{"corpus": "blind5", "id": "m001", "kind": "dictation", "category": "euthanasia_qol_scoring", "ref": "Quality of life score today is 3 out of 9 on the HHHHHMM scale, worst domains are mobility and hurt. Current meds are gabapentin 300 mg PO BID and carprofen 75 mg PO BID, that's Rimadyl. Owner elected euthanasia. Pre sedation given IM, then the euthanasia solution given IV once deeply sedate. Owner declined necropsy, requesting private cremation with a clay paw print.", "spoken": "Quality of life score today is three out of nine on the H H H H H M M scale, worst domains are mobility and hurt. Current meds are gabapentin, three hundred milligrams by mouth twice daily, and carprofen, seventy five milligrams by mouth twice daily, that's Rimadyl. Owner elected euthanasia. Pre sedation given I M, then the euthanasia solution given I V once deeply sedate. Owner declined necropsy, requesting private cremation with a clay paw print.", "drugs": ["gabapentin", "carprofen", "Rimadyl"], "trap": ""}
{"corpus": "blind5", "id": "m002", "kind": "dictation", "category": "euthanasia_feline_ckd", "ref": "Home euthanasia for a 17 year old cat in chronic kidney failure, QOL score 2 out of 9, family present. She has been on famotidine 5 mg PO SID and had been getting subcutaneous fluids at home, no appetite stimulant on board currently since she stopped eating three days ago. Sedation IM, IV catheter placed in the hind leg, euthanasia solution given slowly. Family kept a lock of fur.", "spoken": "Home euthanasia for a seventeen year old cat in chronic kidney failure, quality of life score two out of nine, family present. She has been on famotidine, five milligrams by mouth once daily, and had been getting fluids under the skin at home, no appetite stimulant on board currently since she stopped eating three days ago. Sedation I M, I V catheter placed in the hind leg, euthanasia solution given slowly. Family kept a lock of fur.", "drugs": ["famotidine"], "trap": ""}
{"corpus": "blind5", "id": "m003", "kind": "dictation", "category": "euthanasia_chf", "ref": "Euthanasia today for congestive heart failure, quality of life had dropped to 3 out of 9, mostly respiratory distress and no interest in food. Home medications were furosemide 40 mg PO BID, pimobendan 5 mg PO BID, that's Vetmedin, and enalapril 10 mg PO BID. Owner present for sedation and passing. Aftercare is communal cremation, no ashes returned.", "spoken": "Euthanasia today for congestive heart failure, quality of life had dropped to three out of nine, mostly respiratory distress and no interest in food. Home medications were furosemide, forty milligrams by mouth twice daily, pimobendan, five milligrams by mouth twice daily, that's Vetmedin, and enalapril, ten milligrams by mouth twice daily. Owner present for sedation and passing. Aftercare is communal cremation, no ashes returned.", "drugs": ["furosemide", "pimobendan", "Vetmedin", "enalapril"], "trap": ""}
{"corpus": "blind5", "id": "m004", "kind": "dictation", "category": "euthanasia_seizures", "ref": "Owners elected euthanasia for their 14 year old dog with worsening cluster seizures despite phenobarbital 60 mg PO BID and levetiracetam 500 mg PO TID, QOL score fell to 1 out of 9 this week after a bad cluster overnight. Butorphanol given IM for sedation, then the euthanasia solution IV. Owner requests a private cremation with a paw print kit for their kids.", "spoken": "Owners elected euthanasia for their fourteen year old dog with worsening cluster seizures despite phenobarbital, sixty milligrams by mouth twice daily, and levetiracetam, five hundred milligrams by mouth three times daily, quality of life score fell to one out of nine this week after a bad cluster overnight. Butorphanol given I M for sedation, then the euthanasia solution I V. Owner requests a private cremation with a paw print kit for their kids.", "drugs": ["phenobarbital", "levetiracetam", "butorphanol"], "trap": ""}
{"corpus": "blind5", "id": "m005", "kind": "dictation", "category": "euthanasia_oral_cancer", "ref": "This 12 year old cat has oral squamous cell carcinoma, no longer eating despite mirtazapine transdermal and buprenorphine 0.3 mg buccal q8h for pain, QOL score 2 out of 9. Owner elected humane euthanasia in exam room 2. Light sedation IM, IV catheter placed in the front leg, then the euthanasia solution given slowly. No necropsy requested.", "spoken": "This twelve year old cat has oral squamous cell carcinoma, no longer eating despite mirtazapine transdermal and buprenorphine, point three milligrams in the cheek every eight hours, for pain, quality of life score two out of nine. Owner elected humane euthanasia in exam room two. Light sedation I M, I V catheter placed in the front leg, then the euthanasia solution given slowly. No necropsy requested.", "drugs": ["mirtazapine", "buprenorphine"], "trap": ""}
{"corpus": "blind5", "id": "m006", "kind": "dictation", "category": "euthanasia_diabetic_dka", "ref": "Euthanasia elected for a 10 year old diabetic dog in DKA that failed to respond to treatment overnight, QOL score 1 out of 9. She had been on Vetsulin 12 units SQ BID at home with poor control. Owner and two kids present for goodbyes. Sedation IM, then IV euthanasia solution once fully relaxed. Clay paw print offered.", "spoken": "Euthanasia elected for a ten year old diabetic dog in D K A that failed to respond to treatment overnight, quality of life score one out of nine. She had been on Vetsulin, twelve units under the skin twice daily at home with poor control. Owner and two kids present for goodbyes. Sedation I M, then I V euthanasia solution once fully relaxed. Clay paw print offered.", "drugs": ["Vetsulin"], "trap": ""}
{"corpus": "blind5", "id": "m007", "kind": "dictation", "category": "ophtho_corneal_ulcer_recheck", "ref": "Corneal ulcer recheck OD, fluorescein negative today, epithelium healed well. Discontinuing the topical antibiotic. Continue oral doxycycline 5 mg/kg PO BID for two more weeks for the anti collagenase effect, and taper the atropine as needed for comfort. Recheck in two weeks if any squinting returns.", "spoken": "Corneal ulcer recheck in the right eye, fluorescein negative today, epithelium healed well. Discontinuing the topical antibiotic. Continue oral doxycycline, five milligrams per kilogram by mouth twice daily, for two more weeks for the anti collagenase effect, and taper the atropine as needed for comfort. Recheck in two weeks if any squinting returns.", "drugs": ["doxycycline"], "trap": ""}
