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mtsamples_replicate
null
248
We will continue IV low-dose diuretics, continue lisinopril, continue IV antibiotics. No further cardiac workup at this time.
null
28,557.086706
sonnet-4_5-20251217-142420
0.0027
1,601
4,529
6,130
0.0217
sonnet-4_5
null
1,267
888
2,155
0.5
0
sonnet-4_5-mtsamples_replicate
0.110388
completed
default
43,399.061918
mtsamples_replicate
null
249
This is a very pleasant 47-year-old female with stage IIIC adenocarcinoma of the endometrial cancer. She has completed five of a planned six cycles of chemotherapy with doxorubicin, cisplatin, and Abraxane. She is slightly anemic after this last treatment and is feeling weaker. Most of this is cumulative effects of tre...
null
27,179.232597
sonnet-4_5-20251217-142420
0.0031
1,702
4,960
6,662
0.021
sonnet-4_5
null
1,187
1,054
2,241
0.916667
0
sonnet-4_5-mtsamples_replicate
0.140429
completed
default
39,486.599684
mtsamples_replicate
null
250
I will recommend that the patient be on lifelong proton pump inhibition and have repeat endoscopy performed as needed. This has been discussed with the parents. He was sent home with a prescription for omeprazole.
null
22,575.160265
sonnet-4_5-20251217-142420
0.0023
1,267
3,497
4,764
0.018
sonnet-4_5
null
1,115
410
1,525
0.916667
0
sonnet-4_5-mtsamples_replicate
0.104427
completed
default
32,810.519457
mtsamples_replicate
null
251
The patient in the operating room in the prone position with the back prepped and draped in the sterile fashion. The patient was given sedation and monitored. Local anesthetic was used to insufflate the skin over sacral hiatus. A 16-gauge RK needle was placed at the sacral hiatus into the caudal canal with no CSF or bl...
null
22,555.088282
sonnet-4_5-20251217-142420
0.0024
1,326
3,763
5,089
0.0177
sonnet-4_5
null
1,101
406
1,507
0.958333
0
sonnet-4_5-mtsamples_replicate
0.146627
completed
default
32,561.984777
mtsamples_replicate
null
252
I will see the patient back in my office in two weeks. Continue p.r.n. medications as needed.
null
25,383.268118
sonnet-4_5-20251217-142420
0.0023
1,511
3,658
5,169
0.0182
sonnet-4_5
null
1,118
472
1,590
1
0
sonnet-4_5-mtsamples_replicate
0.274658
completed
default
38,446.325064
mtsamples_replicate
null
253
Histologic evaluation and CLO testing. I will contact the parents next week with biopsy results and further management plans will be discussed at that time.
null
27,352.205038
sonnet-4_5-20251217-142420
0.0024
1,571
4,465
6,036
0.0223
sonnet-4_5
null
1,325
794
2,119
0.958333
0
sonnet-4_5-mtsamples_replicate
0.082254
completed
default
39,611.132383
mtsamples_replicate
null
254
Begin prednisone 30 mg p.o. daily. Await PPD results and chest x-ray results, as well as cocci serology results. If these are normal, then we would recommend Remicade 5 mg/kg IV infusion. We would start Modulon 50 mL/h for 20 hours to reverse the malnutrition state of this boy. Check CMP and phosphate every Monday, Wed...
null
50,096.129417
sonnet-4_5-20251217-142420
0.0032
1,859
5,015
6,874
0.0228
sonnet-4_5
null
1,337
916
2,253
0.916667
0
sonnet-4_5-mtsamples_replicate
0.069141
completed
default
63,672.966003
mtsamples_replicate
null
255
Antral erythema; 2 cm polypoid pyloric channel tissue, questionable inflammatory polyp which was biopsied; duodenal erythema and erosion.MEDICATIONS: Fentanyl 200 mcg and versed 6 mg.SCOPE: GIF-Q180.
null
19,091.89415
sonnet-4_5-20251217-142420
0.0026
1,570
3,588
5,158
0.0157
sonnet-4_5
null
915
662
1,577
0.875
0
sonnet-4_5-mtsamples_replicate
0.059128
completed
default
34,427.129269
mtsamples_replicate
null
256
The patient had a penny lodged in the proximal esophagus in the typical location. There was no evidence of external migration and surrounding irritation was noted, but did not appear to be excessive. The coin actually came out with relative ease after which endoscopically identified.DESCRIPTION OF OPERATION: The patie...
null
25,465.577841
sonnet-4_5-20251217-142420
0.0025
1,342
4,610
5,952
0.0181
sonnet-4_5
null
1,053
777
1,830
0.916667
0
sonnet-4_5-mtsamples_replicate
0.093699
completed
default
35,879.853964
mtsamples_replicate
null
257
This 62-year-old white female has essential tremor and mild torticollis. Tremor not bothersome for most activities of daily living, but she does have a great difficulty writing, which is totally illegible. The patient did not wish to change any of her medication doses at this point. We will go ahead and check MRI brain...
null
25,973.707676
sonnet-4_5-20251217-142420
0.0028
1,895
4,719
6,614
0.0206
sonnet-4_5
null
1,187
932
2,119
0.833333
0
sonnet-4_5-mtsamples_replicate
0.178576
completed
default
43,541.194677
mtsamples_replicate
null
258
1. Normal hemodynamic response to exercise.2. No EKG changes suggestive of ischemia.3. No chest pain during the stress test.4. Achieved optimum METs for the exercise done and this is a normal exercise treadmill stress test.
null
15,318.149805
sonnet-4_5-20251217-142420
0.0018
1,118
2,701
3,819
0.0106
sonnet-4_5
null
643
322
965
0.958333
0
sonnet-4_5-mtsamples_replicate
0.059128
completed
default
24,954.147577
mtsamples_replicate
null
259
1. Positive exercise ischemia with ST depression 0.5 mm.2. Chest pain resolved after termination of exercise.3. Good exercise duration, tolerance and double product.NUCLEAR INTERPRETATION:
null
18,306.018353
sonnet-4_5-20251217-142420
0.0021
1,194
3,134
4,328
0.0131
sonnet-4_5
null
777
480
1,257
0.875
0
sonnet-4_5-mtsamples_replicate
0.105858
completed
default
29,472.204447
mtsamples_replicate
null
260
The patient was found to have an incarcerated umbilical hernia. There was a loop of small bowel incarcerated within the hernia sac. It showed signs of ecchymosis, however no signs of any ischemia or necrosis. It was easily reduced once opening the abdomen and the rest of the small bowel was ran without any other defect...
null
27,615.691185
sonnet-4_5-20251217-142420
0.0025
1,353
5,284
6,637
0.0211
sonnet-4_5
null
1,219
932
2,151
0.958333
0
sonnet-4_5-mtsamples_replicate
0.117779
completed
default
38,656.601191
mtsamples_replicate
null
261
At this point, we have asked her some questions again. She is not that sore at this point, and she has had a couple of cortisone shots. Without being the initial treating physician, she has FCR tendinitis that fails to respond to cortisone shots. She is a candidate for an FCR tunnel release. It has been described and i...
