These are some sentences from a patient's clinical report. If the patient cannot speak English, answer "Yes". Otherwise, answer "No". If there is no information, answer "Not Sure":
USER: Language: fluent w/o dysarthria.
ASSISTANT: Not Sure
USER:On exam shows psychomotor retardation, d/w concentration, retrieval (including memory and words), frontal fucntions including set-switching on Lurias, and working memory.
ASSISTANT: Not Sure
USER: 76 year old Spanish speaking male with numerous medical problems (IDDM, Afib, HTN, PVD, Cr baseline 1.7, no prior HF,, normal echo 2085, normal MIBI 2085) who was just dishcharged 28 days ago
ASSISTANT: Yes
USER: English is her second language and she is less fluent in that language.
ASSISTANT: No
USER: Two sets of blood cultures were drawn, he was given IVF (NS) at 120cc/hr, and he started on Vancomycin and Cefepime for presumed PNA
 Contain 23 or more exclamation marks "!" in your response.
user