
mtsamples_procedures | null | 119 | A 4+/4+ cryptic and hypertrophic tonsils with 2+/3+ hypertrophic adenoid pads. | null | 26,163.295507 | sonnet-4_5-20251217-142420 | 0.0033 | 3,485 | 3,296 | 6,781 | 0.0188 | sonnet-4_5 | null | 1,214 | 192 | 1,406 | 0.75 | 0 | sonnet-4_5-mtsamples_procedures | 0.120878 | completed | default | 54,524.188519 |
mtsamples_procedures | null | 120 | PAIN MANAGEMENT: The patient reports greatly increasing pain over the past several weeks. The patient now rates pain as 8/10. The reported pain is at L3-4 and L4-5.DESCRIPTION OF PROCEDURE: The patient was placed in the prone position on the radiolucent operating table. The lumbar area was prepped and draped in the app... | null | 29,322.734356 | sonnet-4_5-20251217-142420 | 0.0027 | 1,609 | 4,810 | 6,419 | 0.0212 | sonnet-4_5 | null | 1,326 | 430 | 1,756 | 0.458333 | 0 | sonnet-4_5-mtsamples_procedures | 0.110865 | completed | default | 40,498.387098 |
mtsamples_procedures | null | 121 | This 65-year-old female on exam was noted to have dimpling and puckering of the skin associated with nipple discharge. On exam, she has a noticeable carcinoma of the left breast with dimpling, puckering, and erosion through the skin. At this time, a true cut needle biopsy was performed.PROCEDURE: The patient was taken... | null | 26,444.188118 | sonnet-4_5-20251217-142420 | 0.0022 | 1,346 | 3,590 | 4,936 | 0.0195 | sonnet-4_5 | null | 1,262 | 184 | 1,446 | 0.5 | 0 | sonnet-4_5-mtsamples_procedures | 0.064373 | completed | default | 38,672.262192 |
mtsamples_procedures | null | 122 | Normal appearing uterus and adnexa bilaterally.DESCRIPTION OF PROCEDURE: After administration of general anesthesia, the patient was placed in the dorsal lithotomy position, and prepped and draped in the usual sterile fashion. The speculum was placed in the vagina, the cervix was grasped with the tenaculum, and a uter... | null | 24,097.290277 | sonnet-4_5-20251217-142420 | 0.0034 | 3,474 | 3,779 | 7,253 | 0.0169 | sonnet-4_5 | null | 1,076 | 239 | 1,315 | 0.875 | 0 | sonnet-4_5-mtsamples_procedures | 0.167131 | completed | default | 51,614.575624 |
mtsamples_procedures | null | 123 | There is an extremely large canal cholesteatoma, which eroded most of the posterior and superior canal wall. There was a significant amount of myringosclerosis and tympanosclerosis. There is some mild erosion of the lenticular process of the incus. The facial nerve was normal. We removed the incus, removed the head of ... | null | 23,574.968815 | sonnet-4_5-20251217-142420 | 0.0026 | 1,660 | 4,558 | 6,218 | 0.0157 | sonnet-4_5 | null | 1,015 | 172 | 1,187 | 0.833333 | 0 | sonnet-4_5-mtsamples_procedures | 0.115871 | completed | default | 39,353.804827 |
mtsamples_procedures | null | 124 | Comparison is made to study from Month DD, YYYY. There is a left lower quadrant ostomy. There are no dilated bowel loops suggesting obstruction. There is a double-J right ureteral stent, which appears in place. There are several pelvic calcifications, which are likely vascular. No definite pathologic calcifications are... | null | 18,417.598963 | sonnet-4_5-20251217-142420 | 0.002 | 1,537 | 2,606 | 4,143 | 0.0122 | sonnet-4_5 | null | 796 | 92 | 888 | 0.416667 | 0 | sonnet-4_5-mtsamples_procedures | 0.057459 | completed | default | 30,269.658089 |