{"corpus": "blind5", "id": "m008", "kind": "dictation", "category": "derm_otitis_recheck", "ref": "Otitis recheck, cytology clean bilaterally now. We'll stop the ear medication and keep her on Apoquel 16 mg PO once daily, that's oclacitinib, for the underlying atopy. Continue Malaseb shampoo twice weekly for the skin. Owner reports no more head shaking. Recheck in one month.", "spoken": "Otitis recheck, cytology clean on both sides now. We'll stop the ear medication and keep her on Apoquel, sixteen milligrams by mouth once daily, that's oclacitinib, for the underlying atopy. Continue Malaseb shampoo twice weekly for the skin. Owner reports no more head shaking. Recheck in one month.", "drugs": ["Apoquel", "oclacitinib", "Malaseb"], "trap": ""}
{"corpus": "blind5", "id": "m009", "kind": "dictation", "category": "derm_pyoderma_recheck", "ref": "Pyoderma recheck, lesions about 80 percent resolved. Continuing cephalexin 22 mg/kg PO BID for another 2 weeks to finish the full course, do not stop early. Chlorhexidine wipes daily on the belly. She failed Apoquel and Cytopoint before this flare, so we're holding off on those until the infection clears.", "spoken": "Pyoderma recheck, lesions about eighty percent resolved. Continuing cephalexin, twenty two milligrams per kilogram by mouth twice daily, for another two weeks to finish the full course, do not stop early. Chlorhexidine wipes daily on the belly. She failed Apoquel and Cytopoint before this flare, so we're holding off on those until the infection clears.", "drugs": ["cephalexin", "chlorhexidine", "Apoquel", "Cytopoint"], "trap": ""}
{"corpus": "blind5", "id": "m010", "kind": "dictation", "category": "ophtho_glaucoma_recheck", "ref": "Glaucoma recheck OS, IOP down to 22 today from 45 last visit, good response. Continue the pressure reducing drops and add oral Rimadyl 2 mg/kg PO once daily for comfort since she's still squinting intermittently. Owner to monitor for vision loss in the fellow eye and call immediately if it starts.", "spoken": "Glaucoma recheck in the left eye, eye pressure down to twenty two today from forty five last visit, good response. Continue the pressure reducing drops and add oral Rimadyl, two milligrams per kilogram by mouth once daily, for comfort since she's still squinting intermittently. Owner to monitor for vision loss in the fellow eye and call immediately if it starts.", "drugs": ["Rimadyl"], "trap": ""}
{"corpus": "blind5", "id": "m011", "kind": "dictation", "category": "derm_food_trial_recheck", "ref": "Food trial recheck at week 8, itch score down from 8 to 2. Owner has been strict, no treats. We'll keep her on the hydrolyzed diet only and taper off Apoquel over the next 2 weeks. If she stays clear off Apoquel we'll call this confirmed food responsive. Continue Malaseb rinse weekly for the yeast component.", "spoken": "Food trial recheck at week eight, itch score down from eight to two. Owner has been strict, no treats. We'll keep her on the hydrolyzed diet only and taper off Apoquel over the next two weeks. If she stays clear off Apoquel we'll call this confirmed food responsive. Continue Malaseb rinse weekly for the yeast component.", "drugs": ["Apoquel", "Malaseb"], "trap": ""}
{"corpus": "blind5", "id": "m012", "kind": "dictation", "category": "ophtho_kcs_recheck", "ref": "KCS recheck, Schirmer tear test up to 14 from 6 at diagnosis, nice improvement. Please continue the cyclosporine ointment twice daily and we can drop the oral doxycycline 5 mg/kg PO once daily now that tear production has improved. Recheck tear test again in 6 weeks.", "spoken": "K C S recheck, Schirmer tear test up to fourteen from six at diagnosis, nice improvement. Please continue the cyclosporine ointment twice daily and we can drop the oral doxycycline, five milligrams per kilogram by mouth once daily, now that tear production has improved. Recheck tear test again in six weeks.", "drugs": ["doxycycline"], "trap": ""}
{"corpus": "blind5", "id": "m013", "kind": "dictation", "category": "feline_ckd_management", "ref": "Recheck for stage 2 CKD, BUN and creatinine stable since last visit. Continue the renal diet and famotidine 5 mg PO SID for GI support. We're topping up her fluid support with subcutaneous fluids twice weekly at home now that she's starting to look a little dehydrated. No changes to the rest of her plan.", "spoken": "Recheck for stage two C K D, B U N and creatinine stable since last visit. Continue the renal diet and famotidine, five milligrams by mouth once daily, for G I support. We're topping up her fluid support with fluids under the skin twice weekly at home now that she's starting to look a little dehydrated. No changes to the rest of her plan.", "drugs": ["famotidine"], "trap": ""}
{"corpus": "blind5", "id": "m014", "kind": "dictation", "category": "feline_hyperthyroid_management", "ref": "Hyperthyroid cat recheck, T4 today is 6.2, still elevated, so we're bumping methimazole from 2.5 mg PO BID up to 5 mg PO BID. Recheck T4 and a chemistry panel in 4 weeks to watch the kidneys as we increase the dose.", "spoken": "Hyperthyroid cat recheck, T four today is six point two, still elevated, so we're bumping methimazole from two point five milligrams by mouth twice daily up to five milligrams by mouth twice daily. Recheck T four and a chemistry panel in four weeks to watch the kidneys as we increase the dose.", "drugs": ["methimazole"], "trap": ""}
{"corpus": "blind5", "id": "m015", "kind": "dictation", "category": "feline_diabetic_management", "ref": "Diabetic cat recheck, glucose curve today looks better, nadir of 145. Continuing Vetsulin at 2 units SQ BID for now, no dose change. Owner reports good appetite and no more accidents outside the box. Recheck curve again in 3 weeks.", "spoken": "Diabetic cat recheck, glucose curve today looks better, nadir of one hundred forty five. Continuing Vetsulin at two units under the skin twice daily for now, no dose change. Owner reports good appetite and no more accidents outside the box. Recheck curve again in three weeks.", "drugs": ["Vetsulin"], "trap": ""}
