mdg-nlp/domain-eventx-clinical · Datasets at Hugging Face

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Admission Date : 2015-09-14 Discharge Date : 2015-09-19 Service : NEONATOLOGY HISTORY OF PRESENT ILLNESS : The patient is a 3285 gm infant born at 37 5/7 weeks to a 21 year old G3 P1 now 2 mother with prenatal screens as follows : O positive , antibody negative , hepatitis B surface antigen negative , RPR nonreactive , GBS negative .	sent_0_162	0	335	162	ds_c904683d	[]	[ { "end_char": 9, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "Admission", "eid": "E0", "eiid": "E0", "start_char": 0, "type": "POS", "pos": null }, { "end_char": 143, "aspect": null, "tense": null, "polarity": "POS"...	[]	[]
Unremarkable pregnancy except for minor fullness of the left renal pelvis reported during the week prior to delivery .	sent_1_162	336	454	162	ds_c904683d	[]	[ { "end_char": 73, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "minor fullness of the left renal pelvis", "eid": "E6", "eiid": "E6", "start_char": 34, "type": "POS", "pos": null }, { "end_char": 82, "aspect": null, "tens...	[]	[]
Past OB history remarkable for postpartum depression .	sent_2_162	455	509	162	ds_c904683d	[]	[ { "end_char": 52, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "postpartum depression", "eid": "E8", "eiid": "E8", "start_char": 31, "type": "POS", "pos": null } ]	[]	[]
Mother was admitted in labor .	sent_3_162	510	540	162	ds_c904683d	[]	[ { "end_char": 19, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "admitted", "eid": "E41", "eiid": "E41", "start_char": 11, "type": "POS", "pos": null }, { "end_char": 28, "aspect": null, "tense": null, "polarity": "PO...	[]	[]
Baby was delivered by repeat C-section with rupture of membranes at delivery .	sent_4_162	541	619	162	ds_c904683d	[]	[ { "end_char": 18, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "delivered", "eid": "E49", "eiid": "E49", "start_char": 9, "type": "POS", "pos": null }, { "end_char": 38, "aspect": null, "tense": null, "polarity": "PO...	[]	[]
Apgars were 8 and 9 .	sent_5_162	620	641	162	ds_c904683d	[]	[ { "end_char": 6, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "Apgars", "eid": "E13", "eiid": "E13", "start_char": 0, "type": "POS", "pos": null } ]	[]	[]
CMED CSRU staff was called about 30 minutes of age for grunting , flaring and retractions and the baby was admitted to the CMED CSRU .	sent_6_162	642	776	162	ds_c904683d	[]	[ { "end_char": 9, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "CMED CSRU", "eid": "E50", "eiid": "E50", "start_char": 0, "type": "POS", "pos": null }, { "end_char": 63, "aspect": null, "tense": null, "polarity": "POS...	[]	[]
HOSPITAL COURSE: 1.	sent_7_162	777	796	162	ds_c904683d	[]	[]	[]	[]
Respiratory .	sent_8_162	797	810	162	ds_c904683d	[]	[]	[]	[]
The Athol Memorial Hospital hospital course was initially consistent with transient tachypnea of the newborn .	sent_9_162	811	921	162	ds_c904683d	[]	[ { "end_char": 27, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "The Athol Memorial Hospital", "eid": "E54", "eiid": "E54", "start_char": 0, "type": "POS", "pos": null }, { "end_char": 43, "aspect": null, "tense": null, ...	[]	[]
Chest x-ray revealed mild streakiness of the lung fields .	sent_10_162	922	980	162	ds_c904683d	[]	[ { "end_char": 11, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "Chest x-ray", "eid": "E17", "eiid": "E17", "start_char": 0, "type": "POS", "pos": null }, { "end_char": 20, "aspect": null, "tense": null, "polarity": "...	[]	[]
He was initially placed on nasal cannula with subsequent resolution of respiratory distress .	sent_11_162	981	1,074	162	ds_c904683d	[]	[ { "end_char": 40, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "nasal cannula", "eid": "E19", "eiid": "E19", "start_char": 27, "type": "POS", "pos": null }, { "end_char": 67, "aspect": null, "tense": null, "polarity"...	[]	[]
Nasal cannula was weaned off on day of life 3 and he initially was maintaining O2 sat above 94% and breathing comfortably .	sent_12_162	1,075	1,198	162	ds_c904683d	[]	[ { "end_char": 13, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "Nasal cannula", "eid": "E21", "eiid": "E21", "start_char": 0, "type": "POS", "pos": null }, { "end_char": 28, "aspect": null, "tense": null, "polarity":...	[]	[]
He was subsequently placed back on nasal cannula for mild oxygen desaturation and was requiring 25 c/min flow at the time of discharge .	sent_13_162	1,199	1,335	162	ds_c904683d	[]	[ { "end_char": 48, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "nasal cannula", "eid": "E23", "eiid": "E23", "start_char": 35, "type": "POS", "pos": null }, { "end_char": 77, "aspect": null, "tense": null, "polarity"...	[]	[]
No apneic or brady episodes .	sent_14_162	1,336	1,365	162	ds_c904683d	[]	[ { "end_char": 27, "aspect": null, "tense": null, "polarity": "NEG", "modality": "FACTUAL", "text": "apneic or brady episodes", "eid": "E60", "eiid": "E60", "start_char": 3, "type": "NEG", "pos": null } ]	[]	[]
2.	sent_15_162	1,366	1,368	162	ds_c904683d	[]	[]	[]	[]
Cardiovascular .	sent_16_162	1,369	1,385	162	ds_c904683d	[]	[]	[]	[]
The patient 's cardiovascular status has been stable throughout his CMED CSRU stay .	sent_17_162	1,386	1,470	162	ds_c904683d	[]	[ { "end_char": 52, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "stable", "eid": "E61", "eiid": "E61", "start_char": 46, "type": "POS", "pos": null }, { "end_char": 82, "aspect": null, "tense": null, "polarity": "POS"...	[]	[]
No murmur on exam .	sent_18_162	1,471	1,490	162	ds_c904683d	[]	[ { "end_char": 9, "aspect": null, "tense": null, "polarity": "NEG", "modality": "FACTUAL", "text": "murmur", "eid": "E25", "eiid": "E25", "start_char": 3, "type": "NEG", "pos": null }, { "end_char": 17, "aspect": null, "tense": null, "polarity": "POS", ...	[]	[]
3.	sent_19_162	1,491	1,493	162	ds_c904683d	[]	[]	[]	[]
FEN .	sent_20_162	1,494	1,499	162	ds_c904683d	[]	[]	[]	[]
The patient had been tolerating oral feeding as of day of life 2 and is currently taking Enfamil 20 p.o.	sent_21_162	1,500	1,604	162	ds_c904683d	[]	[ { "end_char": 44, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "tolerating oral feeding", "eid": "E63", "eiid": "E63", "start_char": 21, "type": "POS", "pos": null }, { "end_char": 96, "aspect": null, "tense": null, ...	[]	[]
ad lib .	sent_22_162	1,605	1,613	162	ds_c904683d	[]	[]	[]	[]
He has been weaned off IV fluids and has been maintaining good blood glucose .	sent_23_162	1,614	1,692	162	ds_c904683d	[]	[ { "end_char": 22, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "weaned off", "eid": "E44", "eiid": "E44", "start_char": 12, "type": "POS", "pos": null }, { "end_char": 32, "aspect": null, "tense": null, "polarity": "...	[]	[]
His birth weight was 3285 gm .	sent_24_162	1,693	1,723	162	ds_c904683d	[]	[ { "end_char": 16, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "His birth weight", "eid": "E29", "eiid": "E29", "start_char": 0, "type": "POS", "pos": null } ]	[]	[]
His weight is 3015 gm on day of life 5 .	sent_25_162	1,724	1,764	162	ds_c904683d	[]	[ { "end_char": 10, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "His weight", "eid": "E30", "eiid": "E30", "start_char": 0, "type": "POS", "pos": null } ]	[]	[]
