Datasets:
| {"id":"f001","text":"8-year-old male neutered Labrador, 32 kg, presents for chronic pruritus. Starting Apoquel, oclacitinib, 16 mg PO BID for 14 days, then taper to SID. Recheck in 2 weeks.","voice":"kokoro_af_bella","trap":false,"truth_drugs":["Apoquel","oclacitinib"],"note":""} | |
| {"id":"f002","text":"4-year-old female spayed domestic shorthair cat, 4.1 kg, vomiting x3 days. Abdomen soft, no palpable foreign body. Cerenia, maropitant, 1 mg/kg SQ once today, and start famotidine 0.5 mg/kg PO SID. Recheck if not improved in 48 hours.","voice":"kokoro_am_adam","trap":false,"truth_drugs":["Cerenia","maropitant","famotidine"],"note":""} | |
| {"id":"f003","text":"11-year-old male neutered Cavalier King Charles Spaniel, 9.8 kg, recheck for grade IV/VI murmur and DCM. Continue Vetmedin, pimobendan, 5 mg PO BID, and furosemide 20 mg PO BID. Repeat chest X-ray in 3 months.","voice":"kokoro_bm_lewis","trap":false,"truth_drugs":["Vetmedin","pimobendan","furosemide"],"note":""} | |
| {"id":"f004","text":"6-year-old female intact Boxer, 28 kg, presented for pyometra with fever, T 103.9. Started on Baytril, enrofloxacin, 5 mg/kg IV once, pending surgery consult. Owner counseled on emergency OVH.","voice":"kokoro_af_bella","trap":false,"truth_drugs":["Baytril","enrofloxacin"],"note":""} | |
| {"id":"f005","text":"3-year-old male neutered Yorkshire Terrier, 3.6 kg, post dental with 2 extractions. Sending home Clavamox, amoxicillin-clavulanate, 62.5 mg PO BID for 10 days, and meloxicam for 3 days.","voice":"kokoro_am_adam","trap":false,"truth_drugs":["Clavamox","amoxicillin-clavulanate","meloxicam"],"note":""} | |
| {"id":"f006","text":"7-year-old male neutered Golden Retriever, 34 kg, right hind lameness, suspect partial CCL tear. Start Rimadyl, carprofen, 75 mg PO BID with food. Strict rest x 2 weeks, recheck for possible TPLO consult.","voice":"kokoro_bm_lewis","trap":false,"truth_drugs":["Rimadyl","carprofen"],"note":""} | |
| {"id":"f007","text":"10-week-old male mixed breed puppy, 3.2 kg, positive for Giardia on fecal. Dispensing Panacur, fenbendazole, 50 mg/kg PO SID for 5 days, and also gave a dose of pyrantel today per the puppy series schedule. Recheck fecal in 2 weeks.","voice":"kokoro_af_bella","trap":false,"truth_drugs":["Panacur","fenbendazole","pyrantel"],"note":""} | |
| {"id":"f008","text":"5-year-old female spayed domestic longhair cat, 5.3 kg, post enucleation performed under isoflurane maintenance. Gave Simbadol, buprenorphine, 0.24 mg/kg SQ for extended pain control, good for 24 hours. Send home with e-collar.","voice":"kokoro_am_adam","trap":false,"truth_drugs":["isoflurane","Simbadol","buprenorphine"],"note":""} | |
| {"id":"f009","text":"2-year-old female spayed French Bulldog, 11 kg, annual wellness exam, mild seasonal itching noted on physical. Discussed starting Apoquel, oclacitinib, at 16 mg PO BID if it worsens this fall. Also started her on a Seresto collar today for flea and tick prevention.","voice":"kokoro_bm_lewis","trap":false,"truth_drugs":["Apoquel","oclacitinib","Seresto"],"note":""} | |
| {"id":"f010","text":"9-year-old male neutered Beagle, 12.5 kg, on chemotherapy protocol for lymphoma, mild nausea after last treatment. Sending home Cerenia, maropitant, 2 mg/kg PO SID for 4 days as needed around treatments.","voice":"kokoro_af_bella","trap":false,"truth_drugs":["Cerenia","maropitant"],"note":""} | |
| {"id":"f011","text":"13-year-old female spayed mixed breed dog, 22 kg, chronic osteoarthritis recheck, doing well on current NSAID. Continue carprofen, that's Rimadyl, 100 mg PO SID with food.","voice":"kokoro_am_adam","trap":false,"truth_drugs":["carprofen","Rimadyl"],"note":""} | |
