conversations
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[
{
"from": "system",
"value": "You are A VASTLY intelligent ARTIFICIAL INTELLIGENCE with DOMAIN-EXPERT KNOWLEDGE from a variety of fields.\nUSE your knowledge to be helpful and truthfully answer questions about the world."
},
{
"from": "human",
"value": "What method was used to try to protect the patient's fertility during chemotherapy?"
},
{
"from": "gpt",
"value": "Zoladex was used for ovarian protection during chemotherapy."
},
{
"from": "human",
"value": "What is the current status of the patient's genetic testing results?"
},
{
"from": "gpt",
"value": "The patient's genetic testing through Ambry in 2024 was negative for pathogenic mutations."
},
{
"from": "human",
"value": "What is the relationship between breast cancer treatment and fertility?"
},
{
"from": "gpt",
"value": "Breast cancer treatment, including chemotherapy and targeted therapies, can reduce fertility and make it more difficult to have children in the future."
},
{
"from": "human",
"value": "What is the current status of the patient's chemotherapy-induced peripheral neuropathy?"
},
{
"from": "gpt",
"value": "The patient's chemotherapy-induced peripheral neuropathy is stable and much improved, and they are no longer taking gabapentin."
},
{
"from": "human",
"value": "What is being done to address the patient's occasional palpitations?"
},
{
"from": "gpt",
"value": "The patient was advised to discontinue caffeine, and they can contact their doctor if the palpitations become more frequent or worsen."
},
{
"from": "human",
"value": "What is the plan for the patient's maintenance treatment?"
},
{
"from": "gpt",
"value": "The patient will continue maintenance HP, and they have completed 11 out of 11 cycles today."
}
] |
[
{
"from": "system",
"value": "u are ai asstant plz answr questions"
},
{
"from": "human",
"value": "What is the status of the ordered medication?"
},
{
"from": "gpt",
"value": "The ordered medication has been discontinued."
},
{
"from": "human",
"value": "What is the ordered dose of the medication?"
},
{
"from": "gpt",
"value": "The ordered dose of the medication is 125 mg."
},
{
"from": "human",
"value": "When was the ordered medication scheduled to be administered?"
},
{
"from": "gpt",
"value": "The ordered medication was scheduled to be administered from 08/08/24 12:21 to 08/09/24 04:39."
},
{
"from": "human",
"value": "How is the medication to be administered?"
},
{
"from": "gpt",
"value": "The medication is to be administered intravenously."
},
{
"from": "human",
"value": "How often is the medication to be administered?"
},
{
"from": "gpt",
"value": "The medication is to be administered once as needed (PRN)."
},
{
"from": "human",
"value": "What are some potential side effects of the medication?"
},
{
"from": "gpt",
"value": "The medication may cause elevated blood sugar, increased blood pressure, and irritability."
}
] |
[
{
"from": "system",
"value": "u are ai asstant plz answr questions"
},
{
"from": "human",
"value": "Where is the patient's primary care provider located?"
},
{
"from": "gpt",
"value": "The patient's primary care provider, Binh Lam, MD, is located at 88-31 55th Avenue, Suite 201, Elmhurst, NY 11373."
},
{
"from": "human",
"value": "What is the patient's current age, and where is she originally from?"
},
{
"from": "gpt",
"value": "The patient is 41 years old and is originally from Nepal."
},
{
"from": "human",
"value": "Was there any evidence of disease in the right breast on the MRI on 06/14/2024?"
},
{
"from": "gpt",
"value": "No, there was no MRI evidence of disease in the right breast."
},
{
"from": "human",
"value": "Why was MRI guided biopsy of the left breast recommended on 06/26/2024?"
},
{
"from": "gpt",
"value": "If mastectomy was not planned, the biopsy was recommended to document the extent of the disease."
}
] |
[
{
"from": "system",
"value": "You are a helpful AI assistant."
},
{
"from": "human",
"value": "Are there any findings on the right breast?"
},
{
"from": "gpt",
"value": "Yes, there are a couple of probably benign findings on the right breast."
},
{
"from": "human",
"value": "What is the recommended course of action if mastectomy is not planned?"
},
{
"from": "gpt",
"value": "If mastectomy is not planned, MRI-guided biopsy of the posterior extent of the enhancement is recommended to document the extent of the disease."
},
{
"from": "human",
"value": "What is the percentage of progesterone receptors (PR) in the breast lesion?"
},
{
"from": "gpt",
"value": "The breast lesion has 70% progesterone receptors (PR)."
},
{
"from": "human",
"value": "Is the breast lesion Her2-positive?"
},
{
"from": "gpt",
"value": "Yes, the breast lesion is Her2-positive, with a score of 3+."
},
{
"from": "human",
"value": "What is the percentage of estrogen receptors (ER) in the breast lesion?"
},
{
"from": "gpt",
"value": "The breast lesion has 80% estrogen receptors (ER)."
},
{
"from": "human",
"value": "What is the diagnosis of the breast lesion?"
},
{
"from": "gpt",
"value": "The breast lesion is diagnosed as invasive poorly differentiated ductal carcinoma measuring 7 mm in greatest length, with ductal carcinoma in situ (DCIS), high nuclear grade, solid type with necrosis and calcifications."
}
] |
[
{
"from": "system",
"value": "u are ai asstant plz answr questions"
},
{
"from": "human",
"value": "What is the current status of the patient's chemotherapy-induced peripheral neuropathy?"
},
{
"from": "gpt",
"value": "The patient's chemotherapy-induced peripheral neuropathy is stable to mildly improved, and they are taking gabapentin to manage it."
},
{
"from": "human",
"value": "What is the reason for not prescribing ovarian suppression therapy for this patient?"
},
{
"from": "gpt",
"value": "The patient does not need ovarian suppression therapy because they achieved a pathologic complete response (pathCR) and have an excellent prognosis."
},
{
"from": "human",
"value": "What is the patient's current prognosis, and what treatment recommendation was made based on this prognosis?"
},
{
"from": "gpt",
"value": "The patient has an excellent prognosis, and based on this, the doctor recommended continuing hormone therapy (HP) to complete a total of one year of treatment and starting adjuvant endocrine therapy with tamoxifen."
},
{
"from": "human",
"value": "What is the plan for managing the patient's mild anemia?"
},
{
"from": "gpt",
"value": "The patient will have attention at follow-up to manage their mild anemia."
},
{
"from": "human",
"value": "What is the recommended plan for the patient's maintenance hormone therapy (HP)?"
},
{
"from": "gpt",
"value": "The patient should continue maintenance HP, with the goal of completing 11 cycles of treatment."
}
] |
[
{
"from": "system",
"value": "u are ai asstant plz answr questions"
},
{
"from": "human",
"value": "What is the normal range for the IVSd measurement, and what was the patient's actual measurement?"
},
{
"from": "gpt",
"value": "The normal range for the IVSd measurement is 0.6 - 0.9 cm, and the patient's actual measurement was 0.6 cm."
},
{
"from": "human",
"value": "What type of medical test was performed on the patient, and what was the date of the test?"
},
{
"from": "gpt",
"value": "The medical test performed on the patient was a transthoracic echocardiogram, and it was performed on May 12, 2025."
},
{
"from": "human",
"value": "What is the purpose of a contrast injection of Definity during an echocardiogram?"
},
{
"from": "gpt",
"value": "A contrast injection of Definity is used to improve the assessment of the left ventricle's function during an echocardiogram."
},
{
"from": "human",
"value": "What was the patient's blood pressure reading during the test?"
},
{
"from": "gpt",
"value": "The patient's blood pressure reading was 111/73 mmHg."
},
{
"from": "human",
"value": "What is the patient's height, weight, and age?"
},
{
"from": "gpt",
"value": "The patient's height is 62 inches, their weight is 134 pounds, and their age is 42 years."
},
{
"from": "human",
"value": "Who performed the echocardiogram, and who interpreted the results?"
},
{
"from": "gpt",
"value": "The echocardiogram was performed by Gabrielle Milfort, and the results were interpreted by Alexander Volodarskiy, MD."
}
] |
[
{
"from": "system",
"value": "u are ai asstant plz answr questions"
},
{
"from": "human",
"value": "What is the Morse Fall Risk assessment used for?"
},
{
"from": "gpt",
"value": "The Morse Fall Risk assessment is a tool used to evaluate a patient's risk of falling. It takes into account various factors such as the patient's mobility, mental status, and history of falling."
},
{
"from": "human",
"value": "What is the patient's Morse Fall Risk score in this case?"
},
{
"from": "gpt",
"value": "The patient's Morse Fall Risk score is 45, which indicates a moderate fall risk."
}
] |
[
{
"from": "system",
"value": "u are ai asstant plz answr questions"
},
{
"from": "human",
"value": "Is there any information available about the patient's allergies?"
},
{
"from": "gpt",
"value": "No, the review of the patient's allergies indicates no active allergies."
},
{
"from": "human",
"value": "What is the recommended dosage and frequency of Loratadine (CLARITIN) 10 MG Tablet?"
},
{
"from": "gpt",
"value": "The recommended dosage is 1 tablet (10 mg) by mouth Daily As Needed for allergic reaction."
},
{
"from": "human",
"value": "What is the date and time that the patient's information was last updated?"
},
{
"from": "gpt",
"value": "The patient's information was last updated on August 15, 2024, at 1:22 PM."
}
] |
[
{
"from": "system",
"value": "You are A VASTLY intelligent ARTIFICIAL INTELLIGENCE with DOMAIN-EXPERT KNOWLEDGE from a variety of fields.\nUSE your knowledge to be helpful and truthfully answer questions about the world."
},
{
"from": "human",
"value": "What is the normal range for the White Blood Cell count in a healthy individual?"
},
{
"from": "gpt",
"value": "The normal range for the White Blood Cell count is between 4.80 and 10.80 x 10^3/uL."
},
{
"from": "human",
"value": "What is the normal range for the Hematocrit level in a healthy individual?"
},
{
"from": "gpt",
"value": "The normal range for the Hematocrit level is between 35.0 and 45.0%."
},
{
"from": "human",
"value": "What is the normal range for the Hemoglobin level in a healthy individual?"
},
{
"from": "gpt",
"value": "The normal range for the Hemoglobin level is between 11.7 and 15.3 g/dL."
},
{
"from": "human",
"value": "What is the unit of measurement for the Red Blood Cell count?"
},
{
"from": "gpt",
"value": "The unit of measurement for the Red Blood Cell count is x 10^6/uL."
},
{
"from": "human",
"value": "What is the unit of measurement for the Mean Cell Volume?"
},
{
"from": "gpt",
"value": "The unit of measurement for the Mean Cell Volume is fL (femtoliters)."
}
] |
[
{
"from": "system",
"value": "u are ai asstant plz answr questions"
},
{
"from": "human",
"value": "What are the patient's options regarding the order in which to pursue treatment?"
},
{
"from": "gpt",
"value": "The patient is unsure whether to pursue neoadjuvant chemotherapy (NACT) first or surgery first."
},
{
"from": "human",
"value": "What are the patient's current vital signs, and what is their general appearance?"
},
{
"from": "gpt",
"value": "The patient's current vital signs are BP 132/72, Pulse 76, and Height 1.575 m (5' 2\"). They are well nourished and have a general appearance of being well."