4.	sent_26_162	1,765	1,767	162	ds_c904683d	[]	[]	[]	[]
GI .	sent_27_162	1,768	1,772	162	ds_c904683d	[]	[]	[]	[]
The patient 's bilirubin level at 24 hours of life was 4.6.	sent_28_162	1,773	1,832	162	ds_c904683d	[]	[ { "end_char": 30, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "The patient 's bilirubin level", "eid": "E31", "eiid": "E31", "start_char": 0, "type": "POS", "pos": null } ]	[]	[]
No phototherapy was started .	sent_29_162	1,833	1,862	162	ds_c904683d	[]	[ { "end_char": 15, "aspect": null, "tense": null, "polarity": "NEG", "modality": "FACTUAL", "text": "phototherapy", "eid": "E65", "eiid": "E65", "start_char": 3, "type": "NEG", "pos": null } ]	[]	[]
5.	sent_30_162	1,863	1,865	162	ds_c904683d	[]	[]	[]	[]
ID .	sent_31_162	1,866	1,870	162	ds_c904683d	[]	[]	[]	[]
The patient was not started on antibiotics , given lack of sepsis risk factors .	sent_32_162	1,871	1,951	162	ds_c904683d	[]	[ { "end_char": 42, "aspect": null, "tense": null, "polarity": "NEG", "modality": "FACTUAL", "text": "antibiotics", "eid": "E32", "eiid": "E32", "start_char": 31, "type": "NEG", "pos": null }, { "end_char": 78, "aspect": null, "tense": null, "polarity": ...	[]	[]
His initial CBC showed no left shift .	sent_33_162	1,952	1,990	162	ds_c904683d	[]	[ { "end_char": 15, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "His initial CBC", "eid": "E33", "eiid": "E33", "start_char": 0, "type": "POS", "pos": null }, { "end_char": 22, "aspect": null, "tense": null, "polarity...	[]	[]
Blood culture had remained no growth to date .	sent_34_162	1,991	2,037	162	ds_c904683d	[]	[ { "end_char": 13, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "Blood culture", "eid": "E35", "eiid": "E35", "start_char": 0, "type": "POS", "pos": null }, { "end_char": 36, "aspect": null, "tense": null, "polarity":...	[]	[]
6.	sent_35_162	2,038	2,040	162	ds_c904683d	[]	[]	[]	[]
Heme .	sent_36_162	2,041	2,047	162	ds_c904683d	[]	[]	[]	[]
The patient 's initial hematocrit was 35.8 .	sent_37_162	2,048	2,092	162	ds_c904683d	[]	[ { "end_char": 33, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "The patient 's initial hematocrit", "eid": "E37", "eiid": "E37", "start_char": 0, "type": "POS", "pos": null } ]	[]	[]
No transfusion during this admission .	sent_38_162	2,093	2,131	162	ds_c904683d	[]	[ { "end_char": 14, "aspect": null, "tense": null, "polarity": "NEG", "modality": "FACTUAL", "text": "transfusion", "eid": "E38", "eiid": "E38", "start_char": 3, "type": "NEG", "pos": null }, { "end_char": 36, "aspect": null, "tense": null, "polarity": "...	[]	[]
CONDITION ON TRANSFER : The patient has been doing well on low flow nasal cannula.	sent_39_162	2,132	2,214	162	ds_c904683d	[]	[ { "end_char": 21, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "TRANSFER", "eid": "E68", "eiid": "E68", "start_char": 13, "type": "POS", "pos": null }, { "end_char": 55, "aspect": null, "tense": null, "polarity": "PO...	[]	[]
He has been tolerating p.o.	sent_40_162	2,215	2,242	162	ds_c904683d	[]	[]	[]	[]
ad lib feeds .	sent_41_162	2,243	2,257	162	ds_c904683d	[]	[]	[]	[]
ADMISSION DATE : 3-26-93 DISCHARGE DATE : 4-3-93 HISTORY OF PRESENT ILLNESS : The patient is a 73 year old female who was transferred for cardiac catheterization after ventricular fibrillation arrest in the setting of an acute inferior myocardial infarction and a urinary tract infection .	sent_0_348	0	294	348	ds_c904683d	[]	[ { "end_char": 9, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "ADMISSION", "eid": "E0", "eiid": "E0", "start_char": 0, "type": "POS", "pos": null }, { "end_char": 138, "aspect": null, "tense": null, "polarity": "POS"...	[]	[]
The patient was admitted on 3-16-93 to Diy Hospital for an E. coli urinary tract infection .	sent_1_348	296	388	348	ds_c904683d	[]	[ { "end_char": 24, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "admitted", "eid": "E45", "eiid": "E45", "start_char": 16, "type": "POS", "pos": null }, { "end_char": 51, "aspect": null, "tense": null, "polarity": "PO...	[]	[]
The patient was readmitted on 3-20-93 because of fever , chills and a sudden onset of ventricular fibrillation arrest , successfully cardioverted back to rapid atrial fibrillation and finally to sinus rhythm , where an electrocardiogram then showed ST elevation in inferior leads .	sent_2_348	390	671	348	ds_c904683d	[]	[ { "end_char": 26, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "readmitted", "eid": "E46", "eiid": "E46", "start_char": 16, "type": "POS", "pos": null }, { "end_char": 54, "aspect": null, "tense": null, "polarity": "...	[]	[]
Peak CPK was 2494 with 18% MB 's .	sent_3_348	673	707	348	ds_c904683d	[]	[ { "end_char": 8, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "Peak CPK", "eid": "E12", "eiid": "E12", "start_char": 0, "type": "POS", "pos": null }, { "end_char": 32, "aspect": null, "tense": null, "polarity": "POS"...	[]	[]
She required intubation for mild to moderate congestive heart failure , treated with diuretics , intravenous nitroglycerin and heparin .	sent_4_348	709	845	348	ds_c904683d	[]	[ { "end_char": 23, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "intubation", "eid": "E14", "eiid": "E14", "start_char": 13, "type": "POS", "pos": null }, { "end_char": 69, "aspect": null, "tense": null, "polarity": "...	[]	[]
She had post-infarction angina , was transferred here for angiography and possible percutaneous transluminal coronary angioplasty .	sent_5_348	847	978	348	ds_c904683d	[]	[ { "end_char": 30, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "post-infarction angina", "eid": "E58", "eiid": "E58", "start_char": 8, "type": "POS", "pos": null }, { "end_char": 48, "aspect": null, "tense": null, "p...	[]	[]
HOSPITAL COURSE : On 3-27-93 , patient underwent cardiac catheterization , coronary and left ventricular angiography without complications .	sent_6_348	980	1,121	348	ds_c904683d	[]	[ { "end_char": 73, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "cardiac catheterization", "eid": "E18", "eiid": "E18", "start_char": 50, "type": "POS", "pos": null }, { "end_char": 117, "aspect": null, "tense": null, ...	[]	[]
Review of these angiograms demonstrated a dominant right coronary artery with a focal 50% stenosis in the mid-portion .	sent_7_348	1,123	1,242	348	ds_c904683d	[]	[ { "end_char": 26, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "these angiograms", "eid": "E21", "eiid": "E21", "start_char": 10, "type": "POS", "pos": null }, { "end_char": 39, "aspect": null, "tense": null, "polari...	[]	[]
The left main coronary artery was clear .	sent_8_348	1,244	1,285	348	ds_c904683d	[]	[]	[]	[]
The left anterior descending had moderate plaques with a 50% proximal stenosis of the right anterior oblique caudal view .	sent_9_348	1,287	1,409	348	ds_c904683d	[]	[ { "end_char": 49, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "moderate plaques", "eid": "E23", "eiid": "E23", "start_char": 33, "type": "POS", "pos": null }, { "end_char": 115, "aspect": null, "tense": null, "polar...	[]	[]
The proximal diagonal D1 had a 50% stenosis .	sent_10_348	1,411	1,456	348	ds_c904683d	[]	[ { "end_char": 43, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "a 50% stenosis", "eid": "E25", "eiid": "E25", "start_char": 29, "type": "POS", "pos": null } ]	[]	[]