| {"id":"f012","text":"10-year-old male neutered Doberman, 38 kg, occult DCM screening recheck, echo stable. Continue pimobendan, that's Vetmedin, 7.5 mg PO BID.","voice":"kokoro_bm_lewis","trap":false,"truth_drugs":["pimobendan","Vetmedin"],"note":""} | |
| {"id":"f013","text":"1-year-old female intact Border Collie, 16 kg, acute hemorrhagic diarrhea and vomiting after getting into garbage. Gave maropitant, that's Cerenia, 1 mg/kg SQ, and started metronidazole 15 mg/kg PO BID.","voice":"kokoro_af_bella","trap":false,"truth_drugs":["maropitant","Cerenia","metronidazole"],"note":""} | |
| {"id":"f014","text":"6-year-old female spayed Cocker Spaniel, 14 kg, extracted 3 fractured premolars today, gums looked a little inflamed around the roots so we sent her home with Clavamox for 10 days. Soft food only for the next week, recheck the mouth at the 2 week suture check.","voice":"kokoro_am_adam","trap":false,"truth_drugs":["Clavamox"],"note":""} | |
| {"id":"f015","text":"5-month-old male mixed breed puppy, 9 kg, first adult flea and tick chew. Owner will pick up the Bravecto at the front desk on the way out, good for 12 weeks. Mentioned NexGard and Simparica Trio as alternative options for next time if she prefers a different chew.","voice":"kokoro_bm_lewis","trap":false,"truth_drugs":["Bravecto","NexGard","Simparica Trio"],"note":""} | |
| {"id":"f016","text":"3-year-old male neutered Pit Bull mix, 27 kg, chronic pedal pruritus, biopsy pending. Bloodwork needs to clear first, so we'll get him started on Apoquel next week once results are back. In the meantime, continuing the medicated shampoo and short course of the e-collar at night.","voice":"kokoro_af_bella","trap":false,"truth_drugs":["Apoquel"],"note":""} | |
| {"id":"f017","text":"12-year-old male neutered Chihuahua, 4.2 kg, mitral valve disease recheck, murmur unchanged, lungs clear. We'll keep him on the Vetmedin at the current dose and see him back in 4 months, sooner if he starts coughing or slowing down at home.","voice":"kokoro_am_adam","trap":false,"truth_drugs":["Vetmedin"],"note":""} | |
| {"id":"f018","text":"14-year-old female spayed Labrador, 30 kg, worsening hip osteoarthritis, not tolerating oral NSAIDs well anymore. I'd like to try Librela for the hips, first injection today, recheck in 4 weeks.","voice":"kokoro_bm_lewis","trap":false,"truth_drugs":["Librela"],"note":""} | |
| {"id":"f019","text":"8-year-old male neutered Dachshund, 8.5 kg, chronic intervertebral disc disease, stable on current plan. Refilled the gabapentin, 100 mg PO TID, owner reports good mobility at home. Also continuing levetiracetam 20 mg/kg PO TID for his seizure history, no episodes since starting it.","voice":"kokoro_af_bella","trap":false,"truth_drugs":["gabapentin","levetiracetam"],"note":""} | |
| {"id":"f020","text":"6-year-old female spayed Boxer, 26 kg, annual visit, heartworm test negative today. She's due for her ProHeart injection, giving that now, good for 12 months. Also updated her lepto vaccine and discussed weight, she's a couple pounds over ideal.","voice":"kokoro_am_adam","trap":false,"truth_drugs":["ProHeart"],"note":""} | |
| {"id":"f021","text":"9-year-old male neutered Rottweiler, 42 kg, elevated liver values on recheck bloodwork, was on a different NSAID. We switched him over to Galliprant, 60 mg PO SID, and will recheck liver panel in 4 weeks.","voice":"kokoro_bm_lewis","trap":false,"truth_drugs":["Galliprant"],"note":""} | |