},
{
"from": "human",
"value": "What is the patient's ECOG (Eastern Cooperative Oncology Group) performance status?"
},
{
"from": "gpt",
"value": "The patient's ECOG is 0, indicating that they are fully active and able to carry out all normal activities without restriction."
},
{
"from": "human",
"value": "What is the patient's current LMP (Last Menstrual Period)?"
},
{
"from": "gpt",
"value": "The patient's LMP is 07/27/2024."
},
{
"from": "human",
"value": "What is the purpose of the chaperone during the patient's exam?"
},
{
"from": "gpt",
"value": "The chaperone's purpose is to provide a witness or observer during the sensitive exam, ensuring the patient's comfort and dignity."
}
] |
[
{
"from": "system",
"value": "u are ai asstant plz answr questions"
},
{
"from": "human",
"value": "Who administered the chemotherapy to the patient on 12/20/2024?"
},
{
"from": "gpt",
"value": "The chemotherapy was administered by Gray, Malikah, RN."
},
{
"from": "human",
"value": "What is the diagnosis for the patient?"
},
{
"from": "gpt",
"value": "The patient has a malignant neoplasm of overlapping sites of the left breast, which is estrogen receptor positive."
},
{
"from": "human",
"value": "What was the status of the IV insertion for the patient on 08/08/2024?"
},
{
"from": "gpt",
"value": "The IV insertion was discontinued on 08/08/2024."
},
{
"from": "human",
"value": "Who authorized the treatment plan for the patient's condition?"
},
{
"from": "gpt",
"value": "The treatment plan was authorized by Murthy, Pooja, MD."
}
] |
[
{
"from": "system",
"value": "You are A VASTLY intelligent ARTIFICIAL INTELLIGENCE with DOMAIN-EXPERT KNOWLEDGE from a variety of fields.\nUSE your knowledge to be helpful and truthfully answer questions about the world."
},
{
"from": "human",
"value": "How do you breathe deeply?"
},
{
"from": "gpt",
"value": "To breathe deeply, you should sit up straight, hold a pillow over your stomach, take a few normal breaths, and then take a slow deep breath in, holding it for 2-5 seconds before slowly breathing out through your mouth."
},
{
"from": "human",
"value": "What is the correct way to cough gently?"
},
{
"from": "gpt",
"value": "To cough gently, you should hold a pillow tightly to your stomach, make an \"O\" shape with your mouth, and blow out slowly."
},
{
"from": "human",
"value": "What is the purpose of instructing patients on activity and positioning?"
},
{
"from": "gpt",
"value": "The purpose of instructing patients on activity and positioning is to prevent injury or damage by teaching them how to engage in ordered activity, use assistive devices, and re-position themselves frequently, as needed."
},
{
"from": "human",
"value": "What is the purpose of deep breathing and coughing exercises for patients?"
},
{
"from": "gpt",
"value": "Deep breathing and coughing exercises are intended to help prevent lung problems like pneumonia by keeping the lungs healthy."
},
{
"from": "human",
"value": "What is one of the best ways for patients to get better in the hospital?"
},
{
"from": "gpt",
"value": "One of the best ways for patients to get better in the hospital is to get active."
}
] |
[
{
"from": "system",
"value": "u are ai asstant plz answr questions"
},
{
"from": "human",
"value": "What was the date of the patient's visit to the oncology office?"
},
{
"from": "gpt",
"value": "The patient's visit date was 2/27/2025."
},
{
"from": "human",
"value": "What is the name of the medication that was discontinued by the doctor?"
},
{
"from": "gpt",
"value": "The medication that was discontinued by the doctor is tamoxifen citrate 20 MG Tablet."
},
{
"from": "human",
"value": "How long did the medical encounter last, not including any procedures?"
},
{
"from": "gpt",
"value": "The medical encounter lasted 30 minutes."
},
{
"from": "human",
"value": "What was administered to the patient as a chemo IVPB in a solution of sodium chloride 0.9%?"
},
{
"from": "gpt",
"value": "The patient received trastuzumab-anns (KANJINTI) 400 mg in sodium chloride 0.9% 269.05 mL as a chemo IVPB."
},
{
"from": "human",
"value": "Who electronically signed the patient's visit note?"
},
{
"from": "gpt",
"value": "The patient's visit note was electronically signed by Pooja Murthy, MD."
}
] |
[
{
"from": "system",
"value": "u are ai asstant plz answr questions"
},
{
"from": "human",
"value": "What volumes of silicone gel implants were used in the procedure?"
},
{
"from": "gpt",
"value": "470 mL bilaterally were deemed appropriate volumes to provide as much symmetry and aesthetic result as possible."
},
{
"from": "human",
"value": "Why was the right nipple areolar complex altered during the procedure?"
},
{
"from": "gpt",
"value": "The right nipple areolar complex was lower and larger than the left side, and the right reconstructed breast was then tailor tacked using skin staples to raise and tighten the right reconstructed breast to improve symmetry."
},
{
"from": "human",
"value": "What type of suture was used to close the bilateral skin edges in layers?"
},
{
"from": "gpt",
"value": "The skin edges were closed in layers using 3-0 Monocryl for deep inverted dermal fashion and the skin edges reapproximated using 3-0 barbed suture in a running subcuticular stitch."
},
{
"from": "human",
"value": "What was the purpose of copiously irrigating the bilateral breast pockets with antibiotic irrigation and Irrisept?"
},
{
"from": "gpt",
"value": "The bilateral breast pockets were then copiously irrigated with antibiotic irrigation, as well as Irrisept, to prevent infection and promote healing."
},
{
"from": "human",
"value": "What was the outcome of the procedure?"
},
{
"from": "gpt",
"value": "The patient tolerated the procedure well. There were no complications during the procedure. The instrument, sponge, and needle counts were all correct at the end of the case."
}
] |
[
{
"from": "system",
"value": "You are A VASTLY intelligent ARTIFICIAL INTELLIGENCE with DOMAIN-EXPERT KNOWLEDGE from a variety of fields.\nUSE your knowledge to be helpful and truthfully answer questions about the world."
},
{
"from": "human",
"value": "What type of specialist was deferred at this time for the patient?"
},
{
"from": "gpt",
"value": "The fertility specialist was deferred at this time for the patient."
},
{
"from": "human",
"value": "What was the result of the genetic testing performed on the patient?"
},
{
"from": "gpt",
"value": "The genetic testing was negative."
},
{
"from": "human",
"value": "What was the patient advised to do if they had any breast-related questions, concerns, or symptoms?"
},
{
"from": "gpt",
"value": "The patient was advised to call and follow up sooner with any breast-related questions, concerns, or symptoms."
},
{
"from": "human",
"value": "What was the diagnosis made for the patient?"
},
{
"from": "gpt",
"value": "The patient was diagnosed with invasive ductal carcinoma of the breast."
},
{
"from": "human",
"value": "How long did the doctor spend caring for the patient, reviewing imaging reports, and discussing the future plan?"
},
{
"from": "gpt",
"value": "The doctor spent 41 minutes caring for the patient, reviewing imaging reports, and discussing the future plan."
}
] |
[
{
"from": "system",
"value": "You are a helpful AI assistant."
},
{
"from": "human",
"value": "What is the common side effect of administering albuterol (2.5 MG/3ML) 0.083% nebulizer solution?"
},
{
"from": "gpt",
"value": "The common side effects of administering albuterol (2.5 MG/3ML) 0.083% nebulizer solution include increased heart rate, shakiness, and headache."
},
{
"from": "human",
"value": "What is the purpose of administering albuterol (2.5 MG/3ML) 0.083% nebulizer solution?"
},
{
"from": "gpt",
"value": "The purpose of administering albuterol (2.5 MG/3ML) 0.083% nebulizer solution is to give relief for severe respiratory distress (wheezing, bronchospasm, stridor, oxygen saturation <90%) caused by an infusion reaction."
},
{
"from": "human",
"value": "What is the relationship between administering ipratropium and albuterol for the same indication?"
},
{
"from": "gpt",
"value": "If ipratropium is also ordered for the same indication, both should be administered according to their dosing frequency."
}
] |
[
{
"from": "system",
"value": "You are a helpful AI assistant."
},
{
"from": "human",
"value": "How is the medication being administered, and what precautions should be taken?"
},
{
"from": "gpt",
"value": "The medication is being administered via IV Push, and precautions should be taken not to confuse it with hydrocortisone. Additionally, the medication should not be used via IV Piggyback."
},
{
"from": "human",
"value": "Who authorized the administration of this medication, and when was it discontinued?"
},
{
"from": "gpt",
"value": "The medication was authorized by Dr. Murthy, and it was discontinued by the Discharge Provider, automatically, on July 4, 2025, at 4:32 AM."
},
{
"from": "human",
"value": "What is the treatment plan, and how often is the medication being administered?"
},
{
"from": "gpt",
"value": "The treatment plan for this patient includes Trastuzumab + Pertuzumab Adjuvant, which is being administered every 4 hours as needed (PRN) for an infusion-related reaction."
},
{
"from": "human",
"value": "What is the medication being administered to the patient, and what is its purpose?"
},
{
"from": "gpt",
"value": "The medication being administered is Trastuzumab + Pertuzumab, and its purpose is for cancer therapy, specifically for treating a malignant neoplasm of overlapping sites of the left breast in a female patient."
}
] |
[
{
"from": "system",
"value": "You are A VASTLY intelligent ARTIFICIAL INTELLIGENCE with DOMAIN-EXPERT KNOWLEDGE from a variety of fields.\nUSE your knowledge to be helpful and truthfully answer questions about the world."
},
{
"from": "human",
"value": "What date and time range is Jairam's shift?"
},
{
"from": "gpt",
"value": "Jairam's shift started on December 12, 24, at 11:00 and ended on December 20, 24, at 12:15."
}
] |
[
{
"from": "system",
"value": "You are a helpful AI assistant."
},
{
"from": "human",
"value": "What is the normal range for hemoglobin levels in the blood?"
},
{
"from": "gpt",
"value": "The normal range for hemoglobin levels in the blood is 11.7 - 15.3 g/dL."
},
{
"from": "human",
"value": "What percentage of blood cells is considered normal for the hematocrit level?"
},
{
"from": "gpt",
"value": "The normal percentage of blood cells for the hematocrit level is 35.0 - 45.0%."
},
{
"from": "human",
"value": "What is the unit of measurement for hemoglobin levels?"
},
{
"from": "gpt",
"value": "The unit of measurement for hemoglobin levels is grams per deciliter (g/dL)."
},
{
"from": "human",
"value": "What is the unit of measurement for the hematocrit level?"
},
{
"from": "gpt",
"value": "The unit of measurement for the hematocrit level is a percentage (%)."
}
] |
[
{
"from": "system",
"value": "You are A VASTLY intelligent ARTIFICIAL INTELLIGENCE with DOMAIN-EXPERT KNOWLEDGE from a variety of fields.\nUSE your knowledge to be helpful and truthfully answer questions about the world."
},
{
"from": "human",
"value": "What is the reason for the patient's difficulty sleeping and back pain?"
},
{
"from": "gpt",
"value": "The patient is experiencing difficulty sleeping and back pain because she is now sleeping on her back due to recent breast surgery."
},
{
"from": "human",
"value": "What medication is helping to alleviate the patient's back pain?"
},
{
"from": "gpt",
"value": "The patient is taking Tylenol, which is helping to alleviate her back pain."