The circumflex had a long 30% stenosis proximally and an 80% stenosis at the origin of the second major marginal artery .	sent_11_348	1,458	1,579	348	ds_c904683d	[]	[ { "end_char": 38, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "a long 30% stenosis", "eid": "E26", "eiid": "E26", "start_char": 19, "type": "POS", "pos": null }, { "end_char": 69, "aspect": null, "tense": null, "pol...	[]	[]
The left ventricular angiogram showed akinesis of the posterobasal walls , severe hypokinesis of the diaphragmatic wall and trace mitral regurgitation .	sent_12_348	1,581	1,733	348	ds_c904683d	[]	[ { "end_char": 30, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "The left ventricular angiogram", "eid": "E28", "eiid": "E28", "start_char": 0, "type": "POS", "pos": null }, { "end_char": 37, "aspect": null, "tense": null...	[]	[]
The patient was maintained on heparin anticoagulation .	sent_13_348	1,735	1,790	348	ds_c904683d	[]	[ { "end_char": 26, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "maintained", "eid": "E62", "eiid": "E62", "start_char": 16, "type": "POS", "pos": null }, { "end_char": 53, "aspect": null, "tense": null, "polarity": "...	[]	[]
An exercise tolerance test with Thallium was to be performed in order to assess myocardial viability in the infarct zone .	sent_14_348	1,792	1,914	348	ds_c904683d	[]	[ { "end_char": 40, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "An exercise tolerance test with Thallium", "eid": "E33", "eiid": "E33", "start_char": 0, "type": "POS", "pos": null }, { "end_char": 100, "aspect": null, "t...	[]	[]
The right coronary artery lesion was complex and there was severe stenosis in the obtuse marginal 1 .	sent_15_348	1,916	2,017	348	ds_c904683d	[]	[ { "end_char": 32, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "The right coronary artery lesion", "eid": "E35", "eiid": "E35", "start_char": 0, "type": "POS", "pos": null }, { "end_char": 99, "aspect": null, "tense": nu...	[]	[]
The patient had no further angina .	sent_16_348	2,019	2,054	348	ds_c904683d	[]	[ { "end_char": 33, "aspect": null, "tense": null, "polarity": "NEG", "modality": "FACTUAL", "text": "further angina", "eid": "E37", "eiid": "E37", "start_char": 19, "type": "NEG", "pos": null } ]	[]	[]
On 4-2-93 , she underwent a Persantine Thallium study .	sent_17_348	2,056	2,111	348	ds_c904683d	[]	[ { "end_char": 53, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "a Persantine Thallium study", "eid": "E38", "eiid": "E38", "start_char": 26, "type": "POS", "pos": null } ]	[]	[]
This showed no diagnostic electrocardiogram changes for ischemia and no angina pectoris .	sent_18_348	2,113	2,202	348	ds_c904683d	[]	[ { "end_char": 11, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "This showed", "eid": "E51", "eiid": "E51", "start_char": 0, "type": "POS", "pos": null }, { "end_char": 51, "aspect": null, "tense": null, "polarity": "...	[]	[]
The thallium images showed a large region of persistently reduced blood flow involving the apex and inferoposterior segments of the left ventricular wall .	sent_19_348	2,204	2,359	348	ds_c904683d	[]	[ { "end_char": 19, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "The thallium images", "eid": "E41", "eiid": "E41", "start_char": 0, "type": "POS", "pos": null }, { "end_char": 26, "aspect": null, "tense": null, "pola...	[]	[]
This was consistent with scar .	sent_20_348	2,361	2,392	348	ds_c904683d	[]	[ { "end_char": 29, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "scar", "eid": "E43", "eiid": "E43", "start_char": 25, "type": "POS", "pos": null } ]	[]	[]
There was no definite perfusion abnormality in the circumflex zone .	sent_21_348	2,394	2,462	348	ds_c904683d	[]	[ { "end_char": 66, "aspect": null, "tense": null, "polarity": "NEG", "modality": "FACTUAL", "text": "definite perfusion abnormality in the circumflex zone", "eid": "E44", "eiid": "E44", "start_char": 13, "type": "NEG", "pos": null } ]	[]	[]
In view of these findings , it was elected to discharge her on her present medical program .	sent_22_348	2,464	2,556	348	ds_c904683d	[]	[ { "end_char": 55, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "discharge", "eid": "E65", "eiid": "E65", "start_char": 46, "type": "POS", "pos": null }, { "end_char": 90, "aspect": null, "tense": null, "polarity": "P...	[]	[]
The patient is to return to the follow up care of Dr. Ko Kollciem at the Diy Hospital .	sent_23_348	2,558	2,645	348	ds_c904683d	[]	[ { "end_char": 24, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "return", "eid": "E67", "eiid": "E67", "start_char": 18, "type": "POS", "pos": null }, { "end_char": 46, "aspect": null, "tense": null, "polarity": "POS"...	[]	[]
CHPO E. JESCOBEA , M.D.	sent_24_348	2,647	2,670	348	ds_c904683d	[]	[]	[]	[]
TR : sq / bmot DD : 06-13-93 TD : 06/15/93 CC : Dr. Ko Kollciem , Retchard Healthcare to Dr. Wall	sent_25_348	2,672	2,776	348	ds_c904683d	[]	[]	[]	[]
Admission Date : 12/12/1996 Discharge Date : 12/16/1996 HISTORY / REASON FOR HOSPITALIZATION : The patient is a 42 year old gravida II , para I female with a long history of menorrhagia and pelvic pain .	sent_0_572	0	203	572	ds_c904683d	[]	[ { "end_char": 9, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "Admission", "eid": "E0", "eiid": "E0", "start_char": 0, "type": "POS", "pos": null }, { "end_char": 185, "aspect": null, "tense": null, "polarity": "POS"...	[]	[]
She also has a history of endometriosis that is symptomatic .	sent_1_572	204	265	572	ds_c904683d	[]	[ { "end_char": 39, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "endometriosis", "eid": "E4", "eiid": "E4", "start_char": 26, "type": "POS", "pos": null }, { "end_char": 59, "aspect": null, "tense": null, "polarity": ...	[]	[]
She used Danocrine for approximately nine months and was pain free , but was unable to tolerate the side effects .	sent_2_572	266	380	572	ds_c904683d	[]	[ { "end_char": 18, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "Danocrine", "eid": "E6", "eiid": "E6", "start_char": 9, "type": "POS", "pos": null }, { "end_char": 61, "aspect": null, "tense": null, "polarity": "NEG"...	[]	[]
She is status post several laparoscopies in the past with which she was diagnosed with endometriosis .	sent_3_572	381	483	572	ds_c904683d	[]	[ { "end_char": 40, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "several laparoscopies", "eid": "E9", "eiid": "E9", "start_char": 19, "type": "POS", "pos": null }, { "end_char": 100, "aspect": null, "tense": null, "po...	[]	[]
She has recently been on Depo-Provera and has had episodes of break-through bleeding for six weeks at a time .	sent_4_572	484	594	572	ds_c904683d	[]	[ { "end_char": 37, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "Depo-Provera", "eid": "E11", "eiid": "E11", "start_char": 25, "type": "POS", "pos": null }, { "end_char": 84, "aspect": null, "tense": null, "polarity":...	[]	[]
She desired surgical therapy .	sent_5_572	595	625	572	ds_c904683d	[]	[ { "end_char": 28, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "surgical therapy", "eid": "E13", "eiid": "E13", "start_char": 12, "type": "POS", "pos": null } ]	[]	[]