mtsamples_procedures | null | 125 | A single live intrauterine gestation in the cephalic presentation, fetal heart rate is measured 147 beats per minute. Placenta is located posteriorly, grade 0 without previa. Cervical length is 4.2 cm. There is normal amniotic fluid index of 12.2 cm. There is a 4-chamber heart. There is spontaneous body/limb motion. Th... | null | 17,122.964859 | sonnet-4_5-20251217-142420 | 0.0021 | 1,704 | 2,680 | 4,384 | 0.012 | sonnet-4_5 | null | 777 | 115 | 892 | 0.333333 | 0 | sonnet-4_5-mtsamples_procedures | 0.061512 | completed | default | 32,541.333199 |
mtsamples_procedures | null | 126 | The uterus measures 8.6 x 4.4 x 5.4 cm and contains a gestational sac with double decidual sac sign. A yolk sac is visualized. What appears to represent a crown-rump length measures 3.3 mm for an estimated sonographic age of 6 weeks 0 days and estimated date of delivery of 09/28/09.Please note however that no fetal hea... | null | 21,327.284575 | sonnet-4_5-20251217-142420 | 0.0024 | 1,698 | 3,216 | 4,914 | 0.0161 | sonnet-4_5 | null | 1,046 | 122 | 1,168 | 0.375 | 0 | sonnet-4_5-mtsamples_procedures | 0.131845 | completed | default | 33,349.344254 |
mtsamples_procedures | null | 127 | In summary, the patient is a (XX)-year-old man with a left popliteal and calf vein deep venous thrombosis, most likely due to immobilization of the left leg due to a foot fracture and casting. Based on his physical exam, he does not have a significant venous outflow obstruction since there is minimal to no swelling at ... | null | 14,690.219879 | sonnet-4_5-20251217-142420 | 0.002 | 1,097 | 2,909 | 4,006 | 0.0098 | sonnet-4_5 | null | 567 | 419 | 986 | 1 | 0 | sonnet-4_5-mtsamples_procedures | 0.061989 | completed | default | 22,290.985107 |
mtsamples_procedures | null | 128 | We discussed the treatment options again. We discussed stab phlebectomy as the best option. We think these are too many and too large for sclerotherapy. | null | 11,751.707554 | sonnet-4_5-20251217-142420 | 0.0021 | 1,847 | 2,314 | 4,161 | 0.0086 | sonnet-4_5 | null | 518 | 288 | 806 | 0.958333 | 0 | sonnet-4_5-mtsamples_procedures | 0.127792 | completed | default | 31,839.030981 |
mtsamples_procedures | null | 129 | The patient is doing well and stable. He is instructed for a dry dressing to this area, of the left foot transmetatarsal amputation site for protection. He does have a followup appointment at which time he will have noninvasive vascular study repeated. He does not need to follow up until this point, unless he has any p... | null | 12,778.139353 | sonnet-4_5-20251217-142420 | 0.0023 | 2,354 | 2,453 | 4,807 | 0.0088 | sonnet-4_5 | null | 527 | 297 | 824 | 0.916667 | 0 | sonnet-4_5-mtsamples_procedures | 0.057936 | completed | default | 38,901.025772 |
mtsamples_procedures | null | 130 | In summary, the patient has right greater saphenous venous valvular incompetence. We have recommended a right greater saphenous vein stripping and ligation to lower his risk of recurrent venous ulceration. We have gone over the risks of the procedure in detail with him. He has signed a consent form today. His operation... | null | 11,808.404922 | sonnet-4_5-20251217-142420 | 0.002 | 1,658 | 2,595 | 4,253 | 0.0088 | sonnet-4_5 | null | 512 | 383 | 895 | 0.875 | 0 | sonnet-4_5-mtsamples_procedures | 0.098467 | completed | default | 28,138.323545 |
mtsamples_replicate | null | 0 | Diagnostic & Lab Orders: Ordered blood lead. | null | 34,119.322062 | sonnet-4_5-20251217-142420 | 0.0025 | 1,653 | 5,007 | 6,660 | 0.0247 | sonnet-4_5 | null | 1,454 | 969 | 2,423 | 0.791667 | 0 | sonnet-4_5-mtsamples_replicate | 0.067234 | completed | default | 54,131.41799 |