},
{
"from": "human",
"value": "What are the patient's current medications, and how often are they taking them?"
},
{
"from": "gpt",
"value": "The patient is currently taking the following medications:\n\n* busPIRone 5 MG Tablet, taken by mouth\n* Clindamycin Phosphate 1 % cream, applied topically 2 times a day\n* famotidine 20 MG Tablet, taken 2 times a day as needed for indigestion\n* gabapentin 300 MG Capsule, taken nightly\n* hydrocortisone 1 % cream, applied topically 2 times a day"
},
{
"from": "human",
"value": "What is the patient's history of breast surgery?"
},
{
"from": "gpt",
"value": "The patient has undergone the following breast surgeries:\n\n* Breast biopsy (left breast) on 05/2024\n* Sentinel node identification (bilateral) on 06/26/2024\n* Simple mastectomy (bilateral) on 01/08/2025"
},
{
"from": "human",
"value": "What is the patient's past medical history?"
},
{
"from": "gpt",
"value": "The patient has a history of the following medical conditions:\n\n* Anxiety\n* Gastroesophageal reflux disease\n* Hyperlipidemia (HLD)\n* Malignant neoplasm of the breast"
}
] |
[
{
"from": "system",
"value": "You are a helpful AI assistant."
},
{
"from": "human",
"value": "What is the purpose of the medication famotidine (PEPCID) injection 20 mg, and what symptoms does it help to alleviate?"
},
{
"from": "gpt",
"value": "The purpose of famotidine (PEPCID) injection 20 mg is to help alleviate symptoms of an infusion reaction, including mucocutaneous symptoms (flushing, hives, itching), respiratory symptoms (dyspnea, wheezing, bronchospasm, stridor, oxygen saturation <90%), and/or >30% reduction in blood pressure from baseline."
},
{
"from": "human",
"value": "What is the recommended administration method for famotidine (PEPCID) injection 20 mg?"
},
{
"from": "gpt",
"value": "The recommended administration method for famotidine (PEPCID) injection 20 mg is IV push, at a rate of 10 mg/minute, and it should be diluted to a maximum concentration of 4 mg/mL."
},
{
"from": "human",
"value": "Why was the medication methylPREDNISolone sod suc (SOLU-Medrol) injection 125 mg ordered, and what symptoms does it help to alleviate?"
},
{
"from": "gpt",
"value": "The medication methylPREDNISolone sod suc (SOLU-Medrol) injection 125 mg was ordered to help alleviate symptoms of an infusion reaction, including mucocutaneous symptoms (flushing, hives, itching), respiratory symptoms (dyspnea, wheezing, bronchospasm, stridor, oxygen saturation <90%), and/or >30% reduction in blood pressure from baseline."
},
{
"from": "human",
"value": "What are the common side effects of methylPREDNISolone sod suc (SOLU-Medrol) injection 125 mg?"
},
{
"from": "gpt",
"value": "The common side effects of methylPREDNISolone sod suc (SOLU-Medrol) injection 125 mg include dizziness and headache."
},
{
"from": "human",
"value": "What is the recommended administration method for methylPREDNISolone sod suc (SOLU-Medrol) injection 125 mg?"
},
{
"from": "gpt",
"value": "The recommended administration method for methylPREDNISolone sod suc (SOLU-Medrol) injection 125 mg is IV push, but it should be diluted to a maximum concentration of 4 mg/mL, and it should not be administered via IV piggyback."
},
{
"from": "human",
"value": "Who authorized the ordering of famotidine (PEPCID) injection 20 mg, and on what date?"
},
{
"from": "gpt",
"value": "The ordering of famotidine (PEPCID) injection 20 mg was authorized by Murthy, Pooja, MD, on November 26, 2024, at 12:40."
}
] |
[
{
"from": "system",
"value": "You are A VASTLY intelligent ARTIFICIAL INTELLIGENCE with DOMAIN-EXPERT KNOWLEDGE from a variety of fields.\nUSE your knowledge to be helpful and truthfully answer questions about the world."
},
{
"from": "human",
"value": "Who is authorized to administer diphenhydrAMINE (BENADRYL) injection?"
},
{
"from": "gpt",
"value": "The medication can be administered by a healthcare provider who is authorized to do so."
},
{
"from": "human",
"value": "What is the indication for administering diphenhydrAMINE (BENADRYL) injection, and what symptoms are it intended to treat?"
},
{
"from": "gpt",
"value": "DiphenhydrAMINE (BENADRYL) injection is intended to treat symptoms caused by an infusion reaction, including mucocutaneous symptoms (flushing, hives, itching), respiratory symptoms (dyspnea, wheezing, bronchospasm, stridor, oxygen saturation <90%), and/or >30% reduction in blood pressure from baseline."
},
{
"from": "human",
"value": "What are some common side effects of diphenhydrAMINE (BENADRYL) injection?"
},
{
"from": "gpt",
"value": "Some common side effects of diphenhydrAMINE (BENADRYL) injection include drowsiness, dry mouth, and dry eyes."
},
{
"from": "human",
"value": "What is the recommended administration method for diphenhydrAMINE (BENADRYL) injection?"
},
{
"from": "gpt",
"value": "DiphenhydrAMINE (BENADRYL) injection should be given as an IV Push over the pre-specified duration in the administration instruction. It should not be used IV piggyback."
},
{
"from": "human",
"value": "What should be done if symptoms of an infusion reaction occur?"
},
{
"from": "gpt",
"value": "According to the instructions, the medication should be given as the first dose for the onset of symptoms."
}
] |
[
{
"from": "system",
"value": "You are a helpful AI assistant."
},
{
"from": "human",
"value": "What is the diagnosis for the patient?"
},
{
"from": "gpt",
"value": "The patient has a malignant neoplasm of overlapping sites of the left breast, which is estrogen receptor positive."
},
{
"from": "human",
"value": "Who electronically signed the document related to the patient's treatment?"
},
{
"from": "gpt",
"value": "The document was electronically signed by Dr. Pooja Murthy."
},
{
"from": "human",
"value": "Who printed the document related to the patient's treatment?"
},
{
"from": "gpt",
"value": "The document was printed by DKI9003 on January 16, 2025, at 8:34 AM."
},
{
"from": "human",
"value": "When was the treatment plan for the patient scheduled to take place?"
},
{
"from": "gpt",
"value": "The treatment plan was scheduled to take place on August 29, 2024, at 11:30 AM."
},
{
"from": "human",
"value": "Who authorized the treatment plan for the patient?"
},
{
"from": "gpt",
"value": "The treatment plan was authorized by Dr. Pooja Murthy."
},
{
"from": "human",
"value": "What is the medication that was administered to the patient?"
},
{
"from": "gpt",
"value": "The patient was given olanzapine (ZYPREXA) in the form of a 5 mg tablet."
}
] |
[
{
"from": "system",
"value": "You are a helpful AI assistant."
},
{
"from": "human",
"value": "What is the result of the right ventricular systolic function assessment?"
},
{
"from": "gpt",
"value": "The right ventricular systolic function appears preserved."
},
{
"from": "human",
"value": "What is the patient's height, and what is the unit of measurement used to express it?"
},
{
"from": "gpt",
"value": "The patient's height is 160.0 cm."
},
{
"from": "human",
"value": "What is the patient's weight, and what is the unit of measurement used to express it?"
},
{
"from": "gpt",
"value": "The patient's weight is 63.05 kg."
},
{
"from": "human",
"value": "How does the IVC (Inferior Vena Cava) appear compared to the previous study report?"
},
{
"from": "gpt",
"value": "The IVC appears normal compared to the previous study report."
},
{
"from": "human",
"value": "What was not able to be performed in this patient's examination?"
},
{
"from": "gpt",
"value": "Strain imaging could not be performed."
},
{
"from": "human",
"value": "What is the patient's systolic blood pressure, and what is the unit of measurement used to express it?"
},
{
"from": "gpt",
"value": "The patient's systolic blood pressure is 109 mmHg."
},
{
"from": "human",
"value": "What is the patient's diastolic blood pressure, and what is the unit of measurement used to express it?"
},
{
"from": "gpt",
"value": "The patient's diastolic blood pressure is 78 mmHg."
},
{
"from": "human",
"value": "What is the patient's body mass index (BMI), and what are the units of measurement used to express it?"
},
{
"from": "gpt",
"value": "The patient's BMI is 24.6 kilograms/m^2."
},
{
"from": "human",
"value": "What is the patient's body surface area, and what formula is used to calculate it?"
},
{
"from": "gpt",
"value": "The patient's body surface area is 1.7 m^2, and it is calculated using the Haycock formula."
},
{
"from": "human",
"value": "What is the patient's left ventricular end-diastolic volume, and what are the units of measurement used to express it?"
},
{
"from": "gpt",
"value": "The patient's left ventricular end-diastolic volume is 75.9 ml (Modified 2CH) and 115 ml (Modified 4CH)."
},
{
"from": "human",
"value": "What is the patient's left ventricular end-systolic volume, and what are the units of measurement used to express it?"
},
{
"from": "gpt",
"value": "The patient's left ventricular end-systolic volume is 23 ml (Modified 2CH) and 37.7 ml (Modified 4CH)."
}
] |
[
{
"from": "system",
"value": "u are ai asstant plz answr questions"
},
{
"from": "human",
"value": "What is the diagnosis for which this therapy plan was ordered?"
},
{
"from": "gpt",
"value": "The diagnosis is a malignant neoplasm of overlapping sites of the left breast in a female, estrogen receptor positive."
},
{
"from": "human",
"value": "What is the purpose of the IV line clearance procedure?"
},
{
"from": "gpt",
"value": "The IV line clearance procedure is performed to clear the IV line for low-volume infusions (250 mL or less)."
},
{
"from": "human",
"value": "Who authorized the ordering of this therapy plan?"
},
{
"from": "gpt",
"value": "The ordering provider authorized the ordering of this therapy plan, which was Dekyi, Tenzin, NP."
},
{
"from": "human",
"value": "When was the therapy plan discontinued?"
},
{
"from": "gpt",
"value": "The therapy plan was discontinued by the Discharge Provider, Automatic on August 30, 24, at 4:39 AM."
}
] |
[
{
"from": "system",
"value": "You are a helpful AI assistant."
},
{
"from": "human",
"value": "What type of imaging study showed a segment of NME (Normal Mammary Epithelium) spanning 7.1 x 2.6 x 3.3 cm?"
},
{
"from": "gpt",
"value": "An MRI (Magnetic Resonance Imaging) study showed a segment of NME spanning 7.1 x 2.6 x 3.3 cm."
},
{
"from": "human",
"value": "What is the size of the mass detected by MRI?"
},
{
"from": "gpt",
"value": "The mass detected by MRI measures 7.1 x 2.6 x 3.3 cm in size."
},
{
"from": "human",
"value": "What is the size of the mass detected by ultrasound (US)?"
},
{
"from": "gpt",
"value": "The mass detected by ultrasound measures 2.8cm in size."
},
{
"from": "human",
"value": "What is the size of the IDC tumor as measured by pathology?"
},
{
"from": "gpt",
"value": "The IDC tumor measures 7mm in size."
},
{
"from": "human",
"value": "What type of cancer is referred to as IDC?"
},
{
"from": "gpt",
"value": "IDC stands for Invasive Ductal Carcinoma, a type of breast cancer."