HOSPITAL COURSE : On 12/12/96 she had an uncomplicated total abdominal hysterectomy and bilateral salpingo-oophorectomy .	sent_6_572	626	747	572	ds_c904683d	[]	[ { "end_char": 83, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "an uncomplicated total abdominal hysterectomy", "eid": "E14", "eiid": "E14", "start_char": 38, "type": "POS", "pos": null }, { "end_char": 119, "aspect": null, ...	[]	[]
Estimated blood loss was 100 cc and she tolerated the procedure well .	sent_7_572	748	818	572	ds_c904683d	[]	[ { "end_char": 20, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "Estimated blood loss", "eid": "E16", "eiid": "E16", "start_char": 0, "type": "POS", "pos": null }, { "end_char": 63, "aspect": null, "tense": null, "pol...	[]	[]
On postop day number one she was afebrile and doing well with a PCA for pain control .	sent_8_572	819	905	572	ds_c904683d	[]	[ { "end_char": 41, "aspect": null, "tense": null, "polarity": "NEG", "modality": "FACTUAL", "text": "afebrile", "eid": "E18", "eiid": "E18", "start_char": 33, "type": "NEG", "pos": null }, { "end_char": 56, "aspect": null, "tense": null, "polarity": "PO...	[]	[]
On postop day number two she was also afebrile and had not passed any flatus yet .	sent_9_572	906	988	572	ds_c904683d	[]	[ { "end_char": 46, "aspect": null, "tense": null, "polarity": "NEG", "modality": "FACTUAL", "text": "afebrile", "eid": "E22", "eiid": "E22", "start_char": 38, "type": "NEG", "pos": null }, { "end_char": 76, "aspect": null, "tense": null, "polarity": "NE...	[]	[]
She was ambulating frequently .	sent_10_572	989	1,020	572	ds_c904683d	[]	[ { "end_char": 31, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "ambulating frequently .", "eid": "E24", "eiid": "E24", "start_char": 8, "type": "POS", "pos": null } ]	[]	[]
Her hematocrit was 34.2 and stable from her preoperative value .	sent_11_572	1,021	1,085	572	ds_c904683d	[]	[ { "end_char": 14, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "Her hematocrit", "eid": "E25", "eiid": "E25", "start_char": 0, "type": "POS", "pos": null }, { "end_char": 34, "aspect": null, "tense": null, "polarity"...	[]	[]
On postop day number three her abdomen was noted to be distended with a few bowel sounds and she still had not passed gas .	sent_12_572	1,086	1,209	572	ds_c904683d	[]	[ { "end_char": 64, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "distended", "eid": "E28", "eiid": "E28", "start_char": 55, "type": "POS", "pos": null }, { "end_char": 88, "aspect": null, "tense": null, "polarity": "P...	[]	[]
The patient decreased the amount of Demerol she was using and supplemented with Tylenol and continued her frequent ambulation .	sent_13_572	1,210	1,337	572	ds_c904683d	[]	[ { "end_char": 21, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "decreased", "eid": "E34", "eiid": "E34", "start_char": 12, "type": "POS", "pos": null }, { "end_char": 43, "aspect": null, "tense": null, "polarity": "P...	[]	[]
On postop day number four she had passed flatus and was feeling much better .	sent_14_572	1,338	1,415	572	ds_c904683d	[]	[ { "end_char": 47, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "flatus", "eid": "E38", "eiid": "E38", "start_char": 41, "type": "POS", "pos": null }, { "end_char": 75, "aspect": null, "tense": null, "polarity": "POS"...	[]	[]
She was discharged to home in good condition on the following medications .	sent_15_572	1,416	1,491	572	ds_c904683d	[]	[ { "end_char": 18, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "discharged", "eid": "E40", "eiid": "E40", "start_char": 8, "type": "POS", "pos": null }, { "end_char": 44, "aspect": null, "tense": null, "polarity": "P...	[]	[]
DISCHARGE MEDICATIONS : Demerol for pain .	sent_16_572	1,492	1,534	572	ds_c904683d	[]	[ { "end_char": 31, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "Demerol", "eid": "E43", "eiid": "E43", "start_char": 24, "type": "POS", "pos": null }, { "end_char": 40, "aspect": null, "tense": null, "polarity": "POS...	[]	[]
Motrin for pain .	sent_17_572	1,535	1,552	572	ds_c904683d	[]	[ { "end_char": 6, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "Motrin", "eid": "E45", "eiid": "E45", "start_char": 0, "type": "POS", "pos": null }, { "end_char": 15, "aspect": null, "tense": null, "polarity": "POS", ...	[]	[]
Colace stool softener .	sent_18_572	1,553	1,576	572	ds_c904683d	[]	[ { "end_char": 21, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "Colace stool softener", "eid": "E47", "eiid": "E47", "start_char": 0, "type": "POS", "pos": null } ]	[]	[]
DISPOSITION : The patient should follow-up with Dr. Side in two weeks .	sent_19_572	1,577	1,648	572	ds_c904683d	[]	[]	[]	[]
Dictated By : IEDEARC SIDE , M.D.	sent_20_572	1,649	1,682	572	ds_c904683d	[]	[]	[]	[]
LB28 Attending : MITERY D. LOSS , M.D.	sent_21_572	1,683	1,721	572	ds_c904683d	[]	[]	[]	[]
CB51 II795/2112 Batch : 42100 Index No.	sent_22_572	1,722	1,761	572	ds_c904683d	[]	[]	[]	[]
ZMFX3O4G1 D : 01/04/97 T : 01/06/97 CC : 1.	sent_23_572	1,762	1,805	572	ds_c904683d	[]	[]	[]	[]
MITERY D. LOSS , M.D.	sent_24_572	1,806	1,827	572	ds_c904683d	[]	[]	[]	[]
NT11 [ report _ end ]	sent_25_572	1,828	1,849	572	ds_c904683d	[]	[]	[]	[]
ADMISSION DATE : 03/11/2002 DISCHARGE DATE : 03/14/2002 DISCHARGE DATE : 03/14/2002 HISTORY OF PRESENT ILLNESS : This is a 62-year-old hospice chaplain who was referred by Dr. Tomedankell Flowayles and Dr. Es Oarekote for evaluation of his right hip pain .	sent_0_201	0	256	201	ds_c904683d	[]	[ { "end_char": 9, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "ADMISSION", "eid": "E0", "eiid": "E0", "start_char": 0, "type": "POS", "pos": null }, { "end_char": 168, "aspect": null, "tense": null, "polarity": "POS"...	[]	[]
He states that his pain has been of seven to eight durations , and rated as moderate to severe ( 7/10 ) .	sent_1_201	257	362	201	ds_c904683d	[]	[ { "end_char": 9, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "states", "eid": "E6", "eiid": "E6", "start_char": 3, "type": "POS", "pos": null }, { "end_char": 23, "aspect": null, "tense": null, "polarity": "POS", ...	[]	[]
He does limp .	sent_2_201	363	377	201	ds_c904683d	[]	[ { "end_char": 12, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "limp", "eid": "E8", "eiid": "E8", "start_char": 8, "type": "POS", "pos": null } ]	[]	[]
He does not use a cane and he requires a bannister for going up and down stairs .	sent_3_201	378	459	201	ds_c904683d	[]	[ { "end_char": 22, "aspect": null, "tense": null, "polarity": "NEG", "modality": "FACTUAL", "text": "a cane", "eid": "E9", "eiid": "E9", "start_char": 16, "type": "NEG", "pos": null }, { "end_char": 50, "aspect": null, "tense": null, "polarity": "POS", ...	[]	[]
He has trouble with his shoes and socks .	sent_4_201	460	501	201	ds_c904683d	[]	[ { "end_char": 39, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "trouble with his shoes and socks", "eid": "E11", "eiid": "E11", "start_char": 7, "type": "POS", "pos": null } ]	[]	[]
He uses a walker .	sent_5_201	502	520	201	ds_c904683d	[]	[ { "end_char": 16, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "a walker", "eid": "E12", "eiid": "E12", "start_char": 8, "type": "POS", "pos": null } ]	[]	[]