{"corpus": "blind5", "id": "m016", "kind": "dictation", "category": "feline_ckd_appetite", "ref": "This CKD cat has been picky again, owner started Entyce 3 mg/kg PO once daily to help her eat around her renal diet. We held off on mirtazapine since she seems a little more settled on Entyce alone. Continue famotidine 5 mg PO SID and recheck bloodwork in 6 weeks.", "spoken": "This C K D cat has been picky again, owner started Entyce, three milligrams per kilogram by mouth once daily, to help her eat around her renal diet. We held off on mirtazapine since she seems a little more settled on Entyce alone. Continue famotidine, five milligrams by mouth once daily, and recheck bloodwork in six weeks.", "drugs": ["Entyce", "mirtazapine", "famotidine"], "trap": ""}
{"corpus": "blind5", "id": "m017", "kind": "dictation", "category": "feline_hyperthyroid_transdermal", "ref": "Hyperthyroid recheck, owner switched to the transdermal methimazole formulation because pilling was a fight, T4 has come down to 3.1 which is right in range. No dose changes today, recheck in 2 months with a full panel.", "spoken": "Hyperthyroid recheck, owner switched to the transdermal methimazole formulation because pilling was a fight, T four has come down to three point one which is right in range. No dose changes today, recheck in two months with a full panel.", "drugs": ["methimazole"], "trap": ""}
{"corpus": "blind5", "id": "m018", "kind": "dictation", "category": "feline_diabetic_remission", "ref": "Diabetic cat is doing great, fructosamine is back in normal range and the owner has held the Vetsulin dose for 10 days now with no clinical signs of hyperglycemia returning. We're calling this diabetic remission. Continue monitoring water intake at home and bring her back if she starts drinking more.", "spoken": "Diabetic cat is doing great, fructosamine is back in normal range and the owner has held the Vetsulin dose for ten days now with no clinical signs of hyperglycemia returning. We're calling this diabetic remission. Continue monitoring water intake at home and bring her back if she starts drinking more.", "drugs": ["Vetsulin"], "trap": ""}
{"corpus": "blind5", "id": "m019", "kind": "dictation", "category": "puppy_series_visit", "ref": "Second puppy visit today, DHPP booster given, and started her on Simparica Trio for heartworm, flea, and tick prevention monthly. Dewormed with Panacur, that's fenbendazole, 3 days in a row for roundworms. Discussed spay timing around 6 months. No concerns today, growing well.", "spoken": "Second puppy visit today, D H P P booster given, and started her on Simparica Trio for heartworm, flea, and tick prevention monthly. Dewormed with Panacur, that's fenbendazole, three days in a row for roundworms. Discussed spay timing around six months. No concerns today, growing well.", "drugs": ["Simparica Trio", "Panacur", "fenbendazole"], "trap": ""}
{"corpus": "blind5", "id": "m020", "kind": "dictation", "category": "kitten_series_visit", "ref": "First kitten visit, FVRCP given, fecal was positive for roundworms so we dispensed pyrantel today with a Panacur follow up in 2 weeks. Started Revolution monthly for fleas and heartworm prevention. Discussed neuter timing around 5 to 6 months.", "spoken": "First kitten visit, F V R C P given, fecal was positive for roundworms so we dispensed pyrantel today with a Panacur follow up in two weeks. Started Revolution monthly for fleas and heartworm prevention. Discussed neuter timing around five to six months.", "drugs": ["pyrantel", "Panacur", "Revolution"], "trap": ""}
{"corpus": "blind5", "id": "m021", "kind": "dictation", "category": "puppy_series_final", "ref": "Third and final puppy visit, rabies given today along with the last DHPP. Switched from Simparica Trio to NexGard plus Interceptor since owner prefers separate chews. Praziquantel given once for tapeworms after we found segments on the fecal float. Spay scheduled for next month.", "spoken": "Third and final puppy visit, rabies given today along with the last D H P P. Switched from Simparica Trio to NexGard plus Interceptor since owner prefers separate chews. Praziquantel given once for tapeworms after we found segments on the fecal float. Spay scheduled for next month.", "drugs": ["Simparica Trio", "NexGard", "Interceptor", "praziquantel"], "trap": ""}
{"corpus": "blind5", "id": "m022", "kind": "dictation", "category": "kitten_series_recheck", "ref": "Kitten doing well, second FVRCP given, weight is up nicely. Continuing the monthly Revolution and finished her Panacur course, fecal recheck was clean today. No issues to report, owner is happy with litter box habits. See her back for the neuter consult in a month.", "spoken": "Kitten doing well, second F V R C P given, weight is up nicely. Continuing the monthly Revolution and finished her Panacur course, fecal recheck was clean today. No issues to report, owner is happy with litter box habits. See her back for the neuter consult in a month.", "drugs": ["Revolution", "Panacur"], "trap": ""}
{"corpus": "blind5", "id": "m023", "kind": "dictation", "category": "puppy_first_visit", "ref": "Brand new puppy, first visit, exam normal, started her on the first DHPP and gave the first dose of Panacur for roundworms, we'll repeat that in 2 weeks per protocol. Discussed heartworm prevention starting at 8 weeks with Heartgard and flea and tick coverage with Frontline for now until she's big enough for Simparica Trio.", "spoken": "Brand new puppy, first visit, exam normal, started her on the first D H P P and gave the first dose of Panacur for roundworms, we'll repeat that in two weeks per protocol. Discussed heartworm prevention starting at eight weeks with Heartgard and flea and tick coverage with Frontline for now until she's big enough for Simparica Trio.", "drugs": ["Panacur", "Heartgard", "Frontline", "Simparica Trio"], "trap": ""}