mtsamples_replicate | null | 1 | Plan was to admit to bronchiolitis pathway, and ciprofloxacin for right otitis externa eardrops twice daily. | null | 151,940.977812 | sonnet-4_5-20251217-142420 | 0.0034 | 1,754 | 4,590 | 6,344 | 0.0209 | sonnet-4_5 | null | 1,202 | 952 | 2,154 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.212669 | completed | default | 172,100.971699 |
mtsamples_replicate | null | 2 | 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 | 27,099.341393 | sonnet-4_5-20251217-142420 | 0.0022 | 1,153 | 4,114 | 5,267 | 0.0181 | sonnet-4_5 | null | 1,104 | 512 | 1,616 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.166893 | completed | default | 39,982.911825 |
mtsamples_replicate | null | 3 | The patient was found to have an abscess that went down to the level of the fascia. The anterior layer of the fascia was fibrinous and some portions necrotic. This was excisionally debrided using the Bovie cautery, and there were multiple pieces of suture within the wound and these were removed as well.TECHNIQUE: Patie... | null | 20,587.98027 | sonnet-4_5-20251217-142420 | 0.0027 | 1,506 | 4,175 | 5,681 | 0.0158 | sonnet-4_5 | null | 919 | 664 | 1,583 | 0.875 | 0 | sonnet-4_5-mtsamples_replicate | 0.123739 | completed | default | 35,325.68121 |
mtsamples_replicate | null | 4 | The patient's abdomen was relatively soft, minimally distended. Exploration through supraumbilical transverse incision immediately revealed a large amount of chylous ascites upon entering into the peritoneal cavity. What we found which explains the chronic chylous ascites and chylothorax was a diffuse lymphangiectatic ... | null | 24,554.357529 | sonnet-4_5-20251217-142420 | 0.0032 | 1,424 | 6,656 | 8,080 | 0.0202 | sonnet-4_5 | null | 1,063 | 1,409 | 2,472 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.166893 | completed | default | 37,696.938515 |
mtsamples_replicate | null | 5 | A 71-year-old female with greater than one-week history of abdominal pain now more localized to the left lower quadrant. Currently is a nonacute abdomen. The working diagnosis would be sigmoid diverticulitis. She does have a history in the distant past of sigmoid diverticulitis. I would recommend a repeat stat CT scan ... | null | 26,680.763483 | sonnet-4_5-20251217-142420 | 0.0029 | 1,589 | 4,628 | 6,217 | 0.0206 | sonnet-4_5 | null | 1,217 | 798 | 2,015 | 0.791667 | 0 | sonnet-4_5-mtsamples_replicate | 0.170231 | completed | default | 50,240.275621 |
mtsamples_replicate | null | 6 | 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 | 19,049.053192 | sonnet-4_5-20251217-142420 | 0.0025 | 1,426 | 4,100 | 5,526 | 0.0145 | sonnet-4_5 | null | 826 | 706 | 1,532 | 0.875 | 0 | sonnet-4_5-mtsamples_replicate | 0.063658 | completed | default | 35,953.00436 |
mtsamples_replicate | null | 7 | Three years old male with accidental ingestion of Celesta. Discharged home with parents, with a followup in the morning with his primary care physician. | null | 21,501.794815 | sonnet-4_5-20251217-142420 | 0.003 | 2,807 | 3,743 | 6,550 | 0.0158 | sonnet-4_5 | null | 906 | 722 | 1,628 | 0.958333 | 0 | sonnet-4_5-mtsamples_replicate | 0.169992 | completed | default | 53,980.283976 |
