data/processed/materialized_ehr/1014081.jsonl

{"person_id": "1014081", "text": "[S_0] (\"2026-01-01\", \"77-year-old patient.\", 0.5, 0.5) | [S_1] (\"2026-01-01\", \"Past Medical History: cognitive impairment; lives with RELATIVE and RELATIVE; hearing loss.\", 0.5, 0.5) | [S_2] (\"2026-01-01\", \"arterial hypertension, previous Guillain-Barr\u00e9 syndrome in 2007 spinal stabilization surgery in 1993, previous hysterectomy for fibroids, hiatal hernia, cholecystectomy SAD, Last geriatric visit PHONE_NUMBER: MRI cerebral vasculopathy - presence of buccal dyskinesias - slow walking with risk of falls Therapy: pantoprazole 40-olmesartan 1/2- xanax 0.25- contramal 4 drops x2, levopraid 1/2 x 2, folic acid, stilnox,  RELATIVE PHONE_NUMBER  Recent Medical History: patient arrived last night for an episode of sudden illness characteized by a scream followed by generalized TC tremors in all 4 limbs; this morning a second fit was seen in the Emergency and Acceptance Department, TC in all 4 limbs, preceded by a scream.\", 0.5, 1.0) | [S_3] (\"2026-01-01\", \"Performed in the Emergency Department: blood tests: no abnormalities (normal electrolytes), no fever; experiencing sleep loss due to frequent nighttime awakenings.\", 0.5, 1.0) | [S_4] (\"2026-01-01\", \"Also performed brain CT brain without contrast which showed a picture of discrete diffuse cortico-subcortical atrophy, no acute manifestations; known chronic vascular disease.\", 0.5, 1.0) | [S_5] (\"2026-01-01\", \"Neurological Examination: patient alert, cooperative, rather quiet, partially oriented in time/place; no clear oculomotor deficits, blinks at bilateral visual threat, no underleveling at Mingazzini I; raises lower limbs alternately for 4-5 sec with symmetrical controlled descent.\", 0.5, 0.1) | [S_6] (\"2026-01-01\", \"No appreciable sensory deficits.\", 0.5, 0.5) | [S_7] (\"2026-01-01\", \"Bilateral plantar reflex in flexion.\", 0.5, 0.5) | [S_8] (\"2026-01-01\", \"Conclusions: generalized TC seizures (2 episodes) due to moderate cerebral atrophy and cognitive impairment.\", 0.5, 1.0) | [S_9] (\"2026-01-01\", \"Recommendation to start gardenale 50 mg 1 tablet in the evening.\", 0.5, 0.5) | [S_10] (\"2026-01-01\", \"Clinical observation until tomorrow morning; if there are no other episodes or other illnesses, discharge tomorrow with indication to perform  EEG with priority B and check-up in 6 months at epilepsy clinic with blood phenobarbital levels, a complete blood count, and liver and kidney function tests..\", 0.5, 0.5)"}