{"corpus": "blind5", "id": "m024", "kind": "dictation", "category": "kitten_neuter_prep", "ref": "Pre neuter exam, kitten is 6 months and cleared for surgery next week. Bloodwork looks great. Continuing Revolution monthly, no other medications on board. Owner asked about Seresto collars as an alternative and we discussed pros and cons of collar versus topical.", "spoken": "Pre neuter exam, kitten is six months and cleared for surgery next week. Bloodwork looks great. Continuing Revolution monthly, no other medications on board. Owner asked about Seresto collars as an alternative and we discussed pros and cons of collar versus topical.", "drugs": ["Revolution", "Seresto"], "trap": ""}
{"corpus": "blind5", "id": "m025", "kind": "dictation", "category": "radiology_thoracic_chf", "ref": "Thoracic radiographs show cardiomegaly with pulmonary edema consistent with CHF. Starting furosemide 2 mg/kg PO BID and pimobendan 0.25 mg/kg PO BID, that's Vetmedin. Recheck films in 1 week to confirm the edema is clearing.", "spoken": "Thoracic radiographs show cardiomegaly with pulmonary edema consistent with C H F. Starting furosemide, two milligrams per kilogram by mouth twice daily, and pimobendan, point two five milligrams per kilogram by mouth twice daily, that's Vetmedin. Recheck films in one week to confirm the edema is clearing.", "drugs": ["furosemide", "pimobendan", "Vetmedin"], "trap": ""}
{"corpus": "blind5", "id": "m026", "kind": "dictation", "category": "ultrasound_pancreatitis", "ref": "Abdominal ultrasound shows a thickened, hyperechoic pancreas consistent with pancreatitis, no evidence of obstruction. Starting maropitant 1 mg/kg SQ once daily for nausea, that's Cerenia, and famotidine 0.5 mg/kg PO BID. Withholding food for 12 hours then reintroducing a bland diet.", "spoken": "Abdominal ultrasound shows a thickened, hyperechoic pancreas consistent with pancreatitis, no evidence of obstruction. Starting maropitant, one milligram per kilogram under the skin once daily, for nausea, that's Cerenia, and famotidine, point five milligrams per kilogram by mouth twice daily. Withholding food for twelve hours then reintroducing a bland diet.", "drugs": ["maropitant", "Cerenia", "famotidine"], "trap": ""}
{"corpus": "blind5", "id": "m027", "kind": "dictation", "category": "radiology_hip_dysplasia", "ref": "Hip radiographs confirm bilateral hip dysplasia with moderate osteoarthritic change. Starting Galliprant 20 mg PO once daily for the arthritis pain and discussing Adequan loading injections twice weekly for 4 weeks. Weight management discussed at length, she needs to lose about 8 pounds.", "spoken": "Hip radiographs confirm bilateral hip dysplasia with moderate osteoarthritic change. Starting Galliprant, twenty milligrams by mouth once daily, for the arthritis pain and discussing Adequan loading injections twice weekly for four weeks. Weight management discussed at length, she needs to lose about eight pounds.", "drugs": ["Galliprant", "Adequan"], "trap": ""}
{"corpus": "blind5", "id": "m028", "kind": "dictation", "category": "ultrasound_bladder_stones", "ref": "Bladder ultrasound shows multiple hyperechoic foci consistent with cystic calculi, likely struvite given the urinalysis. Starting a dissolution diet and adding Clavamox 13.75 mg/kg PO BID for the concurrent UTI. Recheck ultrasound in 4 weeks to confirm the stones are shrinking.", "spoken": "Bladder ultrasound shows multiple hyperechoic foci consistent with cystic calculi, likely struvite given the urinalysis. Starting a dissolution diet and adding Clavamox, thirteen point seven five milligrams per kilogram by mouth twice daily, for the concurrent U T I. Recheck ultrasound in four weeks to confirm the stones are shrinking.", "drugs": ["Clavamox"], "trap": ""}
{"corpus": "blind5", "id": "m029", "kind": "dictation", "category": "radiology_pneumonia", "ref": "Thoracic films show a consolidated right middle lung lobe consistent with aspiration pneumonia. Starting Baytril 10 mg/kg PO once daily, that's enrofloxacin, plus metronidazole 15 mg/kg PO BID for anaerobic coverage. Recheck films in 2 weeks, sooner if breathing worsens.", "spoken": "Thoracic films show a consolidated right middle lung lobe consistent with aspiration pneumonia. Starting Baytril, ten milligrams per kilogram by mouth once daily, that's enrofloxacin, plus metronidazole, fifteen milligrams per kilogram by mouth twice daily, for anaerobic coverage. Recheck films in two weeks, sooner if breathing worsens.", "drugs": ["Baytril", "enrofloxacin", "metronidazole"], "trap": ""}
{"corpus": "blind5", "id": "m030", "kind": "dictation", "category": "im_workup_pupd", "ref": "Working up PU/PD in this middle aged dog, ran a CBC, chemistry, and urinalysis, all fairly unremarkable except mildly dilute urine. Ruling out Cushing's next with an ACTH stim. Holding off on any medication changes until we have that result, continuing her Vetmedin and furosemide as prescribed with no changes.", "spoken": "Working up P U P D in this middle aged dog, ran a C B C, chemistry, and urinalysis, all fairly unremarkable except mildly dilute urine. Ruling out Cushing's next with an A C T H stim. Holding off on any medication changes until we have that result, continuing her Vetmedin and furosemide as prescribed with no changes.", "drugs": ["Vetmedin", "furosemide"], "trap": ""}
{"corpus": "blind5", "id": "m031", "kind": "dictation", "category": "im_chronic_vomiting", "ref": "Chronic vomiting workup, abdominal ultrasound was unremarkable, so we're trialing omeprazole 1 mg/kg PO once daily and maropitant 2 mg/kg PO once daily as needed, that's Cerenia, before considering endoscopy. Owner to keep a food and symptom diary and call if vomiting continues past a week.", "spoken": "Chronic vomiting workup, abdominal ultrasound was unremarkable, so we're trialing omeprazole, one milligram per kilogram by mouth once daily, and maropitant, two milligrams per kilogram by mouth once daily as needed, that's Cerenia, before considering endoscopy. Owner to keep a food and symptom diary and call if vomiting continues past a week.", "drugs": ["omeprazole", "maropitant", "Cerenia"], "trap": ""}