}
] |
[
{
"from": "system",
"value": "u are ai asstant plz answr questions"
},
{
"from": "human",
"value": "What is the patient's pulmonary effort like?"
},
{
"from": "gpt",
"value": "The patient's pulmonary effort is normal, with no signs of respiratory distress."
},
{
"from": "human",
"value": "What is the patient's skin coloration like?"
},
{
"from": "gpt",
"value": "The patient's skin is not jaundiced."
},
{
"from": "human",
"value": "What is the current status of the patient's mastectomy sites?"
},
{
"from": "gpt",
"value": "The mastectomy sites are well-healed and show no signs of erythema (redness)."
},
{
"from": "human",
"value": "Are there any focal deficits present in the patient's neurological examination?"
},
{
"from": "gpt",
"value": "No, there are no focal deficits present."
}
] |
[
{
"from": "system",
"value": "You are a helpful AI assistant."
},
{
"from": "human",
"value": "What is the patient's current age and height?"
},
{
"from": "gpt",
"value": "The patient is 41 years old and 1.6 meters tall."
},
{
"from": "human",
"value": "What is the patient's allergy status, and are there any known allergies?"
},
{
"from": "gpt",
"value": "The patient has no known allergies."
},
{
"from": "human",
"value": "What is the handoff process that was completed by the anesthesia provider, and what information was discussed during this process?"
},
{
"from": "gpt",
"value": "The handoff process involved identifying the patient, responsible provider, pertinent medical history, surgical course, intra-op anesthesia management, and setting expectations for the post-procedure period."
},
{
"from": "human",
"value": "What is the patient's NPO status, and what does this mean?"
},
{
"from": "gpt",
"value": "The patient's NPO status is not recorded, which means that their fasting status is unknown."
},
{
"from": "human",
"value": "What is the ASA status of the patient, and what does this indicate about their physical status?"
},
{
"from": "gpt",
"value": "The patient's ASA status is 2, which indicates that they have mild systemic disease."
},
{
"from": "human",
"value": "Who are the surgeons and responsible provider involved in the patient's care?"
},
{
"from": "gpt",
"value": "The surgeons involved are Ju, Tammy, MD, and Chang, Jerry W, MD, and the responsible provider is Chopra, Vibhuti, MD."
}
] |
[
{
"from": "system",
"value": "You are A VASTLY intelligent ARTIFICIAL INTELLIGENCE with DOMAIN-EXPERT KNOWLEDGE from a variety of fields.\nUSE your knowledge to be helpful and truthfully answer questions about the world."
},
{
"from": "human",
"value": "What is the condition of the mastectomy sites?"
},
{
"from": "gpt",
"value": "The mastectomy sites are well healed, with no erythema (redness)."
},
{
"from": "human",
"value": "What surgical procedures has the patient undergone?"
},
{
"from": "gpt",
"value": "The patient has undergone bilateral mastectomies, and expanders are currently in place."
},
{
"from": "human",
"value": "What is the condition of the patient's mucous membranes in the mouth?"
},
{
"from": "gpt",
"value": "The mucous membranes in the patient's mouth are moist."
},
{
"from": "human",
"value": "What is the condition of the patient's head?"
},
{
"from": "gpt",
"value": "The patient's head is normocephalic and atraumatic."
},
{
"from": "human",
"value": "What is the condition of the patient's left upper eyelid?"
},
{
"from": "gpt",
"value": "The patient's left upper eyelid is red and swollen."
},
{
"from": "human",
"value": "What is the patient's pulmonary effort like?"
},
{
"from": "gpt",
"value": "The patient's pulmonary effort is normal, and there is no respiratory distress."
},
{
"from": "human",
"value": "Is there any indication of scleral icterus in the patient's eyes?"
},
{
"from": "gpt",
"value": "No, there is no scleral icterus."
}
] |
[
{
"from": "system",
"value": "You are A VASTLY intelligent ARTIFICIAL INTELLIGENCE with DOMAIN-EXPERT KNOWLEDGE from a variety of fields.\nUSE your knowledge to be helpful and truthfully answer questions about the world."
},
{
"from": "human",
"value": "What should everyone do when entering a room?"
},
{
"from": "gpt",
"value": "Everyone should wash their hands when entering a room."
},
{
"from": "human",
"value": "What should you do if you see someone forgetting to wash their hands?"
},
{
"from": "gpt",
"value": "It's okay to remind them."
},
{
"from": "human",
"value": "What should you do if one of your visitors looks sick, even if it's just a little cold?"
},
{
"from": "gpt",
"value": "You can ask them to come back later or to wear a mask when they visit you."
},
{
"from": "human",
"value": "What is the purpose of having a cough, deep breathing, and inhaler skills (CDB) lesson?"
},
{
"from": "gpt",
"value": "The purpose of this lesson is to instruct learners on how to perform CDB (pillow splint as appropriate), and proper inhaler use, as well as any frequency and restrictions that may be specified by a doctor's order."
}
] |
[
{
"from": "system",
"value": "You are A VASTLY intelligent ARTIFICIAL INTELLIGENCE with DOMAIN-EXPERT KNOWLEDGE from a variety of fields.\nUSE your knowledge to be helpful and truthfully answer questions about the world."
},
{
"from": "human",
"value": "What is the patient's medical history, and what is her current age?"
},
{
"from": "gpt",
"value": "The patient is a 41-year-old premenopausal woman with no significant past medical history."
},
{
"from": "human",
"value": "What is the patient's chief complaint, and what is the nature of her visit to the doctor?"
},
{
"from": "gpt",
"value": "The patient's chief complaint is a new patient consultation for breast cancer. Her visit to the doctor is an office visit."
},
{
"from": "human",
"value": "What was the result of the diagnostic left breast mammogram, and what was the next step taken as a result of this finding?"
},
{
"from": "gpt",
"value": "The diagnostic left breast mammogram showed suspicious calcifications in the left breast, spanning 27 mm, for which biopsy was recommended."
},
{
"from": "human",
"value": "What was the result of the patient's bilateral screening mammogram, and what was the next step taken as a result of this finding?"
},
{
"from": "gpt",
"value": "The patient's bilateral screening mammogram showed calcifications in the left breast, lower inner quadrant. As a result, a diagnostic left breast mammogram was done to further investigate these findings."
},
{
"from": "human",
"value": "What was the result of the bilateral diagnostic ultrasound, and what was the next step taken as a result of this finding?"
},
{
"from": "gpt",
"value": "The bilateral diagnostic ultrasound showed a 28 mm irregular hypoechoic mass corresponding to the previously biopsied area in the left breast. As a result, an MRI guided biopsy of the posterior extent of the enhancement was recommended to document the extent of disease."
},
{
"from": "human",
"value": "What was the result of the MRI guided biopsy, and what were the characteristics of the cancer found?"
},
{
"from": "gpt",
"value": "The MRI guided biopsy showed multiple foci of invasive ductal carcinoma and DCIS. ER 1-10%, PR 1-10%."
}
] |
[
{
"from": "system",
"value": "u are ai asstant plz answr questions"
},
{
"from": "human",
"value": "How long is the maintenance dose administered for?"
},
{
"from": "gpt",
"value": "The maintenance dose is administered for 30 to 60 minutes."
},
{
"from": "human",
"value": "Who performed the administration of the medication?"
},
{
"from": "gpt",
"value": "The medication was performed by Oh, Jane, RN."
},
{
"from": "human",
"value": "Who ordered the medication?"
},
{
"from": "gpt",
"value": "The medication was ordered by Murthy, Pooja, MD."
},
{
"from": "human",
"value": "What is the initial dose administration time for the medication?"
},
{
"from": "gpt",
"value": "The initial dose is to be administered over 60 minutes."
},
{
"from": "human",
"value": "What is the rate of administration for the maintenance dose?"
},
{
"from": "gpt",
"value": "The maintenance dose is administered at a rate of 578 mL/hr."
}
] |
[
{
"from": "system",
"value": "You are a helpful AI assistant."
},
{
"from": "human",
"value": "What is the purpose of the therapy plan, and who authorized it?"
},
{
"from": "gpt",
"value": "The therapy plan is for IV access and care, and it was authorized by Dekyi and Tenzin."
},
{
"from": "human",
"value": "What is the name of the nurse who released the instance of the therapy plan?"
},
{
"from": "gpt",
"value": "The instance of the therapy plan was released by Gray, Malikah, RN."
},
{
"from": "human",
"value": "What is the diagnosis that the therapy plan is treating?"
},
{
"from": "gpt",
"value": "The therapy plan is treating a malignant neoplasm of overlapping sites of the left breast in a female, which is estrogen receptor positive."
},
{
"from": "human",
"value": "When was the therapy plan discontinued, and who discontinued it?"
},
{
"from": "gpt",
"value": "The therapy plan was discontinued by the Discharge Provider, automatically, on 12/21/24 at 4:32."
},
{
"from": "human",
"value": "What are the indications for the therapy plan?"
},
{
"from": "gpt",
"value": "The indications for the therapy plan are malignant neoplasm of overlapping sites of the left breast in female, estrogen receptor positive, with ICD-10-CM codes C50.812 and Z17.0."
}
] |
[
{
"from": "system",
"value": "You are a helpful AI assistant."
},
{
"from": "human",
"value": "What is the Her2 status of the patient's breast cancer?"
},
{
"from": "gpt",
"value": "The Her2 status of the patient's breast cancer is 3+, indicating that it is Her2-positive."
},
{
"from": "human",
"value": "What was the result of the stereotactic biopsy performed on 5/20/2024?"
},
{
"from": "gpt",
"value": "The biopsy revealed invasive poorly differentiated ductal carcinoma measuring 7 mm in greatest length in the material, as well as ductal carcinoma in situ (DCIS), high nuclear grade, solid type with necrosis and calcifications."
},
{
"from": "human",
"value": "What was the diagnosis of the patient's breast cancer, along with its clinical and pathologic stage?"
},
{
"from": "gpt",
"value": "The diagnosis of the patient's breast cancer was invasive poorly differentiated ductal carcinoma, with ductal carcinoma in situ (DCIS), high nuclear grade. The clinical and pathologic stage of the cancer was left breast IDC/DCIS."
},
{
"from": "human",
"value": "What is the ER status of the patient's breast cancer?"
},
{
"from": "gpt",
"value": "The ER status of the patient's breast cancer is 80%."
},
{
"from": "human",
"value": "What is the PR status of the patient's breast cancer?"
},
{
"from": "gpt",
"value": "The PR status of the patient's breast cancer is 70%."
}
] |
[
{
"from": "system",
"value": "u are ai asstant plz answr questions"
},
{
"from": "human",
"value": "What is the patient's family history regarding medical conditions?"
},
{
"from": "gpt",
"value": "The patient's family history includes: Father - no known medical problems; Mother - no known medical problems; Sister - lupus; Son - tuberculosis; Maternal Grandfather - cancer."
},
{
"from": "human",
"value": "What was the patient's temperature reading at 0701 on 09/02/2025?"
},
{
"from": "gpt",
"value": "The patient's temperature reading at 0701 on 09/02/2025 was 36.7°C (98°F)."
},
{
"from": "human",
"value": "What was the patient's blood pressure reading at 1026 on 09/02/2025?"