| {"id":"f022","text":"10-year-old female spayed Shih Tzu, 6.8 kg, intermittent vomiting and reflux, mild esophagitis suspected. Added famotidine to the plan, 0.5 mg/kg PO BID, and small frequent meals. Owner to keep a symptom diary and call if vomiting increases.","voice":"kokoro_af_bella","trap":false,"truth_drugs":["famotidine"],"note":""} | |
| {"id":"f023","text":"4-year-old male neutered English Bulldog, 24 kg, superficial pyoderma with malodor in skin folds and underlying allergic itch. Recommend Malaseb baths twice weekly for 4 weeks, plus a Cytopoint injection today for the itch, and recheck cytology at that visit.","voice":"kokoro_am_adam","trap":false,"truth_drugs":["Malaseb","Cytopoint"],"note":""} | |
| {"id":"f024","text":"7-year-old male neutered Australian Shepherd, 20 kg, presents for annual exam, has been on phenobarbital for 2 years for idiopathic epilepsy, no seizures reported since last visit. Level check submitted today along with a full senior panel.","voice":"kokoro_bm_lewis","trap":false,"truth_drugs":["phenobarbital"],"note":""} | |
| {"id":"f025","text":"5-year-old female spayed Border Collie, 18 kg, presents for noise anxiety recheck. Owner stopped the trazodone last month because it made her too sedate, discussing alternative options today including a thundershirt and situational management for the coming holiday.","voice":"kokoro_af_bella","trap":false,"truth_drugs":["trazodone"],"note":""} | |
| {"id":"f026","text":"3-year-old male neutered Australian Cattle Dog, 21 kg, post TPLO day 1. Sending home meloxicam 0.1 mg/kg PO SID and gabapentin 10 mg/kg PO TID for pain, strict crate rest 8 weeks.","voice":"kokoro_am_adam","trap":false,"truth_drugs":["meloxicam","gabapentin"],"note":""} | |
| {"id":"f027","text":"6-year-old male neutered Standard Poodle, 25 kg, chronic diarrhea workup, suspect IBD. Starting omeprazole 1 mg/kg PO SID and metronidazole 10 mg/kg PO BID for 7 days while we wait on GI panel.","voice":"kokoro_bm_lewis","trap":false,"truth_drugs":["omeprazole","metronidazole"],"note":""} | |
| {"id":"f028","text":"2-year-old female spayed Beagle, 13 kg, positive tick panel, mild lethargy and low grade fever. Starting doxycycline 5 mg/kg PO BID for 28 days, and a short taper of prednisolone 0.5 mg/kg PO SID for 5 days for the associated joint discomfort.","voice":"kokoro_af_bella","trap":false,"truth_drugs":["doxycycline","prednisolone"],"note":""} | |
| {"id":"f029","text":"8-year-old female spayed Maine Coon cat, 5.5 kg, mild gingivitis and owner travels frequently for work. Gave a dose of Convenia today since it's more convenient than pills for a cat that's hard to medicate at home.","voice":"kokoro_am_adam","trap":false,"truth_drugs":["Convenia"],"note":""} | |
| {"id":"f030","text":"9-year-old male neutered Domestic Shorthair cat, 4.8 kg, hypertrophic cardiomyopathy recheck. Continuing atenolol 6.25 mg PO BID, owner will attend the cardiology follow-up next month for repeat echo, and we're watching his respiratory rate at home in the meantime.","voice":"kokoro_bm_lewis","trap":false,"truth_drugs":["atenolol"],"note":""} | |
| {"id":"f031","text":"1-year-old male neutered Vizsla, 23 kg, applied Bravecto today for the first time, Bravecto should be repeated again in 12 weeks per the schedule we discussed. Also gave a dose of praziquantel today since he's been hunting and we found tapeworm segments.","voice":"kokoro_af_bella","trap":false,"truth_drugs":["Bravecto","praziquantel"],"note":""} | |
| {"id":"f032","text":"5-year-old male neutered Shar-Pei, 26 kg, recheck for allergic dermatitis, doing well on Apoquel. Owner asked to confirm the Apoquel dose, it's 16 mg PO BID, continue at that dose.","voice":"kokoro_am_adam","trap":false,"truth_drugs":["Apoquel"],"note":""} | |