{"corpus": "blind5", "id": "m032", "kind": "dictation", "category": "im_weight_loss_workup", "ref": "Weight loss workup in this senior cat, bloodwork shows early azotemia and a high T4. We're starting her on methimazole for the thyroid component, 1.25 mg PO BID to start, and adding famotidine 5 mg PO SID for GI support while we address both problems together. Recheck in 3 weeks with repeat labs.", "spoken": "Weight loss workup in this senior cat, bloodwork shows early azotemia and a high T four. We're starting her on methimazole for the thyroid component, one point two five milligrams by mouth twice daily to start, and adding famotidine, five milligrams by mouth once daily, for G I support while we address both problems together. Recheck in three weeks with repeat labs.", "drugs": ["methimazole", "famotidine"], "trap": ""}
{"corpus": "blind5", "id": "m033", "kind": "dictation", "category": "im_pupd_diabetes", "ref": "PU/PD workup came back consistent with new onset diabetes, glucose was over 500 on the chemistry panel with glucosuria and ketones on the dipstick. Starting Vetsulin 0.25 units per kilogram SQ BID and sending owner home with a curve schedule and glucometer training before discharge.", "spoken": "P U P D workup came back consistent with new onset diabetes, glucose was over five hundred on the chemistry panel with glucosuria and ketones on the dipstick. Starting Vetsulin, point two five units per kilogram under the skin twice daily, and sending owner home with a curve schedule and glucometer training before discharge.", "drugs": ["Vetsulin"], "trap": ""}
{"corpus": "blind5", "id": "m034", "kind": "dictation", "category": "im_chronic_diarrhea", "ref": "Chronic diarrhea workup, fecal PCR panel was negative, so this looks more like inflammatory bowel disease. Starting metronidazole 10 mg/kg PO BID for 2 weeks and a course of prednisolone 0.5 mg/kg PO once daily, tapering slowly over 8 weeks. Recheck at the 2 week mark.", "spoken": "Chronic diarrhea workup, fecal P C R panel was negative, so this looks more like inflammatory bowel disease. Starting metronidazole, ten milligrams per kilogram by mouth twice daily, for two weeks and a course of prednisolone, point five milligrams per kilogram by mouth once daily, tapering slowly over eight weeks. Recheck at the two week mark.", "drugs": ["metronidazole", "prednisolone"], "trap": ""}
{"corpus": "blind5", "id": "m035", "kind": "dictation", "category": "im_seizure_workup", "ref": "New onset seizure workup, bloodwork and a brief neuro exam were unremarkable between episodes, MRI recommended but owner declining for now. Starting levetiracetam 20 mg/kg PO TID as a first line option before committing to phenobarbital. Owner to keep a seizure log with dates and duration.", "spoken": "New onset seizure workup, bloodwork and a brief neuro exam were unremarkable between episodes, M R I recommended but owner declining for now. Starting levetiracetam, twenty milligrams per kilogram by mouth three times daily, as a first line option before committing to phenobarbital. Owner to keep a seizure log with dates and duration.", "drugs": ["levetiracetam", "phenobarbital"], "trap": ""}
{"corpus": "blind5", "id": "m036", "kind": "dictation", "category": "insurance_claim_otitis", "ref": "This is a claim narrative for chronic otitis. Diagnosed bilateral bacterial otitis externa on July 3rd, treated with Baytril otic and oral cephalexin 20 mg/kg PO BID dispensed for 14 days, total visit cost 285 dollars. Recheck on July 17th showed resolution, no further medication needed at that time.", "spoken": "This is a claim narrative for chronic otitis. Diagnosed bilateral bacterial otitis externa on July third, treated with Baytril otic and oral cephalexin, twenty milligrams per kilogram by mouth twice daily, dispensed for fourteen days, total visit cost two hundred eighty five dollars. Recheck on July seventeenth showed resolution, no further medication needed at that time.", "drugs": ["Baytril", "cephalexin"], "trap": ""}
{"corpus": "blind5", "id": "m037", "kind": "dictation", "category": "insurance_claim_dermatitis", "ref": "Claim narrative for allergic dermatitis, diagnosed atopic dermatitis on May 10th after ruling out food allergy and parasites. Dispensed Cytopoint injection that day and started Apoquel 16 mg PO once daily for maintenance, medications totaled 210 dollars. Follow up visit June 5th noted good control, continuing the same plan.", "spoken": "Claim narrative for allergic dermatitis, diagnosed atopic dermatitis on May tenth after ruling out food allergy and parasites. Dispensed Cytopoint injection that day and started Apoquel, sixteen milligrams by mouth once daily, for maintenance, medications totaled two hundred ten dollars. Follow up visit June fifth noted good control, continuing the same plan.", "drugs": ["Cytopoint", "Apoquel"], "trap": ""}
{"corpus": "blind5", "id": "m038", "kind": "dictation", "category": "insurance_claim_dental", "ref": "Claim narrative for a dental procedure with extractions on August 1st. Anesthesia included isoflurane and dexmedetomidine, procedure included 3 extractions, sent home on clindamycin 11 mg/kg PO BID for 7 days and meloxicam 0.1 mg/kg PO once daily for 3 days for pain, total charge 890 dollars.", "spoken": "Claim narrative for a dental procedure with extractions on August first. Anesthesia included isoflurane and dexmedetomidine, procedure included three extractions, sent home on clindamycin, eleven milligrams per kilogram by mouth twice daily, for seven days and meloxicam, point one milligrams per kilogram by mouth once daily, for three days for pain, total charge eight hundred ninety dollars.", "drugs": ["isoflurane", "dexmedetomidine", "clindamycin", "meloxicam"], "trap": ""}
{"corpus": "blind5", "id": "m039", "kind": "dictation", "category": "insurance_claim_uti", "ref": "Claim narrative for a urinary tract infection diagnosed September 12th based on a positive urine culture. Dispensed amoxicillin-clavulanate 62.5 mg PO BID for 10 days, that's Clavamox, total visit and medication cost 165 dollars. Repeat culture on September 26th came back negative.", "spoken": "Claim narrative for a urinary tract infection diagnosed September twelfth based on a positive urine culture. Dispensed amoxicillin clavulanate, sixty two point five milligrams by mouth twice daily, for ten days, that's Clavamox, total visit and medication cost one hundred sixty five dollars. Repeat culture on September twenty sixth came back negative.", "drugs": ["amoxicillin-clavulanate", "Clavamox"], "trap": ""}