null
19,358.626842
sonnet-4_5-20251217-142420
0.0024
1,578
3,281
4,859
0.0132
sonnet-4_5
null
795
436
1,231
0.833333
0
sonnet-4_5-mtsamples_replicate
0.10252
completed
default
33,819.272757
mtsamples_replicate
null
262
I have discussed this case with the emergency room physician as well as the patient. Patient should be admitted to medical service for medical clearance for surgery of her left hip, which will include a percutaneous screw fixation. Since the patient is on Plavix, I recommend that the Plavix be discontinued and should b...
null
36,952.211142
sonnet-4_5-20251217-142420
0.0033
1,653
6,148
7,801
0.0277
sonnet-4_5
null
1,572
1,367
2,939
0.875
0
sonnet-4_5-mtsamples_replicate
0.087976
completed
default
48,470.054865
mtsamples_replicate
null
263
1. Uncontrolled hypertension. We will start the patient on beta-blockers. The patient is to see her primary physician within 1 week's time.2. Tachycardia, probable mild withdrawal to alcohol. The patient is stable now. We will discharge home with diazepam p.r.n. The patient had been advised that she should not take alc...
null
29,407.045841
sonnet-4_5-20251217-142420
0.0031
1,856
4,864
6,720
0.0243
sonnet-4_5
null
1,472
740
2,212
0.916667
0
sonnet-4_5-mtsamples_replicate
0.055552
completed
default
46,692.090511
mtsamples_replicate
null
264
I had a long discussion with Mr. A and his daughter. We are all pleased that he has started to make some improvement with his hydrocephalus because I believe I see a tiny fluid collection in the right parietal region, I would like to leave the setting at 2.0 for another three months before we consider changing the shun...
null
27,528.620481
sonnet-4_5-20251217-142420
0.0028
1,657
5,128
6,785
0.0219
sonnet-4_5
null
1,247
1,054
2,301
1
0
sonnet-4_5-mtsamples_replicate
0.090122
completed
default
61,758.938551
mtsamples_replicate
null
265
We will evaluate with a CBC, urinalysis and culture, and TSH. The patient has what she describes as migraine headaches of a new onset. Because of the pelvic pain, dysmenorrhea, and menorrhagia, we will also evaluate with a pelvic sonogram. We will evaluate with a CT scan of the brain with and without contrast. We will ...
null
28,498.409748
sonnet-4_5-20251217-142420
0.0031
1,692
5,488
7,180
0.0241
sonnet-4_5
null
1,378
1,145
2,523
0.916667
0
sonnet-4_5-mtsamples_replicate
0.812531
completed
default
42,211.327553
mtsamples_replicate
null
266
Plan for laser lithotripsy tomorrow. Options such as watchful waiting, laser lithotripsy, and shockwave lithotripsy were discussed. The patient has a pretty enlarged stone. Failure of the procedure if the stone is significantly impacted into the ureteral wall was discussed. The patient understood that the success of th...
null
29,121.182919
sonnet-4_5-20251217-142420
0.0026
1,627
4,280
5,907
0.0214
sonnet-4_5
null
1,337
457
1,794
0.916667
0
sonnet-4_5-mtsamples_replicate
0.105143
completed
default
43,764.024496
mtsamples_replicate
null
267
1. No further intervention from my point of view.2. Agree with discharge and followup as an outpatient. Further intervention will depend on how she does clinically. She fully understood and agreed.
null
16,505.713463
sonnet-4_5-20251217-142420
0.003
2,439
2,809
5,248
0.0119
sonnet-4_5
null
720
362
1,082
0.5
0
sonnet-4_5-mtsamples_replicate
0.072956
completed
default
40,765.098572
mtsamples_replicate
null
268
The patient is to go to the operating room for direct laryngoscopy/microscopic suspension direct laryngoscopy for removal of foreign body under anesthesia this a.m. Airway precautions were instituted. The patient currently remained in stable condition.
null
25,996.264458
sonnet-4_5-20251217-142420
0.0024
1,238
4,708
5,946
0.0211
sonnet-4_5
null
1,216
950
2,166
0.916667
0
sonnet-4_5-mtsamples_replicate
0.071764
completed
default
35,281.559229
mtsamples_replicate
null
269
The patient is a 58-year-old black male with chronic renal failure. He undergoes dialysis through the left forearm bridge fistula and has small pseudoaneurysms at the needle puncture sites level. There is narrowing at the distal anastomosis due to intimal hypoplasia and the vein beyond it was of good quality.OPERATIVE ...
null
28,674.55101
sonnet-4_5-20251217-142420
0.0028
1,328
5,800
7,128
0.0227
sonnet-4_5
null
1,314
998
2,312
0.916667
0
sonnet-4_5-mtsamples_replicate
0.189781
completed
default
40,340.014219
mtsamples_replicate
null
270
On physical exam, his incision is near well healed. He has no effusion noted. His range of motion is 10 to 105 degrees. He has no pain or crepitance. On examination of his right foot, he is nontender to palpation of the metatarsal heads. He has 4 out of 5 strength in EHL, FHL, tibialis, and gastroc-soleus complex. He d...
null
24,836.713791
sonnet-4_5-20251217-142420
0.0026
1,628
4,515
6,143
0.0186
sonnet-4_5
null
1,078
800
1,878
0.958333
0
sonnet-4_5-mtsamples_replicate
0.102282
completed
default
39,615.918636
mtsamples_replicate
null
271
1. Asthma. Seems to be worse than in the past. She is just using her Proventil inhaler but is using it daily. We will add Flovent 44 mcg two puffs p.o. b.i.d. May need to increase the dose. She did get some vaginal irritation with Advair in the past but she is willing to retry that if it is necessary. May also need to ...
null
22,573.177099
sonnet-4_5-20251217-142420
0.0031
2,079
4,449
6,528
0.0175
sonnet-4_5
null
982
937
1,919
0.791667
0
sonnet-4_5-mtsamples_replicate
0.140905
completed
default
43,310.719967
mtsamples_replicate
null
272
I have spoken to XYZ about this. Continue with ice and boot for weightbearing activities. We will start him on a functional rehab program and progress him back to activities when his symptoms allow. He is clear on the prolonged duration of recovery for these hindfoot type injuries.
null
29,037.877321
sonnet-4_5-20251217-142420
0.0025
1,479
4,257
5,736
0.0208
sonnet-4_5
null
1,262
618
1,880
0.916667
0
sonnet-4_5-mtsamples_replicate
0.153065
completed
default
41,487.568378
mtsamples_replicate
null
273
As far as the abdominal pain is concerned, they are to observe for any changes. Return if worse, follow up with the primary care physician. The right nose, I will place the child on amoxicillin 125 per 5 mL, 1 teaspoon t.i.d. Return as needed and observe for more foreign bodies. I suspect, the child had placed this cot...