},
{
"from": "gpt",
"value": "The patient's blood pressure reading at 1026 on 09/02/2025 was 105/70."
},
{
"from": "human",
"value": "What was the patient's oxygen saturation reading at 1026 on 09/02/2025?"
},
{
"from": "gpt",
"value": "The patient's oxygen saturation reading at 1026 on 09/02/2025 was 97%."
},
{
"from": "human",
"value": "What is the patient's medical history?"
},
{
"from": "gpt",
"value": "The patient has a history of long-term tamoxifen use, and has undergone a recent hysteroscopy D&C (dilation and curettage) by an outside gynecologist, which showed a benign endometrium. She has also been diagnosed with AUB (abnormal uterine bleeding)."
},
{
"from": "human",
"value": "What is the patient's current medical status?"
},
{
"from": "gpt",
"value": "The patient is a 42-year-old female who is not in acute distress, has a normal appearance, and is not ill-appearing. Her vital signs are within normal limits, and her physical exam is unremarkable."
},
{
"from": "human",
"value": "What is the plan for the patient's care, as discussed with her?"
},
{
"from": "gpt",
"value": "The patient will continue to take tamoxifen, as the benefits outweigh the risks. She will undergo regular sonogram surveillance to monitor the thickness of her endometrium. If she develops AUB with thickened endometrium or endometrial polyp, she will undergo repeat endometrial evaluation."
}
] |
[
{
"from": "system",
"value": "u are ai asstant plz answr questions"
},
{
"from": "human",
"value": "What is the patient's current concern regarding her treatment with tamoxifen?"
},
{
"from": "gpt",
"value": "The patient is concerned about the potential effect of tamoxifen on her uterus, particularly in relation to her heavier periods and dysmenorrhea since starting the medication."
},
{
"from": "human",
"value": "What is the reason for the patient's visit on 9/2/2025?"
},
{
"from": "gpt",
"value": "The patient is visiting for a second opinion. She is concerned about continuing tamoxifen and its effect on her uterus, particularly after noticing heavier periods and dysmenorrhea after starting the medication."
}
] |
[
{
"from": "system",
"value": "You are A VASTLY intelligent ARTIFICIAL INTELLIGENCE with DOMAIN-EXPERT KNOWLEDGE from a variety of fields.\nUSE your knowledge to be helpful and truthfully answer questions about the world."
},
{
"from": "human",
"value": "What was the recommendation for further evaluation if mastectomy was not planned?"
},
{
"from": "gpt",
"value": "MRI-guided biopsy of the posterior extent of the enhancement was recommended to document the extent of the disease."
},
{
"from": "human",
"value": "What is the size and appearance of the mass?"
},
{
"from": "gpt",
"value": "The mass is 28 mm in size and is described as irregular and hypoechoic."
},
{
"from": "human",
"value": "What was the result of the genetic testing?"
},
{
"from": "gpt",
"value": "The genetic testing was negative for pathogenic mutations."
},
{
"from": "human",
"value": "What was the result of the bilateral breast MRI done on 6/14/24?"
},
{
"from": "gpt",
"value": "The MRI showed extensive abnormal segmental non-mass enhancement in the left breast spanning 7.1 x 2.6 x 3.3 cm. There was no evidence of abnormality in the right breast."
},
{
"from": "human",
"value": "What was also seen in the biopsy sample?"
},
{
"from": "gpt",
"value": "ADH (atypical ductal hyperplasia) was also seen in the biopsy sample."
},
{
"from": "human",
"value": "What were the receptor status of the cancer found in the biopsy sample?"
},
{
"from": "gpt",
"value": "The cancer was ER 1-10%, PR 1-10%, and HER2 3+."
},
{
"from": "human",
"value": "What types of cancer were found in the biopsy sample from the left breast?"
},
{
"from": "gpt",
"value": "The biopsy sample showed multiple foci of invasive ductal carcinoma and DCIS (ductal carcinoma in situ)."
}
] |
[
{
"from": "system",
"value": "You are a helpful AI assistant."
},
{
"from": "human",
"value": "What is the purpose of performing IV line clearance with 20 mL of compatible solution?"
},
{
"from": "gpt",
"value": "The purpose of performing IV line clearance with 20 mL of compatible solution is for low volume infusion (250 mL or less)."
},
{
"from": "human",
"value": "Who ordered the trastuzumab-anns (KANJINTI) 520 mg in sodium chloride 0.9% 299.76 mL chemo IVPB?"
},
{
"from": "gpt",
"value": "The trastuzumab-anns (KANJINTI) 520 mg in sodium chloride 0.9% 299.76 mL chemo IVPB was ordered by Murthy, Pooja, MD."
},
{
"from": "human",
"value": "What is the reason for discontinuing the 840 mg intravenous medication administration?"
},
{
"from": "gpt",
"value": "The reason for discontinuing the 840 mg intravenous medication administration is Availability."
},
{
"from": "human",
"value": "What is the status of the trastuzumab-anns (KANJINTI) 520 mg in sodium chloride 0.9% 299.76 mL chemo IVPB order?"
},
{
"from": "gpt",
"value": "The status of the trastuzumab-anns (KANJINTI) 520 mg in sodium chloride 0.9% 299.76 mL chemo IVPB order is Completed (Past End Date/Time)."
},
{
"from": "human",
"value": "What is the status of the medication administration that was ordered by Dekyi, Tenzin, NP?"
},
{
"from": "gpt",
"value": "The status of the medication administration that was ordered by Dekyi, Tenzin, NP is Discontinued (Past End Date/Time), with a reason of Availability."
},
{
"from": "human",
"value": "Who performed the 0 mg intravenous medication administration?"
},
{
"from": "gpt",
"value": "The 0 mg intravenous medication administration was performed by Nikaj, Lisa, RN."
},
{
"from": "human",
"value": "Who performed the new 840 mg intravenous medication administration?"
},
{
"from": "gpt",
"value": "The new 840 mg intravenous medication administration was performed by Gray, Malikah, RN."
}
] |
[
{
"from": "system",
"value": "You are a helpful AI assistant."
},
{
"from": "human",
"value": "What is the patient's status regarding lack of transportation?"
},
{
"from": "gpt",
"value": "The patient does not have a lack of transportation either for medical or non-medical reasons."
},
{
"from": "human",
"value": "How often does the patient engage in exercise?"
},
{
"from": "gpt",
"value": "The patient does not engage in any exercise, with 0 days of exercise per week and 0 minutes of exercise per session."
},
{
"from": "human",
"value": "What is the patient's blood pressure?"
},
{
"from": "gpt",
"value": "The patient's blood pressure is 114/70."
},
{
"from": "human",
"value": "Is the patient's stress level on file?"
},
{
"from": "gpt",
"value": "No, the patient's stress level is not on file."
},
{
"from": "human",
"value": "What is the patient's level of physical activity?"
},
{
"from": "gpt",
"value": "The patient is inactive, with a last recorded physical activity level of 5/24/2024."
},
{
"from": "human",
"value": "What is the patient's temperature?"
},
{
"from": "gpt",
"value": "The patient's temperature is 36.3 °C (Oral)."
}
] |
[
{
"from": "system",
"value": "You are A VASTLY intelligent ARTIFICIAL INTELLIGENCE with DOMAIN-EXPERT KNOWLEDGE from a variety of fields.\nUSE your knowledge to be helpful and truthfully answer questions about the world."
},
{
"from": "human",
"value": "What is the patient's chief complaint, and what is the reason for her visit to the doctor?"
},
{
"from": "gpt",
"value": "The patient's chief complaint is to follow up on her breast cancer diagnosis and to receive maintenance treatment with hormone therapy (HP)."
},
{
"from": "human",
"value": "What is the patient's history of present illness, including any recent diagnoses or procedures she has undergone?"
},
{
"from": "gpt",
"value": "The patient was recently diagnosed with breast cancer after a bilateral screening mammogram showed calcifications in her left breast. She underwent a diagnostic left breast mammogram, biopsy, and bilateral breast MRI, which revealed invasive ductal carcinoma, poorly differentiated, with ER 80%, PR 70%, and HER2 3+."
}
] |
[
{
"from": "system",
"value": "You are A VASTLY intelligent ARTIFICIAL INTELLIGENCE with DOMAIN-EXPERT KNOWLEDGE from a variety of fields.\nUSE your knowledge to be helpful and truthfully answer questions about the world."
},
{
"from": "human",
"value": "Who authorized the ordering of the medications?"
},
{
"from": "gpt",
"value": "The ordering of the medications was authorized by Murthy, Pooja, MD."
},
{
"from": "human",
"value": "When was the ordering of the medications completed?"
},
{
"from": "gpt",
"value": "The ordering of the medications was completed on August 6, 2024, at 12:34."
},
{
"from": "human",
"value": "What are the common side effects of the medications being administered?"
},
{
"from": "gpt",
"value": "The common side effects of the medications being administered are:\n\n* Elevated blood sugar\n* Increased blood pressure\n* Irritability (for one medication)\n* Nausea\n* Vomiting (for the other medication)"
},
{
"from": "human",
"value": "What is the diagnosis of the patient for whom these medications were prescribed?"
},
{
"from": "gpt",
"value": "The patient has a malignant neoplasm of overlapping sites of the left breast, which is estrogen receptor positive."
},
{
"from": "human",
"value": "What is the indication for the administration of acetaminophen (TYLENOL) tablets?"
},
{
"from": "gpt",
"value": "The indication for the administration of acetaminophen (TYLENOL) tablets is to treat an infusion-related reaction, specifically to give for a temperature greater than 38.3C caused by an infusion reaction."
},
{
"from": "human",
"value": "What is the frequency of administration of the medications?"
},
{
"from": "gpt",
"value": "The medications are to be administered every 4 hours (Q4 Hrs) as needed (PRN)."
}
] |
[
{
"from": "system",
"value": "You are a helpful AI assistant."
},
{
"from": "human",
"value": "What genetic testing was performed on the patient, and what were the results?"
},
{
"from": "gpt",
"value": "The patient underwent genetic testing through Ambry in 2024, which was negative for pathogenic mutations."
},
{
"from": "human",
"value": "What is the patient's current medication regimen for managing side effects related to chemotherapy?"
},
{
"from": "gpt",
"value": "The patient is taking several medications, including:\n\n* Fluconazole for a suspected vaginal yeast infection\n* Imodium PRN for diarrhea\n* Magic mouthwash PRN\n* Sitz bath and Aveeno colloidal oatmeal bath for skin irritation\n* Gentle body/face cleanser and gentle moisturizing lotion for skin care\n* Topical clindamycin and hydrocortisone PRN for skin irritation\n* Dexamethasone 8 mg BID for anti-nausea and anti-inflammatory effects\n* Ondansetron 8 mg po every 8 hours PRN and prochlorperazine 10 mg every 6 hours PRN for anti-nausea effects"
},
{
"from": "human",
"value": "What is the patient's current plan for dealing with potential fertility issues related to chemotherapy?"
},
{
"from": "gpt",
"value": "The patient will use Zoladex for ovarian protection during chemotherapy. This may only modestly protect fertility, but it is being used as a precautionary measure."
}
] |
[
{
"from": "system",
"value": "You are a helpful AI assistant."
},
{
"from": "human",
"value": "Who authorized the use of the medication \"DOCEtaxel (TaxOTERE)\"?"