{"corpus": "blind5", "id": "m040", "kind": "dictation", "category": "insurance_claim_heart_disease", "ref": "Claim narrative for congestive heart failure diagnosed February 14th on radiographs and echo. Started furosemide 2 mg/kg PO BID, pimobendan 0.25 mg/kg PO BID, and enalapril 0.5 mg/kg PO BID, monthly medication cost running about 95 dollars. Condition considered pre existing for claims filed after March 1st per the policy terms.", "spoken": "Claim narrative for congestive heart failure diagnosed February fourteenth on radiographs and echo. Started furosemide, two milligrams per kilogram by mouth twice daily, pimobendan, point two five milligrams per kilogram by mouth twice daily, and enalapril, point five milligrams per kilogram by mouth twice daily, monthly medication cost running about ninety five dollars. Condition considered pre existing for claims filed after March first per the policy terms.", "drugs": ["furosemide", "pimobendan", "enalapril"], "trap": ""}
{"corpus": "blind5", "id": "m041", "kind": "dictation", "category": "voicemail_refill_request", "ref": "Voicemail from Mrs. Alvarez, she says Bella is almost out of her Rimadyl and wants a refill called in before the weekend, she thinks she has about 3 days left. Also asked if she can get an extra bottle of gabapentin for the car ride to visit family next month.", "spoken": "Voicemail from Mrs. Alvarez, she says Bella is almost out of her Rimadyl and wants a refill called in before the weekend, she thinks she has about three days left. Also asked if she can get an extra bottle of gabapentin for the car ride to visit family next month.", "drugs": ["Rimadyl", "gabapentin"], "trap": ""}
{"corpus": "blind5", "id": "m042", "kind": "dictation", "category": "voicemail_side_effect", "ref": "Voicemail from Mr. Chen, he started Max on Apoquel last week and says he seems more thirsty than usual, wants to know if that's expected or if he should stop it. He also mentioned Max ran out of Heartgard last month and never picked up the refill.", "spoken": "Voicemail from Mr. Chen, he started Max on Apoquel last week and says he seems more thirsty than usual, wants to know if that's expected or if he should stop it. He also mentioned Max ran out of Heartgard last month and never picked up the refill.", "drugs": ["Apoquel", "Heartgard"], "trap": ""}
{"corpus": "blind5", "id": "m043", "kind": "dictation", "category": "voicemail_missed_dose", "ref": "Voicemail from the Patel family, they missed Luna's evening dose of levetiracetam yesterday because they were traveling, want to know if they should double up tonight or just resume the regular schedule. Also mention she's been on phenobarbital and levetiracetam both for about 6 months now with no seizures.", "spoken": "Voicemail from the Patel family, they missed Luna's evening dose of levetiracetam yesterday because they were traveling, want to know if they should double up tonight or just resume the regular schedule. Also mention she's been on phenobarbital and levetiracetam both for about six months now with no seizures.", "drugs": ["levetiracetam", "phenobarbital"], "trap": ""}
{"corpus": "blind5", "id": "m044", "kind": "dictation", "category": "voicemail_refill_multiple", "ref": "Voicemail from Ms. Kowalski, out of Convenia refills obviously since that's an injection, but she's asking about the prednisolone and wants to know if she can get a refill for that plus the ear cleaner, cat's ears seem itchy again since we switched off the Malaseb.", "spoken": "Voicemail from Ms. Kowalski, out of Convenia refills obviously since that's an injection, but she's asking about the prednisolone and wants to know if she can get a refill for that plus the ear cleaner, cat's ears seem itchy again since we switched off the Malaseb.", "drugs": ["Convenia", "prednisolone", "Malaseb"], "trap": ""}
{"corpus": "blind5", "id": "m045", "kind": "dictation", "category": "voicemail_general_question", "ref": "Voicemail from Mr. Osei asking about Rex's furosemide and pimobendan, he wants to know if he can give both at the same time or space them apart, and whether the panting he's noticing at night is normal or something to worry about. Please have the doctor call back today.", "spoken": "Voicemail from Mr. Osei asking about Rex's furosemide and pimobendan, he wants to know if he can give both at the same time or space them apart, and whether the panting he's noticing at night is normal or something to worry about. Please have the doctor call back today.", "drugs": ["furosemide", "pimobendan"], "trap": ""}
{"corpus": "blind5", "id": "m046", "kind": "trap", "category": "trap_soundalike_frontline", "ref": "The front line staff at the reception desk handled the walk in rush really well this morning, we had four emergencies come in back to back and nobody missed a beat.", "spoken": "The front line staff at the reception desk handled the walk in rush really well this morning, we had four emergencies come in back to back and nobody missed a beat.", "drugs": [], "trap": "Front line describes the reception staff, not the flea and tick product Frontline, and must not be flagged."}
{"corpus": "blind5", "id": "m047", "kind": "trap", "category": "trap_soundalike_revolution", "ref": "Switching to digital records has been a real revolution in how we track patient histories, everyone on staff says it saves them an hour a day.", "spoken": "Switching to digital records has been a real revolution in how we track patient histories, everyone on staff says it saves them an hour a day.", "drugs": [], "trap": "Revolution here means a sweeping change in workflow, not the flea and heartworm product Revolution."}
{"corpus": "blind5", "id": "m048", "kind": "trap", "category": "trap_soundalike_interceptor", "ref": "Facilities had to install a grease interceptor under the sink in the treatment room because the old plumbing kept backing up.", "spoken": "Facilities had to install a grease interceptor under the sink in the treatment room because the old plumbing kept backing up.", "drugs": [], "trap": "Interceptor names a plumbing fixture, not the heartworm preventive Interceptor."}
