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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
mtsamples_replicate | null | 148 | After completing an initial examination evaluation, I have selected the plan of treatment that should return this patient to a pre-injury status and minimize the possibility of future residuals. Treatment will consist of chiropractic manipulation, chiropractic physical therapy, and observation, decreasing in frequency ... | null | 25,676.827669 | sonnet-4_5-20251217-142420 | 0.0025 | 1,307 | 4,692 | 5,999 | 0.0206 | sonnet-4_5 | null | 1,187 | 927 | 2,114 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.056744 | completed | default | 41,310.833216 |
mtsamples_replicate | null | 149 | This is a very pleasant 77-year-old female who has findings suspicious for a cholangiocarcinoma. The patient was referred to our office to discuss this diagnosis. I spent greater than an hour with the patient and her husband discussing this potential diagnosis, reviewing the anatomy and answering questions. She is yet ... | null | 45,352.384806 | sonnet-4_5-20251217-142420 | 0.0034 | 1,935 | 6,884 | 8,819 | 0.0354 | sonnet-4_5 | null | 2,124 | 1,188 | 3,312 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.103235 | completed | default | 63,388.750792 |
mtsamples_replicate | null | 150 | This 32-year-old gravida 2 was induced for cholestasis of pregnancy at 38-1/2 weeks. The patient underwent a 2-day induction. On the second day, the patient continued to progress all the way to the point of 9.5 cm at which point, she failed to progress. During the hour or two of evaluation at 9.5 cm, the patient was al... | null | 27,802.821159 | sonnet-4_5-20251217-142420 | 0.0028 | 1,448 | 5,176 | 6,624 | 0.02 | sonnet-4_5 | null | 1,170 | 814 | 1,984 | 0.875 | 0 | sonnet-4_5-mtsamples_replicate | 0.070572 | completed | default | 40,615.277767 |
mtsamples_replicate | null | 151 | 1. Check EKG.2. Start Aranesp 60 mcg every two weeks.3. Otherwise see him in four months.4. If EKG shows atrial fibrillation, I wanted to talk to Dr. XYZ about Coumadin. | null | 39,229.892492 | sonnet-4_5-20251217-142420 | 0.0033 | 1,721 | 5,683 | 7,404 | 0.0305 | sonnet-4_5 | null | 1,840 | 953 | 2,793 | 0.958333 | 0 | sonnet-4_5-mtsamples_replicate | 0.1688 | completed | default | 54,733.815193 |
mtsamples_replicate | null | 152 | This is a return visit to the renal clinic for the patient with history as noted above. She has had variability in her glucose control, and the plan today is to continue her current regimen, which includes the following: Basal rate, 12 a.m. 0.6 units per hour, 4 a.m. 0.7 units per hour, and 9 a.m. 0.6 units per hour. H... | null | 29,918.244839 | sonnet-4_5-20251217-142420 | 0.0035 | 2,638 | 5,803 | 8,441 | 0.0259 | sonnet-4_5 | null | 1,514 | 1,057 | 2,571 | 0.833333 | 0 | sonnet-4_5-mtsamples_replicate | 0.066996 | completed | default | 58,941.076756 |
mtsamples_replicate | null | 153 | Weight 240, blood pressure by nurse 160/80, by me 140/78, pulse 91 and regular, and O2 saturation 94%. He is afebrile. JVP is normal without HJR. CTAP. RRR. S1 and S2. Aortic murmur unchanged. Abdomen: Soft, NT without HSM, normal BS. Extremities: No edema on today's examination. Awake, alert, attentive, able to get up... | null | 23,683.260918 | sonnet-4_5-20251217-142420 | 0.0026 | 1,395 | 5,158 | 6,553 | 0.0215 | sonnet-4_5 | null | 1,220 | 1,058 | 2,278 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.108957 | completed | default | 35,702.199697 |
mtsamples_replicate | null | 154 | The patient will be admitted to the operating room for myringotomy and tube insertion under general facemask anesthesia. | null | 24,624.364853 | sonnet-4_5-20251217-142420 | 0.0024 | 1,406 | 3,543 | 4,949 | 0.0178 | sonnet-4_5 | null | 1,097 | 454 | 1,551 | 0.875 | 0 | sonnet-4_5-mtsamples_replicate | 0.100374 | completed | default | 35,584.553242 |
mtsamples_replicate | null | 155 | ST-elevation myocardial infarction with a 99% stenosis of the proximal portion of the left circumflex treated with a 3.5 x 12 mm Vision bare-metal stent and a 3.5 x 8 mm Vision bare-metal stent. Excellent results, 0% residual stenosis. The patient continues to have some residual 50% stenosis in the left circumflex syst... | null | 34,832.28302 | sonnet-4_5-20251217-142420 | 0.0031 | 1,600 | 5,593 | 7,193 | 0.0278 | sonnet-4_5 | null | 1,649 | 1,009 | 2,658 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.131607 | completed | default | 47,626.774311 |
mtsamples_replicate | null | 156 | The infant is without evidence of hypospadias or chordee prior to the procedure.TECHNIQUE: The infant was given a dorsal penile block with 1% lidocaine without epinephrine using a tuberculin syringe and 0.5 cc of lidocaine was delivered subcutaneously at 10:30 and at 1:30 o'clock at the dorsal base of the penis.The inf... | null | 24,576.376915 | sonnet-4_5-20251217-142420 | 0.0022 | 1,185 | 4,309 | 5,494 | 0.0189 | sonnet-4_5 | null | 1,151 | 552 | 1,703 | 0.958333 | 0 | sonnet-4_5-mtsamples_replicate | 0.175238 | completed | default | 36,067.943811 |
mtsamples_replicate | null | 157 | 1. Give the patient TPA to the shunt, PermCath in both feet.2. To board for Tuesday for shunt repair if needed.3. To dialyze as soon as possible.4. To review previous operative report. | null | 41,488.92355 | sonnet-4_5-20251217-142420 | 0.0027 | 1,279 | 5,853 | 7,132 | 0.0312 | sonnet-4_5 | null | 1,877 | 1,031 | 2,908 | 0.958333 | 0 | sonnet-4_5-mtsamples_replicate | 0.076056 | completed | default | 52,775.253773 |
mtsamples_replicate | null | 158 | The patient will be admitted to the trauma surgery service for continued evaluation and treatment for closed head injury as well as possible intra-abdominal injury. | null | 28,024.228334 | sonnet-4_5-20251217-142420 | 0.0025 | 1,500 | 3,950 | 5,450 | 0.0197 | sonnet-4_5 | null | 1,201 | 559 | 1,760 | 1 | 0 | sonnet-4_5-mtsamples_replicate | 0.062943 | completed | default | 41,101.740837 |