| {"id":"f033","text":"13-year-old female spayed Domestic Shorthair cat, 3.9 kg, chronic kidney disease stage 3, mild hypertension on recheck. Adding enalapril 0.5 mg/kg PO SID, continuing furosemide 1 mg/kg PO BID for the concurrent mild effusion.","voice":"kokoro_bm_lewis","trap":false,"truth_drugs":["enalapril","furosemide"],"note":""} | |
| {"id":"f034","text":"15-year-old male neutered Domestic Longhair cat, 4.0 kg, hyperthyroidism recheck, T4 still slightly elevated. Increasing methimazole to 2.5 mg PO BID, recheck T4 in 3 weeks.","voice":"kokoro_af_bella","trap":false,"truth_drugs":["methimazole"],"note":""} | |
| {"id":"f035","text":"9-year-old female spayed Miniature Schnauzer, 8.9 kg, newly diagnosed diabetic. Starting Vetsulin 4 units SQ BID with meals, owner trained on injection technique and glucose curve scheduled for next week.","voice":"kokoro_am_adam","trap":false,"truth_drugs":["Vetsulin"],"note":""} | |
| {"id":"f036","text":"2-year-old female spayed Pug, 8.1 kg, presents for nasal fold and eyelid fold dermatitis with mild ocular discharge and secondary bacterial and yeast infection. Recommend daily cleaning with chlorhexidine wipes, starting cephalexin 22 mg/kg PO BID for 14 days and itraconazole 5 mg/kg PO SID for 14 days, recheck in 2 weeks if not improved.","voice":"kokoro_bm_lewis","trap":false,"truth_drugs":["chlorhexidine","cephalexin","itraconazole"],"note":""} | |
| {"id":"f037","text":"16-year-old male neutered Domestic Shorthair cat, 3.5 kg, poor appetite and weight loss over the last month, senior bloodwork unremarkable. Starting mirtazapine 1.88 mg PO every 48 hours as an appetite stimulant.","voice":"kokoro_af_bella","trap":false,"truth_drugs":["mirtazapine"],"note":""} | |
| {"id":"f038","text":"6-year-old male neutered mixed breed dog, 19 kg, premed for mass removal: dexmedetomidine 3 mcg/kg, ketamine 2 mg/kg, and butorphanol 0.2 mg/kg, all IM together. Induction with propofol to effect, maintained on inhalant anesthesia.","voice":"kokoro_am_adam","trap":false,"truth_drugs":["dexmedetomidine","ketamine","butorphanol"],"note":""} | |
| {"id":"f039","text":"7-year-old female spayed German Shepherd, 33 kg, hemorrhagic gastroenteritis, in for IV fluids and supportive care. Added amikacin 15 mg/kg IV SID given evidence of sepsis, plus ondansetron 0.5 mg/kg IV for nausea.","voice":"kokoro_bm_lewis","trap":false,"truth_drugs":["amikacin","ondansetron"],"note":""} | |
| {"id":"f040","text":"Callback for the Weimaraner from this morning, 30 kg, tooth root abscess. Go ahead and start clindamycin 11 mg/kg PO BID for 10 days, and have them call back if the swelling isn't down by Friday.","voice":"kokoro_af_bella","trap":false,"truth_drugs":["clindamycin"],"note":""} | |
| {"id":"f041","text":"12-year-old male neutered Great Dane, 55 kg, end stage osteosarcoma, quality of life declining despite Entyce and pain management the last 2 weeks. Family has elected humane euthanasia, scheduled for tomorrow morning at home.","voice":"kokoro_am_adam","trap":false,"truth_drugs":["Entyce"],"note":""} | |
| {"id":"f042","text":"7-month-old female spayed Beagle mix, 12 kg, first heartworm and flea/tick prevention visit after completing puppy vaccines. Dispensing Heartgard monthly chew and Frontline monthly topical, owner instructed on application.","voice":"kokoro_bm_lewis","trap":false,"truth_drugs":["Heartgard","Frontline"],"note":""} | |