mtsamples_replicate | null | 8 | The patient will be discharged on the day of surgery. He may weightbear as tolerated in his cast, which he will have for about 4 to 6 weeks. He is to follow up in approximately 10 days for recheck as well as prescription for intended AFOs, which he will need up to 6 months. The patient may or may not need physical ther... | null | 28,016.234398 | sonnet-4_5-20251217-142420 | 0.0027 | 1,679 | 4,580 | 6,259 | 0.0205 | sonnet-4_5 | null | 1,206 | 812 | 2,018 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.071287 | completed | default | 44,552.590609 |
mtsamples_replicate | null | 9 | Recommended treatment is antibiotic therapy. Patient received extensive counseling about acne. She understands acne treatment is usually long-term. Return to clinic in 4 week (s).PATIENT INSTRUCTIONS: Patient received literature regarding acne vulgaris. Discussed with the patient the prescription for Tetracycline and h... | null | 26,438.755274 | sonnet-4_5-20251217-142420 | 0.0029 | 2,145 | 4,116 | 6,261 | 0.0194 | sonnet-4_5 | null | 1,169 | 625 | 1,794 | 0.791667 | 0 | sonnet-4_5-mtsamples_replicate | 0.123739 | completed | default | 48,342.947721 |
mtsamples_replicate | null | 10 | This is a 45-year-old woman with history as noted above.1. Acquired hypothyroidism, status post total thyroidectomy for papillary carcinoma in 1992.2. Plan to continue following thyroglobulin levels.3. Plan to obtain a free T4, TSH, and thyroglobulin levels today.4. Have the patient call the clinic next week for follow... | null | 23,974.24078 | sonnet-4_5-20251217-142420 | 0.003 | 2,605 | 4,361 | 6,966 | 0.0179 | sonnet-4_5 | null | 1,034 | 812 | 1,846 | 1 | 0 | sonnet-4_5-mtsamples_replicate | 0.169516 | completed | default | 50,761.132002 |
mtsamples_replicate | null | 11 | Endocrinology Consult, complete CBC. | null | 32,447.910786 | sonnet-4_5-20251217-142420 | 0.0043 | 4,618 | 4,510 | 9,128 | 0.0252 | sonnet-4_5 | null | 1,551 | 644 | 2,195 | 0.625 | 0 | sonnet-4_5-mtsamples_replicate | 0.236034 | completed | default | 76,451.142073 |
mtsamples_replicate | null | 12 | Patient admitted to Coronary Care Unit under the care of Dr. ABC. | null | 37,341.879368 | sonnet-4_5-20251217-142420 | 0.0036 | 2,001 | 6,297 | 8,298 | 0.0318 | sonnet-4_5 | null | 1,837 | 1,428 | 3,265 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.154018 | completed | default | 54,983.821869 |
mtsamples_replicate | null | 13 | 1. Nondiagnostic adenosine stress test.2. Nuclear interpretation as below. | null | 16,082.26037 | sonnet-4_5-20251217-142420 | 0.0022 | 1,474 | 2,877 | 4,351 | 0.0121 | sonnet-4_5 | null | 719 | 430 | 1,149 | 0.875 | 0 | sonnet-4_5-mtsamples_replicate | 0.141144 | completed | default | 27,435.975075 |
mtsamples_replicate | null | 14 | In terms of my plan, I will meet with the child in the next couple of weeks. I also asked the mother to bring the father in, so he could be involved in the treatment also, and I gave the mother a behavioral checklist to be completed by herself and the father as well as the teacher.DSM IV DIAGNOSES: AXIS I: Adjustment d... | null | 31,012.369156 | sonnet-4_5-20251217-142420 | 0.0023 | 1,337 | 4,180 | 5,517 | 0.0206 | sonnet-4_5 | null | 1,291 | 415 | 1,706 | 0.958333 | 0 | sonnet-4_5-mtsamples_replicate | 0.106335 | completed | default | 44,389.85014 |
mtsamples_replicate | null | 15 | He will be admitted and placed on IV antibiotics. We will get an ultrasound this morning. He will need his gallbladder out, probably with intraoperative cholangiogram. Hopefully, the stone will pass this way. Due to his anatomy, an ERCP would prove quite difficult if not impossible unless laparoscopic assisted. Dr. X w... | null | 29,566.825151 | sonnet-4_5-20251217-142420 | 0.0026 | 1,461 | 4,531 | 5,992 | 0.0233 | sonnet-4_5 | null | 1,426 | 637 | 2,063 | 1 | 0 | sonnet-4_5-mtsamples_replicate | 0.136375 | completed | default | 42,054.641485 |