null
22,777.354717
sonnet-4_5-20251217-142420
0.0028
1,666
4,344
6,010
0.018
sonnet-4_5
null
1,027
864
1,891
0.958333
0
sonnet-4_5-mtsamples_replicate
0.164032
completed
default
35,385.052443
mtsamples_replicate
null
274
Include purulent material from the abscess located in the plantar aspect of the foot between the third and fourth metatarsal heads.
null
31,673.977137
sonnet-4_5-20251217-142420
0.0028
1,364
5,300
6,664
0.0266
sonnet-4_5
null
1,581
951
2,532
0.916667
0
sonnet-4_5-mtsamples_replicate
0.145197
completed
default
42,037.410736
mtsamples_replicate
null
275
1. Cipro 500 mg b.i.d. x five days. Ordered BMP, CBC, and urinalysis with microscopy.
null
24,101.17507
sonnet-4_5-20251217-142420
0.0033
2,748
3,905
6,653
0.0205
sonnet-4_5
null
1,263
514
1,777
0.833333
0
sonnet-4_5-mtsamples_replicate
0.105381
completed
default
51,086.755514
mtsamples_replicate
null
276
This young patient presented with mild generalized marginal gingivitis, secondary to light generalized plaque accumulation and fair oral hygiene. All primary teeth were present. Dental carries were present on the following teeth: Tooth B, OL caries, tooth C, M, L, S caries, tooth B, caries on all surfaces, tooth E cari...
null
30,100.578547
sonnet-4_5-20251217-142420
0.0033
2,291
6,160
8,451
0.0254
sonnet-4_5
null
1,422
1,364
2,786
0.833333
0
sonnet-4_5-mtsamples_replicate
0.177145
completed
default
53,350.571156
mtsamples_replicate
null
277
This young patient presented with mild generalized marginal gingivitis secondary to light generalized plaque accumulation and fair oral hygiene. All primary teeth were present. Dental caries were present on the following teeth: Tooth D, E, F, and G caries on all surfaces; teeth J, lingual caries. The remainder of her t...
null
31,069.895744
sonnet-4_5-20251217-142420
0.0028
1,567
5,414
6,981
0.0228
sonnet-4_5
null
1,301
1,088
2,389
0.916667
0
sonnet-4_5-mtsamples_replicate
0.292301
completed
default
44,245.440483
mtsamples_replicate
null
278
The right breast is again smaller than the left. There is a scar marker with underlying skin thickening and retraction along the upper margin of the right breast. The breasts are again composed of a mixture of adipose tissue and a moderate amount of heterogeneously-dense fibroglandular tissue. There is again some coars...
null
15,990.048885
sonnet-4_5-20251217-142420
0.0026
2,081
3,424
5,505
0.0128
sonnet-4_5
null
735
578
1,313
0.875
0
sonnet-4_5-mtsamples_replicate
0.100374
completed
default
36,768.84985
mtsamples_replicate
null
279
The patient will follow up as needed for problems related to gastrostomy. We will see her when she comes in the hospital for endoscopic exams and possibly laryngotracheoplasty in the future.
null
21,447.062254
sonnet-4_5-20251217-142420
0.0023
1,341
3,688
5,029
0.0158
sonnet-4_5
null
931
609
1,540
1
0
sonnet-4_5-mtsamples_replicate
0.14472
completed
default
30,918.2868
mtsamples_replicate
null
280
The patient is a 19-year-old female with what appears to be celiac sprue, that is markedly improved on a gluten-free diet. I discussed with her and her mother that the gold standard really is a small bowel biopsy, but she would have to go back on her gluten diet to obtain the study. At this point in time, she does not ...
null
28,343.093395
sonnet-4_5-20251217-142420
0.0029
1,978
4,616
6,594
0.0213
sonnet-4_5
null
1,284
668
1,952
0.958333
0
sonnet-4_5-mtsamples_replicate
0.154018
completed
default
49,117.687941
mtsamples_replicate
null
281
1. Obtain discharge summaries from Dr. W's office.2. Send the patient for a complete metabolic panel, AMA.3. Send the patient for ultrasound and possible ultrasound guided liver biopsy.4. The patient will return to see me in three weeks. We will consider further options pending on these results of the test and review o...
null
35,254.98271
sonnet-4_5-20251217-142420
0.003
1,281
7,203
8,484
0.0304
sonnet-4_5
null
1,633
1,960
3,593
0.958333
0
sonnet-4_5-mtsamples_replicate
0.206709
completed
default
46,504.056454
mtsamples_replicate
null
282
1. We discussed Dr. S's recommendation that the patient undergo balloon dilation for recurrent bowel obstruction type symptoms. The patient emphatically states that he does not want to consider dilation at this time. The patient is strongly encouraged to call us when he does experience any obstructive symptoms, includi...
null
24,668.223381
sonnet-4_5-20251217-142420
0.003
1,706
5,481
7,187
0.0219
sonnet-4_5
null
1,254
1,038
2,292
0.791667
0
sonnet-4_5-mtsamples_replicate
0.249147
completed
default
38,315.787554
mtsamples_replicate
null
283
We will proceed with Laparoscopic Cholecystectomy with intraoperative cholangiogram.MEDICATIONS PRESCRIBED: None.PROCEDURES SCHEDULED: Laparoscopic Cholecystectomy scheduled for 3-15-02 at outpatient surgery center.
null
28,559.024096
sonnet-4_5-20251217-142420
0.0027
1,666
4,645
6,311
0.0231
sonnet-4_5
null
1,373
821
2,194
0.916667
0
sonnet-4_5-mtsamples_replicate
0.121832
completed
default
43,694.21196
mtsamples_replicate
null
284
Plan is to give vitamin K, FFP, blood transfusion. Consider upper endoscopy. Procedure and informed consent discussed with the family.
null
27,039.120674
sonnet-4_5-20251217-142420
0.0026
1,271
4,198
5,469
0.0193
sonnet-4_5
null
1,129
799
1,928
0.916667
0
sonnet-4_5-mtsamples_replicate
0.114202
completed
default
43,216.521978
mtsamples_replicate
null
285
The patient will be treated with metronidazole 500 mg p.o. twice a day x7 days. The patient will follow up with her primary care provider.
null
25,763.131618
sonnet-4_5-20251217-142420
0.0026
1,475
4,265
5,740
0.0183
sonnet-4_5
null
1,036
924
1,960
0.916667
0
sonnet-4_5-mtsamples_replicate
0.165462
completed
default
37,410.125971
mtsamples_replicate
null
286
The plan is to discharge the patient home. He can resume his home medications of Prandin, Actos, Lipitor, Glucophage, Benicar, and Advair. We will also start him on a tapered dose of prednisone for 4 weeks. We will start him on 15 mg p.o. for seven days. Then, week #2, we will start him on 40 mg for 1 week. Then, week ...