Admission Date : 2015-09-14 Discharge Date : 2015-09-19 Service : NEONATOLOGY HISTORY OF PRESENT ILLNESS : The patient is a 3285 gm infant born at 37 5/7 weeks to a 21 year old G3 P1 now 2 mother with prenatal screens as follows : O positive , antibody negative , hepatitis B surface antigen negative , RPR nonreactive , GBS negative .

sent_0_162

0

335

162

ds_c904683d

[]

[ { "end_char": 9, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "Admission", "eid": "E0", "eiid": "E0", "start_char": 0, "type": "POS", "pos": null }, { "end_char": 143, "aspect": null, "tense": null, "polarity": "POS"...

[]

Unremarkable pregnancy except for minor fullness of the left renal pelvis reported during the week prior to delivery .

sent_1_162

336

454

162

ds_c904683d

[]

[ { "end_char": 73, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "minor fullness of the left renal pelvis", "eid": "E6", "eiid": "E6", "start_char": 34, "type": "POS", "pos": null }, { "end_char": 82, "aspect": null, "tens...

[]

Past OB history remarkable for postpartum depression .

sent_2_162

455

509

162

ds_c904683d

[]

[ { "end_char": 52, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "postpartum depression", "eid": "E8", "eiid": "E8", "start_char": 31, "type": "POS", "pos": null } ]

[]

Mother was admitted in labor .

sent_3_162

510

540

162

ds_c904683d

[]

[ { "end_char": 19, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "admitted", "eid": "E41", "eiid": "E41", "start_char": 11, "type": "POS", "pos": null }, { "end_char": 28, "aspect": null, "tense": null, "polarity": "PO...

[]

Baby was delivered by repeat C-section with rupture of membranes at delivery .

sent_4_162

541

619

162

ds_c904683d

[]

[ { "end_char": 18, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "delivered", "eid": "E49", "eiid": "E49", "start_char": 9, "type": "POS", "pos": null }, { "end_char": 38, "aspect": null, "tense": null, "polarity": "PO...

[]

Apgars were 8 and 9 .

sent_5_162

620

641

162

ds_c904683d

[]

[ { "end_char": 6, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "Apgars", "eid": "E13", "eiid": "E13", "start_char": 0, "type": "POS", "pos": null } ]

[]

CMED CSRU staff was called about 30 minutes of age for grunting , flaring and retractions and the baby was admitted to the CMED CSRU .

sent_6_162

642

776

162

ds_c904683d

[]

[ { "end_char": 9, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "CMED CSRU", "eid": "E50", "eiid": "E50", "start_char": 0, "type": "POS", "pos": null }, { "end_char": 63, "aspect": null, "tense": null, "polarity": "POS...

[]

HOSPITAL COURSE: 1.

sent_7_162

777

796

162

ds_c904683d

[]

Respiratory .

sent_8_162

797

810

162

ds_c904683d

[]

The Athol Memorial Hospital hospital course was initially consistent with transient tachypnea of the newborn .

sent_9_162

811

921

162

ds_c904683d

[]

[ { "end_char": 27, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "The Athol Memorial Hospital", "eid": "E54", "eiid": "E54", "start_char": 0, "type": "POS", "pos": null }, { "end_char": 43, "aspect": null, "tense": null, ...

[]

Chest x-ray revealed mild streakiness of the lung fields .

sent_10_162

922

980

162

ds_c904683d

[]

[ { "end_char": 11, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "Chest x-ray", "eid": "E17", "eiid": "E17", "start_char": 0, "type": "POS", "pos": null }, { "end_char": 20, "aspect": null, "tense": null, "polarity": "...

[]

He was initially placed on nasal cannula with subsequent resolution of respiratory distress .

sent_11_162

981

1,074

162

ds_c904683d

[]

[ { "end_char": 40, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "nasal cannula", "eid": "E19", "eiid": "E19", "start_char": 27, "type": "POS", "pos": null }, { "end_char": 67, "aspect": null, "tense": null, "polarity"...

[]

Nasal cannula was weaned off on day of life 3 and he initially was maintaining O2 sat above 94% and breathing comfortably .

sent_12_162

1,075

1,198

162

ds_c904683d

[]

[ { "end_char": 13, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "Nasal cannula", "eid": "E21", "eiid": "E21", "start_char": 0, "type": "POS", "pos": null }, { "end_char": 28, "aspect": null, "tense": null, "polarity":...

[]

He was subsequently placed back on nasal cannula for mild oxygen desaturation and was requiring 25 c/min flow at the time of discharge .

sent_13_162

1,199

1,335

162

ds_c904683d

[]

[ { "end_char": 48, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "nasal cannula", "eid": "E23", "eiid": "E23", "start_char": 35, "type": "POS", "pos": null }, { "end_char": 77, "aspect": null, "tense": null, "polarity"...

[]

No apneic or brady episodes .

sent_14_162

1,336

1,365

162

ds_c904683d

[]

[ { "end_char": 27, "aspect": null, "tense": null, "polarity": "NEG", "modality": "FACTUAL", "text": "apneic or brady episodes", "eid": "E60", "eiid": "E60", "start_char": 3, "type": "NEG", "pos": null } ]

[]

2.

sent_15_162

1,366

1,368

162

ds_c904683d

[]

Cardiovascular .

sent_16_162

1,369

1,385

162

ds_c904683d

[]

The patient 's cardiovascular status has been stable throughout his CMED CSRU stay .

sent_17_162

1,386

1,470

162

ds_c904683d

[]

[ { "end_char": 52, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "stable", "eid": "E61", "eiid": "E61", "start_char": 46, "type": "POS", "pos": null }, { "end_char": 82, "aspect": null, "tense": null, "polarity": "POS"...

[]

No murmur on exam .

sent_18_162

1,471

1,490

162

ds_c904683d

[]

[ { "end_char": 9, "aspect": null, "tense": null, "polarity": "NEG", "modality": "FACTUAL", "text": "murmur", "eid": "E25", "eiid": "E25", "start_char": 3, "type": "NEG", "pos": null }, { "end_char": 17, "aspect": null, "tense": null, "polarity": "POS", ...

[]

3.

sent_19_162

1,491

1,493

162

ds_c904683d

[]

FEN .

sent_20_162

1,494

1,499

162

ds_c904683d

[]

The patient had been tolerating oral feeding as of day of life 2 and is currently taking Enfamil 20 p.o.

sent_21_162

1,500

1,604

162

ds_c904683d

[]

[ { "end_char": 44, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "tolerating oral feeding", "eid": "E63", "eiid": "E63", "start_char": 21, "type": "POS", "pos": null }, { "end_char": 96, "aspect": null, "tense": null, ...

[]

ad lib .

sent_22_162

1,605

1,613

162

ds_c904683d

[]

He has been weaned off IV fluids and has been maintaining good blood glucose .

sent_23_162

1,614

1,692

162

ds_c904683d

[]

[ { "end_char": 22, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "weaned off", "eid": "E44", "eiid": "E44", "start_char": 12, "type": "POS", "pos": null }, { "end_char": 32, "aspect": null, "tense": null, "polarity": "...