mtsamples_replicate | null | 159 | Include a comminuted fracture involving the lateral malleolus as well as a medial and posterior malleolus fracture as well.HISTORY OF PRESENT ILLNESS: The patient is an 87-year-old Caucasian female who presented to ABCD General Hospital Emergency Room complaining of right ankle pain status post a trip and fall. The pa... | null | 35,939.431429 | sonnet-4_5-20251217-142420 | 0.0035 | 1,550 | 8,644 | 10,194 | 0.0292 | sonnet-4_5 | null | 1,618 | 1,635 | 3,253 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.184059 | completed | default | 50,537.892103 |
mtsamples_replicate | null | 160 | This is a 4-year-old white male, apparently dominantly right-handed who suffered a severe injury to his left distal humerus after jumping off of a swing. He apparently had not had previous problems with his left arm. He was seen in the Emergency with a grossly deformed left elbow. His parents' were both present preoper... | null | 28,450.460434 | sonnet-4_5-20251217-142420 | 0.0028 | 1,264 | 6,588 | 7,852 | 0.0222 | sonnet-4_5 | null | 1,226 | 1,264 | 2,490 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.213146 | completed | default | 38,171.155453 |
mtsamples_replicate | null | 161 | 1. Most likely secondary to Clostridium difficile colitis and urinary tract infection improving. The patient hemodynamically stable, leukocytosis improved and today he is afebrile.2. Acute renal failure secondary to dehydration, BUN and creatinine improving.3. Clostridium difficile colitis, Continue Flagyl, evaluation ... | null | 19,534.30295 | sonnet-4_5-20251217-142420 | 0.0027 | 1,805 | 3,235 | 5,040 | 0.0137 | sonnet-4_5 | null | 828 | 437 | 1,265 | 0.958333 | 0 | sonnet-4_5-mtsamples_replicate | 0.161648 | completed | default | 31,356.529713 |
mtsamples_replicate | null | 162 | Newly diagnosed stage II colon cancer, with a stage T3c, N0, M0 colon cancer, grade 1. She does not have high-risk factors such as high grade or angiolymphatic invasion, and adequate number of lymph nodes were sampled. Although, the tumor was near obstructing, she was not having symptoms and in fact was having normal b... | null | 25,466.812372 | sonnet-4_5-20251217-142420 | 0.0042 | 3,551 | 5,475 | 9,026 | 0.0214 | sonnet-4_5 | null | 1,175 | 1,263 | 2,438 | 0.75 | 0 | sonnet-4_5-mtsamples_replicate | 0.118017 | completed | default | 64,817.485332 |
mtsamples_replicate | null | 163 | This is a 61-year-old female with strong family history of colon polyps. The patient reports that her siblings have been very diligent about their preventing health and no one besides her sister who presented with the advanced breast cancer add anything more than precancerous adenomas. We will plan on proceeding with t... | null | 40,859.446049 | sonnet-4_5-20251217-142420 | 0.0031 | 1,652 | 5,636 | 7,288 | 0.0309 | sonnet-4_5 | null | 1,911 | 755 | 2,666 | 0.875 | 0 | sonnet-4_5-mtsamples_replicate | 0.056982 | completed | default | 55,654.966354 |
mtsamples_replicate | null | 164 | 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 | 25,812.421083 | sonnet-4_5-20251217-142420 | 0.003 | 1,479 | 5,941 | 7,420 | 0.0229 | sonnet-4_5 | null | 1,312 | 1,089 | 2,401 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.109196 | completed | default | 36,956.311226 |
mtsamples_replicate | null | 165 | 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 | 18,946.686983 | sonnet-4_5-20251217-142420 | 0.0024 | 1,317 | 4,218 | 5,535 | 0.0152 | sonnet-4_5 | null | 870 | 701 | 1,571 | 1 | 0 | sonnet-4_5-mtsamples_replicate | 0.166416 | completed | default | 28,279.918909 |
mtsamples_replicate | null | 166 | 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 | 21,409.472227 | sonnet-4_5-20251217-142420 | 0.0021 | 1,317 | 3,777 | 5,094 | 0.0167 | sonnet-4_5 | null | 1,025 | 444 | 1,469 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.120878 | completed | default | 34,768.283367 |
mtsamples_replicate | null | 167 | If adenomatous, repeat exam in five years. Otherwise, repeat exam in 10 years. | null | 17,477.840185 | sonnet-4_5-20251217-142420 | 0.002 | 1,310 | 2,822 | 4,132 | 0.0125 | sonnet-4_5 | null | 766 | 330 | 1,096 | 1 | 0 | sonnet-4_5-mtsamples_replicate | 0.377655 | completed | default | 26,755.249977 |
mtsamples_replicate | null | 168 | 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 | 24,088.992834 | sonnet-4_5-20251217-142420 | 0.0022 | 1,204 | 4,288 | 5,492 | 0.0201 | sonnet-4_5 | null | 1,174 | 819 | 1,993 | 1 | 0 | sonnet-4_5-mtsamples_replicate | 0.099421 | completed | default | 34,780.019045 |
mtsamples_replicate | null | 169 | 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 | 22,544.633389 | sonnet-4_5-20251217-142420 | 0.002 | 1,111 | 3,792 | 4,903 | 0.0181 | sonnet-4_5 | null | 1,091 | 569 | 1,660 | 1 | 0 | sonnet-4_5-mtsamples_replicate | 0.313282 | completed | default | 31,076.946259 |
mtsamples_replicate | null | 170 | 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 | 25,631.222248 | sonnet-4_5-20251217-142420 | 0.0027 | 1,959 | 4,334 | 6,293 | 0.0207 | sonnet-4_5 | null | 1,238 | 724 | 1,962 | 0.875 | 0 | sonnet-4_5-mtsamples_replicate | 0.130415 | completed | default | 42,083.446264 |
mtsamples_replicate | null | 171 | 1. Complete physical, Pap, and breast exam completed. | null | 13,349.787235 | sonnet-4_5-20251217-142420 | 0.0022 | 1,450 | 2,947 | 4,397 | 0.0095 | sonnet-4_5 | null | 491 | 706 | 1,197 | 0.833333 | 0 | sonnet-4_5-mtsamples_replicate | 0.053406 | completed | default | 23,401.170015 |
mtsamples_replicate | null | 172 | 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 | 27,417.600155 | sonnet-4_5-20251217-142420 | 0.003 | 1,685 | 4,600 | 6,285 | 0.0205 | sonnet-4_5 | null | 1,234 | 662 | 1,896 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.071049 | completed | default | 41,141.259193 |
mtsamples_replicate | null | 173 | RSV bronchiolitis with otitis media. Admit for oral Orapred, IV Rocephin, nebulizer treatments and oxygen as needed. | null | 21,405.192137 | sonnet-4_5-20251217-142420 | 0.0023 | 1,445 | 3,753 | 5,198 | 0.0164 | sonnet-4_5 | null | 961 | 658 | 1,619 | 0.958333 | 0 | sonnet-4_5-mtsamples_replicate | 0.064135 | completed | default | 33,868.229389 |