| {"id":"f043","text":"4-year-old female spayed Standard Poodle, 24 kg, confirmed Addison's disease on ACTH stim. Starting Zycortal 2.2 mg/kg IM once monthly, plus prednisolone 0.2 mg/kg PO SID for maintenance.","voice":"kokoro_af_bella","trap":false,"truth_drugs":["Zycortal","prednisolone"],"note":""} | |
| {"id":"f044","text":"6-year-old male neutered Ragdoll cat, 5.9 kg, eosinophilic granuloma complex, not responding well to steroids alone. Starting Atopica 25 mg PO SID, will taper to every other day once we see improvement.","voice":"kokoro_am_adam","trap":false,"truth_drugs":["Atopica"],"note":""} | |
| {"id":"f045","text":"8-year-old male neutered Belgian Malinois, 30 kg, working dog with early elbow arthritis. Starting Adequan 5 mg/kg IM twice weekly for 4 weeks, then transitioning to a monthly maintenance schedule.","voice":"kokoro_bm_lewis","trap":false,"truth_drugs":["Adequan"],"note":""} | |
| {"id":"f046","text":"New client history intake for a 3-year-old male neutered Golden Retriever, 29 kg. Owner works on the front line at the emergency room and says the dog gets anxious whenever she comes home in scrubs.","voice":"kokoro_af_bella","trap":true,"truth_drugs":[],"note":"front line -> Frontline (ordinary phrase about the owner's job, not the flea product)"} | |
| {"id":"f047","text":"6-year-old female spayed Domestic Shorthair cat, 4.5 kg, annual exam. It was very convenient that the owner could bring her in during lunch, and I tried enticing her with treats but she wasn't interested in eating at the clinic today.","voice":"kokoro_am_adam","trap":true,"truth_drugs":[],"note":"convenient -> Convenia, enticing -> Entyce (both ordinary words, no drugs given)"} | |
| {"id":"f048","text":"9-year-old male neutered Golden Doodle, 27 kg, presents for anxiety around thunderstorms. Owner describes him as usually a very serene dog except during storms, when he paces and pants heavily.","voice":"kokoro_bm_lewis","trap":true,"truth_drugs":[],"note":"serene -> Cerenia (ordinary adjective describing temperament, no drug given)"} | |
| {"id":"f049","text":"5-year-old female spayed Border Collie, 17 kg, behavior consult for resource guarding. There's been a real revolution in positive reinforcement training over the last decade, and I recommend a force-free trainer. Owner also mentioned the dog acts as the household mail interceptor, always grabbing packages off the porch.","voice":"kokoro_af_bella","trap":true,"truth_drugs":[],"note":"revolution -> Revolution, interceptor -> Interceptor (both ordinary words, no drugs given)"} | |
| {"id":"f050","text":"10-year-old male neutered Labrador named Rimmy, 33 kg, orthopedic recheck. Range of motion in the left stifle is adequate, no effusion or crepitus noted, owner reports normal activity at home.","voice":"kokoro_am_adam","trap":true,"truth_drugs":[],"note":"adequate -> Adequan; pet name Rimmy sounds like Rimadyl; no drugs given"} | |
| {"id":"f051","text":"8-year-old male neutered Cavalier King Charles Spaniel, 9.5 kg, recheck exam. Heart rate is 110, apical pulse is strong and synchronous, no arrhythmia detected on auscultation today.","voice":"kokoro_bm_lewis","trap":true,"truth_drugs":[],"note":"heart rate -> could be misheard toward Heartgard or ProHeart (ordinary vital sign term, no drug given)"} | |
| {"id":"f052","text":"12-year-old female spayed mixed breed dog named Sera, 19 kg, senior wellness exam. Owner reports a gradual decline in energy over the past year, similar to what we saw with her littermate at this age. Bloodwork submitted today.","voice":"kokoro_af_bella","trap":true,"truth_drugs":[],"note":"gradual and similar -> ordinary adjectives; pet name Sera sounds like Cerenia; no drugs given"} | |