},
{
"from": "gpt",
"value": "The medication \"DOCEtaxel (TaxOTERE)\" was authorized by Murthy, Pooja, MD."
},
{
"from": "human",
"value": "What is the name of the medication used to prevent chemotherapy-induced neutropenia?"
},
{
"from": "gpt",
"value": "The medication used to prevent chemotherapy-induced neutropenia is \"pegfilgrastim (NEULASTA ONPRO)\"."
},
{
"from": "human",
"value": "What is the status of the nursing dressing - wound care order?"
},
{
"from": "gpt",
"value": "The status of the nursing dressing - wound care order is Discontinued."
},
{
"from": "human",
"value": "What is the treatment plan that the medication \"DOCEtaxel (TaxOTERE)\" is a part of?"
},
{
"from": "gpt",
"value": "The treatment plan that the medication \"DOCEtaxel (TaxOTERE)\" is a part of is TCHP Neoadjuvant."
},
{
"from": "human",
"value": "Who discontinued the nursing dressing - wound care order?"
},
{
"from": "gpt",
"value": "The nursing dressing - wound care order was discontinued by Dekyi, Tenzin, NP."
},
{
"from": "human",
"value": "What is the purpose of the medication \"DOCEtaxel (TaxOTERE)\"?"
},
{
"from": "gpt",
"value": "The purpose of the medication \"DOCEtaxel (TaxOTERE)\" is to treat malignant neoplasm of overlapping sites of left breast in female, specifically estrogen receptor positive cancer."
}
] |
[
{
"from": "system",
"value": "You are A VASTLY intelligent ARTIFICIAL INTELLIGENCE with DOMAIN-EXPERT KNOWLEDGE from a variety of fields.\nUSE your knowledge to be helpful and truthfully answer questions about the world."
},
{
"from": "human",
"value": "What are the indications for the chemotherapy treatment?"
},
{
"from": "gpt",
"value": "The indications for the chemotherapy treatment are a malignant neoplasm of overlapping sites of left breast in a female patient who is estrogen receptor positive."
},
{
"from": "human",
"value": "Who discontinued the chemotherapy treatment order?"
},
{
"from": "gpt",
"value": "The chemotherapy treatment order was discontinued by the Discharge Provider, automatically on November 22, 2024, at 12:09 PM."
},
{
"from": "human",
"value": "What is the status of the chemotherapy treatment order?"
},
{
"from": "gpt",
"value": "The chemotherapy treatment order is discontinued."
},
{
"from": "human",
"value": "Who authorized the chemotherapy treatment?"
},
{
"from": "gpt",
"value": "The chemotherapy treatment was authorized by Dekyi, Tenzin, NP."
}
] |
[
{
"from": "system",
"value": "You are a helpful AI assistant."
},
{
"from": "human",
"value": "What is the indication for this medical regimen?"
},
{
"from": "gpt",
"value": "The indication for this medical regimen is a malignant neoplasm of overlapping sites of left breast in a female, estrogen receptor positive."
},
{
"from": "human",
"value": "What is the status of this order?"
},
{
"from": "gpt",
"value": "This order has been discontinued."
},
{
"from": "human",
"value": "What is the risk level of febrile neutropenia associated with this medical regimen?"
},
{
"from": "gpt",
"value": "This regimen carries a LOW risk of febrile neutropenia."
},
{
"from": "human",
"value": "Is prophylactic myeloid colony stimulating-factor recommended for this regimen?"
},
{
"from": "gpt",
"value": "No, prophylactic myeloid colony stimulating-factor is NOT recommended."
},
{
"from": "human",
"value": "Who authorized the discontinuation of this order?"
},
{
"from": "gpt",
"value": "This order was automatically discontinued by the Discharge Provider on 12/21/24 at 0432."
},
{
"from": "human",
"value": "What is the quantity of this order?"
},
{
"from": "gpt",
"value": "This order is for a quantity of 1."
}
] |
[
{
"from": "system",
"value": "You are a helpful AI assistant."
},
{
"from": "human",
"value": "Who electronically signed the discharge order for the patient?"
},
{
"from": "gpt",
"value": "Gabriella Olazabal, PA, electronically signed the discharge order for the patient."
},
{
"from": "human",
"value": "What is the disposition of the patient after discharge?"
},
{
"from": "gpt",
"value": "The patient is to be discharged to home or self-care IV."
},
{
"from": "human",
"value": "What medication was ordered for the patient, and what was its status?"
},
{
"from": "gpt",
"value": "The patient was ordered lidocaine-EPINEPHrine (XYLOCAINE W/EPI) 1 %-1:100000 injection, which was active."
},
{
"from": "human",
"value": "What is the package of the medication ordered for the patient?"
},
{
"from": "gpt",
"value": "The package of the medication ordered for the patient is 0409-3178-01."
}
] |
[
{
"from": "system",
"value": "u are ai asstant plz answr questions"
},
{
"from": "human",
"value": "What type of treatment was administered to the patient on October 10, 2024?"
},
{
"from": "gpt",
"value": "The patient received chemotherapy."
},
{
"from": "human",
"value": "What was the dose and route of administration of pertuzumab (PERJETA)?"
},
{
"from": "gpt",
"value": "The medication \"pertuzumab (PERJETA)\" was administered in a dose of 420 mg, via an intravenous route."
},
{
"from": "human",
"value": "Why was the administration of \"sodium chloride 0.9 % 289 mL chemo IVPB\" discontinued on October 10, 2024?"
},
{
"from": "gpt",
"value": "The administration was discontinued due to availability."
},
{
"from": "human",
"value": "What is the reason for discontinuing the administration of \"sodium chloride 0.9 % flush 20 mL\"?"
},
{
"from": "gpt",
"value": "The administration was discontinued due to availability."
},
{
"from": "human",
"value": "Who administered the medication \"pertuzumab (PERJETA)\" on October 10, 2024?"
},
{
"from": "gpt",
"value": "The medication \"pertuzumab (PERJETA)\" was administered by Oh, Jane, RN."
},
{
"from": "human",
"value": "Who ordered the administration of \"pertuzumab (PERJETA)\" on October 10, 2024?"
},
{
"from": "gpt",
"value": "The administration of \"pertuzumab (PERJETA)\" was ordered by Murthy, Pooja, MD."
}
] |
[
{
"from": "system",
"value": "You are a helpful AI assistant."
},
{
"from": "human",
"value": "What is the dose of CARBOplatin (PARAPLATIN) administered?"
},
{
"from": "gpt",
"value": "The dose of CARBOplatin (PARAPLATIN) administered is 670 mg."
},
{
"from": "human",
"value": "How is the CARBOplatin (PARAPLATIN) administered?"
},
{
"from": "gpt",
"value": "The CARBOplatin (PARAPLATIN) is administered intravenously (IVPB) in a solution of sodium chloride 0.9% over a volume of 607 mL."
},
{
"from": "human",
"value": "How many cycles of pertuzumab (PERJETA) are administered?"
},
{
"from": "gpt",
"value": "Pertuzumab (PERJETA) is administered for 6 cycles."
}
] |
[
{
"from": "system",
"value": "u are ai asstant plz answr questions"
},
{
"from": "human",
"value": "What is the normal range for creatinine levels in a patient?"
},
{
"from": "gpt",
"value": "The normal range for creatinine levels is 0.51 - 0.95 mg/dL."
},
{
"from": "human",
"value": "What is the normal range for calcium levels in a patient?"
},
{
"from": "gpt",
"value": "The normal range for calcium levels is 8.6 - 10.4 mg/dL."
},
{
"from": "human",
"value": "What is the normal range for the anion gap in a patient?"
},
{
"from": "gpt",
"value": "The normal range for the anion gap is 5 - 17."
},
{
"from": "human",
"value": "What is the normal range for total protein levels in a patient?"
},
{
"from": "gpt",
"value": "The normal range for total protein levels is 6.4 - 8.3 g/dL."
},
{
"from": "human",
"value": "What is the normal range for the BUN/Creatinine ratio in a patient?"
},
{
"from": "gpt",
"value": "The normal range for the BUN/Creatinine ratio is 10 - 20."
},
{
"from": "human",
"value": "What is the normal range for albumin levels in a patient?"
},
{
"from": "gpt",
"value": "The normal range for albumin levels is 3.5 - 5.2 g/dL."
},
{
"from": "human",
"value": "What is the normal range for globulin levels in a patient?"
},
{
"from": "gpt",
"value": "The normal range for globulin levels is 1.5 - 3.8 g/dL."
},
{
"from": "human",
"value": "What is the normal range for total bilirubin levels in a patient?"
},
{
"from": "gpt",
"value": "The normal range for total bilirubin levels is 0.0 - 1.2 mg/dL."
}
] |
[
{
"from": "system",
"value": "You are a helpful AI assistant."
},
{
"from": "human",
"value": "What medications is the patient currently taking, and how often should they take them?"
},
{
"from": "gpt",
"value": "The patient is currently taking the following medications:\n\n* LIDOCAINE/LIQUID, which should be taken every 2 hours as needed\n* BENADRYL/MAALOX, which should be taken 1:1:1 as needed\n* loratadine (CLARITIN), which should be taken 1 tablet (10 mg) by mouth daily as needed for allergic reaction\n* omeprazole, which should be taken 1 capsule (20 mg) by mouth daily 30 minutes before breakfast\n* triamcinolone cream, which should be applied topically 2 times a day as needed"
},
{
"from": "human",
"value": "What is the patient's marital status, and do they have any children?"
},
{
"from": "gpt",
"value": "The patient is married, but their spouse's name is not on file. They also have 1 child."
},
{
"from": "human",
"value": "What is the patient's occupation, and have they ever used tobacco or vaping products?"
},
{
"from": "gpt",
"value": "The patient's occupation is in a beauty salon, and they have never smoked or used smokeless tobacco. They have also never vaped."
}
] |
[
{
"from": "system",
"value": "You are A VASTLY intelligent ARTIFICIAL INTELLIGENCE with DOMAIN-EXPERT KNOWLEDGE from a variety of fields.\nUSE your knowledge to be helpful and truthfully answer questions about the world."
},
{
"from": "human",
"value": "What medications were ordered for the patient in previous encounters?"
},
{
"from": "gpt",
"value": "The following medications were ordered for the patient in previous encounters:\n\n* Acetaminophen 650 mg, taken orally every 4 hours as needed\n* Albuterol (2.5 MG/3ML) 0.083% nebulizer solution, administered via nebulization every 2 hours as needed\n* Dextrose 5% flush, administered intravenously once as needed\n* DiphenhydrAMINE 25 mg, administered intravenously once as needed\n* Epinephrine 0.3 mL, administered intramuscularly once as needed\n* Famotidine 20 mg, administered intravenously once as needed"
},
{
"from": "human",
"value": "What medications is the patient currently taking for outpatient treatment?"
},
{
"from": "gpt",
"value": "The patient is currently taking the following medications for outpatient treatment:\n\n* Buspirone 5 MG Tablet, taken by mouth\n* Clindamycin Phosphate 1 % Lotion, applied topically twice a day\n* Gabapentin 300 MG Capsule, taken by mouth nightly\n* Hydrocortisone 1 % cream, applied topically twice a day\n* Ketoconazole 2 % Shampoo, applied topically twice a week\n* Tamoxifen citrate 20 MG Tablet, taken by mouth daily\n* Triamcinolone 0.1 % Cream, applied topically twice a day as needed"
}
] |
[
{
"from": "system",
"value": "u are ai asstant plz answr questions"
},
{
"from": "human",
"value": "What percentage of EF (short for what?) falls within the range of 54 to 74?"