mtsamples_replicate | null | 174 | This is a 2-month-old, who presents with fever, paroxysmal cough and episodes of respiratory distress. The patient is currently stable in the emergency room. We will admit the patient to the pediatric floor. We will send out pertussis PCR. We will also follow results of urine culture and that the urine dip shows 10 to ... | null | 30,119.627714 | sonnet-4_5-20251217-142420 | 0.0033 | 1,818 | 5,209 | 7,027 | 0.0249 | sonnet-4_5 | null | 1,466 | 962 | 2,428 | 0.875 | 0 | sonnet-4_5-mtsamples_replicate | 0.092506 | completed | default | 45,854.626656 |
mtsamples_replicate | null | 175 | 1. We will place this patient on the rule out sepsis pathway including IV antibiotics, ampicillin and gentamicin for at least 48 hours.2. We will follow up with his blood, urine, and CSF cultures.3. I called the lab for the addition of a possible HSV PCR to add to his CSF sample, but there is currently not enough left ... | null | 30,460.596323 | sonnet-4_5-20251217-142420 | 0.0032 | 1,974 | 6,402 | 8,376 | 0.0243 | sonnet-4_5 | null | 1,275 | 1,718 | 2,993 | 0.958333 | 0 | sonnet-4_5-mtsamples_replicate | 0.104666 | completed | default | 51,324.773073 |
mtsamples_replicate | null | 176 | Ms. A is a pleasant 72-year-old right-handed woman with a history of mesothelioma that appears stable at this time and likely mild dementia, most likely Alzheimer type. We tactfully discussed the patient's diagnosis with her, and she felt reassured. We told her that this most likely was in the earlier stages of disease... | null | 29,154.348135 | sonnet-4_5-20251217-142420 | 0.0029 | 1,169 | 7,051 | 8,220 | 0.0249 | sonnet-4_5 | null | 1,287 | 1,872 | 3,159 | 1 | 0 | sonnet-4_5-mtsamples_replicate | 0.091076 | completed | default | 38,050.409794 |
mtsamples_replicate | null | 177 | The patient is suffering from multilevel lumbar internal disc disruption as well as an element of lumbar facet joint syndrome. Her lumbar facet joints were denervated approximately 6 months ago. The denervation procedure helped her axial back pain approximately 40% when standing. With extension and rotation it helped h... | null | 25,952.014208 | sonnet-4_5-20251217-142420 | 0.0034 | 3,412 | 4,250 | 7,662 | 0.0202 | sonnet-4_5 | null | 1,244 | 517 | 1,761 | 0.875 | 0 | sonnet-4_5-mtsamples_replicate | 0.177622 | completed | default | 61,119.262457 |
mtsamples_replicate | null | 178 | 1. Diabetes mellitus, type 2, new onset. At this time, the patient is on Januvia as well as glipizide. His blood sugar right after eating his supper was 101. So, I am going to discontinue glipizide, continue on Januvia, and add no-concentrated sweets to the diet. We will continue to follow his blood sugars closely and ... | null | 41,689.758062 | sonnet-4_5-20251217-142420 | 0.0033 | 2,009 | 6,228 | 8,237 | 0.0335 | sonnet-4_5 | null | 2,043 | 963 | 3,006 | 0.708333 | 0 | sonnet-4_5-mtsamples_replicate | 0.169992 | completed | default | 56,270.947456 |
mtsamples_replicate | null | 179 | 1. Chest pain. At this point, because of Dr. Murphys evaluation last year and the symptoms exactly the same, I think this is noncardiac. My intonation is that this is reflux. I am going have her double her Aciphex or increase it to b.i.d., and I am going to have her see Dr. XYZ for possible EGD if he thinks that would... | null | 35,471.600056 | sonnet-4_5-20251217-142420 | 0.003 | 1,424 | 6,206 | 7,630 | 0.0288 | sonnet-4_5 | null | 1,674 | 1,242 | 2,916 | 0.875 | 0 | sonnet-4_5-mtsamples_replicate | 0.074863 | completed | default | 46,310.746431 |
mtsamples_replicate | null | 180 | Since the last evaluation, she has had an MRI performed, which was largely unremarkable except for a 1.2 cm lobular T2 hyperintense abnormality at the right clivus and petrous carotid canal, which does not enhance. The nature of this lesion is unclear. Certainly, this abnormality would not explain her left facial twitc... | null | 28,519.725084 | sonnet-4_5-20251217-142420 | 0.0028 | 1,530 | 5,136 | 6,666 | 0.0218 | sonnet-4_5 | null | 1,244 | 1,038 | 2,282 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.079632 | completed | default | 41,157.47571 |
mtsamples_replicate | null | 181 | Marked right hydronephrosis without hydruria. She believes she had a CT scan of the abdomen and pelvis at Hospital in 2005. I will try to obtain the report to see if the right kidney was evaluated at that time. She will need evaluation with an IVP and renal scan to determine the point of obstruction and renal function ... | null | 17,492.738724 | sonnet-4_5-20251217-142420 | 0.0028 | 2,218 | 3,378 | 5,596 | 0.0136 | sonnet-4_5 | null | 820 | 426 | 1,246 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.059605 | completed | default | 37,921.669006 |
mtsamples_replicate | null | 182 | Accelerated hypertension. No clear-cut etiology for recent worsening since renal artery stenosis was ruled out by negative MRA. I could only blame Procrit initiation, as well as possible fluid retention as a cause of the patient's accelerated hypertension. She was started on hydrochlorothiazide less than two weeks ago ... | null | 25,149.477959 | sonnet-4_5-20251217-142420 | 0.0031 | 2,418 | 4,134 | 6,552 | 0.0184 | sonnet-4_5 | null | 1,111 | 590 | 1,701 | 0.875 | 0 | sonnet-4_5-mtsamples_replicate | 0.129938 | completed | default | 49,735.213757 |
mtsamples_replicate | null | 183 | This is a 43-year-old gentleman who is acutely ill, in critical condition with mesenteric ischemia secondary to visceral venous occlusion. He is status post small bowel resection. We plan to go back to operating room tomorrow for further debridement and possible closure. Neurologically, the patient initially had questi... | null | 62,985.676765 | sonnet-4_5-20251217-142420 | 0.0037 | 1,491 | 7,588 | 9,079 | 0.0301 | sonnet-4_5 | null | 1,768 | 1,200 | 2,968 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.177622 | completed | default | 73,835.577726 |