null
26,515.164852
sonnet-4_5-20251217-142420
0.003
2,466
4,277
6,743
0.021
sonnet-4_5
null
1,277
615
1,892
0.791667
0
sonnet-4_5-mtsamples_replicate
0.219345
completed
default
50,776.388407
mtsamples_replicate
null
287
Poor prep with friable internal hemorrhoids, but no gross lesions, no source of bleed.
null
19,833.953381
sonnet-4_5-20251217-142420
0.0023
1,456
3,355
4,811
0.0145
sonnet-4_5
null
849
586
1,435
0.916667
0
sonnet-4_5-mtsamples_replicate
0.12064
completed
default
32,738.866806
mtsamples_replicate
null
288
1. Gastrointestinal bleed. Appears to be a lower gastrointestinal bleed; however, given her history of peptic ulcer disease cannot rule out an upper bleed. We will plan to keep her NPO, put on IV PPIs. We will transfuse as needed and schedule for an esophagogastroduodenoscopy and colonoscopy in the morning.2. Diabetes ...
null
35,673.2862
sonnet-4_5-20251217-142420
0.0031
1,730
5,476
7,206
0.0264
sonnet-4_5
null
1,550
1,055
2,605
0.916667
0
sonnet-4_5-mtsamples_replicate
0.072718
completed
default
55,313.066959
mtsamples_replicate
null
289
The patient is cleared for work. He has the next three days off due to a plant shutdown. Should he have any persistent pain next week, I would considering obtaining an MRI.
null
20,182.264328
sonnet-4_5-20251217-142420
0.0023
1,422
3,634
5,056
0.0157
sonnet-4_5
null
923
609
1,532
0.958333
0
sonnet-4_5-mtsamples_replicate
0.136375
completed
default
31,185.172796
mtsamples_replicate
null
290
We will obtain an x-ray of both hands. We will also obtain a sedimentation rate, rheumatoid factor, and have her see Dr. Mortensen. Continue other medication. We will also have her return in three months and we will go from there. Continue all of her other medications at this point.
null
25,315.021038
sonnet-4_5-20251217-142420
0.0036
2,066
6,343
8,409
0.025
sonnet-4_5
null
1,295
1,867
3,162
0.75
0
sonnet-4_5-mtsamples_replicate
0.118971
completed
default
42,533.002377
mtsamples_replicate
null
291
1. I would like her to go to the lab and get a CBC, chem-12, TSH and UA.2. We will put her on cephalexin 500 mg three times a day.3. We will send her back to see Dr. XYZ regarding the pelvic pain per her request.4. We will get her an appointment with a psychiatrist for evaluation and treatment.5. She is to call if she ...
null
22,875.291824
sonnet-4_5-20251217-142420
0.0024
1,442
3,845
5,287
0.0161
sonnet-4_5
null
947
631
1,578
0.916667
0
sonnet-4_5-mtsamples_replicate
0.077248
completed
default
38,759.13167
mtsamples_replicate
null
292
1. CBC, complete metabolic profile, UA for hypertension.2. Chest x-ray for history of breast cancer.3. DEXA scan, full body for osteoporosis.4. Flex is up to date.
null
22,688.832521
sonnet-4_5-20251217-142420
0.0034
2,386
4,121
6,507
0.018
sonnet-4_5
null
1,041
809
1,850
0.916667
0
sonnet-4_5-mtsamples_replicate
0.172377
completed
default
43,597.120762
mtsamples_replicate
null
293
Mother has been advised to continue Zyrtec as directed daily. Supportive care as needed. Reassurance given and he is to return to the office as scheduled.
null
24,227.381945
sonnet-4_5-20251217-142420
0.0026
1,563
3,523
5,086
0.0171
sonnet-4_5
null
1,051
459
1,510
0.875
0
sonnet-4_5-mtsamples_replicate
0.118732
completed
default
37,912.067413
mtsamples_replicate
null
294
In addition to her Zyrtec, I put her on Nasonex spray one spray each nostril daily. If this works for her, certainly she can do it through the ragweed season. Otherwise she is doing well. I talked about ways to improve her potty training. She is a very good eater. I will see her yearly or p.r.n. Unfortunately she is no...
null
20,744.118452
sonnet-4_5-20251217-142420
0.0026
1,739
3,419
5,158
0.0156
sonnet-4_5
null
956
434
1,390
0.916667
0
sonnet-4_5-mtsamples_replicate
0.088453
completed
default
36,417.533636
mtsamples_replicate
null
295
Change to Zyrtec 10 mg samples were given. He is not using nasal spray, but he has some at home. He should restart this. Continue to watch his peak flows to make sure his asthma does not come under poor control. Call if any further problems.
null
17,039.922476
sonnet-4_5-20251217-142420
0.002
1,459
2,858
4,317
0.0123
sonnet-4_5
null
758
324
1,082
0.958333
0
sonnet-4_5-mtsamples_replicate
0.07534
completed
default
32,468.317509
mtsamples_replicate
null
296
Change to Omnicef two teaspoons daily for 10 days. Frequent saline in the nose. Also, there was some redness around the nares with a little bit of yellow crusting. It appeared to be the start of impetigo, so hold off on the Rhinocort for a few days and then restart. Use a little Neosporin for now.
null
18,908.276796
sonnet-4_5-20251217-142420
0.0027
2,206
3,212
5,418
0.0142
sonnet-4_5
null
862
420
1,282
0.875
0
sonnet-4_5-mtsamples_replicate
0.075817
completed
default
40,492.775679
mtsamples_replicate
null
297
We will admit the patient to the regular medical floor. We will give him IV fluids. We will restart his Sinemet.
null
27,121.724844
sonnet-4_5-20251217-142420
0.0025
1,312
4,109
5,421
0.0188
sonnet-4_5
null
1,115
704
1,819
0.916667
0
sonnet-4_5-mtsamples_replicate
0.114679
completed
default
37,506.162882
mtsamples_replicate
null
298
The patient is now six months out from his injury. He had negative lab studies. There were no physical findings that were suggestive of disease transmission. He was counseled on ways to prevent exposure in the future including use of protective gear including gloves, which he states that he always does. He was counsele...
null
24,460.95705
sonnet-4_5-20251217-142420
0.0031
2,344
4,752
7,096
0.0193
sonnet-4_5
null
1,092
983
2,075
0.916667
0
sonnet-4_5-mtsamples_replicate
0.207901
completed
default
50,406.973124
mtsamples_replicate
null
299
A 1 g of Rocephin IM was given. Call Dr. B's office tomorrow morning incase a second IM dose is needed. If not then she will fill a prescription for Omnicef 300 mg capsule 1 p.o. b.i.d. for 10 days total and then we will await the culture and sensitivity results to see if this is appropriate drug. Push fluids. Await st...