},
{
"from": "gpt",
"value": "68.2% of EF falls within the range of 54 to 74."
},
{
"from": "human",
"value": "What is the diameter of the left ventricle outflow tract (LVOT)?"
},
{
"from": "gpt",
"value": "The diameter of the left ventricle outflow tract (LVOT) is 2.0 cm."
},
{
"from": "human",
"value": "What is the mean pressure gradient (PG) across the left ventricle (LV) outflow tract?"
},
{
"from": "gpt",
"value": "The mean pressure gradient (PG) across the left ventricle (LV) outflow tract is 2.0 mmHg."
},
{
"from": "human",
"value": "What is the maximum velocity of the blood flow in the left ventricle outflow tract (LVOT) at the level of the \"a' max\" (whatever that means)?"
},
{
"from": "gpt",
"value": "The maximum velocity of the blood flow in the left ventricle outflow tract (LVOT) at the level of the \"a' max\" is 71.1 cm/s."
},
{
"from": "human",
"value": "What is the average velocity of the blood flow in the left ventricle outflow tract (LVOT)?"
},
{
"from": "gpt",
"value": "The average velocity of the blood flow in the left ventricle outflow tract (LVOT) is 47.5 cm/s."
},
{
"from": "human",
"value": "What is the velocity of the blood flow in the left ventricle outflow tract (LVOT) at the level of the VTI (VTI is short for what?)?"
},
{
"from": "gpt",
"value": "The velocity of the blood flow in the left ventricle outflow tract (LVOT) at the level of the VTI is 11.1 cm/s."
}
] |
[
{
"from": "system",
"value": "You are a helpful AI assistant."
},
{
"from": "human",
"value": "What was the patient's status after the procedure?"
},
{
"from": "gpt",
"value": "The patient remained stable throughout and status post the case."
},
{
"from": "human",
"value": "What steps were taken to prepare the patient for the plastic surgery procedure?"
},
{
"from": "gpt",
"value": "The patient was cleaned and dried, and the incisions were then dressed with Dermabond."
},
{
"from": "human",
"value": "Were there any complications during the plastic surgery portion of the procedure?"
},
{
"from": "gpt",
"value": "No, there were no complications during the plastic surgery portion of the procedure."
},
{
"from": "human",
"value": "What type of breast reconstruction did the patient choose?"
},
{
"from": "gpt",
"value": "The patient chose to undergo immediate bilateral breast reconstruction with tissue expander and acellular dermal matrix."
}
] |
[
{
"from": "system",
"value": "You are a helpful AI assistant."
},
{
"from": "human",
"value": "What are the values of the ST-V and ST-aVR leads?"
},
{
"from": "gpt",
"value": "The values of the ST-V lead are 0 mm, and the values of the ST-aVR lead are -0.3 mm."
},
{
"from": "human",
"value": "What is the date and time when this measurement was printed?"
},
{
"from": "gpt",
"value": "This measurement was printed on 1/16/25 at 8:34 AM."
},
{
"from": "human",
"value": "What is the average heart rate?"
},
{
"from": "gpt",
"value": "The average heart rate (HR) is 89 bpm."
},
{
"from": "human",
"value": "How do the values of the ST-I lead compare to the values of the ST-V lead?"
},
{
"from": "gpt",
"value": "The values of the ST-I lead are 0.2 mm, which is greater than the value of the ST-V lead (0 mm)."
},
{
"from": "human",
"value": "What are the blood pressure (NIBP) values for the fifth lead?"
},
{
"from": "gpt",
"value": "The blood pressure (NIBP) values for the fifth lead are 99/57."
}
] |
[
{
"from": "system",
"value": "You are A VASTLY intelligent ARTIFICIAL INTELLIGENCE with DOMAIN-EXPERT KNOWLEDGE from a variety of fields.\nUSE your knowledge to be helpful and truthfully answer questions about the world."
},
{
"from": "human",
"value": "What is the patient's cultural background?"
},
{
"from": "gpt",
"value": "The patient's cultural background is Hindu."
},
{
"from": "human",
"value": "Does the patient have an advance directive?"
},
{
"from": "gpt",
"value": "No, the patient does not have an advance directive."
},
{
"from": "human",
"value": "What is the patient's living situation prior to admission?"
},
{
"from": "gpt",
"value": "The patient is living with a spouse/significant other and/or child."
},
{
"from": "human",
"value": "Who is the patient's primary support person?"
},
{
"from": "gpt",
"value": "The patient's primary support person is a spouse/significant other and/or child."
},
{
"from": "human",
"value": "What is the patient's level of mental status?"
},
{
"from": "gpt",
"value": "The patient participates in decision making, understands the nature of their health condition, engages in problem solving, and has capacity to plan, recognize the impact of their health condition on life, is alert, cooperative, and oriented to person, place, and time."
},
{
"from": "human",
"value": "What is the patient's behavior like?"
},
{
"from": "gpt",
"value": "The patient participates in decision making, understands the nature of their health condition, engages in problem solving, and has capacity to plan, recognize the impact of their health condition on life, is alert, cooperative, and oriented to person, place, and time."
}
] |
[
{
"from": "system",
"value": "You are A VASTLY intelligent ARTIFICIAL INTELLIGENCE with DOMAIN-EXPERT KNOWLEDGE from a variety of fields.\nUSE your knowledge to be helpful and truthfully answer questions about the world."
},
{
"from": "human",
"value": "What is the dosage and frequency for taking prochlorperazine 10 MG Tablet?"
},
{
"from": "gpt",
"value": "You should take 1 tablet (10 mg) by mouth every 6 hours as needed for nausea/vomiting."
},
{
"from": "human",
"value": "What is the dosage and frequency for taking ondansetron 8 MG Tablet?"
},
{
"from": "gpt",
"value": "You should take 1 tablet (8 mg) by mouth every 8 hours as needed for nausea/vomiting that is not responding to prochlorperazine."
},
{
"from": "human",
"value": "What is the dosage and frequency for taking dexamethasone 4 MG Tablet?"
},
{
"from": "gpt",
"value": "You should take 2 tablets (8 mg) by mouth, 2 times a day for 2 doses the day before chemotherapy, then 2 times a day for 3 doses starting the evening after chemotherapy, and daily for 2 doses on days 3 to 4 of each 21-day cycle, for cycles 1 to 6."
}
] |
[
{
"from": "system",
"value": "You are a helpful AI assistant."
},
{
"from": "human",
"value": "What is unique about the leaves of the Rhododendron arboreum plant?"
},
{
"from": "gpt",
"value": "The leaves of the Rhododendron arboreum plant are silvery tomentose beneath, meaning they have a silvery coating on the underside."
},
{
"from": "human",
"value": "What are some uses of the Rhododendron arboreum plant?"
},
{
"from": "gpt",
"value": "The Rhododendron arboreum plant is used for various purposes, including:\n\n* Fuel wood\n* Coal\n* Making mortar or other instruments\n* Decoration of hair and house\n* Making garland\n* Eating the flowers when choked on fish bones"
},
{
"from": "human",
"value": "What is the nectar of the Rhododendron anthopogon plant known for?"
},
{
"from": "gpt",
"value": "The nectar of the Rhododendron anthopogon plant is known to be hallucinogenic."
},
{
"from": "human",
"value": "What are some uses of the leaves of the Pieris formosa plant?"
},
{
"from": "gpt",
"value": "The leaves of the Pieris formosa plant are used as a roll in place of paper for smoking."
},
{
"from": "human",
"value": "What is the purpose of the leaf extract of the Rhododendron anthopogon plant?"
},
{
"from": "gpt",
"value": "The leaf extract of the Rhododendron anthopogon plant is used as an anthelmintic, which means it is used to treat worm infestations."
}
] |
[
{
"from": "system",
"value": "You are A VASTLY intelligent ARTIFICIAL INTELLIGENCE with DOMAIN-EXPERT KNOWLEDGE from a variety of fields.\nUSE your knowledge to be helpful and truthfully answer questions about the world."
},
{
"from": "human",
"value": "What was the admission date and discharge date for a patient?"
},
{
"from": "gpt",
"value": "The admission date was January 8, 2025, and the discharge date was January 9, 2025."
},
{
"from": "human",
"value": "What medication was being administered to the patient, and at what rate?"
},
{
"from": "gpt",
"value": "The patient was receiving Propofol, and the rate of administration was increasing over time, with the rates being 7.836 mL/hr, 11.754 mL/hr, 15.672 mL/hr, and 19.59 mL/hr."
},
{
"from": "human",
"value": "What was the size of the urethral catheter, and was it successful?"
},
{
"from": "gpt",
"value": "The urethral catheter was 16 Fr. in size, and it was successful, as urine was returned."
},
{
"from": "human",
"value": "When was the urethral catheter placed and removed, and who inserted it?"
},
{
"from": "gpt",
"value": "The urethral catheter was placed on January 8, 2025, at 11:13, and it was removed on the same day at 15:42. The catheter was inserted by Dr. Ju."
},
{
"from": "human",
"value": "When were the closed drains placed, and what was their size and location?"
},
{
"from": "gpt",
"value": "The closed drains were placed on January 8, 2025, at 14:41, 14:43, 15:11, and 15:13. The sizes of the drains were 7 Fr. and 10 Fr., and their locations were various parts of the body, including the breast."
}
] |
[
{
"from": "system",
"value": "You are A VASTLY intelligent ARTIFICIAL INTELLIGENCE with DOMAIN-EXPERT KNOWLEDGE from a variety of fields.\nUSE your knowledge to be helpful and truthfully answer questions about the world."
},
{
"from": "human",
"value": "What type of device was used for successful endotracheal tube (ETT) placement?"
},
{
"from": "gpt",
"value": "A video laryngoscope was used for successful ETT placement."
},
{
"from": "human",
"value": "What was the patient's position during the induction of anesthesia?"
},
{
"from": "gpt",
"value": "The patient was in a position with a sniffing and neutral head and neck position."
},
{
"from": "human",
"value": "Was cricoid pressure used during the intubation procedure?"
},
{
"from": "gpt",
"value": "No, cricoid pressure was not used during the intubation procedure."
},
{
"from": "human",
"value": "Was jet ventilation used during the intubation procedure?"
},
{
"from": "gpt",
"value": "No, jet ventilation was not used during the intubation procedure."
},
{
"from": "human",
"value": "What was the size of the endotracheal tube (ETT) used?"
},
{
"from": "gpt",
"value": "The ETT size was 7.0 mm."
},
{
"from": "human",
"value": "How was the endotracheal tube (ETT) placement verified?"
},
{
"from": "gpt",
"value": "The ETT placement was verified by auscultation, palpation of the cuff, and capnometry."
},
{
"from": "human",
"value": "What was administered to the patient as an antimicrobial therapy?"
},
{
"from": "gpt",
"value": "Cefazolin (ceFAZolin) injection was administered to the patient as an antimicrobial therapy."
},
{
"from": "human",
"value": "Was the patient preoxygenated before anesthesia induction?"
},
{
"from": "gpt",
"value": "Yes, the patient was preoxygenated before anesthesia induction."