mtsamples_replicate | null | 184 | I have explained the risks and potential complications of laparoscopic cholecystectomy in detail including bleeding, infection, deep venous thrombosis, pulmonary embolism, cystic leak, duct leak, possible need for ERCP, and possible need for further surgery among other potential complications. She understands and we wi... | null | 24,295.585871 | sonnet-4_5-20251217-142420 | 0.0024 | 1,296 | 3,933 | 5,229 | 0.0192 | sonnet-4_5 | null | 1,161 | 584 | 1,745 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.059128 | completed | default | 34,901.266575 |
mtsamples_replicate | null | 185 | I had a long talk with him and his family. Even though he has already had a trial of CSF drainage via spinal catheter at Hospital over a year ago, I offered this test to them again. I do so on the basis that there is further enlargement of the ventricles on the scan. His family and I discussed the facts that it is not ... | null | 31,025.975227 | sonnet-4_5-20251217-142420 | 0.0034 | 1,851 | 6,062 | 7,913 | 0.024 | sonnet-4_5 | null | 1,306 | 1,470 | 2,776 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.058889 | completed | default | 44,333.006859 |
mtsamples_replicate | null | 186 | Episodic palpitations over a nine-year period. Outpatient workup would be appropriate. Event recorder should be obtained and the patient can be seen again in the office upon completion of that study. Suppressive medication (beta-blocker or Cardizem) was discussed with the patient for symptomatic improvement, though thi... | null | 23,762.069941 | sonnet-4_5-20251217-142420 | 0.0023 | 1,440 | 4,059 | 5,499 | 0.0166 | sonnet-4_5 | null | 972 | 667 | 1,639 | 0.958333 | 0 | sonnet-4_5-mtsamples_replicate | 0.059605 | completed | default | 35,313.881636 |
mtsamples_replicate | null | 187 | I agree with the indications for repeat colonoscopy, which should be done at least every 5 years. Also, discussed IRC to treat bleeding and internal hemorrhoids if he is deemed to be an appropriate candidate at the time of his colonoscopy and the patient was agreeable. I am also a little concerned about his family hist... | null | 26,449.671984 | sonnet-4_5-20251217-142420 | 0.0028 | 1,372 | 4,898 | 6,270 | 0.0218 | sonnet-4_5 | null | 1,275 | 907 | 2,182 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.112772 | completed | default | 38,947.044611 |
mtsamples_replicate | null | 188 | The patient will be on a clear liquid diet. She will continue on the Zofran. She will be on IV Protonix. The patient is going to be transfused packed red blood cells and her hemoglobin and hematocrit will be monitored. I obtained the result of the abdominal x-rays she had done through the ER. The patient has a consult ... | null | 27,756.160736 | sonnet-4_5-20251217-142420 | 0.0032 | 1,553 | 6,267 | 7,820 | 0.0245 | sonnet-4_5 | null | 1,314 | 1,595 | 2,909 | 1 | 0 | sonnet-4_5-mtsamples_replicate | 0.06032 | completed | default | 41,139.443159 |
mtsamples_replicate | null | 189 | This is a 43-year-old gentleman who underwent what sounds like a sigmoid colectomy with end colostomy and Hartmann's pouch in November of 2007 secondary to perforated colon from diverticulitis. The patient presents for reversal of his colostomy as well as repair of his incisional hernia. I have asked the patient to ret... | null | 34,320.294142 | sonnet-4_5-20251217-142420 | 0.0032 | 1,987 | 5,563 | 7,550 | 0.0256 | sonnet-4_5 | null | 1,534 | 876 | 2,410 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.096798 | completed | default | 52,470.345259 |
mtsamples_replicate | null | 190 | A 34-year-old Caucasian female, gravida 2 para 1-0-0-1, at unknown gestation who presents after suicide attempt.1. Given the substances taken, medications are unlikely to affect the development of the fetus. There have been no reported human anomalies associated with Ambien or tramadol use. There is, however, a 4% risk... | null | 31,792.371511 | sonnet-4_5-20251217-142420 | 0.0026 | 1,458 | 5,185 | 6,643 | 0.0243 | sonnet-4_5 | null | 1,437 | 920 | 2,357 | 1 | 0 | sonnet-4_5-mtsamples_replicate | 0.111818 | completed | default | 112,319.574118 |
mtsamples_replicate | null | 191 | Right lower pole bleeder cauterized with electrocautery with good hemostasis. | null | 33,980.298281 | sonnet-4_5-20251217-142420 | 0.0029 | 1,677 | 4,784 | 6,461 | 0.0262 | sonnet-4_5 | null | 1,604 | 697 | 2,301 | 0.875 | 0 | sonnet-4_5-mtsamples_replicate | 0.099421 | completed | default | 47,846.748829 |
mtsamples_replicate | null | 192 | 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 | 20,534.698486 | sonnet-4_5-20251217-142420 | 0.0024 | 1,221 | 4,233 | 5,454 | 0.0161 | sonnet-4_5 | null | 938 | 688 | 1,626 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.064611 | completed | default | 28,130.206823 |
mtsamples_replicate | null | 193 | 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 | 22,376.843929 | sonnet-4_5-20251217-142420 | 0.0024 | 1,099 | 4,237 | 5,336 | 0.0188 | sonnet-4_5 | null | 1,084 | 851 | 1,935 | 0.958333 | 0 | sonnet-4_5-mtsamples_replicate | 0.176907 | completed | default | 33,216.289043 |
mtsamples_replicate | null | 194 | 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 | 20,201.032162 | sonnet-4_5-20251217-142420 | 0.0023 | 1,282 | 3,438 | 4,720 | 0.0159 | sonnet-4_5 | null | 977 | 429 | 1,406 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.095844 | completed | default | 30,452.312708 |
mtsamples_replicate | null | 195 | 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 | 27,440.20319 | sonnet-4_5-20251217-142420 | 0.0029 | 1,399 | 5,617 | 7,016 | 0.0227 | sonnet-4_5 | null | 1,219 | 1,480 | 2,699 | 0.875 | 0 | sonnet-4_5-mtsamples_replicate | 0.101805 | completed | default | 37,746.853828 |
mtsamples_replicate | null | 196 | 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 | 31,149.798155 | sonnet-4_5-20251217-142420 | 0.0028 | 1,204 | 5,568 | 6,772 | 0.0261 | sonnet-4_5 | null | 1,474 | 1,323 | 2,797 | 0.958333 | 0 | sonnet-4_5-mtsamples_replicate | 0.071049 | completed | default | 42,428.599119 |
mtsamples_replicate | null | 197 | 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 | 30,578.101397 | sonnet-4_5-20251217-142420 | 0.0023 | 1,317 | 4,740 | 6,057 | 0.0251 | sonnet-4_5 | null | 1,560 | 569 | 2,129 | 1 | 0 | sonnet-4_5-mtsamples_replicate | 0.06032 | completed | default | 43,369.348288 |