null
19,352.954865
sonnet-4_5-20251217-142420
0.0033
2,555
3,888
6,443
0.0164
sonnet-4_5
null
962
669
1,631
0.791667
0
sonnet-4_5-mtsamples_replicate
0.1719
completed
default
47,679.1327
mtsamples_replicate
null
300
1. Admit to A4 with telemetry, congestive heart failure pathway, intravenous diuretic therapy.2. Strict I&O, Foley catheter has already been placed.3. Daily BMP.4. Two-dimensional echocardiogram to assess left ventricular systolic function. Serum iron determination to exclude the possibility of a subclinical ischemic c...
null
30,353.883028
sonnet-4_5-20251217-142420
0.0031
1,447
5,437
6,884
0.0249
sonnet-4_5
null
1,420
1,185
2,605
0.833333
0
sonnet-4_5-mtsamples_replicate
0.373602
completed
default
41,614.847422
mtsamples_replicate
null
301
1. Ruptured appendicitis. The patient is 6 days post surgery. He is tolerating oral fluids and moving bowels.2. Left-sided chest pain, need to rule out PE by distance of pretty low probability. The patient, however, has low-oxygen saturation. We will do ultrasound of the lower extremity and if this is positive we would...
null
14,387.571812
sonnet-4_5-20251217-142420
0.0024
1,533
3,354
4,887
0.012
sonnet-4_5
null
674
619
1,293
0.791667
0
sonnet-4_5-mtsamples_replicate
0.204325
completed
default
26,803.020239
mtsamples_replicate
null
302
My plan is to do a triple-phase bone scan. I am suspecting an infection possibly in the left sacroiliac joint. It is probably some type of bacterium, the etiology of which is undetermined. She has had a normal white count despite her fever. There has been a history of brucellosis in the past, but her titers at this tim...
null
27,669.730425
sonnet-4_5-20251217-142420
0.003
1,563
4,536
6,099
0.0201
sonnet-4_5
null
1,178
819
1,997
0.875
0
sonnet-4_5-mtsamples_replicate
0.082016
completed
default
44,287.533045
mtsamples_replicate
null
303
Patient is admitted for IV hydration and treatment of oral ulcerations. We will obtain a dermatology consult. IV leucovorin will be started, and the patient will be put on high-dose corticosteroids.
null
32,184.618235
sonnet-4_5-20251217-142420
0.0029
1,546
4,829
6,375
0.0242
sonnet-4_5
null
1,437
886
2,323
0.916667
0
sonnet-4_5-mtsamples_replicate
0.134468
completed
default
44,037.026405
mtsamples_replicate
null
304
The patient is admitted to the medical floor. He has been kept NPO and will be given IV fluids. He will also be given antiemetic medications with Zofran and an analgesic as necessary. General surgery consultation was obtained. Abdominal series x-ray will be done.
null
25,576.24197
sonnet-4_5-20251217-142420
0.0026
1,313
5,226
6,539
0.0218
sonnet-4_5
null
1,181
1,349
2,530
0.958333
0
sonnet-4_5-mtsamples_replicate
0.136852
completed
default
35,067.563772
mtsamples_replicate
null
305
We will keep the patient NPO until a swallowing evaluation was done. We will start her on IV Vasotec every 4 hours p.r.n. systolic blood pressure more than 170. Neuro check every 4 hours for 24 hours. We will start her on amikacin IV per pharmacy. We will start her on Lovenox subcutaneously 40 mg every day and we will ...
null
30,525.932789
sonnet-4_5-20251217-142420
0.0033
1,806
5,524
7,330
0.0242
sonnet-4_5
null
1,407
1,040
2,447
0.916667
0
sonnet-4_5-mtsamples_replicate
0.239134
completed
default
45,593.946695
mtsamples_replicate
null
306
1. Diabetes and hypertension, both under less than appropriate control. In fact, we discussed increasing the Lantus. He appears genuine in his desire to embark on a substantial weight-lowering regime, and is going to do that through dietary control. He knows what needs to be done with the absence of carbohydrates, and ...
null
23,648.685694
sonnet-4_5-20251217-142420
0.0028
1,860
4,813
6,673
0.0194
sonnet-4_5
null
1,139
788
1,927
0.916667
0
sonnet-4_5-mtsamples_replicate
0.151396
completed
default
42,800.646544
mtsamples_replicate
null
307
Miss Bolen is a 59-year-old gravida 1, para 0-0-1-0 with stage IIIC papillary serous adenocarcinoma of the ovary. She is postop day 21 of an exploratory laparotomy with ovarian cancer staging. She is currently with a left leg DVT.1. The patient is doing well and is currently without any complaints. We will start Loveno...
null
25,800.174475
sonnet-4_5-20251217-142420
0.0029
1,553
5,093
6,646
0.0216
sonnet-4_5
null
1,235
1,034
2,269
0.916667
0
sonnet-4_5-mtsamples_replicate
0.075817
completed
default
41,354.191303
mtsamples_replicate
null
308
1. Induced sputum, rule out Pneumocystis carinii pneumonia and tuberculosis.2. Begin intravenous Bactrim and erythromycin.
null
29,113.036156
sonnet-4_5-20251217-142420
0.0027
1,487
4,740
6,227
0.0243
sonnet-4_5
null
1,454
815
2,269
1
0
sonnet-4_5-mtsamples_replicate
0.118732
completed
default
40,693.624258
mtsamples_replicate
null
309
The patient has also been attending the Homeless Clinic since discharge from the hospital, where he has been receiving quality care and they have been looking after every aspect of his health, including his hyperthyroidism. It is our recommendation that a TSH and T4 be continually checked until the patient is euthymic,...
null
34,831.96497
sonnet-4_5-20251217-142420
0.003
1,687
5,483
7,170
0.0267
sonnet-4_5
null
1,646
681
2,327
0.958333
0
sonnet-4_5-mtsamples_replicate
0.119925
completed
default
51,350.567818
mtsamples_replicate
null
310
Refill his medications x 3 months. We will check an A1c and BMP. I have talked to him several times about a colonoscopy, which he has refused, and so we have been doing stools for occult blood. We will check a PSA. Continue with yearly eye exams, foot exams, Accu-Cheks, and we will see him in three months and p.r.n.
null
24,354.486465
sonnet-4_5-20251217-142420
0.0026
1,743
3,743
5,486
0.018
sonnet-4_5
null
1,113
428
1,541
0.958333
0
sonnet-4_5-mtsamples_replicate
0.094175
completed
default
41,031.429768
mtsamples_replicate
null
311
1. Rhabdomyolysis, most likely secondary to statins, gemfibrozil, discontinue it on admission. Continue IV fluids. We will monitor.2. Acute on chronic renal failure. We will follow up with Nephrology recommendation.3. Anemia, drop in hemoglobin most likely hemodilutional. Repeat CBC in a.m.4. Leukocytosis, improving.5....