{"corpus": "blind5", "id": "m049", "kind": "trap", "category": "trap_soundalike_entice", "ref": "We tried to entice the cat out from under the exam table with a little bit of tuna but she wasn't having any of it today.", "spoken": "We tried to entice the cat out from under the exam table with a little bit of tuna but she wasn't having any of it today.", "drugs": [], "trap": "Entice is the ordinary verb for coaxing, not the appetite stimulant Entyce."}
{"corpus": "blind5", "id": "m050", "kind": "trap", "category": "trap_soundalike_serene", "ref": "The waiting room felt unusually serene this afternoon, no barking, no crying kittens, just a quiet Tuesday.", "spoken": "The waiting room felt unusually serene this afternoon, no barking, no crying kittens, just a quiet Tuesday.", "drugs": [], "trap": "Serene describes the calm mood in the lobby, not the anti nausea drug Cerenia."}
{"corpus": "blind5", "id": "m051", "kind": "trap", "category": "trap_soundalike_convenient", "ref": "The new online scheduling portal is so much more convenient for clients trying to book a same day appointment.", "spoken": "The new online scheduling portal is so much more convenient for clients trying to book a same day appointment.", "drugs": [], "trap": "Convenient is an ordinary adjective, not the antibiotic Convenia."}
{"corpus": "blind5", "id": "m052", "kind": "trap", "category": "trap_soundalike_adequate", "ref": "Her body condition score looks adequate for her age and breed, we don't have any weight concerns to address today.", "spoken": "Her body condition score looks adequate for her age and breed, we don't have any weight concerns to address today.", "drugs": [], "trap": "Adequate is an ordinary word describing body condition, not the joint injection Adequan."}
{"corpus": "blind5", "id": "m053", "kind": "trap", "category": "trap_soundalike_libra", "ref": "Her birthday is coming up, owner mentioned she's a libra and always throws a little party for the dog every October.", "spoken": "Her birthday is coming up, owner mentioned she's a libra and always throws a little party for the dog every October.", "drugs": [], "trap": "Libra is the owner's zodiac sign, not the osteoarthritis injection Librela."}
{"corpus": "blind5", "id": "m054", "kind": "trap", "category": "trap_soundalike_malaise", "ref": "The owner described a vague malaise in himself the last few days, not the dog, and joked that he probably caught whatever the puppy has been shaking off.", "spoken": "The owner described a vague malaise in himself the last few days, not the dog, and joked that he probably caught whatever the puppy has been shaking off.", "drugs": [], "trap": "Malaise is the ordinary word for feeling unwell, not the shampoo Malaseb."}
{"corpus": "blind5", "id": "m055", "kind": "trap", "category": "trap_soundalike_clavicle", "ref": "Cats don't have a functional clavicle the way we do, which is part of why they can squeeze through such narrow gaps.", "spoken": "Cats don't have a functional clavicle the way we do, which is part of why they can squeeze through such narrow gaps.", "drugs": [], "trap": "Clavicle is the anatomical collarbone term, not the antibiotic Clavamox."}
{"corpus": "blind5", "id": "m056", "kind": "trap", "category": "trap_offlist_proin_dasuquin", "ref": "Started this senior dog on Proin 2 mg/kg PO BID for urinary incontinence and continuing her Dasuquin joint supplement daily. No changes to anything else today.", "spoken": "Started this senior dog on Proin, two milligrams per kilogram by mouth twice daily, for urinary incontinence and continuing her Dasuquin joint supplement daily. No changes to anything else today.", "drugs": [], "trap": "Proin and Dasuquin are real veterinary products but neither is on this clinic's formulary, so the row lists no drugs."}
{"corpus": "blind5", "id": "m057", "kind": "trap", "category": "trap_offlist_vetoryl_trilostane", "ref": "Cushing's recheck, ACTH stim looks well controlled on Vetoryl 30 mg PO once daily, that's trilostane. Continuing the same dose, recheck electrolytes and repeat the stim test in 3 months.", "spoken": "Cushing's recheck, A C T H stim looks well controlled on Vetoryl, thirty milligrams by mouth once daily, that's trilostane. Continuing the same dose, recheck electrolytes and repeat the stim test in three months.", "drugs": [], "trap": "Vetoryl and trilostane are genuine Cushing's medications absent from the formulary, so no drugs are listed despite the confident brand and generic pairing."}
{"corpus": "blind5", "id": "m058", "kind": "trap", "category": "trap_offlist_solensia", "ref": "Started this arthritic cat on Solensia monthly injections, owner reports she's jumping onto the couch again for the first time in over a year.", "spoken": "Started this arthritic cat on Solensia monthly injections, owner reports she's jumping onto the couch again for the first time in over a year.", "drugs": [], "trap": "Solensia is a real feline osteoarthritis injection but it is not on this clinic's formulary."}
{"corpus": "blind5", "id": "m059", "kind": "trap", "category": "trap_offlist_anipryl_selegiline", "ref": "Owner thinks the old dog's nighttime pacing and disorientation could be cognitive dysfunction, discussed starting Anipryl, that's selegiline, and we'll see how he does over the next month before adding anything else.", "spoken": "Owner thinks the old dog's nighttime pacing and disorientation could be cognitive dysfunction, discussed starting Anipryl, that's selegiline, and we'll see how he does over the next month before adding anything else.", "drugs": [], "trap": "Anipryl and selegiline are a genuine brand and generic pair for cognitive dysfunction but neither is on the formulary."}
{"corpus": "blind5", "id": "m060", "kind": "trap", "category": "trap_offlist_denamarin_with_onlist", "ref": "Started Denamarin once daily for liver support alongside her prednisolone 0.5 mg/kg PO once daily, we'll recheck liver values in 4 weeks to see how she's trending.", "spoken": "Started Denamarin once daily for liver support alongside her prednisolone, point five milligrams per kilogram by mouth once daily, we'll recheck liver values in four weeks to see how she's trending.", "drugs": ["prednisolone"], "trap": "Denamarin is a real liver supplement not on the formulary, but the co-mentioned prednisolone is genuinely on-list and must still be captured."}