mtsamples_replicate | null | 198 | 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 | 25,742.028475 | sonnet-4_5-20251217-142420 | 0.0025 | 1,315 | 4,801 | 6,116 | 0.0212 | sonnet-4_5 | null | 1,202 | 1,041 | 2,243 | 0.958333 | 0 | sonnet-4_5-mtsamples_replicate | 0.556946 | completed | default | 37,415.236712 |
mtsamples_replicate | null | 199 | 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 | 34,275.238752 | sonnet-4_5-20251217-142420 | 0.0027 | 1,137 | 6,280 | 7,417 | 0.0279 | sonnet-4_5 | null | 1,560 | 1,509 | 3,069 | 0.958333 | 0 | sonnet-4_5-mtsamples_replicate | 0.11158 | completed | default | 43,491.069317 |
mtsamples_replicate | null | 200 | She is to return to clinic in three months with a PET CT. | null | 30,831.949234 | sonnet-4_5-20251217-142420 | 0.0026 | 1,895 | 4,235 | 6,130 | 0.0225 | sonnet-4_5 | null | 1,372 | 644 | 2,016 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.125408 | completed | default | 52,609.515905 |
mtsamples_replicate | null | 201 | 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 | 27,239.838123 | sonnet-4_5-20251217-142420 | 0.0024 | 1,161 | 4,530 | 5,691 | 0.0202 | sonnet-4_5 | null | 1,231 | 581 | 1,812 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.056028 | completed | default | 36,312.752962 |
mtsamples_replicate | null | 202 | 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 | 27,666.624784 | sonnet-4_5-20251217-142420 | 0.0036 | 1,604 | 7,811 | 9,415 | 0.0246 | sonnet-4_5 | null | 1,298 | 1,721 | 3,019 | 0.791667 | 0 | sonnet-4_5-mtsamples_replicate | 0.060081 | completed | default | 39,724.335194 |
mtsamples_replicate | null | 203 | 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 | 28,492.765427 | sonnet-4_5-20251217-142420 | 0.0028 | 1,565 | 5,105 | 6,670 | 0.022 | sonnet-4_5 | null | 1,221 | 1,222 | 2,443 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.104427 | completed | default | 41,052.459955 |
mtsamples_replicate | null | 204 | 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 | 31,845.332861 | sonnet-4_5-20251217-142420 | 0.0035 | 1,399 | 8,417 | 9,816 | 0.0263 | sonnet-4_5 | null | 1,412 | 1,702 | 3,114 | 0.875 | 0 | sonnet-4_5-mtsamples_replicate | 0.167131 | completed | default | 46,084.075928 |
mtsamples_replicate | null | 205 | A cookie deglutition study was performed. The patient was examined in the direct lateral position.Patient was challenged with thin liquids, thick liquid, semisolids and solids.Persistently demonstrable is the presence of penetration with thin liquids. This is not evident with thick liquids, semisolids or solids. | null | 15,001.113176 | sonnet-4_5-20251217-142420 | 0.0018 | 1,073 | 2,593 | 3,666 | 0.0105 | sonnet-4_5 | null | 639 | 295 | 934 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.11754 | completed | default | 23,577.621222 |
mtsamples_replicate | null | 206 | The patient was given a prescription for Vicodin. She is also given prescription for Keflex, as she is penicillin allergic. She has tolerated a dose of Keflex here in the Emergency Department well without hypersensitivity. The patient is strongly encouraged to follow up with Dental Clinic on Monday, and she states that... | null | 22,880.91135 | sonnet-4_5-20251217-142420 | 0.0029 | 1,482 | 4,119 | 5,601 | 0.0168 | sonnet-4_5 | null | 958 | 820 | 1,778 | 0.875 | 0 | sonnet-4_5-mtsamples_replicate | 0.253677 | completed | default | 38,226.664782 |
mtsamples_replicate | null | 207 | The patient needs to follow up with the dentist for definitive treatment and care. She is treated symptomatically at this time for the pain with a dental block as well as empirically with antibiotics. However, outpatient followup should be adequate. She is discharged in stable condition. | null | 23,741.379023 | sonnet-4_5-20251217-142420 | 0.0025 | 1,644 | 3,758 | 5,402 | 0.0184 | sonnet-4_5 | null | 1,119 | 538 | 1,657 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.092983 | completed | default | 39,486.828089 |
mtsamples_replicate | null | 208 | The patient is a 40-year-old female with a past medical history of repair of deviated septum with complication of a septal perforation. At this time, the patient states that her septal perforation bothers her as she feels that she has very dry air through her nose as well as occasional epistaxis. At this time, I counse... | null | 19,550.999641 | sonnet-4_5-20251217-142420 | 0.0022 | 1,434 | 3,264 | 4,698 | 0.0124 | sonnet-4_5 | null | 739 | 440 | 1,179 | 1 | 0 | sonnet-4_5-mtsamples_replicate | 0.099897 | completed | default | 32,244.625568 |
mtsamples_replicate | null | 209 | 1. Diabetes mellitus type 1: We will follow up the elevated alkaline phosphatase with an SGGT and a hepatic function panel. The positive microalbumin is 100 today. He will be placed on a low dose Ace Inhibitor. I will put in a Prior Authorization for Lantus. I have also asked the patient to keep a log of his blood suga... | null | 30,513.833761 | sonnet-4_5-20251217-142420 | 0.0033 | 1,660 | 5,367 | 7,027 | 0.0238 | sonnet-4_5 | null | 1,393 | 983 | 2,376 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.117064 | completed | default | 42,103.744507 |
mtsamples_replicate | null | 210 | Diabetes, still with some problematic low blood glucoses, most notably in the morning. To address this situation, I am going to hold her Lantus insulin tonight and decrease and then change the administration time to in the morning. She will get 55 units in the morning. I am also decreasing once again her Humalog slidin... | null | 26,470.679045 | sonnet-4_5-20251217-142420 | 0.0027 | 1,801 | 3,558 | 5,359 | 0.0184 | sonnet-4_5 | null | 1,170 | 293 | 1,463 | 0.833333 | 0 | sonnet-4_5-mtsamples_replicate | 0.094652 | completed | default | 41,462.162018 |
mtsamples_replicate | null | 211 | 1. This is a return visit to the endocrine clinic for the patient, a 39-year-old woman with history as noted above. Plan today is to make adjustments to her pump based on a total daily dose of 90 units of insulin. Basal rate is as follows, 12 a.m. 1.5, 02:30 a.m. 1.75, and 6 a.m. 1.5. Her correction factor is 19. Her c... | null | 25,050.081491 | sonnet-4_5-20251217-142420 | 0.0032 | 1,956 | 4,929 | 6,885 | 0.0199 | sonnet-4_5 | null | 1,137 | 952 | 2,089 | 0.791667 | 0 | sonnet-4_5-mtsamples_replicate | 0.261784 | completed | default | 42,421.571493 |