| {"id":"f053","text":"4-year-old male neutered Beagle, 11 kg, post mass removal. IV catheter was placed in the right cephalic vein for the procedure, incision is over the left shoulder near the clavicle, healing well with no discharge.","voice":"kokoro_am_adam","trap":true,"truth_drugs":[],"note":"cephalic vein -> cephalexin, clavicle -> Clavamox (ordinary anatomical terms, no drugs given)"} | |
| {"id":"f054","text":"7-year-old female spayed Miniature Schnauzer, 8.2 kg, presents for acute vomiting and abdominal pain. Bloodwork shows elevated lipase consistent with pancreatitis. Started on IV fluids and will recheck the pancreas panel in 48 hours.","voice":"kokoro_bm_lewis","trap":true,"truth_drugs":[],"note":"pancreas/pancreatitis -> ordinary medical term, no formulary drug sounds close, no drugs given"} | |
| {"id":"f055","text":"3-year-old male neutered Shiba Inu, 10 kg, chronic itching consistent with atopic dermatitis. I explained to the owner there's no single panacea for allergies and management usually requires a combination approach.","voice":"kokoro_af_bella","trap":true,"truth_drugs":[],"note":"atopic -> Atopica, panacea -> Panacur (ordinary words, no drugs given)"} | |
| {"id":"f056","text":"6-year-old male neutered Beagle, 15 kg, behavior consult for counter surfing. I'm being fairly liberal with the training recommendations here since every household is different, and this case is similar to one I saw last week.","voice":"kokoro_am_adam","trap":true,"truth_drugs":[],"note":"liberal -> Librela (ordinary adjective, no drug given)"} | |
| {"id":"f057","text":"2-year-old female intact French Bulldog, 10 kg, presents in active labor with the owner's baby trailing behind them into the exam room, a toddler who wouldn't stay in the waiting area. Dystocia suspected, prepping for emergency C-section.","voice":"kokoro_bm_lewis","trap":true,"truth_drugs":[],"note":"baby trailing -> sounds like Baytril (ordinary phrase about the owner's child, no drug given)"} | |
| {"id":"f058","text":"Phone note only, no patient seen. Left a message for the on-call technician about the next guard shift schedule change for the weekend, unrelated to any patient care.","voice":"kokoro_af_bella","trap":true,"truth_drugs":[],"note":"next guard shift -> NexGard (ordinary scheduling phrase, no drug, no patient)"} | |
| {"id":"f059","text":"10-year-old male neutered Boxer, 30 kg, senior wellness exam. This dog is a real pro at heart, calm through the whole exam including nail trims and bloodwork, best patient of the day.","voice":"kokoro_am_adam","trap":true,"truth_drugs":[],"note":"pro at heart -> ProHeart (ordinary compliment about temperament, no drug given)"} | |
| {"id":"f060","text":"5-year-old female spayed West Highland White Terrier, 9.1 kg, refractory atopic dermatitis. Discussed adding cyclosporine to her current Apoquel since response has plateaued, owner to think it over and call back.","voice":"kokoro_bm_lewis","trap":true,"truth_drugs":["Apoquel"],"note":"real off-list drug cyclosporine sits next to on-list Apoquel; only Apoquel is listed"} | |
| {"id":"f061","text":"8-year-old male neutered Great Dane, 48 kg, gastric ulceration secondary to NSAID use. Starting Cerenia for the nausea and sucralfate for gastric protection, both to be given at least an hour apart.","voice":"kokoro_af_bella","trap":true,"truth_drugs":["Cerenia"],"note":"real off-list drug sucralfate sits next to on-list Cerenia; only Cerenia is listed"} | |