[]

His birth weight was 3285 gm .

sent_24_162

1,693

1,723

162

ds_c904683d

[]

[ { "end_char": 16, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "His birth weight", "eid": "E29", "eiid": "E29", "start_char": 0, "type": "POS", "pos": null } ]

[]

His weight is 3015 gm on day of life 5 .

sent_25_162

1,724

1,764

162

ds_c904683d

[]

[ { "end_char": 10, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "His weight", "eid": "E30", "eiid": "E30", "start_char": 0, "type": "POS", "pos": null } ]

[]

4.

sent_26_162

1,765

1,767

162

ds_c904683d

[]

GI .

sent_27_162

1,768

1,772

162

ds_c904683d

[]

The patient 's bilirubin level at 24 hours of life was 4.6.

sent_28_162

1,773

1,832

162

ds_c904683d

[]

[ { "end_char": 30, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "The patient 's bilirubin level", "eid": "E31", "eiid": "E31", "start_char": 0, "type": "POS", "pos": null } ]

[]

No phototherapy was started .

sent_29_162

1,833

1,862

162

ds_c904683d

[]

[ { "end_char": 15, "aspect": null, "tense": null, "polarity": "NEG", "modality": "FACTUAL", "text": "phototherapy", "eid": "E65", "eiid": "E65", "start_char": 3, "type": "NEG", "pos": null } ]

[]

5.

sent_30_162

1,863

1,865

162

ds_c904683d

[]

ID .

sent_31_162

1,866

1,870

162

ds_c904683d

[]

The patient was not started on antibiotics , given lack of sepsis risk factors .

sent_32_162

1,871

1,951

162

ds_c904683d

[]

[ { "end_char": 42, "aspect": null, "tense": null, "polarity": "NEG", "modality": "FACTUAL", "text": "antibiotics", "eid": "E32", "eiid": "E32", "start_char": 31, "type": "NEG", "pos": null }, { "end_char": 78, "aspect": null, "tense": null, "polarity": ...

[]

His initial CBC showed no left shift .

sent_33_162

1,952

1,990

162

ds_c904683d

[]

[ { "end_char": 15, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "His initial CBC", "eid": "E33", "eiid": "E33", "start_char": 0, "type": "POS", "pos": null }, { "end_char": 22, "aspect": null, "tense": null, "polarity...

[]

Blood culture had remained no growth to date .

sent_34_162

1,991

2,037

162

ds_c904683d

[]

[ { "end_char": 13, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "Blood culture", "eid": "E35", "eiid": "E35", "start_char": 0, "type": "POS", "pos": null }, { "end_char": 36, "aspect": null, "tense": null, "polarity":...

[]

6.

sent_35_162

2,038

2,040

162

ds_c904683d

[]

Heme .

sent_36_162

2,041

2,047

162

ds_c904683d

[]

The patient 's initial hematocrit was 35.8 .

sent_37_162

2,048

2,092

162

ds_c904683d

[]

[ { "end_char": 33, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "The patient 's initial hematocrit", "eid": "E37", "eiid": "E37", "start_char": 0, "type": "POS", "pos": null } ]

[]

No transfusion during this admission .

sent_38_162

2,093

2,131

162

ds_c904683d

[]

[ { "end_char": 14, "aspect": null, "tense": null, "polarity": "NEG", "modality": "FACTUAL", "text": "transfusion", "eid": "E38", "eiid": "E38", "start_char": 3, "type": "NEG", "pos": null }, { "end_char": 36, "aspect": null, "tense": null, "polarity": "...

[]

CONDITION ON TRANSFER : The patient has been doing well on low flow nasal cannula.

sent_39_162

2,132

2,214

162

ds_c904683d

[]

[ { "end_char": 21, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "TRANSFER", "eid": "E68", "eiid": "E68", "start_char": 13, "type": "POS", "pos": null }, { "end_char": 55, "aspect": null, "tense": null, "polarity": "PO...

[]

He has been tolerating p.o.

sent_40_162

2,215

2,242

162

ds_c904683d

[]

ad lib feeds .

sent_41_162

2,243

2,257

162

ds_c904683d

[]

ADMISSION DATE : 3-26-93 DISCHARGE DATE : 4-3-93 HISTORY OF PRESENT ILLNESS : The patient is a 73 year old female who was transferred for cardiac catheterization after ventricular fibrillation arrest in the setting of an acute inferior myocardial infarction and a urinary tract infection .

sent_0_348

0

294

348

ds_c904683d

[]

[ { "end_char": 9, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "ADMISSION", "eid": "E0", "eiid": "E0", "start_char": 0, "type": "POS", "pos": null }, { "end_char": 138, "aspect": null, "tense": null, "polarity": "POS"...

[]

The patient was admitted on 3-16-93 to Diy Hospital for an E. coli urinary tract infection .

sent_1_348

296

388

348

ds_c904683d

[]

[ { "end_char": 24, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "admitted", "eid": "E45", "eiid": "E45", "start_char": 16, "type": "POS", "pos": null }, { "end_char": 51, "aspect": null, "tense": null, "polarity": "PO...

[]

The patient was readmitted on 3-20-93 because of fever , chills and a sudden onset of ventricular fibrillation arrest , successfully cardioverted back to rapid atrial fibrillation and finally to sinus rhythm , where an electrocardiogram then showed ST elevation in inferior leads .

sent_2_348

390

671

348

ds_c904683d

[]

[ { "end_char": 26, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "readmitted", "eid": "E46", "eiid": "E46", "start_char": 16, "type": "POS", "pos": null }, { "end_char": 54, "aspect": null, "tense": null, "polarity": "...

[]

Peak CPK was 2494 with 18% MB 's .

sent_3_348

673

707

348

ds_c904683d

[]

[ { "end_char": 8, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "Peak CPK", "eid": "E12", "eiid": "E12", "start_char": 0, "type": "POS", "pos": null }, { "end_char": 32, "aspect": null, "tense": null, "polarity": "POS"...

[]

She required intubation for mild to moderate congestive heart failure , treated with diuretics , intravenous nitroglycerin and heparin .

sent_4_348

709

845

348

ds_c904683d

[]

[ { "end_char": 23, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "intubation", "eid": "E14", "eiid": "E14", "start_char": 13, "type": "POS", "pos": null }, { "end_char": 69, "aspect": null, "tense": null, "polarity": "...

[]

She had post-infarction angina , was transferred here for angiography and possible percutaneous transluminal coronary angioplasty .

sent_5_348

847

978

348

ds_c904683d

[]

[ { "end_char": 30, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "post-infarction angina", "eid": "E58", "eiid": "E58", "start_char": 8, "type": "POS", "pos": null }, { "end_char": 48, "aspect": null, "tense": null, "p...

[]

HOSPITAL COURSE : On 3-27-93 , patient underwent cardiac catheterization , coronary and left ventricular angiography without complications .

sent_6_348

980

1,121

348

ds_c904683d

[]

[ { "end_char": 73, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "cardiac catheterization", "eid": "E18", "eiid": "E18", "start_char": 50, "type": "POS", "pos": null }, { "end_char": 117, "aspect": null, "tense": null, ...

[]

Review of these angiograms demonstrated a dominant right coronary artery with a focal 50% stenosis in the mid-portion .

sent_7_348

1,123

1,242

348

ds_c904683d

[]

[ { "end_char": 26, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "these angiograms", "eid": "E21", "eiid": "E21", "start_char": 10, "type": "POS", "pos": null }, { "end_char": 39, "aspect": null, "tense": null, "polari...

[]

The left main coronary artery was clear .

sent_8_348

1,244

1,285

348

ds_c904683d

[]

The left anterior descending had moderate plaques with a 50% proximal stenosis of the right anterior oblique caudal view .

sent_9_348

1,287

1,409

348

ds_c904683d

[]

[ { "end_char": 49, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "moderate plaques", "eid": "E23", "eiid": "E23", "start_char": 33, "type": "POS", "pos": null }, { "end_char": 115, "aspect": null, "tense": null, "polar...