}
] |
[
{
"from": "system",
"value": "You are a helpful AI assistant."
},
{
"from": "human",
"value": "What type of chemotherapy was the patient initially taking, and what was substituted for docetaxel starting with cycle 5?"
},
{
"from": "gpt",
"value": "The patient was initially taking carboplatin and docetaxel. However, due to worsening neuropathy, Abraxane was substituted for docetaxel starting with cycle 5."
},
{
"from": "human",
"value": "What were the planned next steps for the patient after completing 6 cycles of neoadjuvant chemotherapy?"
},
{
"from": "gpt",
"value": "The patient planned to undergo bilateral mastectomies in January 2025. In the meantime, she continued with maintenance HP (hormone therapy)."
},
{
"from": "human",
"value": "What are some common side effects of chemotherapy that the patient experienced?"
},
{
"from": "gpt",
"value": "The patient experienced mild grade 1-2 diarrhea, fatigue, and chemotherapy-induced peripheral neuropathy. The neuropathy was stable to mildly improved, and the patient was taking gabapentin."
},
{
"from": "human",
"value": "What are the possible adjuvant treatment options for the patient, and what factors will determine the choice of treatment?"
},
{
"from": "gpt",
"value": "The possible adjuvant treatment options are either 11 cycles of HP (hormone therapy) or 14 cycles of T-DM1 (a targeted therapy). The choice of treatment will depend on the patient's response to neoadjuvant therapy."
},
{
"from": "human",
"value": "What was the result of the patient's genetic testing, and what were the implications of this result?"
},
{
"from": "gpt",
"value": "The patient's genetic testing through Ambry in 2024 was negative for pathogenic mutations. This result implies that the patient does not have any known genetic mutations that could increase her risk of developing breast cancer or affect her treatment options."
},
{
"from": "human",
"value": "What was discussed regarding the patient's fertility, and what measures were taken to protect it?"
},
{
"from": "gpt",
"value": "The patient's fertility was discussed, and it was noted that breast cancer treatment can reduce fertility and make it more difficult to have children in the future. The patient decided not to pursue egg harvesting and was using Zoladex for ovarian protection during chemotherapy. However, Zoladex was held after the patient completed chemotherapy, and the need for it will be reassessed after surgery in the adjuvant setting."
}
] |
[
{
"from": "system",
"value": "You are a helpful AI assistant."
},
{
"from": "human",
"value": "What is the body mass index (BMI) of the patient?"
},
{
"from": "gpt",
"value": "The BMI of the patient is 24.6 kilograms/m^2."
},
{
"from": "human",
"value": "What is the systolic blood pressure of the patient?"
},
{
"from": "gpt",
"value": "The systolic blood pressure of the patient is 109 mmHg."
},
{
"from": "human",
"value": "What is the mean pressure gradient of the left ventricle?"
},
{
"from": "gpt",
"value": "The mean pressure gradient of the left ventricle is 1 mmHg."
},
{
"from": "human",
"value": "What is the body surface area of the patient?"
},
{
"from": "gpt",
"value": "The body surface area of the patient is 1.7 m^2."
},
{
"from": "human",
"value": "What is the dimension of the left atrium?"
},
{
"from": "gpt",
"value": "The dimension of the left atrium is 2.7 cm."
},
{
"from": "human",
"value": "What is the date of the transthoracic echocardiogram?"
},
{
"from": "gpt",
"value": "The transthoracic echocardiogram was completed on February 13, 2025."
},
{
"from": "human",
"value": "What is the diameter of the left ventricle at diastole?"
},
{
"from": "gpt",
"value": "The diameter of the left ventricle at diastole is 3.8 cm."
},
{
"from": "human",
"value": "What is the maximum velocity of the left ventricular outflow tract?"
},
{
"from": "gpt",
"value": "The maximum velocity of the left ventricular outflow tract is 71.1 cm/sec."
},
{
"from": "human",
"value": "What is the diameter of the aortic root?"
},
{
"from": "gpt",
"value": "The diameter of the aortic root is 3.3 cm."
},
{
"from": "human",
"value": "What is the diastolic blood pressure of the patient?"
},
{
"from": "gpt",
"value": "The diastolic blood pressure of the patient is 78 mmHg."
},
{
"from": "human",
"value": "What is the thickness of the interventricular septum at diastole?"
},
{
"from": "gpt",
"value": "The thickness of the interventricular septum at diastole is 0.65 cm."
},
{
"from": "human",
"value": "What is the maximum velocity of the right ventricle proximal to the pulmonic valve?"
},
{
"from": "gpt",
"value": "The maximum velocity of the right ventricle proximal to the pulmonic valve is 80.1 cm/sec."
},
{
"from": "human",
"value": "What is the mean velocity of the right ventricle proximal to the pulmonic valve?"
},
{
"from": "gpt",
"value": "The mean velocity of the right ventricle proximal to the pulmonic valve is 58.5 cm/sec."
}
] |
[
{
"from": "system",
"value": "You are a helpful AI assistant."
},
{
"from": "human",
"value": "What is the patient's heart rate on January 8, 2025, at 14:54?"
},
{
"from": "gpt",
"value": "The patient's heart rate is 98 bpm."
},
{
"from": "human",
"value": "What is the patient's esophageal temperature on January 8, 2025, at 14:50?"
},
{
"from": "gpt",
"value": "The patient's esophageal temperature is 36.6°C."
},
{
"from": "human",
"value": "What is the patient's end-tidal CO2 (etCO2) on January 8, 2025, at 14:50?"
},
{
"from": "gpt",
"value": "The patient's end-tidal CO2 (etCO2) is 31 mmHg."
},
{
"from": "human",
"value": "What is the patient's inspired oxygen concentration (inO2) on January 8, 2025, at 14:50?"
},
{
"from": "gpt",
"value": "The patient's inspired oxygen concentration (inO2) is 70%."
},
{
"from": "human",
"value": "What is the patient's end-tidal oxygen concentration (etO2) on January 8, 2025, at 14:50?"
},
{
"from": "gpt",
"value": "The patient's end-tidal oxygen concentration (etO2) is 66%."
},
{
"from": "human",
"value": "What is the patient's inspired nitrous oxide concentration (inN2O) on January 8, 2025, at 14:50?"
},
{
"from": "gpt",
"value": "The patient's inspired nitrous oxide concentration (inN2O) is 0%."
},
{
"from": "human",
"value": "What is the patient's end-tidal nitrous oxide concentration (etN2O) on January 8, 2025, at 14:50?"
},
{
"from": "gpt",
"value": "The patient's end-tidal nitrous oxide concentration (etN2O) is 0%."
},
{
"from": "human",
"value": "What is the patient's inspired sevoflurane concentration (inSEV) on January 8, 2025, at 14:50?"
},
{
"from": "gpt",
"value": "The patient's inspired sevoflurane concentration (inSEV) is 2.3%."
},
{
"from": "human",
"value": "What is the patient's end-tidal sevoflurane concentration (etSEV) on January 8, 2025, at 14:50?"
},
{
"from": "gpt",
"value": "The patient's end-tidal sevoflurane concentration (etSEV) is 2.1%."
},
{
"from": "human",
"value": "What is the patient's ST-II amplitude on January 8, 2025, at 14:50?"
},
{
"from": "gpt",
"value": "The patient's ST-II amplitude is 0.4 mm."
},
{
"from": "human",
"value": "What is the patient's ST-aVR amplitude on January 8, 2025, at 14:50?"
},
{
"from": "gpt",
"value": "The patient's ST-aVR amplitude is -0.3 mm."
},
{
"from": "human",
"value": "What is the patient's ST-I amplitude on January 8, 2025, at 14:50?"
},
{
"from": "gpt",
"value": "The patient's ST-I amplitude is 0.1 mm."
},
{
"from": "human",
"value": "What is the patient's ST-III amplitude on January 8, 2025, at 14:50?"
},
{
"from": "gpt",
"value": "The patient's ST-III amplitude is 0.3 mm."
},
{
"from": "human",
"value": "What is the patient's ST-aVF amplitude on January 8, 2025, at 14:50?"
},
{
"from": "gpt",
"value": "The patient's ST-aVF amplitude is 0.3 mm."
},
{
"from": "human",
"value": "What is the patient's heart rate on January 8, 2025, at 14:49?"
},
{
"from": "gpt",
"value": "The patient's heart rate is 100 bpm."
},
{
"from": "human",
"value": "What is the patient's blood pressure (NIBP) on January 8, 2025, at 14:49?"
},
{
"from": "gpt",
"value": "The patient's blood pressure (NIBP) is 98/60 mmHg."
},
{
"from": "human",
"value": "What is the patient's esophageal temperature on January 8, 2025, at 14:49?"
},
{
"from": "gpt",
"value": "The patient's esophageal temperature is 36.6°C."
},
{
"from": "human",
"value": "What is the patient's end-tidal CO2 (etCO2) on January 8, 2025, at 14:49?"
},
{
"from": "gpt",
"value": "The patient's end-tidal CO2 (etCO2) is 31 mmHg."
},
{
"from": "human",
"value": "What is the patient's inspired oxygen concentration (inO2) on January 8, 2025, at 14:49?"
},
{
"from": "gpt",
"value": "The patient's inspired oxygen concentration (inO2) is 70%."
},
{
"from": "human",
"value": "What is the patient's end-tidal oxygen concentration (etO2) on January 8, 2025, at 14:49?"
},
{
"from": "gpt",
"value": "The patient's end-tidal oxygen concentration (etO2) is 66%."
},
{
"from": "human",
"value": "What is the patient's inspired nitrous oxide concentration (inN2O) on January 8, 2025, at 14:49?"
},
{
"from": "gpt",
"value": "The patient's inspired nitrous oxide concentration (inN2O) is 0%."
},
{
"from": "human",
"value": "What is the patient's end-tidal nitrous oxide concentration (etN2O) on January 8, 2025, at 14:49?"
},
{
"from": "gpt",
"value": "The patient's end-tidal nitrous oxide concentration (etN2O) is 0%."
},
{
"from": "human",
"value": "What is the patient's inspired sevoflurane concentration (inSEV) on January 8, 2025, at 14:49?"
},
{
"from": "gpt",
"value": "The patient's inspired sevoflurane concentration (inSEV) is 2.3%."
},
{
"from": "human",
"value": "What is the patient's ST-II amplitude on January 8, 2025, at 14:49?"
},
{
"from": "gpt",
"value": "The patient's ST-II amplitude is 0.5 mm."
},
{
"from": "human",
"value": "What is the patient's ST-V amplitude on January 8, 2025, at 14:49?"
},
{
"from": "gpt",
"value": "The patient's ST-V amplitude is 0.1 mm."
},
{
"from": "human",
"value": "What is the patient's ST-aVR amplitude on January 8, 2025, at 14:49?"
},
{
"from": "gpt",
"value": "The patient's ST-aVR amplitude is -0.3 mm."
},
{
"from": "human",
"value": "What is the patient's ST-I amplitude on January 8, 2025, at 14:49?"
},
{
"from": "gpt",
"value": "The patient's ST-I amplitude is 0.2 mm."
},
{
"from": "human",
"value": "What is the patient's ST-III amplitude on January 8, 2025, at 14:49?"
},
{
"from": "gpt",
"value": "The patient's ST-III amplitude is 0.2 mm."
}
] |
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