mtsamples_replicate | null | 212 | 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 | 28,961.12895 | sonnet-4_5-20251217-142420 | 0.0025 | 1,283 | 5,354 | 6,637 | 0.0223 | sonnet-4_5 | null | 1,259 | 1,125 | 2,384 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.083447 | completed | default | 39,657.078505 |
mtsamples_replicate | null | 213 | 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 | 27,700.855017 | sonnet-4_5-20251217-142420 | 0.0028 | 1,599 | 4,671 | 6,270 | 0.0233 | sonnet-4_5 | null | 1,387 | 847 | 2,234 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.083447 | completed | default | 37,763.348579 |
mtsamples_replicate | null | 214 | The patient plans to recheck his lipids through Dr. XYZ I gave him my phone number and he is to call me if he has any further questions regarding his diet. | null | 31,329.016924 | sonnet-4_5-20251217-142420 | 0.0027 | 1,470 | 4,292 | 5,762 | 0.0236 | sonnet-4_5 | null | 1,469 | 510 | 1,979 | 0.958333 | 0 | sonnet-4_5-mtsamples_replicate | 0.179291 | completed | default | 44,292.509079 |
mtsamples_replicate | null | 215 | Followup is set for 06/13/05 to check the patient's weight, her food diary, and answer any questions. | null | 19,447.869539 | sonnet-4_5-20251217-142420 | 0.0023 | 1,787 | 2,946 | 4,733 | 0.0134 | sonnet-4_5 | null | 834 | 305 | 1,139 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.135899 | completed | default | 36,624.684334 |
mtsamples_replicate | null | 216 | The patient plans to see Dr. XYZ at the end of May 2005. I recommended that they ask Dr. XYZ what weight he would like for the patient to be at. Follow up will be with me June 13, 2005. | null | 13,460.750818 | sonnet-4_5-20251217-142420 | 0.0024 | 2,342 | 2,396 | 4,738 | 0.0087 | sonnet-4_5 | null | 530 | 242 | 772 | 0.875 | 0 | sonnet-4_5-mtsamples_replicate | 0.128031 | completed | default | 38,905.535936 |
mtsamples_replicate | null | 217 | Followup is on a p.r.n. basis. She is always welcome to call or return. | null | 19,434.59487 | sonnet-4_5-20251217-142420 | 0.0023 | 2,068 | 2,854 | 4,922 | 0.0132 | sonnet-4_5 | null | 824 | 294 | 1,118 | 0.958333 | 0 | sonnet-4_5-mtsamples_replicate | 0.313044 | completed | default | 42,365.129232 |
mtsamples_replicate | null | 218 | Recommend the patient work with the following meal plan with a carbohydrate budget representing approximately 45% of the calories from carbohydrate. Breakfast: Three carbohydrate servings. Morning snack: One carbohydrate serving. Lunch: Four carbohydrate servings. Afternoon snack: One carbohydrate serving. Supper: Four... | null | 30,216.22777 | sonnet-4_5-20251217-142420 | 0.0034 | 2,967 | 4,957 | 7,924 | 0.022 | sonnet-4_5 | null | 1,319 | 746 | 2,065 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.132561 | completed | default | 56,778.699875 |
mtsamples_replicate | null | 219 | The meal plan provided has a carbohydrate content that represents 40 percent of a 2000-calorie meal plan. The meal plan was devised to distribute her carbohydrates more evenly throughout the day. The meal plan was meant to reflect an example for her eating, while the patient was encouraged to eat according to appetite ... | null | 28,991.875172 | sonnet-4_5-20251217-142420 | 0.0024 | 1,335 | 4,897 | 6,232 | 0.0222 | sonnet-4_5 | null | 1,330 | 749 | 2,079 | 1 | 0 | sonnet-4_5-mtsamples_replicate | 0.069141 | completed | default | 43,179.558039 |
mtsamples_replicate | null | 220 | A new 1500 calorie meal plan was developed based on 35% of the calories coming from protein, 40% of the calories from carbohydrate, and 25% of the calories from fat. This translates in to 10 servings at 15 grams a piece of carbohydrates throughout the day dividing them in to groups of two servings per meal and per snac... | null | 33,566.073418 | sonnet-4_5-20251217-142420 | 0.0028 | 1,562 | 4,169 | 5,731 | 0.0196 | sonnet-4_5 | null | 1,218 | 444 | 1,662 | 0.833333 | 0 | sonnet-4_5-mtsamples_replicate | 0.144958 | completed | default | 46,919.540405 |
mtsamples_replicate | null | 221 | Recommend the patient increase the intensity and the duration of her physical activity with a goal of 30 minutes five days a week working at a brisk walk. Recommend the patient reduce calories by 500 daily to support a weight loss of one pound a week. This translates into a 1200-calorie meal plan. I encouraged the pati... | null | 39,427.384138 | sonnet-4_5-20251217-142420 | 0.0024 | 1,261 | 4,840 | 6,101 | 0.0253 | sonnet-4_5 | null | 1,570 | 595 | 2,165 | 1 | 0 | sonnet-4_5-mtsamples_replicate | 0.067949 | completed | default | 53,057.938099 |
mtsamples_replicate | null | 222 | Admitted to Pediatrics. | null | 24,347.066402 | sonnet-4_5-20251217-142420 | 0.0028 | 1,545 | 4,829 | 6,374 | 0.0197 | sonnet-4_5 | null | 1,068 | 1,230 | 2,298 | 0.958333 | 0 | sonnet-4_5-mtsamples_replicate | 0.056267 | completed | default | 36,341.893196 |
mtsamples_replicate | null | 223 | Visual acuity today without correction was 20/20 -2 pinholing to 20/16 in the right eye, and 20/40 +2 pinholing to 20/16 in the left eye. Near vision unaided was J2 in both eyes.Manifest refraction today following pharmacological dilation was -0.50, +0.50 times 155 in the right eye revealing a vision of 20/16. Manifest... | null | 23,336.049557 | sonnet-4_5-20251217-142420 | 0.0024 | 1,261 | 5,001 | 6,262 | 0.019 | sonnet-4_5 | null | 1,040 | 1,138 | 2,178 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.044346 | completed | default | 33,288.430929 |
mtsamples_replicate | null | 224 | 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 | 21,553.998709 | sonnet-4_5-20251217-142420 | 0.0024 | 1,368 | 3,511 | 4,879 | 0.0155 | sonnet-4_5 | null | 923 | 541 | 1,464 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.109196 | completed | default | 32,404.592991 |