null
26,026.491165
sonnet-4_5-20251217-142420
0.0029
2,137
3,994
6,131
0.0188
sonnet-4_5
null
1,162
464
1,626
0.666667
0
sonnet-4_5-mtsamples_replicate
0.181437
completed
default
44,696.502209
mtsamples_replicate
null
312
1. Sepsis due to urinary tract infection. Urine culture shows Escherichia coli, resistant to Levaquin. We changed to doripenem.2. Urinary tract infection, we will treat with doripenem, change Foley catheter3. Hypotension. Resolved, continue intravenous fluids.4. Ischemic cardiomyopathy. No evidence of decompensation, w...
null
15,397.530556
sonnet-4_5-20251217-142420
0.0028
2,672
3,004
5,676
0.0122
sonnet-4_5
null
763
266
1,029
0.583333
0
sonnet-4_5-mtsamples_replicate
0.143051
completed
default
40,817.584991
mtsamples_replicate
null
313
1. Allegra D 1 p.o. b.i.d. x 3 days.2. Allegra 180 mg daily x 7 days.3. Check an A1c, BMP, lipid profile, TSH. 4. She was given a copy of Partners in Prevention. 5. We discussed colonoscopy, and she is not ready to do that right now.
null
24,596.362114
sonnet-4_5-20251217-142420
0.003
2,445
3,854
6,299
0.019
sonnet-4_5
null
1,167
498
1,665
0.875
0
sonnet-4_5-mtsamples_replicate
0.22316
completed
default
50,496.419907
mtsamples_replicate
null
314
I think I will just watch everything for now. I would continue the Lexapro, we gave her more samples plus a prescription for the 20 mg that she can cut in half. I offered to see her for again short-term followup. However, they both preferred just to wait until the annual check up already set up for next April and they ...
null
22,619.327545
sonnet-4_5-20251217-142420
0.0029
2,089
4,745
6,834
0.0193
sonnet-4_5
null
1,087
993
2,080
0.916667
0
sonnet-4_5-mtsamples_replicate
0.257969
completed
default
42,473.606348
mtsamples_replicate
null
315
We will get follow-up labs today. We will continue with current medications and treatment. We will arrange for a follow-up mammogram as recommended by the radiologist in six months, which will be approximately Month DD, YYYY. The patient is advised to proceed with previous recommendations. She is to follow-up with Opht...
null
17,160.423756
sonnet-4_5-20251217-142420
0.0022
1,563
2,926
4,489
0.0127
sonnet-4_5
null
781
315
1,096
0.916667
0
sonnet-4_5-mtsamples_replicate
0.111341
completed
default
29,585.717201
mtsamples_replicate
null
316
1. Continue on current medications.2. I did call and talk with doctor at hospital. We discussed different options. We have decided to have the patient eat the evening meal at the nursing home also and have her take a supplement drink such as Ensure at breakfast time. Connie will weigh the patient once a week and I will...
null
24,320.696592
sonnet-4_5-20251217-142420
0.0026
1,338
4,700
6,038
0.0197
sonnet-4_5
null
1,119
958
2,077
1
0
sonnet-4_5-mtsamples_replicate
0.248432
completed
default
34,538.310528
mtsamples_replicate
null
317
The patient is getting a refill on Allegra-D. I am giving him a refill on the Nizoral 2% cream that he should use to the foot area twice a day. I gave him instructions on how to keep the foot clean and dry because I think the reason we are dealing with this persistent problem is the fact that his feet are hot and sweat...
null
19,902.46129
sonnet-4_5-20251217-142420
0.0034
2,723
4,427
7,150
0.016
sonnet-4_5
null
905
817
1,722
0.875
0
sonnet-4_5-mtsamples_replicate
0.119448
completed
default
46,549.846888
mtsamples_replicate
null
318
Progressive low-grade glioma, now more than 20 years since initially diagnosed. She is status post craniotomy for debulking and has done well with the surgery.We reviewed the phase II trials that have used Temodar in the setting of grade 2 gliomas. Although, complete responses are rare, it is quite common to have parti...
null
21,107.491255
sonnet-4_5-20251217-142420
0.0027
1,620
4,709
6,329
0.0171
sonnet-4_5
null
940
1,004
1,944
0.875
0
sonnet-4_5-mtsamples_replicate
0.149012
completed
default
32,366.536617
mtsamples_replicate
null
319
Continue the septic workup protocol, supportive care with IV fluids, and Tylenol as needed for fever, and continue the antibiotics until spinal fluid cultures and blood cultures are negative for 48 hours. In addition, I believe that the rapid heart rate is a sinus tachycardia, and is related to the child's illness, irr...
null
23,976.091623
sonnet-4_5-20251217-142420
0.0023
1,166
4,125
5,291
0.0186
sonnet-4_5
null
1,106
675
1,781
1
0
sonnet-4_5-mtsamples_replicate
0.114202
completed
default
34,307.682753
mtsamples_replicate
null
320
1. Intractable nausea and vomiting/history of diabetic gastroparesis/multiple endoscopies revealing gastritis and esophagitis. We will make the patient NPO for now. IV fluids. Give antiemetics as needed. She will be continued on Reglan 10 mg IV every 6 hours and she will be started on erythromycin 250 mg orally 3 times...
null
37,162.443399
sonnet-4_5-20251217-142420
0.0041
2,048
7,171
9,219
0.0314
sonnet-4_5
null
1,810
1,427
3,237
0.875
0
sonnet-4_5-mtsamples_replicate
0.133038
completed
default
52,556.631804
mtsamples_replicate
null
321
On physical exam, he has swelling and tenderness over the ulnar dorsum of his hand. He has a normal cascade. He has 70 degrees of MCP flexion and full IP flexion and extension. He has 3 to 5 strength in his grip and intrinsics. He has intact sensation to light touch in the radial, ulnar, and median nerve distribution. ...
null
24,763.345242
sonnet-4_5-20251217-142420
0.0025
1,317
4,380
5,697
0.0188
sonnet-4_5
null
1,124
633
1,757
0.916667
0
sonnet-4_5-mtsamples_replicate
0.108004
completed
default
35,213.569641
mtsamples_replicate
null
322
The patient will maintain the cast for 3 more weeks. Intraoperative nail was given to the mother. The patient to take Tylenol with Codeine as needed. All questions were answered.