| {"id":"f062","text":"9-year-old female spayed Boxer, 26 kg, presents for urinary incontinence, worse at night. Starting Proin 1 mg/kg PO BID, this is not related to her hormone levels, straightforward sphincter mechanism issue.","voice":"kokoro_am_adam","trap":true,"truth_drugs":[],"note":"real off-list drug: Proin"} | |
| {"id":"f063","text":"11-year-old male neutered Labrador, 35 kg, mild osteoarthritis, owner prefers to try supplements before medication. Recommending Dasuquin or Cosequin daily, either brand is fine, recheck comfort level in 6 weeks.","voice":"kokoro_bm_lewis","trap":true,"truth_drugs":[],"note":"real off-list drugs: Dasuquin, Cosequin"} | |
| {"id":"f064","text":"13-year-old female spayed mixed breed dog, 16 kg, presents for signs of canine cognitive dysfunction, nighttime pacing and disorientation. Discussed starting selegiline, also known as Anipryl, and environmental enrichment changes.","voice":"kokoro_af_bella","trap":true,"truth_drugs":[],"note":"real off-list drugs: selegiline, Anipryl (brand and generic of the same drug)"} | |
| {"id":"f065","text":"6-year-old male neutered domestic shorthair cat, 4.6 kg, recovering slowly from sedation for radiographs. Gave Antisedan to reverse the dexmedetomidine, should be alert within 10 to 15 minutes.","voice":"kokoro_am_adam","trap":true,"truth_drugs":["dexmedetomidine"],"note":"real off-list drug Antisedan sits next to on-list dexmedetomidine; only dexmedetomidine is listed"} | |
| {"id":"f066","text":"10-year-old male neutered Cocker Spaniel, 15 kg, elevated liver enzymes on senior panel. Starting Denamarin, that's a combination of Denosyl and milk thistle, once daily, and will recheck values in 6 weeks. Ursodiol is a backup option if enzymes don't improve.","voice":"kokoro_bm_lewis","trap":true,"truth_drugs":[],"note":"real off-list drugs: Denamarin, Denosyl, Ursodiol"} | |
| {"id":"f067","text":"9-year-old female spayed Border Collie, 20 kg, chronic elbow arthritis, discussing NSAID options since she can't tolerate her current one. Previcox, Onsior, and Metacam are all reasonable alternatives to trial, one at a time with washout periods between.","voice":"kokoro_af_bella","trap":true,"truth_drugs":[],"note":"real off-list drugs: Previcox, Onsior, Metacam (brand name of meloxicam, not the formulary generic spelling)"} | |
| {"id":"f068","text":"7-year-old male neutered Cocker Spaniel, 18 kg, bacterial skin infection with concurrent itch and inflammation. Starting Temaril-P for the combined itch and inflammation, and if the culture comes back resistant we'll switch to marbofloxacin, brand name Zeniquin.","voice":"kokoro_am_adam","trap":true,"truth_drugs":[],"note":"real off-list drugs: Temaril-P, marbofloxacin, Zeniquin"} | |
| {"id":"f069","text":"9-year-old female spayed Miniature Poodle, 6 kg, newly diagnosed diabetic, starting insulin. Owner should draw up point five units to start, we'll recheck a glucose curve in one week and adjust from there.","voice":"kokoro_bm_lewis","trap":true,"truth_drugs":[],"note":"point five units -> a dose phrase that could be misheard as a drug name, no drug given (insulin type unspecified)"} | |
| {"id":"f070","text":"Recheck for Bravo, a 9-year-old male neutered mixed breed dog, 24 kg, chronic hip arthritis. Weight is stable, we adjusted his supplement dose to six point two five milligrams per kilogram based on the new label, and he's due back in 2 months.","voice":"kokoro_af_bella","trap":true,"truth_drugs":[],"note":"pet name Bravo sounds like Bravecto; dose phrase six point two five milligrams per kilogram could be misheard as a name; no drug given"} | |