mtsamples_replicate | null | 225 | The patient is discharged home to continue her previous home medications, which are:1. Actos 45 mg a day.2. Bisacodyl 10 mg p.o. daily p.r.n. constipation.3. Cosopt eye drops, 1 drop in each eye 2 times a day.4. Famotidine 20 mg 1 tablet p.o. b.i.d.5. Lotemax 0.5% eye drops, 1 drop in each eye 4 times a day.6. Lotensin... | null | 21,182.582378 | sonnet-4_5-20251217-142420 | 0.0031 | 2,641 | 3,641 | 6,282 | 0.015 | sonnet-4_5 | null | 902 | 503 | 1,405 | 0.708333 | 0 | sonnet-4_5-mtsamples_replicate | 0.193834 | completed | default | 44,831.224442 |
mtsamples_replicate | null | 226 | Discharge this gentleman from Hospital and admit him to Garden Court SNF where they can continue with his rehab and conditioning. Hopefully, long-term planning will be discharge home. He has a history of end-stage liver disease with cirrhosis, which may make him a candidate for hospice upon discharge. The family initia... | null | 29,656.917334 | sonnet-4_5-20251217-142420 | 0.0036 | 2,073 | 5,436 | 7,509 | 0.0246 | sonnet-4_5 | null | 1,421 | 1,102 | 2,523 | 0.791667 | 0 | sonnet-4_5-mtsamples_replicate | 0.056505 | completed | default | 48,204.363823 |
mtsamples_replicate | null | 227 | At this time is disseminated intravascular coagulation from sepsis from pneumococcal disease. My recommendation for the patient is to continue factor replacement as you are. It seems that her clinical course is reversing and simple factor replacement is probably is the best measure at this time. There is no indication ... | null | 33,089.311123 | sonnet-4_5-20251217-142420 | 0.0027 | 1,568 | 5,057 | 6,625 | 0.0268 | sonnet-4_5 | null | 1,649 | 677 | 2,326 | 1 | 0 | sonnet-4_5-mtsamples_replicate | 0.163794 | completed | default | 47,428.637743 |
mtsamples_replicate | null | 228 | 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 | 32,550.024509 | sonnet-4_5-20251217-142420 | 0.004 | 1,581 | 8,731 | 10,312 | 0.0279 | sonnet-4_5 | null | 1,480 | 1,885 | 3,365 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.072241 | completed | default | 45,751.208782 |
mtsamples_replicate | null | 229 | This is a 77-year-old African-American female with multiple medical problems who presents with episodic positionally related dizziness of unclear etiology. Most certainly there is significant exaggeration of the underlying problem and her neurological examination is compounded by much functional overlay, limiting the i... | null | 26,033.414364 | sonnet-4_5-20251217-142420 | 0.0028 | 1,454 | 5,879 | 7,333 | 0.0218 | sonnet-4_5 | null | 1,139 | 1,570 | 2,709 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.06485 | completed | default | 38,300.705433 |
mtsamples_replicate | null | 230 | The patient was recorded from 2:15 p.m. on 08/21/06 through 1:55 p.m. on 08/25/06. The patient was recorded digitally using the 10-20 system of electrode placement. Additional temporal electrodes and single channels of EOG and EKG were also recorded. The patient's medications valproic acid, Zonegran, and Keppra were we... | null | 23,665.15398 | sonnet-4_5-20251217-142420 | 0.0022 | 1,017 | 4,273 | 5,290 | 0.0173 | sonnet-4_5 | null | 1,003 | 752 | 1,755 | 0.958333 | 0 | sonnet-4_5-mtsamples_replicate | 0.090122 | completed | default | 31,083.506346 |
mtsamples_replicate | null | 231 | ESOPHAGUS: Proximal and mid esophagus were without abnormalities.STOMACH: Insufflated and retroflexed visualization of the gastric cavity revealedDUODENUM: Normal. | null | 22,358.420372 | sonnet-4_5-20251217-142420 | 0.0021 | 1,341 | 3,226 | 4,567 | 0.0165 | sonnet-4_5 | null | 1,047 | 264 | 1,311 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.058651 | completed | default | 32,609.679461 |
mtsamples_replicate | null | 232 | Refer to a general surgeon for consideration of cholecystectomy. | null | 15,324.321747 | sonnet-4_5-20251217-142420 | 0.002 | 1,138 | 2,788 | 3,926 | 0.011 | sonnet-4_5 | null | 648 | 439 | 1,087 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.063181 | completed | default | 23,709.108114 |
mtsamples_replicate | null | 233 | I will have her follow up with my nurse practitioner in approximately 10 days. If her dysphagia is improved, we will simply observe. If she continues to have dysphagia, we will bring her back and attempt to re-dilate her with a #15 French dilator. She will continue Aciphex long term. | null | 23,235.016823 | sonnet-4_5-20251217-142420 | 0.0029 | 2,197 | 3,806 | 6,003 | 0.0171 | sonnet-4_5 | null | 1,022 | 603 | 1,625 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.175953 | completed | default | 44,832.298517 |
mtsamples_replicate | null | 234 | The right median sensory response showed a borderline normal amplitude for age with mild slowing of conduction velocity. The right ulnar sensory amplitude was reduced with slowing of the conduction velocity. The right radial sensory amplitude was reduced with slowing of the conduction velocity. The right sural and left... | null | 32,183.600187 | sonnet-4_5-20251217-142420 | 0.0028 | 1,326 | 5,650 | 6,976 | 0.0233 | sonnet-4_5 | null | 1,391 | 813 | 2,204 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.139713 | completed | default | 41,272.520542 |
mtsamples_replicate | null | 235 | The patient will be admitted to the operating room for adenoidectomy and bilateral myringotomy and insertion of PE tubes. | null | 28,243.824959 | sonnet-4_5-20251217-142420 | 0.0022 | 1,257 | 3,763 | 5,020 | 0.0197 | sonnet-4_5 | null | 1,219 | 482 | 1,701 | 0.958333 | 0 | sonnet-4_5-mtsamples_replicate | 0.117302 | completed | default | 37,728.818655 |
mtsamples_replicate | null | 236 | Glucose 162, BUN 14, creatinine 1.0, sodium 137, potassium 3.6, chloride 103, bicarbonate 23, protein 4.2. Liver function panel is normal. CK was 82. MB fraction was 1.0. Troponin was less than 0.1 on three occasions. White count was 12,200 with a normal differential, hemoglobin was 12.1, platelet count 230,000. Urinal... | null | 24,698.136568 | sonnet-4_5-20251217-142420 | 0.0034 | 1,539 | 5,821 | 7,360 | 0.0228 | sonnet-4_5 | null | 1,228 | 1,471 | 2,699 | 0.791667 | 0 | sonnet-4_5-mtsamples_replicate | 0.084162 | completed | default | 38,549.655437 |