[]

The proximal diagonal D1 had a 50% stenosis .

sent_10_348

1,411

1,456

348

ds_c904683d

[]

[ { "end_char": 43, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "a 50% stenosis", "eid": "E25", "eiid": "E25", "start_char": 29, "type": "POS", "pos": null } ]

[]

The circumflex had a long 30% stenosis proximally and an 80% stenosis at the origin of the second major marginal artery .

sent_11_348

1,458

1,579

348

ds_c904683d

[]

[ { "end_char": 38, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "a long 30% stenosis", "eid": "E26", "eiid": "E26", "start_char": 19, "type": "POS", "pos": null }, { "end_char": 69, "aspect": null, "tense": null, "pol...

[]

The left ventricular angiogram showed akinesis of the posterobasal walls , severe hypokinesis of the diaphragmatic wall and trace mitral regurgitation .

sent_12_348

1,581

1,733

348

ds_c904683d

[]

[ { "end_char": 30, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "The left ventricular angiogram", "eid": "E28", "eiid": "E28", "start_char": 0, "type": "POS", "pos": null }, { "end_char": 37, "aspect": null, "tense": null...

[]

The patient was maintained on heparin anticoagulation .

sent_13_348

1,735

1,790

348

ds_c904683d

[]

[ { "end_char": 26, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "maintained", "eid": "E62", "eiid": "E62", "start_char": 16, "type": "POS", "pos": null }, { "end_char": 53, "aspect": null, "tense": null, "polarity": "...

[]

An exercise tolerance test with Thallium was to be performed in order to assess myocardial viability in the infarct zone .

sent_14_348

1,792

1,914

348

ds_c904683d

[]

[ { "end_char": 40, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "An exercise tolerance test with Thallium", "eid": "E33", "eiid": "E33", "start_char": 0, "type": "POS", "pos": null }, { "end_char": 100, "aspect": null, "t...

[]

The right coronary artery lesion was complex and there was severe stenosis in the obtuse marginal 1 .

sent_15_348

1,916

2,017

348

ds_c904683d

[]

[ { "end_char": 32, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "The right coronary artery lesion", "eid": "E35", "eiid": "E35", "start_char": 0, "type": "POS", "pos": null }, { "end_char": 99, "aspect": null, "tense": nu...

[]

The patient had no further angina .

sent_16_348

2,019

2,054

348

ds_c904683d

[]

[ { "end_char": 33, "aspect": null, "tense": null, "polarity": "NEG", "modality": "FACTUAL", "text": "further angina", "eid": "E37", "eiid": "E37", "start_char": 19, "type": "NEG", "pos": null } ]

[]

On 4-2-93 , she underwent a Persantine Thallium study .

sent_17_348

2,056

2,111

348

ds_c904683d

[]

[ { "end_char": 53, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "a Persantine Thallium study", "eid": "E38", "eiid": "E38", "start_char": 26, "type": "POS", "pos": null } ]

[]

This showed no diagnostic electrocardiogram changes for ischemia and no angina pectoris .

sent_18_348

2,113

2,202

348

ds_c904683d

[]

[ { "end_char": 11, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "This showed", "eid": "E51", "eiid": "E51", "start_char": 0, "type": "POS", "pos": null }, { "end_char": 51, "aspect": null, "tense": null, "polarity": "...

[]

The thallium images showed a large region of persistently reduced blood flow involving the apex and inferoposterior segments of the left ventricular wall .

sent_19_348

2,204

2,359

348

ds_c904683d

[]

[ { "end_char": 19, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "The thallium images", "eid": "E41", "eiid": "E41", "start_char": 0, "type": "POS", "pos": null }, { "end_char": 26, "aspect": null, "tense": null, "pola...

[]

This was consistent with scar .

sent_20_348

2,361

2,392

348

ds_c904683d

[]

[ { "end_char": 29, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "scar", "eid": "E43", "eiid": "E43", "start_char": 25, "type": "POS", "pos": null } ]

[]

There was no definite perfusion abnormality in the circumflex zone .

sent_21_348

2,394

2,462

348

ds_c904683d

[]

[ { "end_char": 66, "aspect": null, "tense": null, "polarity": "NEG", "modality": "FACTUAL", "text": "definite perfusion abnormality in the circumflex zone", "eid": "E44", "eiid": "E44", "start_char": 13, "type": "NEG", "pos": null } ]

[]

In view of these findings , it was elected to discharge her on her present medical program .

sent_22_348

2,464

2,556

348

ds_c904683d

[]

[ { "end_char": 55, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "discharge", "eid": "E65", "eiid": "E65", "start_char": 46, "type": "POS", "pos": null }, { "end_char": 90, "aspect": null, "tense": null, "polarity": "P...

[]

The patient is to return to the follow up care of Dr. Ko Kollciem at the Diy Hospital .

sent_23_348

2,558

2,645

348

ds_c904683d

[]

[ { "end_char": 24, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "return", "eid": "E67", "eiid": "E67", "start_char": 18, "type": "POS", "pos": null }, { "end_char": 46, "aspect": null, "tense": null, "polarity": "POS"...

[]

CHPO E. JESCOBEA , M.D.

sent_24_348

2,647

2,670

348

ds_c904683d

[]

TR : sq / bmot DD : 06-13-93 TD : 06/15/93 CC : Dr. Ko Kollciem , Retchard Healthcare to Dr. Wall

sent_25_348

2,672

2,776

348

ds_c904683d

[]

Admission Date : 12/12/1996 Discharge Date : 12/16/1996 HISTORY / REASON FOR HOSPITALIZATION : The patient is a 42 year old gravida II , para I female with a long history of menorrhagia and pelvic pain .

sent_0_572

0

203

572

ds_c904683d

[]

[ { "end_char": 9, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "Admission", "eid": "E0", "eiid": "E0", "start_char": 0, "type": "POS", "pos": null }, { "end_char": 185, "aspect": null, "tense": null, "polarity": "POS"...

[]

She also has a history of endometriosis that is symptomatic .

sent_1_572

204

265

572

ds_c904683d

[]

[ { "end_char": 39, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "endometriosis", "eid": "E4", "eiid": "E4", "start_char": 26, "type": "POS", "pos": null }, { "end_char": 59, "aspect": null, "tense": null, "polarity": ...

[]

She used Danocrine for approximately nine months and was pain free , but was unable to tolerate the side effects .

sent_2_572

266

380

572

ds_c904683d

[]

[ { "end_char": 18, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "Danocrine", "eid": "E6", "eiid": "E6", "start_char": 9, "type": "POS", "pos": null }, { "end_char": 61, "aspect": null, "tense": null, "polarity": "NEG"...

[]

She is status post several laparoscopies in the past with which she was diagnosed with endometriosis .

sent_3_572

381

483

572

ds_c904683d

[]

[ { "end_char": 40, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "several laparoscopies", "eid": "E9", "eiid": "E9", "start_char": 19, "type": "POS", "pos": null }, { "end_char": 100, "aspect": null, "tense": null, "po...

[]

She has recently been on Depo-Provera and has had episodes of break-through bleeding for six weeks at a time .

sent_4_572

484

594

572

ds_c904683d

[]

[ { "end_char": 37, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "Depo-Provera", "eid": "E11", "eiid": "E11", "start_char": 25, "type": "POS", "pos": null }, { "end_char": 84, "aspect": null, "tense": null, "polarity":...

[]

She desired surgical therapy .

sent_5_572

595

625

572

ds_c904683d

[]

[ { "end_char": 28, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "surgical therapy", "eid": "E13", "eiid": "E13", "start_char": 12, "type": "POS", "pos": null } ]

[]

HOSPITAL COURSE : On 12/12/96 she had an uncomplicated total abdominal hysterectomy and bilateral salpingo-oophorectomy .

sent_6_572

626

747

572

ds_c904683d

[]

[ { "end_char": 83, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "an uncomplicated total abdominal hysterectomy", "eid": "E14", "eiid": "E14", "start_char": 38, "type": "POS", "pos": null }, { "end_char": 119, "aspect": null, ...