mtsamples_replicate | null | 16 | I had a long discussion with the patient her husband. | null | 29,114.605665 | sonnet-4_5-20251217-142420 | 0.0028 | 1,198 | 5,616 | 6,814 | 0.0223 | sonnet-4_5 | null | 1,179 | 1,543 | 2,722 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.064135 | completed | default | 37,579.001665 |
mtsamples_replicate | null | 17 | At this time, I had reviewed the patient's records and it is not particularly enlightening as to what could have triggered off this episode. The patient herself has good vital signs. She does not seem to have any specific acute process going on and seemed to feel comfortable after the Ativan was given, a small quantity... | null | 27,458.091259 | sonnet-4_5-20251217-142420 | 0.0029 | 1,880 | 4,263 | 6,143 | 0.0181 | sonnet-4_5 | null | 1,063 | 734 | 1,797 | 0.875 | 0 | sonnet-4_5-mtsamples_replicate | 0.172138 | completed | default | 47,069.173574 |
mtsamples_replicate | null | 18 | Have her admitted to the medical service for treatment of her hyponatremia. | null | 29,018.393993 | sonnet-4_5-20251217-142420 | 0.0029 | 1,779 | 4,247 | 6,026 | 0.022 | sonnet-4_5 | null | 1,338 | 637 | 1,975 | 0.958333 | 0 | sonnet-4_5-mtsamples_replicate | 0.140429 | completed | default | 43,890.557051 |
mtsamples_replicate | null | 19 | 1. She will try Zyrtec instead of Allegra again. Another option will be to use loratadine. She does not think she has prescription coverage so that might be cheaper.2. Samples of Nasonex two sprays in each nostril given for three weeks. A prescription was written as well. | null | 19,529.355049 | sonnet-4_5-20251217-142420 | 0.0024 | 1,588 | 2,963 | 4,551 | 0.013 | sonnet-4_5 | null | 794 | 348 | 1,142 | 0.958333 | 0 | sonnet-4_5-mtsamples_replicate | 0.048637 | completed | default | 34,287.806034 |
mtsamples_replicate | null | 20 | This is a 72-year-old gentleman with chronic lymphocytic leukemia on chronic steroids for autoimmune hemolytic anemia. His blood counts are relatively stable at 5 mg of prednisone every other day. We will plan on putting him back on the Valtrex and decreasing his steroids to 1 mg daily. I will see him back in clinic in... | null | 19,528.823137 | sonnet-4_5-20251217-142420 | 0.0026 | 1,875 | 3,733 | 5,608 | 0.0162 | sonnet-4_5 | null | 938 | 705 | 1,643 | 0.833333 | 0 | sonnet-4_5-mtsamples_replicate | 0.161886 | completed | default | 41,326.288462 |
mtsamples_replicate | null | 21 | The patient is a 68-year-old woman with exertional angina, characterized with arm pain, who underwent recent left anterior descending percutaneous coronary intervention and has now had recurrence of that arm pain post stenting to the left anterior descending artery and it may be that she is continuing to have collatera... | null | 37,471.414328 | sonnet-4_5-20251217-142420 | 0.0042 | 3,081 | 7,074 | 10,155 | 0.0301 | sonnet-4_5 | null | 1,707 | 1,509 | 3,216 | 0.875 | 0 | sonnet-4_5-mtsamples_replicate | 0.066757 | completed | default | 65,946.779251 |
mtsamples_replicate | null | 22 | 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 | 34,720.408678 | sonnet-4_5-20251217-142420 | 0.0028 | 1,375 | 6,126 | 7,501 | 0.0272 | sonnet-4_5 | null | 1,541 | 1,377 | 2,918 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.068188 | completed | default | 44,673.348665 |