mtsamples_replicate | null | 237 | Due to the fact that this patient is an adult male, we will transfer him to XYZ Medical Center for further evaluation. I have spoken with XYZ Medical Center Dr. X who has accepted the patient for transfer. He was advised that the patient will be coming in a private vehicle due to fact that he is completely stable and a... | null | 22,269.385815 | sonnet-4_5-20251217-142420 | 0.0026 | 1,738 | 3,997 | 5,735 | 0.0162 | sonnet-4_5 | null | 939 | 715 | 1,654 | 0.708333 | 0 | sonnet-4_5-mtsamples_replicate | 0.127554 | completed | default | 35,828.905821 |
mtsamples_replicate | null | 238 | 1. Abnormal papilla with bulging, polypoid appearance, and looks adenomatous with ulceration on the tip; biopsies taken.2. Cholangiogram reveals mildly dilated common bile duct measuring 12 mm and possible distal CBD stricture, although I think this is likely an anatomic variant; brush cytology obtained.3. Unable to ac... | null | 25,902.250051 | sonnet-4_5-20251217-142420 | 0.0029 | 1,635 | 4,616 | 6,251 | 0.0216 | sonnet-4_5 | null | 1,274 | 836 | 2,110 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.208616 | completed | default | 39,191.215754 |
mtsamples_replicate | null | 239 | The patient was brought to the room, placed in supine position, given general endotracheal anesthesia. The postauricular crease was then injected with 1% Xylocaine with 1:200,000 epinephrine along with external meatus. An area of the scalp was shaved above the ear and then also 1% Xylocaine with 1:200,000 epinephrine i... | null | 31,676.46718 | sonnet-4_5-20251217-142420 | 0.0027 | 1,392 | 4,699 | 6,091 | 0.0227 | sonnet-4_5 | null | 1,402 | 560 | 1,962 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.079393 | completed | default | 44,572.453022 |
mtsamples_replicate | null | 240 | 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 | 20,562.850475 | sonnet-4_5-20251217-142420 | 0.003 | 2,217 | 3,223 | 5,440 | 0.0147 | sonnet-4_5 | null | 899 | 413 | 1,312 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.108004 | completed | default | 36,863.821745 |
mtsamples_replicate | null | 241 | Patient and his Mom agreed to a trial of omeprazole 20 mg at bedtime for 2 weeks. Patient was to keep a diary of any episodes of heartburn, including what foods seemed to aggravate it. The clinician asked him to avoid using any antacid products in the meantime to gage the effectiveness of the medication. He was also gi... | null | 30,493.958712 | sonnet-4_5-20251217-142420 | 0.0034 | 2,206 | 5,868 | 8,074 | 0.0238 | sonnet-4_5 | null | 1,301 | 1,435 | 2,736 | 0.875 | 0 | sonnet-4_5-mtsamples_replicate | 0.265598 | completed | default | 51,593.974829 |
mtsamples_replicate | null | 242 | Left atrium was mildly to moderately dilated. No masses or thrombi were seen. The left ventricle was mildly dilated with mainly global hypokinesis, more prominent in the inferior septum and inferoposterior wall. The EF was moderately reduced with estimated EF of 40% with near normal thickening. The right atrium was mil... | null | 25,407.133341 | sonnet-4_5-20251217-142420 | 0.0026 | 1,638 | 4,238 | 5,876 | 0.0214 | sonnet-4_5 | null | 1,299 | 623 | 1,922 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.063658 | completed | default | 41,664.594173 |
mtsamples_replicate | null | 243 | The left atrium was mildly dilated. No masses or thrombi were seen. The left ventricle showed borderline left ventricular hypertrophy with normal wall motion and wall thickening, EF of 60%. The right atrium and right ventricle are normal in size. | null | 22,548.192263 | sonnet-4_5-20251217-142420 | 0.0024 | 1,361 | 3,673 | 5,034 | 0.0174 | sonnet-4_5 | null | 1,047 | 574 | 1,621 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.109911 | completed | default | 33,960.664988 |
mtsamples_replicate | null | 244 | I will have the patient followup with her physician at the ABC Clinic in two days for reevaluation. The patient was advised to stop drinking alcohol, and taking Ecstasy as this is not only in the interest of her health, but was also illegal. The patient is asked to return to the emergency room should she have any worse... | null | 24,717.894793 | sonnet-4_5-20251217-142420 | 0.0028 | 1,565 | 5,068 | 6,633 | 0.0198 | sonnet-4_5 | null | 1,077 | 1,211 | 2,288 | 0.958333 | 0 | sonnet-4_5-mtsamples_replicate | 0.147343 | completed | default | 39,419.375658 |
mtsamples_replicate | null | 245 | The patient will restart physical therapy and Dynasplint in 3 days. The patient is to follow up in 1 week's time for a wound check. The patient was given Tylenol No. 3 for pain. | null | 26,177.160025 | sonnet-4_5-20251217-142420 | 0.0027 | 1,958 | 4,509 | 6,467 | 0.0207 | sonnet-4_5 | null | 1,212 | 827 | 2,039 | 0.833333 | 0 | sonnet-4_5-mtsamples_replicate | 0.111818 | completed | default | 44,790.209293 |
mtsamples_replicate | null | 246 | In general, the background rhythms are bilaterally symmetrical. During the resting awake state they are composed of moderate amounts of low amplitude fast activity intermixed with moderate amounts of well-modulated 9-10 Hz alpha activity best seen posteriorly. The alpha activity attenuates with eye opening.During some ... | null | 25,051.343203 | sonnet-4_5-20251217-142420 | 0.002 | 1,224 | 3,461 | 4,685 | 0.0165 | sonnet-4_5 | null | 1,032 | 331 | 1,363 | 0.958333 | 0 | sonnet-4_5-mtsamples_replicate | 0.082254 | completed | default | 33,923.547745 |
mtsamples_replicate | null | 247 | Gaze testing did not reveal any evidence of nystagmus. Saccadic movements did not reveal any evidence of dysmetria or overshoot. Sinusoidal tracking was performed well for the patient's age. Optokinetic nystagmus testing was performed poorly due to the patient's difficulty in following the commands. Therefore adequate ... | null | 17,580.400705 | sonnet-4_5-20251217-142420 | 0.0031 | 2,497 | 3,882 | 6,379 | 0.0142 | sonnet-4_5 | null | 835 | 571 | 1,406 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.222683 | completed | default | 36,896.564245 |
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