null
33,193.881273
sonnet-4_5-20251217-142420
0.0026
1,422
4,544
5,966
0.024
sonnet-4_5
null
1,496
532
2,028
0.958333
0
sonnet-4_5-mtsamples_replicate
0.122786
completed
default
45,964.594364
mtsamples_replicate
null
323
This is a pleasant but unfortunate 61-year-old gentleman who was diagnosed with stage IV, a squamous cell carcinoma of the oropharynx. He has met with radiation oncology to discuss the plan and he has also been in close contact with his dentist. He has a known abscess and is in need of some bridge work. I discussed iss...
null
32,523.391247
sonnet-4_5-20251217-142420
0.0031
1,925
6,269
8,194
0.0257
sonnet-4_5
null
1,488
1,120
2,608
0.875
0
sonnet-4_5-mtsamples_replicate
0.096083
completed
default
53,153.619528
mtsamples_replicate
null
324
Scripts were given for Darvocet-N 100 one every 4 to 6 hours #15, Soma one 4 times a day #20. She was instructed to apply warm compresses and perform gentle massage. Follow up with regular provider as needed. Return if any problems.
null
19,011.557102
sonnet-4_5-20251217-142420
0.0023
1,328
3,619
4,947
0.0148
sonnet-4_5
null
854
665
1,519
1
0
sonnet-4_5-mtsamples_replicate
0.156164
completed
default
28,172.95146
mtsamples_replicate
null
325
For her headaches we are going to titrate Zonegran up to 200 mg q.h.s. to try to maximize the Zonegran therapy. If this is not effective, when she comes back on August 7, 2006 we will then consider other anticonvulsants such as Neurontin or Lyrica. We also discussed with Ms. Hawkins the possibility of nerve block injec...
null
22,579.717159
sonnet-4_5-20251217-142420
0.003
1,826
3,702
5,528
0.017
sonnet-4_5
null
1,049
436
1,485
0.875
0
sonnet-4_5-mtsamples_replicate
0.057936
completed
default
40,005.748272
mtsamples_replicate
null
326
See above.
null
19,702.63648
sonnet-4_5-20251217-142420
0.0023
1,419
2,949
4,368
0.0141
sonnet-4_5
null
865
371
1,236
0.875
0
sonnet-4_5-mtsamples_replicate
0.055313
completed
default
33,231.36735
mtsamples_replicate
null
327
Markedly elevated PT/INR despite stopping Coumadin and administering vitamin K. I will check mixing studies to see if she has deficiency, which could be due to poor production given her elevated LFTs, decreased albumin, and decreased pre-albumin.It is possible that she has an inhibitor, which would have to be an acquir...
null
36,990.665436
sonnet-4_5-20251217-142420
0.0031
1,464
6,329
7,793
0.0297
sonnet-4_5
null
1,775
1,039
2,814
0.875
0
sonnet-4_5-mtsamples_replicate
0.184536
completed
default
49,904.098511
mtsamples_replicate
null
328
From hematologic standpoint, we will await hypercoagulable studies, which have all been sent on admission to see if a hereditary component is at play. For now, we will continue intravenous heparin and subsequent oral anticoagulation with Coumadin. In view of worsening renal function, may need temporary hemodialysis unt...
null
29,560.096741
sonnet-4_5-20251217-142420
0.0033
1,769
5,006
6,775
0.0238
sonnet-4_5
null
1,392
989
2,381
0.875
0
sonnet-4_5-mtsamples_replicate
0.214815
completed
default
50,542.546511
mtsamples_replicate
null
329
Vascular hemorrhagic lesion including inflamed dura and edematous brain with significant mass effect, and intracerebral hematoma with a history of significant headache, probable seizures, nausea, and vomiting.ANESTHESIA: General.ESTIMATED BLOOD LOSS: Per Anesthesia.
null
36,509.2237
sonnet-4_5-20251217-142420
0.003
1,350
6,602
7,952
0.0295
sonnet-4_5
null
1,629
1,677
3,306
0.916667
0
sonnet-4_5-mtsamples_replicate
0.114918
completed
default
46,609.362125
mtsamples_replicate
null
330
The patient appears to be stable at the present time. We would continue with care as you have already been doing. Further workup for his hematuria at your expertise. For now, he appears to be stable. He should follow up with Dr. A after discharge. We will continue to follow as needed.
null
28,303.743124
sonnet-4_5-20251217-142420
0.0031
1,983
4,416
6,399
0.0214
sonnet-4_5
null
1,276
769
2,045
0.916667
0
sonnet-4_5-mtsamples_replicate
0.203848
completed
default
47,040.476322
mtsamples_replicate
null
331
During the examination under anesthesia, the biopsy sites were visible and a slightly pigmented irregular area of epithelium was seen near the clitoris. No other obvious lesions were seen. The room was darkened and a Woods lamp was used to inspect the epithelium. A marking pen was used to outline all pigmented areas, w...
null
29,128.56698
sonnet-4_5-20251217-142420
0.0026
1,580
4,819
6,399
0.0221
sonnet-4_5
null
1,342
647
1,989
0.958333
0
sonnet-4_5-mtsamples_replicate
0.15974
completed
default
43,416.1973
mtsamples_replicate
null
332
1. Hepatic encephalopathy. Trigger is unclear at this time. Could be noncompliance. No evidence of GI bleed and his electrolytes are normal. I am not sure if he is taking any sedatives, as he does not recall the medication that he is on. The patient will be admitted to the hospital for management. He will be started on...
null
39,528.78356
sonnet-4_5-20251217-142420
0.0035
1,573
7,902
9,475
0.0316
sonnet-4_5
null
1,759
1,754
3,513
0.916667
0
sonnet-4_5-mtsamples_replicate
0.157595
completed
default
53,150.665522
mtsamples_replicate
null
333
Imaging obtained up to 30 minutes after the injection of radiopharmaceutical shows a normal hepatobiliary transfer time. There is normal accumulation within the gallbladder.
null
21,260.493279
sonnet-4_5-20251217-142420
0.0022
1,257
3,370
4,627
0.0162
sonnet-4_5
null
992
436
1,428
0.916667
0
sonnet-4_5-mtsamples_replicate
0.181913
completed
default
32,622.010708
mtsamples_replicate
null
334
Her INR at the office was 12. I will repeat it, and if it is still elevated, I will give vitamin K 10 mg in 100 mL of D5W and then send her home and repeat the PT/INR next week. I believe at this time that it is too risky to use Coumadin in her case because of her age and comorbidities, the multiple medications that sh...
null
25,320.103645
sonnet-4_5-20251217-142420
0.0028
1,728
4,106
5,834
0.018
sonnet-4_5
null
1,077
607
1,684
0.916667
0
sonnet-4_5-mtsamples_replicate
0.180006
completed
default
42,414.236546
mtsamples_replicate
null
335
Nature and course of the diagnosis has been discussed with the patient. Based on her presentation without any history of obvious fall or trauma and past history of malignant melanoma, this appears to be a pathological fracture of the left proximal hip. At the present time, I would recommend obtaining a bone scan and re...