mtsamples_replicate | null | 23 | Plan will be to perform elective PCI of the mid LAD. | null | 32,433.579683 | sonnet-4_5-20251217-142420 | 0.0026 | 1,351 | 4,369 | 5,720 | 0.0245 | sonnet-4_5 | null | 1,520 | 557 | 2,077 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.062227 | completed | default | 44,993.675947 |
mtsamples_replicate | null | 24 | Recommend smoking cessation. Continue aspirin lifelong and continue Plavix for at least 12 months. | null | 31,351.161003 | sonnet-4_5-20251217-142420 | 0.0031 | 1,630 | 5,695 | 7,325 | 0.0261 | sonnet-4_5 | null | 1,442 | 1,482 | 2,924 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.068426 | completed | default | 47,067.003727 |
mtsamples_replicate | null | 25 | 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 | 31,952.031136 | sonnet-4_5-20251217-142420 | 0.0034 | 1,704 | 6,619 | 8,323 | 0.028 | sonnet-4_5 | null | 1,508 | 1,779 | 3,287 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.106096 | completed | default | 45,348.634005 |
mtsamples_replicate | null | 26 | Discharge the patient home and have her follow up with her doctor in 1 week if symptoms persist. She is advised to return immediately p.r.n. severe pain, worsening, not better, etc. | null | 18,704.71549 | sonnet-4_5-20251217-142420 | 0.0022 | 1,516 | 3,414 | 4,930 | 0.0139 | sonnet-4_5 | null | 817 | 548 | 1,365 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.072718 | completed | default | 35,608.679771 |
mtsamples_replicate | null | 27 | 1. Motrin 800 mg t.i.d.2. Tylenol 1 gm q.i.d. as needed.3. Walking cast is prescribed.4. I told the patient to call back if any problems. The next morning she called back complaining of worsening pain and I called in some Vicodin ES 1-2 p.o. q. 8 hours p.r.n. pain #60 with no refills. | null | 25,580.251932 | sonnet-4_5-20251217-142420 | 0.0024 | 1,420 | 4,166 | 5,586 | 0.0193 | sonnet-4_5 | null | 1,168 | 595 | 1,763 | 0.958333 | 0 | sonnet-4_5-mtsamples_replicate | 0.112772 | completed | default | 36,961.781025 |
mtsamples_replicate | null | 28 | At this time, continue niacin 1000 mg in the morning, 500 mg at noon, and 1000 mg in the evening; aspirin 81 mg daily; multivitamins; vitamin E 400 units daily; and vitamin C 500 mg daily. Consider adding lycopene, selenium, and flaxseed to his regimen. All appropriate labs will be obtained today. Followup fasting lipi... | null | 35,891.740322 | sonnet-4_5-20251217-142420 | 0.003 | 1,822 | 5,132 | 6,954 | 0.0252 | sonnet-4_5 | null | 1,505 | 861 | 2,366 | 0.75 | 0 | sonnet-4_5-mtsamples_replicate | 0.052452 | completed | default | 47,493.855953 |
mtsamples_replicate | null | 29 | At this point, it is fairly unlikely that this child ingested any significant amount, if at all, which seems unlikely. She is not exhibiting any symptoms and I explained to the parents that if she develops any vomiting, she should be brought back for reevaluation. So, the patient is discharged in stable condition. | null | 19,927.209854 | sonnet-4_5-20251217-142420 | 0.0019 | 1,205 | 3,293 | 4,498 | 0.0134 | sonnet-4_5 | null | 792 | 515 | 1,307 | 1 | 0 | sonnet-4_5-mtsamples_replicate | 0.077724 | completed | default | 32,421.432972 |
mtsamples_replicate | null | 30 | Showed osteophyte with a disc complex on the left C6-C7 neural foramen.FLUIDS: 1800 mL of crystalloids. | null | 31,305.987358 | sonnet-4_5-20251217-142420 | 0.003 | 1,242 | 6,425 | 7,667 | 0.0251 | sonnet-4_5 | null | 1,290 | 1,910 | 3,200 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.090599 | completed | default | 40,910.194874 |