{"corpus": "blind5", "id": "m061", "kind": "trap", "category": "trap_offlist_previcox_with_onlist", "ref": "Owner had been giving Previcox from another vet, we're switching her over to gabapentin 10 mg/kg PO BID instead since Previcox isn't something we carry, and gabapentin will layer better with what we're already planning.", "spoken": "Owner had been giving Previcox from another vet, we're switching her over to gabapentin, ten milligrams per kilogram by mouth twice daily, instead since Previcox isn't something we carry, and gabapentin will layer better with what we're already planning.", "drugs": ["gabapentin"], "trap": "Previcox is a genuine NSAID but off this formulary, while the gabapentin mentioned twice in the same breath is on-list and should be captured once."}
{"corpus": "blind5", "id": "m062", "kind": "trap", "category": "trap_offlist_anesthesia_with_onlist", "ref": "Induced with propofol today instead of the usual alfaxalone since we were low in stock, premedicated with butorphanol 0.2 mg/kg IM, maintained on isoflurane throughout the procedure.", "spoken": "Induced with propofol today instead of the usual alfaxalone since we were low in stock, premedicated with butorphanol, point two milligrams per kilogram I M, maintained on isoflurane throughout the procedure.", "drugs": ["butorphanol", "isoflurane"], "trap": "Propofol and alfaxalone are genuine induction agents but off formulary, while butorphanol and isoflurane in the same sentence are on-list and must both be captured."}
{"corpus": "blind5", "id": "m063", "kind": "trap", "category": "trap_offlist_marbofloxacin_with_onlist", "ref": "Culture came back resistant to a few options, infectious disease consult suggested marbofloxacin, that's Zeniquin, but we don't stock it, so we're using amikacin 15 mg/kg IV once daily instead per the sensitivity panel.", "spoken": "Culture came back resistant to a few options, infectious disease consult suggested marbofloxacin, that's Zeniquin, but we don't stock it, so we're using amikacin, fifteen milligrams per kilogram I V once daily instead per the sensitivity panel.", "drugs": ["amikacin"], "trap": "Marbofloxacin and Zeniquin are genuine antibiotics absent from the formulary, while the amikacin actually dispensed is on-list and must be captured."}
{"corpus": "blind5", "id": "m064", "kind": "trap", "category": "trap_name_bravo", "ref": "Bravo is a two year old lab mix in for his annual wellness exam today, owner reports he's doing great, no concerns, eating well and full of energy.", "spoken": "Bravo is a two year old lab mix in for his annual wellness exam today, owner reports he's doing great, no concerns, eating well and full of energy.", "drugs": [], "trap": "Bravo is the patient's name, not the flea and tick chew Bravecto."}
{"corpus": "blind5", "id": "m065", "kind": "trap", "category": "trap_name_sereno", "ref": "Mrs. Sereno called earlier to reschedule her cat's dental cleaning, she's asking if we have any openings next Thursday afternoon instead of Monday.", "spoken": "Mrs. Sereno called earlier to reschedule her cat's dental cleaning, she's asking if we have any openings next Thursday afternoon instead of Monday.", "drugs": [], "trap": "Sereno is the client's surname, not the anti nausea drug Cerenia."}
{"corpus": "blind5", "id": "m066", "kind": "trap", "category": "trap_name_clinda", "ref": "Clinda is training the new hire on restraint technique today, she's been really patient walking her through how to safely scruff a fractious cat.", "spoken": "Clinda is training the new hire on restraint technique today, she's been really patient walking her through how to safely scruff a fractious cat.", "drugs": [], "trap": "Clinda is the technician's name, not the antibiotic clindamycin."}
{"corpus": "blind5", "id": "m067", "kind": "trap", "category": "trap_name_kennels_product", "ref": "Boarding paperwork came in from Rex Guard Kennels for a dog staying with us over the holiday, and facilities restocked the Revolve cleaning spray in every exam room this week.", "spoken": "Boarding paperwork came in from Rex Guard Kennels for a dog staying with us over the holiday, and facilities restocked the Revolve cleaning spray in every exam room this week.", "drugs": [], "trap": "Rex Guard Kennels and Revolve are a boarding facility and a cleaning product name, not the drugs NexGard or Revolution."}
{"corpus": "blind5", "id": "m068", "kind": "trap", "category": "trap_no_drug_lab_readout", "ref": "CBC today shows a mild left shift with a white count of 18.2, hematocrit is 38 percent, platelets are within normal limits. Chemistry panel is essentially unremarkable across the board.", "spoken": "C B C today shows a mild left shift with a white count of eighteen point two, hematocrit is thirty eight percent, platelets are within normal limits. Chemistry panel is essentially unremarkable across the board.", "drugs": [], "trap": "A full lab readout with numeric values and no medication named anywhere."}
{"corpus": "blind5", "id": "m069", "kind": "trap", "category": "trap_no_drug_scheduling", "ref": "Please move the 2 o'clock dental to 3:30 since the surgery before it is running long, and let the 4 o'clock recheck know we might be running about 15 minutes behind.", "spoken": "Please move the two o'clock dental to three thirty since the surgery before it is running long, and let the four o'clock recheck know we might be running about fifteen minutes behind.", "drugs": [], "trap": "Pure scheduling logistics with no clinical or drug content."}
{"corpus": "blind5", "id": "m070", "kind": "trap", "category": "trap_no_drug_imaging", "ref": "Abdominal radiographs today show a normal gas pattern throughout, no evidence of obstruction or foreign body, bladder is unremarkable, no further imaging needed at this time.", "spoken": "Abdominal radiographs today show a normal gas pattern throughout, no evidence of obstruction or foreign body, bladder is unremarkable, no further imaging needed at this time.", "drugs": [], "trap": "A clean imaging finding with no medication plan attached at all."}