[]

Estimated blood loss was 100 cc and she tolerated the procedure well .

sent_7_572

748

818

572

ds_c904683d

[]

[ { "end_char": 20, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "Estimated blood loss", "eid": "E16", "eiid": "E16", "start_char": 0, "type": "POS", "pos": null }, { "end_char": 63, "aspect": null, "tense": null, "pol...

[]

On postop day number one she was afebrile and doing well with a PCA for pain control .

sent_8_572

819

905

572

ds_c904683d

[]

[ { "end_char": 41, "aspect": null, "tense": null, "polarity": "NEG", "modality": "FACTUAL", "text": "afebrile", "eid": "E18", "eiid": "E18", "start_char": 33, "type": "NEG", "pos": null }, { "end_char": 56, "aspect": null, "tense": null, "polarity": "PO...

[]

On postop day number two she was also afebrile and had not passed any flatus yet .

sent_9_572

906

988

572

ds_c904683d

[]

[ { "end_char": 46, "aspect": null, "tense": null, "polarity": "NEG", "modality": "FACTUAL", "text": "afebrile", "eid": "E22", "eiid": "E22", "start_char": 38, "type": "NEG", "pos": null }, { "end_char": 76, "aspect": null, "tense": null, "polarity": "NE...

[]

She was ambulating frequently .

sent_10_572

989

1,020

572

ds_c904683d

[]

[ { "end_char": 31, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "ambulating frequently .", "eid": "E24", "eiid": "E24", "start_char": 8, "type": "POS", "pos": null } ]

[]

Her hematocrit was 34.2 and stable from her preoperative value .

sent_11_572

1,021

1,085

572

ds_c904683d

[]

[ { "end_char": 14, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "Her hematocrit", "eid": "E25", "eiid": "E25", "start_char": 0, "type": "POS", "pos": null }, { "end_char": 34, "aspect": null, "tense": null, "polarity"...

[]

On postop day number three her abdomen was noted to be distended with a few bowel sounds and she still had not passed gas .

sent_12_572

1,086

1,209

572

ds_c904683d

[]

[ { "end_char": 64, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "distended", "eid": "E28", "eiid": "E28", "start_char": 55, "type": "POS", "pos": null }, { "end_char": 88, "aspect": null, "tense": null, "polarity": "P...

[]

The patient decreased the amount of Demerol she was using and supplemented with Tylenol and continued her frequent ambulation .

sent_13_572

1,210

1,337

572

ds_c904683d

[]

[ { "end_char": 21, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "decreased", "eid": "E34", "eiid": "E34", "start_char": 12, "type": "POS", "pos": null }, { "end_char": 43, "aspect": null, "tense": null, "polarity": "P...

[]

On postop day number four she had passed flatus and was feeling much better .

sent_14_572

1,338

1,415

572

ds_c904683d

[]

[ { "end_char": 47, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "flatus", "eid": "E38", "eiid": "E38", "start_char": 41, "type": "POS", "pos": null }, { "end_char": 75, "aspect": null, "tense": null, "polarity": "POS"...

[]

She was discharged to home in good condition on the following medications .

sent_15_572

1,416

1,491

572

ds_c904683d

[]

[ { "end_char": 18, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "discharged", "eid": "E40", "eiid": "E40", "start_char": 8, "type": "POS", "pos": null }, { "end_char": 44, "aspect": null, "tense": null, "polarity": "P...

[]

DISCHARGE MEDICATIONS : Demerol for pain .

sent_16_572

1,492

1,534

572

ds_c904683d

[]

[ { "end_char": 31, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "Demerol", "eid": "E43", "eiid": "E43", "start_char": 24, "type": "POS", "pos": null }, { "end_char": 40, "aspect": null, "tense": null, "polarity": "POS...

[]

Motrin for pain .

sent_17_572

1,535

1,552

572

ds_c904683d

[]

[ { "end_char": 6, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "Motrin", "eid": "E45", "eiid": "E45", "start_char": 0, "type": "POS", "pos": null }, { "end_char": 15, "aspect": null, "tense": null, "polarity": "POS", ...

[]

Colace stool softener .

sent_18_572

1,553

1,576

572

ds_c904683d

[]

[ { "end_char": 21, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "Colace stool softener", "eid": "E47", "eiid": "E47", "start_char": 0, "type": "POS", "pos": null } ]

[]

DISPOSITION : The patient should follow-up with Dr. Side in two weeks .

sent_19_572

1,577

1,648

572

ds_c904683d

[]

Dictated By : IEDEARC SIDE , M.D.

sent_20_572

1,649

1,682

572

ds_c904683d

[]

LB28 Attending : MITERY D. LOSS , M.D.

sent_21_572

1,683

1,721

572

ds_c904683d

[]

CB51 II795/2112 Batch : 42100 Index No.

sent_22_572

1,722

1,761

572

ds_c904683d

[]

ZMFX3O4G1 D : 01/04/97 T : 01/06/97 CC : 1.

sent_23_572

1,762

1,805

572

ds_c904683d

[]

MITERY D. LOSS , M.D.

sent_24_572

1,806

1,827

572

ds_c904683d

[]

NT11 [ report _ end ]

sent_25_572

1,828

1,849

572

ds_c904683d

[]

ADMISSION DATE : 03/11/2002 DISCHARGE DATE : 03/14/2002 DISCHARGE DATE : 03/14/2002 HISTORY OF PRESENT ILLNESS : This is a 62-year-old hospice chaplain who was referred by Dr. Tomedankell Flowayles and Dr. Es Oarekote for evaluation of his right hip pain .

sent_0_201

0

256

201

ds_c904683d

[]

[ { "end_char": 9, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "ADMISSION", "eid": "E0", "eiid": "E0", "start_char": 0, "type": "POS", "pos": null }, { "end_char": 168, "aspect": null, "tense": null, "polarity": "POS"...

[]

He states that his pain has been of seven to eight durations , and rated as moderate to severe ( 7/10 ) .

sent_1_201

257

362

201

ds_c904683d

[]

[ { "end_char": 9, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "states", "eid": "E6", "eiid": "E6", "start_char": 3, "type": "POS", "pos": null }, { "end_char": 23, "aspect": null, "tense": null, "polarity": "POS", ...

[]

He does limp .

sent_2_201

363

377

201

ds_c904683d

[]

[ { "end_char": 12, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "limp", "eid": "E8", "eiid": "E8", "start_char": 8, "type": "POS", "pos": null } ]

[]

He does not use a cane and he requires a bannister for going up and down stairs .

sent_3_201

378

459

201

ds_c904683d

[]

[ { "end_char": 22, "aspect": null, "tense": null, "polarity": "NEG", "modality": "FACTUAL", "text": "a cane", "eid": "E9", "eiid": "E9", "start_char": 16, "type": "NEG", "pos": null }, { "end_char": 50, "aspect": null, "tense": null, "polarity": "POS", ...

[]

He has trouble with his shoes and socks .

sent_4_201

460

501

201

ds_c904683d

[]

[ { "end_char": 39, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "trouble with his shoes and socks", "eid": "E11", "eiid": "E11", "start_char": 7, "type": "POS", "pos": null } ]

[]

He uses a walker .

sent_5_201

502

520

201

ds_c904683d

[]

[ { "end_char": 16, "aspect": null, "tense": null, "polarity": "POS", "modality": "FACTUAL", "text": "a walker", "eid": "E12", "eiid": "E12", "start_char": 8, "type": "POS", "pos": null } ]

[]