null
32,892.959833
sonnet-4_5-20251217-142420
0.0029
1,386
5,607
6,993
0.0254
sonnet-4_5
null
1,526
848
2,374
1
0
sonnet-4_5-mtsamples_replicate
0.095129
completed
default
44,719.044924
mtsamples_replicate
null
336
Rehab transfer as soon as medically cleared.
null
26,461.991549
sonnet-4_5-20251217-142420
0.0031
1,851
4,415
6,266
0.0206
sonnet-4_5
null
1,193
916
2,109
0.916667
0
sonnet-4_5-mtsamples_replicate
0.357151
completed
default
40,685.536385
mtsamples_replicate
null
337
I had a long discussion with the patient regarding his problem and he voiced understanding. We discussed the possibility of hip arthrodesis versus hip replacement versus hip resurfacing and the high likelihood that any one of these procedures may require further operations throughout his life secondary to his young age...
null
25,375.78702
sonnet-4_5-20251217-142420
0.0025
1,452
4,169
5,621
0.0196
sonnet-4_5
null
1,199
532
1,731
0.916667
0
sonnet-4_5-mtsamples_replicate
0.11754
completed
default
39,413.256168
mtsamples_replicate
null
338
1. AIDS complicated with multiple opportunistic infections with poor performance status, which suggested a limited prognosis of less than six months. He will benefit from home hospice care and he declined any further antibiotic or antiretroviral treatments.2. Pain, which is somatic nociceptive from KS lesions. The pati...
null
35,434.137344
sonnet-4_5-20251217-142420
0.0036
2,969
5,029
7,998
0.0242
sonnet-4_5
null
1,459
756
2,215
0.875
0
sonnet-4_5-mtsamples_replicate
0.187397
completed
default
67,933.512449
mtsamples_replicate
null
339
1. Carcinoma of the cervix metastatic to the retroperitoneum, bladder, and lung with irritable obstruction and gradual decline in the performance status. Given this, her prognosis is likely to be limited to six months and she will benefit from home hospice care.2. Pain, which is a combination of somatic nociceptive pai...
null
31,647.678375
sonnet-4_5-20251217-142420
0.0033
1,901
5,192
7,093
0.0252
sonnet-4_5
null
1,520
798
2,318
0.916667
0
sonnet-4_5-mtsamples_replicate
0.118494
completed
default
49,314.292669
mtsamples_replicate
null
340
A DNR was placed in the house after the above-noted conversation was had. I believe the patient might benefit from low-dose hypnotic and 7.5 mg of Restoril was ordered. Reassessment of the patient's condition is warranted. A family meeting will be offered to review the circumstances of the patient's condition in hopes ...
null
39,379.066467
sonnet-4_5-20251217-142420
0.0036
1,755
6,183
7,938
0.0303
sonnet-4_5
null
1,796
1,118
2,914
0.916667
0
sonnet-4_5-mtsamples_replicate
0.123262
completed
default
55,238.819361
mtsamples_replicate
null
341
I will communicate with the patient's referring physician to ascertain what clinical course and data is available. A moisture barrier will be applied to his peri-ostomy wound today and we would reassess within 24 hours. It would be appropriate for a family meeting to be scheduled to review the family and the patient's ...
null
39,484.10368
sonnet-4_5-20251217-142420
0.0033
1,790
6,119
7,909
0.0284
sonnet-4_5
null
1,652
1,219
2,871
0.916667
0
sonnet-4_5-mtsamples_replicate
0.182867
completed
default
55,468.113422
mtsamples_replicate
null
342
Before we recommend anything more, we would like to get a hold of the notes from Dr. XYZ to try to come up with a concrete plan as to what we can do next for Ms. ABC. We believe that her walking is most likely not being effected by the hydrocephalus. We would like to see her back in clinic in two and a half months or s...
null
27,549.125195
sonnet-4_5-20251217-142420
0.003
1,933
4,783
6,716
0.0212
sonnet-4_5
null
1,240
862
2,102
0.916667
0
sonnet-4_5-mtsamples_replicate
0.272036
completed
default
46,680.013418
mtsamples_replicate
null
343
Plan would be for chemical cauterization of these areas. Series of treatment with chemical cauterization till these are closed.
null
22,749.381304
sonnet-4_5-20251217-142420
0.0025
1,620
4,140
5,760
0.0179
sonnet-4_5
null
1,031
812
1,843
0.791667
0
sonnet-4_5-mtsamples_replicate
0.060558
completed
default
35,698.83275
mtsamples_replicate
null
344
Gave the patient vitamin K at this time. Literature suggested oral vitamin K is actually more efficacious than parenteral. However, in light of the fact that the patient is obtunded and is not taking anything right now in the way of oral food or fluids, we will give this to her in an IM fashion. Repeat prothrombin time...
null
25,261.364698
sonnet-4_5-20251217-142420
0.0028
1,497
4,854
6,351
0.0216
sonnet-4_5
null
1,245
964
2,209
0.916667
0
sonnet-4_5-mtsamples_replicate
0.135422
completed
default
36,906.919241
mtsamples_replicate
null
345
Absent left adnexa. Right ovary about 6 cm with chocolate cyst and severely adherent to the right pelvic side wall, uterus, and colon. Careful dissection to free right ovary and remove it although it is likely that some ovarian tissue remains behind. Ureter visualized and palpated on right and appears normal. Indigo ca...
null
29,511.169672
sonnet-4_5-20251217-142420
0.0034
1,479
6,959
8,438
0.0256
sonnet-4_5
null
1,358
1,736
3,094
0.916667
0
sonnet-4_5-mtsamples_replicate
0.128746
completed
default
42,710.577965
mtsamples_replicate
null
346
Examination under anesthesia revealed a small uterus with no nodularity. During the laparotomy, the uterus was small, mobile, and did not show any evidence of extrauterine spread of disease. Other abdominal viscera, including the diaphragm, liver, spleen, omentum, small and large bowel, and peritoneal surfaces, were pa...
null
28,795.504332
sonnet-4_5-20251217-142420
0.0028
1,269
5,920
7,189
0.0235
sonnet-4_5
null
1,310
1,270
2,580
0.916667
0
sonnet-4_5-mtsamples_replicate
0.18549
completed
default
39,094.391346
mtsamples_replicate
null
347
The patient had a history of a rapidly growing mass on the abdomen, extending from the pelvis over the past two to three months. She had a recent D&C and laparoscopy, and enlarged mass was noted and could not be determined if it was from the ovary or the uterus. Curettings were negative for malignancy. The patient did ...
null
25,548.12932
sonnet-4_5-20251217-142420
0.0033
1,616
6,634
8,250
0.0244
sonnet-4_5
null
1,188
2,180
3,368
0.875
0
sonnet-4_5-mtsamples_replicate
0.084639
completed
default
39,217.993736