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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 |
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