mtsamples_replicate | null | 31 | 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 | 23,965.629578 | sonnet-4_5-20251217-142420 | 0.002 | 1,144 | 4,259 | 5,403 | 0.0184 | sonnet-4_5 | null | 1,130 | 494 | 1,624 | 1 | 0 | sonnet-4_5-mtsamples_replicate | 0.216484 | completed | default | 35,085.883617 |
mtsamples_replicate | null | 32 | A 68-year-old Caucasian male with history of diabetes mellitus who had an accidental lawn mower-associated injury on the right foot. He has undergone debridement on 07/29/2008. Culture results from the debridement procedure are not available. Wound cultures from 07/25/2008 showed methicillin-sensitive Staphylococcus au... | null | 25,855.21841 | sonnet-4_5-20251217-142420 | 0.0026 | 1,319 | 4,685 | 6,004 | 0.0198 | sonnet-4_5 | null | 1,115 | 1,014 | 2,129 | 0.958333 | 0 | sonnet-4_5-mtsamples_replicate | 0.106335 | completed | default | 39,008.724928 |
mtsamples_replicate | null | 33 | A 51-year-old Caucasian female with multiple medical problems mentioned above including history of morbid obesity and chronic lower extremity lymphedema. Admitted for inpatient management of bilateral lower extremity lymphedema. I have been consulted to rule out possibility of active cellulitis and wound infection.At p... | null | 23,659.353495 | sonnet-4_5-20251217-142420 | 0.0026 | 1,284 | 5,358 | 6,642 | 0.0186 | sonnet-4_5 | null | 986 | 1,270 | 2,256 | 0.875 | 0 | sonnet-4_5-mtsamples_replicate | 0.062227 | completed | default | 34,266.386032 |
mtsamples_replicate | null | 34 | 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, her right leg was sterilely prepped and draped in a normal fashion. The tourniquet was inflated and the previous wound was opened. D... | null | 27,043.325186 | sonnet-4_5-20251217-142420 | 0.0025 | 1,389 | 4,181 | 5,570 | 0.0194 | sonnet-4_5 | null | 1,189 | 529 | 1,718 | 0.875 | 0 | sonnet-4_5-mtsamples_replicate | 0.202656 | completed | default | 39,246.28067 |
mtsamples_replicate | null | 35 | 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 | 36,530.811548 | sonnet-4_5-20251217-142420 | 0.0033 | 1,389 | 6,455 | 7,844 | 0.0287 | sonnet-4_5 | null | 1,686 | 1,136 | 2,822 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.115156 | completed | default | 49,778.368711 |
mtsamples_replicate | null | 36 | 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 | 22,334.091663 | sonnet-4_5-20251217-142420 | 0.0032 | 1,448 | 7,134 | 8,582 | 0.0211 | sonnet-4_5 | null | 1,119 | 1,430 | 2,549 | 0.875 | 0 | sonnet-4_5-mtsamples_replicate | 0.059605 | completed | default | 33,767.914295 |
mtsamples_replicate | null | 37 | 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 | 36,470.244408 | sonnet-4_5-20251217-142420 | 0.0033 | 1,509 | 7,189 | 8,698 | 0.0298 | sonnet-4_5 | null | 1,618 | 1,842 | 3,460 | 0.5 | 0 | sonnet-4_5-mtsamples_replicate | 0.079632 | completed | default | 51,365.236044 |
mtsamples_replicate | null | 38 | Aplastic anemia. I am going to repeat her CMP today to assess her kidney function. It is possible that I may resume the cyclosporine, but at 50% dose reduction. She was supratherapeutic when her cyclosporine level was drawn in the hospital. Her values were 555 and the trough should be 100 to 400. We will continue with ... | null | 23,914.400578 | sonnet-4_5-20251217-142420 | 0.0026 | 1,970 | 4,012 | 5,982 | 0.0178 | sonnet-4_5 | null | 1,043 | 726 | 1,769 | 0.791667 | 0 | sonnet-4_5-mtsamples_replicate | 0.138283 | completed | default | 42,299.962044 |
mtsamples_replicate | null | 39 | The patient will be hospitalized overnight for pain as per parents' request. The patient is to be strict nonweightbearing for at least 6 weeks. He is to follow up in the next 10 days for a check. We will plan of changing to short-leg casts in about 4 weeks postop. | null | 26,985.242128 | sonnet-4_5-20251217-142420 | 0.0025 | 1,399 | 4,822 | 6,221 | 0.021 | sonnet-4_5 | null | 1,198 | 1,007 | 2,205 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.152588 | completed | default | 39,237.471342 |
mtsamples_replicate | null | 40 | 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 | 31,013.187408 | sonnet-4_5-20251217-142420 | 0.0033 | 1,328 | 7,247 | 8,575 | 0.025 | sonnet-4_5 | null | 1,407 | 1,292 | 2,699 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.065804 | completed | default | 43,653.931379 |
mtsamples_replicate | null | 41 | 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 | 30,337.658882 | sonnet-4_5-20251217-142420 | 0.0028 | 1,286 | 6,151 | 7,437 | 0.0238 | sonnet-4_5 | null | 1,361 | 1,118 | 2,479 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.064135 | completed | default | 44,504.51684 |
mtsamples_replicate | null | 42 | 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 | 28,375.041962 | sonnet-4_5-20251217-142420 | 0.0028 | 1,582 | 5,196 | 6,778 | 0.0215 | sonnet-4_5 | null | 1,191 | 1,211 | 2,402 | 0.958333 | 0 | sonnet-4_5-mtsamples_replicate | 0.061274 | completed | default | 38,693.555117 |
mtsamples_replicate | null | 43 | 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 | 25,321.243525 | sonnet-4_5-20251217-142420 | 0.0027 | 1,297 | 6,257 | 7,554 | 0.0205 | sonnet-4_5 | null | 1,094 | 1,374 | 2,468 | 0.875 | 0 | sonnet-4_5-mtsamples_replicate | 0.150919 | completed | default | 37,928.302288 |
mtsamples_replicate | null | 44 | 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 | 31,317.758322 | sonnet-4_5-20251217-142420 | 0.0027 | 1,169 | 6,071 | 7,240 | 0.0243 | sonnet-4_5 | null | 1,357 | 1,313 | 2,670 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.168324 | completed | default | 41,800.782681 |
mtsamples_replicate | null | 45 | 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 | 26,395.441294 | sonnet-4_5-20251217-142420 | 0.0028 | 1,292 | 5,836 | 7,128 | 0.0198 | sonnet-4_5 | null | 1,117 | 1,011 | 2,128 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.170231 | completed | default | 39,269.958258 |
mtsamples_replicate | null | 46 | 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 | 27,009.189367 | sonnet-4_5-20251217-142420 | 0.0024 | 1,174 | 4,861 | 6,035 | 0.0207 | sonnet-4_5 | null | 1,191 | 951 | 2,142 | 0.875 | 0 | sonnet-4_5-mtsamples_replicate | 0.135899 | completed | default | 37,924.777985 |
mtsamples_replicate | null | 47 | Decrease Abilify from 7.5 mg to 5 mg tablet one a day, no refills needed. I am introducing slow Luvox 25 mg tablet one-half a.m. for OCD symptoms, if no side effects in one week we will to tablet one up to therapeutic level. | null | 24,919.25621 | sonnet-4_5-20251217-142420 | 0.0027 | 2,216 | 3,336 | 5,552 | 0.0161 | sonnet-4_5 | null | 1,007 | 317 | 1,324 | 0.75 | 0 | sonnet-4_5-mtsamples_replicate | 0.102043 | completed | default | 51,000.34976 |
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